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Restless Legs SyndromePhase 4CONCORDNCT01668667

Gabapentin Enacarbil (GSK1838262) Adult Restless Leg Syndrome (RLS) Post Marketing Commitment Study

A Phase 4 study testing GSK1838262 600 mg, GSK1838262 450 mg and GSK1838262 300 mg in people with Restless Legs Syndrome, run by XenoPort, Inc. at 42 sites in United States.

Completed

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

Official record
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Trial summary

Gabapentin enacarbil (GEn; GSK1838262; HORIZANT), at a dose of 600 mg/day, is currently approved in the United States for the treatment of adults with moderate-to-severe primary Restless Legs Syndrome (RLS). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Restless Legs Syndrome
What is being tested?
GSK1838262 600 mg, GSK1838262 450 mg and GSK1838262 300 mg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
501 participants
Where
42 sitesUnited States
Study dates
Jun 2012to Nov 2013
Phase
Phase 4
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

  • Men or women 18 years of age or older
  • History of RLS symptoms for at least 15 nights/month
  • Documented RLS symptoms, using the 7-day RLS Symptom Record, for at least 4 of the 7 consecutive evenings/nights during the night
  • Total RLS severity score of 15 or greater on the International RLS (IRLS) Rating Scale at Visit 1 and at Visit 2
  • Discontinuation of dopamine agonists and/or gabapentin , or other treatments for RLS (e.g. opioids, benzodiazepines) at least 2 weeks prior to Baseline
  • If taking any prescription medication, therapy must have been stabilized for at least 3 months prior to Screening with no anticipated changes for the duration of the study
Show all 10Show fewer
  • Female subjects are eligible if of non-childbearing potential or not lactating, has a negative pregnancy, and agrees to use a highly effective method for avoiding pregnancy
  • Body mass index of 34 or below
  • Estimated creatinine clearance of ≥60 mL/min
  • Provides written consent in accordance with all applicable regulatory requirements

Who cannot join

  • History of a sleep disorder that may affect the assessment of RLS
  • History of RLS symptom augmentation or end-of-dose rebound with previous dopamine agonist treatment
  • Neurologic disease or movement disorder
  • Other medical conditions or drug therapy that could affect RLS efficacy assessments or may present a safety concern
  • Have clinically significant or unstable medical conditions
  • Have active suicidal plan/intent or has had active suicidal thoughts in the past 6 months; has a history of suicide attempt

Trial locations and contacts

42 sites in 1 country.

42 sites in 1 country

United States42 sites
  • GSK Investigational Site

    Albuquerque, New Mexico, 87106

  • GSK Investigational Site

    Atlanta, Georgia, 30342

  • GSK Investigational Site

    Austin, Texas, 78731

  • GSK Investigational Site

    Bingham Farms, Michigan, 48025

  • GSK Investigational Site

    Charlottesville, Virginia, 22911

  • GSK Investigational Site

    Chevy Chase, Maryland, 20815

  • GSK Investigational Site

    Cincinnati, Ohio, 45255

  • GSK Investigational Site

    Cleveland, Ohio, 44130

  • GSK Investigational Site

    Colorado Springs, Colorado, 80907

  • GSK Investigational Site

    Columbia, South Carolina, 29201

  • GSK Investigational Site

    Crestview Hills, Kentucky, 41017

  • GSK Investigational Site

    DeLand, Florida, 32720

  • GSK Investigational Site

    Denver, Colorado, 80239

  • GSK Investigational Site

    Duncansville, Pennsylvania, 16635

  • GSK Investigational Site

    Fort Worth, Texas, 76135

  • GSK Investigational Site

    Greer, South Carolina, 29651

  • GSK Investigational Site

    Hickory, North Carolina, 28601

  • GSK Investigational Site

    Jackson, Tennessee, 38305

  • GSK Investigational Site

    Lafayette Hill, Pennsylvania, 19444

  • GSK Investigational Site

    Las Vegas, Nevada, 89119

  • GSK Investigational Site

    Lenexa, Kansas, 66214

  • GSK Investigational Site

    Little Rock, Arkansas, 72211

  • GSK Investigational Site

    Louisville, Kentucky, 40217

  • GSK Investigational Site

    Metairie, Louisiana, 70006

  • GSK Investigational Site

    Middleburg Heights, Ohio, 44130

  • GSK Investigational Site

    Mt. Pleasant, South Carolina, 29464

  • GSK Investigational Site

    Murray, Utah, 84123

  • GSK Investigational Site

    Oklahoma City, Oklahoma, 73112

  • GSK Investigational Site

    Omaha, Nebraska, 68134

  • GSK Investigational Site

    Phoenix, Arizona, 85020

  • GSK Investigational Site

    Phoenix, Arizona, 85050

  • GSK Investigational Site

    Raleigh, North Carolina, 27612

  • GSK Investigational Site

    San Angelo, Texas, 76904

  • GSK Investigational Site

    San Antonio, Texas, 78205

  • GSK Investigational Site

    San Antonio, Texas, 78229

  • GSK Investigational Site

    Santa Monica, California, 90404

  • GSK Investigational Site

    Tampa, Florida, 33609

  • GSK Investigational Site

    Topeka, Kansas, 66606

  • GSK Investigational Site

    Tucson, Arizona, 85704

  • GSK Investigational Site

    Warwick, Rhode Island, 02886

  • GSK Investigational Site

    Winston-Salem, North Carolina, 27103

  • GSK Investigational Site

    Woodstock, Georgia, 30189

Other trials in United States

About this study

Official title: Randomized, Double-Blind, Placebo-Controlled, Fixed-Dose, Parallel-Group Study to Compare the Efficacy, Tolerability, and Safety of 3 Doses of Gabapentin Enacarbil (GSK1838262) With Placebo in Treatment of Moderate-to-Severe Primary RLS

Gabapentin enacarbil (GEn; GSK1838262; HORIZANT), at a dose of 600 mg/day, is currently approved in the United States for the treatment of adults with moderate-to-severe primary Restless Legs Syndrome (RLS). The aim of this study is to compare the efficacy, tolerability, and safety of GEn at lower doses (450 and 300 mg/day) as well as the already approved dose of 600 mg/day versus placebo for the treatment of subjects with moderate to severe primary RLS. This study is being conducted as a post-marketing commitment (PMC) as a condition of the approval of HORIZANT tablets (NDA 022399).

Read the detailed description

This is a Phase IV randomized, double-blind, placebo-controlled, fixed-dose, parallel group study to assess the efficacy, tolerability, and safety of 3 doses of GEn (600, 450, and 300 mg/day) compared with placebo in the treatment of subjects with moderate-to-severe primary RLS.

The study will include 9 visits over approximately 14 weeks for eligible subjects including a 1-week Screening Period, a 12-week Treatment Period, and a 1 week Follow up Period. Screening will occur within 1 week of the first scheduled dose of study medication. The total duration of the study, from the first subject enrolled to the last subject completed will be approximately 2 years.

Eligible subjects (at least 18 years of age) must have:

  • a diagnosis of RLS according to the IRLSSG Diagnostic Criteria
  • a history of RLS symptoms for at least 15 nights in the prior month or, if on treatment, this frequency of symptoms before treatment was started
  • documented RLS symptoms for at least 4 of the 7 consecutive evenings/nights during the Screening Period, and a total RLS severity score of at least 15 on the International Restless Legs Syndrome (IRLS) Rating Scale at the screening and baseline visits

Approximately 498 subjects will be enrolled, randomly assigned to treatment groups, and receive study medication once daily for 12 weeks. Subjects will be randomly assigned to receive 1 of the 4 following treatment groups in a ratio of 1:1:1:1:

  • GEn 600 mg/day
  • GEn 450 mg/day
  • GEn 300 mg/day
  • Matching placebo

Subjects will be instructed to take their study medication once daily with food in the evening at approximately 5 PM. Each tablet must be swallowed whole and not divided, crushed, or chewed.

Each subject, regardless of treatment assignment, will take 3 tablets of study medication (1 tablet from Bottle A, 1 tablet from Bottle B, and 1 tablet from Bottle C) once daily continuing through the end of the Treatment Period (Week 12). Subjects will return to the study site for a follow-up visit (Visit 9, Week 13) approximately 1 week after the last dose of study medication.

Each subject's participation in the study will be approximately 14 weeks unless they withdraw early from the study. For subjects who complete the study, Visit 9 (which can occur between Day 86 and 92) will be considered their end-of-study visit.

Being tested
GSK1838262 600 mg, GSK1838262 450 mg, GSK1838262 300 mg, GSK1838262 Placebo match
Keywords
gabapentin enacarbil, Horizant
Medical subject headings
Restless Legs Syndrome

What participants receive

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

  • GSK1838262 600 mgDrug

    Also called Horizant, gabapentin enacarbil GEn, XP13512

    Drug: GSK1838262 600 mg/day Comparison of 3 doses

  • GSK1838262 450 mgDrug

    Also called Horizant, gabapentin enacarbil GEn, XP13512

    Drug: GSK1838262 450 mg/day Comparison of 3 doses

  • GSK1838262 300 mgDrug

    Also called Horizant, gabapentin enacarbil GEn, XP13512

    Drug: GSK1838262 300 mg/day Comparison of 3 doses

  • GSK1838262 Placebo matchDrug

    Drug; GSK1838262 placebo to match 600 mg, 450 mg, 300 mg doses

Study groups in NCT01668667
Study groupRoleWhat they receive
GSK1838262 600 mgActive comparatorOnce-daily dose with food in the evening at approximately 5 PM
Receives: Drug: GSK1838262 600 mg
GSK1838262 450 mgActive comparatorOnce-daily dose with food in the evening at approximately 5 PM
Receives: Drug: GSK1838262 450 mg
GSK1838262 300 mgActive comparatorOnce-daily dose with food in the evening at approximately 5 PM
Receives: Drug: GSK1838262 300 mg
GSK1838262 placebo matchPlacebo comparatorOnce-daily dose with food in the evening at approximately 5 PM
Receives: Drug: GSK1838262 Placebo match

What is being measured

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

  1. The Change From Baseline to the End of Treatment in the International Restless Legs Syndrome (IRLS) Rating Scale Score

    International Restless Legs Syndrome Rating Scale: Very severe=31-40, Severe=21-30, Moderate=11-20, Mild=1-10, None=0.

    Change from Baseline = LOCF value at current visit - value at Baseline (the last nonmissing assessment before the first dose of study medication). A negative treatment difference indicates a benefit relative to placebo.

    The change from baseline data is analyzed using an ANCOVA model with treatment and pooled site as the main effects and the baseline IRLS Rating Scale total score as a covariate.

    Measured: Baseline, 12 weeks

  2. The Proportion of Subjects at the End of Treatment Who Are Responders With Either "Much Improved" or "Very Much Improved" on the Investigator-rated Clinical Global Impression of Improvement (CGI-I)

    Clinical Global Impression - Improvement Scale (CGI-I): 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), on the scale. Higher score = more affected. Number of subjects responding to treatment at Week 12 with respect to dose level. CGI-I Responders = subjects who reported CGI-I scores of very much improved or much improved.

    Measured: 12 weeks

Secondary outcomes (2)
  1. The Dose-response Relationship of Change From Baseline in IRLS Rating Scale Total Score at End of Treatment

    International Restless Legs Syndrome Rating Scale: Very severe=31-40, Severe=21-30, Moderate=11-20, Mild=1-10, None=0.

    This model only includes treatment in the model. Least squares mean is used for analysis.

    Measured: Baseline, 12 Weeks

  2. The Dose-response Relationship for Investigator-rated CGI-I Scale at End of Treatment

    Measured: 12 Weeks

Timeline

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

  1. First posted20 Aug 2012 (estimated)
  2. Study startJun 2012
  3. Primary completionNov 2013
  4. Study completionNov 2013

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
501 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01668667
Sponsor's protocol ID
114025
Acronym
CONCORD
Status last verified
Apr 2021
First submitted
14 Jun 2012
Last updated
24 May 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing GSK1838262 600 mg, GSK1838262 450 mg and GSK1838262 300 mg in people with Restless Legs Syndrome, run by XenoPort, Inc. at 42 sites in United States.

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 10 inclusion and 6 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 24 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 17 Nov 2014). 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?

The Change From Baseline to the End of Treatment in the International Restless Legs Syndrome (IRLS) Rating Scale Score (time frame: Baseline, 12 weeks). The study lists 2 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 24 May 2021.

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