AzTrials
AzTrials

NeuralgiaPhase 2NCT00592774

Dose-Tolerability Titration Study to Evaluate The Efficacy And Safety Of Perampanel (E2007) In Patients With Post-Herpetic Neuralgia (PHN)

A Phase 2 study testing E2007 (perampanel) in people with Neuralgia, run by Eisai Inc. at 47 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of the study is to determine the efficacy and safety of Perampanel (E2007) in patients with Post-Herpetic Neuralgia (PHN). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neuralgia
What is being tested?
E2007 (perampanel)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
146 participants
Where
47 sitesin 2 countries
Study dates
Jan 2008to Mar 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • To be included, patients must meet the following:
  • Provide written informed consent, prior to entering the study or undergoing any study procedures.
  • Male and female patients ≥18 years of age. Females should be either of nonchildbearing potential as a result of surgery or menopause (1 year after onset), or of childbearing potential and practicing a medically acceptable method of contraception. Acceptable contraception includes: abstinence, a barrier method plus spermicide, or intrauterine device [IUD]. Those females using hormonal contraceptives must also be using an additional approved method of contraception (e.g., a barrier method plus spermicide or IUD). Contraceptive use must start at least 1 month before Visit 1, be practiced throughout the entire study period, and continue for 1 month after the end of the study. They must also have a negative serum beta-human chorionic gonadotropin (β-hCG) at Visit 1, and a negative urine pregnancy test at Baseline Visit 2.
  • PHN of at least 6 months duration; the onset of PHN is defined as the time from healing of herpes zoster skin lesions.
  • Pain over the past 6 months, and not in a clinically identifiable improving or worsening trend, based on medical history.
  • Score of ≥ 40 mm on the visual analog scale (VAS) of the short form McGill Pain Questionnaire (SF-MPQ) at both Visit 1 and Baseline (Visit 2 prior to randomization).
Show all 22Show fewer
  • Have completed the patient diary for at least 6 of the 7 days prior to Visit 2 (Baseline).
  • Average daily pain score of ≥ 4, on 11-point Likert scale during the 7 days prior to randomization [from the diaries].
  • Reliable and willing and able to cooperate with all study procedures, including the following examples:
  • Accurately entering the diary on a daily basis
  • Returning for study visits on the required dates
  • Accurately and reliably reporting symptoms (including treatment-emergent signs and symptoms)
  • Taking study drug as required by protocol
  • Be on stable analgesic treatment (same medication(s)) or stable nonpharmacological pain treatment for at least 4 weeks prior to Visit 1 and remain on this stable treatment throughout the study. Nonpharmacologic pain treatment includes the following:
  • relaxation/hypnosis
  • physical or occupational therapy
  • mental-health counseling
  • acupuncture
  • injections
  • blocks, etc.
  • Episodic or periodic pharmacologic treatments such as monthly injections for treatment of pain (eg, local anesthetics) will not be permitted.
  • Up to 4 g of acetaminophen/day is permitted as rescue medication, as needed, during the trial.

Who cannot join

  • Patients with any of the following are to be excluded:
  • Any condition that could interfere with the conduct of the trial or confound efficacy evaluations including the following examples: pain or neuropathy from another cause (including painful diabetic neuropathy), such as central pain, radiculopathy, painful arthritis, etc.
  • Motivation by secondary gain, or where there is a negative-incentive to achieving pain and functional relief (eg, litigation). This will be determined from the medical history and is at the discretion of the investigator.
  • Inability to cooperate with protocol, for any reason.
  • Clinically significant, progressive, or potentially unstable disease of any body system including cardiovascular, gastrointestinal, CNS, psychiatric, endocrine, or immunologic, including patients with any of the following broad disease categories:
  • Systemic infections (eg, human immunodeficiency virus [HIV], hepatitis, tuberculosis [TB], syphilis); lack of appropriate medical history of these conditions is acceptable,
Show all 20Show fewer
  • History of past (within the past 12 months) or present drug or alcohol abuse as per the Diagnostic and Statistical Manual - 4th Edition (DSM IV) criteria,
  • History of acute coronary syndrome within the past 12 months,
  • Active cancer within the previous 5 years (the exception is fully treated, non-melanoma skin cancer such as basal cell carcinoma),
  • Systemic chemotherapy or immunotherapy within the past 5 years,
  • History of major depression, bipolar disease, psychosis or suicidal ideation or attempts within the past 5 years,
  • History of major systemic allergy such as anaphylactoid reactions or Stevens-Johnson syndrome (however, patients with limited allergies such as contact dermatitis or minor allergy to penicillin are acceptable).
  • Any of the following laboratory abnormalities at Visit 1:
  • Clinically significant ECG abnormality, including prolonged QTc (defined as QTcB > 450 msec),
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 1.5 times the upper limit of normal (ULN),
  • Clinically significant abnormal white blood cell (WBC), absolute neutrophil, or platelet count values,
  • Any other clinically significant laboratory value.
  • Exposure to an investigational drug within the 30 days prior to Visit 1 or exposure ever to perampanel.
  • Females who are pregnant, lactating, or planning to become pregnant during the study.
  • Use of any medication known to be a strong inducer of CYP3A4 activity within 4 weeks prior to Visit 1; use of CYP3A4 inducers is prohibited for the entire study duration.

Trial locations and contacts

47 sites in 2 countries.

47 sites in 2 countries

United States42 sites
  • Study site

    Bensalem, Pennsylvania

  • Study site

    Boca Raton, Florida

  • Study site

    Boston, Massachusetts

  • Study site

    Boulder, Colorado

  • Study site

    Bradenton, Florida

  • Study site

    Brooklyn, New York

  • Pain and Rehabilitation Clinic of Chicago

    Chicago, Illinois, 60610

  • Study site

    Chicago, Illinois

  • Study site

    Dallas, Texas

  • Study site

    Daytona Beach, Florida

  • Study site

    Delray Beach, Florida

  • Study site

    Denver, Colorado

  • Study site

    Fort Lauderdale, Florida

  • Study site

    Fort Myers, Florida

  • Study site

    High Point, North Carolina

  • Study site

    Kettering, Ohio

  • Study site

    Kissimmee, Florida

  • Study site

    Largo, Florida

  • Study site

    Las Vegas, Nevada

  • Study site

    Little Rock, Arkansas

  • Study site

    Los Angeles, California

  • Study site

    Miami, Florida

  • Study site

    Milford, Connecticut

  • Study site

    Missoula, Montana

  • Study site

    Naples, Florida

  • Study site

    Norristown, Pennsylvania

  • Study site

    Orlando, Florida

  • Study site

    Palm Beach Gardens, Florida

  • Study site

    Peoria, Arizona

  • Study site

    Sacramento, California

  • Study site

    San Diego, California

  • Study site

    San Francisco, California

  • Study site

    Sarasota, Florida

  • Study site

    Southfield, Michigan

  • Study site

    St. Petersburg, Florida

  • Study site

    Sunrise, Florida

  • Study site

    Tampa, Florida

  • Study site

    Towson, Maryland

  • Study site

    Tucson, Arizona

  • Study site

    Warwick, Rhode Island

  • Study site

    West Yarmouth, Massachusetts

  • Study site

    Winston-Salem, North Carolina

Other trials in United States

Canada5 sites
  • Study site

    Kelowna, British Columbia

  • Study site

    Pointe-Claire, Quebec

  • Study site

    Sarnia, Ontario

  • Study site

    Saskatoon, Saskatchewan

  • Study site

    Toronto, Ontario

Other trials in Canada

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Tolerability Titration Study To Evaluate The Efficacy And Safety Of Perampanel (E2007) In Patients With Post-Herpetic Neuralgia (PHN)

The purpose of the study is to determine the efficacy and safety of Perampanel (E2007) in patients with Post-Herpetic Neuralgia (PHN).

Conditions
Neuralgia
Being tested
E2007 (perampanel), Placebo
Keywords
Post-Herpetic Neuralgia, PHN)
Medical subject headings
Neuralgia, Neuralgia, Postherpetic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • E2007 (perampanel)Drug

    Also called perampanel

    2 mg titrated up to 8 mg maximum; taken once daily.

  • PlaceboDrug

    2 mg titrated up to 8 mg maximum; taken once daily.

Study groups in NCT00592774
Study groupRoleWhat they receive
Placebo Cohort 1Placebo comparatorNot described
Receives: Drug: Placebo
Perampanel Cohort 1, 3-week TitrationExperimentalNot described
Receives: Drug: E2007 (perampanel)
Placebo Cohort 2ExperimentalNot described
Receives: Drug: Placebo
Perampanel Cohort 2, 1-week TitrationExperimentalNot described
Receives: Drug: E2007 (perampanel)
Perampanel Cohort 2, 2- Week TitrationExperimentalNot described
Receives: Drug: E2007 (perampanel)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Average Pain Scores to Week 15/ End of Treatment (EOT) (Including Modified BOCF Data)

    Average pain scores are based on pain intensity (11-point Likert-type numerical scale, where 0=no pain and 10=worst possible pain), reported by the subjects in a daily diary. The average pain score for baseline was calculated using the average of the last 7 scores prior to randomization, and the average pain score for Week 15 was computed using the average of the last 7 on-treatment scores prior to Week 15, and they were reported by treatment group.

    Measured: Baseline and Week 15

  2. Responder Rate: Subjects With at Least 30 Percent Reduction in Pain

    A responder was a participant with at least 30 percent reduction in average pain scores, using modified BOCF, based on pain intensity (11-point Likert-type numerical scale where 0=no pain and 10=worst possible pain), reported by the subjects in a daily diary. The average pain score for baseline was calculated using the average of the last 7 scores prior to randomization, and the average pain score for Week 15 was computed using the average of the last 7 on-treatment scores prior to Week 15, and they were reported by treatment group.

    Measured: Baseline and Week 15

  3. Responder Rate: Subjects With at Least 50 Percent Reduction in Pain

    A responder was a participant with at least 50 percent reduction in average pain scores, using modified BOCF, based on pain intensity (11-point Likert-type numerical scale where 0=no pain and 10=worst possible pain), reported by the subjects in a daily diary. The average pain score for baseline was calculated using the average of the last 7 scores prior to randomization, and the average pain score for Week 15 was computed using the average of the last 7 on-treatment scores prior to Week 15, and they were reported by treatment group.

    Measured: Baseline and Week 15

  4. Change From Baseline in Average Pain Scores by Week

    Change from baseline in average pain scores by week based on pain intensity (11-point Likert-type numerical scale where 0=no pain and 10=worst possible pain), reported by the subjects in a daily diary. The average pain scores were calculated as the average of available scores in each week, and were reported by treatment group.

    Measured: Week 1 through Week 16

Secondary outcomes (6)
  1. Change From Baseline to Week 15/EOT in Average Sleep Interference Scores

    The average of the last 7 available sleep scores prior to the visit, based on the 11-point Likert-type numerical rating scale for sleep interference (where 0=pain did not interfere with sleep, to 10=pain completely interfered with sleep [unable to sleep]), and they were reported by treatment group.

    Measured: Baseline and Week 15

  2. Patient Global Impression of Change (PGIC) at Week 15/EOT

    Changes were calculated using the modified BOCF method

    Measured: Week 15

  3. Clinician Global Impression of Change (CGIC) at Week 15/EOT

    Changes were calculated using the modified BOCF method

    Measured: Week 15

  4. Change From Baseline to Week 15/EOT in HADS Anxiety Subscale Scores (Modified BOCF)

    The HADS (Hospital Anxiety and Depression Scale) is a widely used, self-reported, 14-item instrument that measures the presence and severity of anxiety and depression. It consists of 2 subscales; a 7-item anxiety subscale (HADS-A) and a 7-item depression subscale (HADS-D). HADS-A consists of a 7-item scale, each scored on a 4-pt scale (0, 1, 2, or 3), where a higher score indicates worse anxiety. Range of possible HADS anxiety subscale scores is 0 to 21, and normal=(0-7), mild=(8-10), moderate=(11-14), and severe=(15-21).

    Measured: Baseline and Week 15

  5. Change From Baseline to Week 15/EOT in HADS Depression Subscale Scores (Modified BOCF)

    The HADS (Hospital Anxiety and Depression Scale) is a widely used, self-reported, 14-item instrument that measures the presence and severity of anxiety and depression. It consists of 2 subscales; a 7-item anxiety subscale (HADS-A) and a 7-item depression subscale (HADS-D). HADS-D consists of a 7-item scale, each scored on a 4-pt scale (0, 1, 2, or 3), where a higher score indicates worse depression. Range of possible HADS depression subscale scores is 0 to 21, and normal=(0-7), mild=(8-10), moderate=(11-14), and severe=(15-21).

    Measured: Baseline and Week 15

  6. Analysis of Allodynia (Present/Not Present) at Week 15/EOT- by Treatment Groups ITT Population (Modified BOCF)

    Allodynia is defined as a painful reaction to a non-painful stimulus.

    Measured: Week 15

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jan 2008 (estimated)
  2. Study startJan 2008
  3. Primary completionDec 2008
  4. Study completionMar 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00592774
Sponsor's protocol ID
E2007-A001-218
Status last verified
Feb 2013
First submitted
3 Jan 2008
Last updated
15 Feb 2013

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing E2007 (perampanel) in people with Neuralgia, run by Eisai Inc. at 47 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 22 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Feb 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Feb 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Average Pain Scores to Week 15/ End of Treatment (EOT) (Including Modified BOCF Data) (time frame: Baseline and Week 15). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Feb 2013.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in