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Diabetic Peripheral NeuropathyPhase 2RELIEF-DPN 1NCT04455633

Efficacy, Safety, and PK of LX9211 in Participants With Diabetic Peripheral Neuropathic Pain

A Phase 2 study testing LX9211 in people with Diabetic Peripheral Neuropathy and Diabetes, run by Lexicon Pharmaceuticals at 44 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

Evaluation of the efficacy of a low and high dose of LX9211 compared to placebo in reducing pain related to diabetic peripheral neuropathy (DPNP) over an 11 week assessment period. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Peripheral Neuropathy, Diabetes
What is being tested?
LX9211
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
319 participants
Where
44 sitesUnited States
Study dates
3 Sep 2020to 28 Jun 2022
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

  • Participant has given written informed consent to participate in the study in accordance with local regulations
  • Adult male and female participants ≥18 years of age at the time of screening
  • Body mass index ≥18.0 to ≤40.0 kg/m2 at Screening
  • Diagnosis of diabetic peripheral neuropathic pain (DPNP) at Screening
  • Pain from DPN present for at least 6 months
  • Haemoglobin A1C ≤11% at screening
  • Stable regimen for the treatment of type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) for ≥1 month prior to Screening

Who cannot join

  • Presence of other painful conditions that may confound assessment or self-evaluation of DPNP
  • History of major depressive episode, active, significant psychiatric disorders
  • History of clinically significant drug or alcohol use disorder
  • History of neurolytic or neurosurgical therapy for DPNP
  • Use of opioid medications for management of DPNP within the 2 months prior to Screening Visit
  • Use of non-steroidal anti-inflammatory drugs (NSAIDs) less than 2 weeks prior to the Screening Visit

Trial locations and contacts

44 sites in 1 country.

44 sites in 1 country

United States44 sites
  • Lexicon Investigational Site

    Anaheim, California, 92801

  • Lexicon Investigational Site

    Ann Arbor, Michigan, 48109

  • Lexicon Investigational Site

    Asheville, North Carolina, 28803

  • Lexicon Investigational Site

    Austin, Texas, 78731

  • Lexicon Investigational Site

    Austin, Texas, 78749

  • Lexicon Investigational Site

    Berlin, New Jersey, 08009

  • Lexicon Investigational Site

    Boston, Massachusetts, 02115

  • Lexicon Investigational Site

    Brandon, Florida, 33511

  • Lexicon Investigational Site

    Cary, North Carolina, 27518

  • Lexicon Investigational Site

    Chandler, Arizona, 85286

  • Lexicon Investigational Site

    Dallas, Texas, 75231

  • Lexicon Investigational Site

    Dearborn, Michigan, 48124

  • Lexicon Investigational Site

    Evansville, Indiana, 47714

  • Lexicon Investigational Site

    Farmington Hills, Michigan, 48334

  • Lexicon Investigational Site

    Flower Mound, Texas, 75028

  • Lexicon Investigational Site

    Fort Myers, Florida, 33912

  • Lexicon Investigational Site

    Glendale, Arizona, 85308

  • Lexicon Investigational Site

    Greenbrae, California, 94904

  • Lexicon Investigational Site

    Greenville, South Carolina, 29607

  • Lexicon Investigational Site

    Hazelwood, Missouri, 63042

  • Lexicon Investigational Site

    Houston, Texas, 77030

  • Lexicon Investigational Site

    Houston, Texas, 77074

  • Lexicon Investigational Site

    Jacksonville, Florida, 32204

  • Lexicon Investigational Site

    Kingman, Arizona, 86409

  • Lexicon Investigational Site

    Lake City, Florida, 32055

  • Lexicon Investigational Site

    Los Angeles, California, 90026

  • Lexicon Investigational Site

    Macon, Georgia, 31210

  • Lexicon Investigational Site

    Mobile, Alabama, 36608

  • Lexicon Investigational Site

    Morehead City, North Carolina, 28557

  • Lexicon Investigational Site

    New Port Richey, Florida, 34652

  • Lexicon Investigational Site

    North Hollywood, California, 91606

  • Lexicon Investigational Site

    Omaha, Nebraska, 68130

  • Lexicon Investigational Site

    Ormond Beach, Florida, 32174

  • Lexicon Investigational Site

    Pearland, Texas, 77584

  • Lexicon Investigational Site

    Renton, Washington, 98057

  • Lexicon Investigational Site

    Sacramento, California, 95821

  • Lexicon Investigational Site

    Salt Lake City, Utah, 84107

  • Lexicon Investigational Site

    South Dartmouth, Massachusetts, 02747

  • Lexicon Investigational Site

    Sterling Heights, Michigan, 48312

  • Lexicon Investigational Site

    Tucson, Arizona, 85741

  • Lexicon Investigational Site

    Tustin, California, 92780

  • Lexicon Investigational Site

    Westfield, New York, 14787

  • Lexicon Investigational Site

    Williamsville, New York, 14221

  • Lexicon Investigational Site

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of LX9211 in the Treatment of Diabetic Peripheral Neuropathic Pain

Evaluation of the efficacy of a low and high dose of LX9211 compared to placebo in reducing pain related to diabetic peripheral neuropathy (DPNP) over an 11 week assessment period.

Being tested
LX9211, LX9211 Matching Placebo
Medical subject headings
Diabetes Mellitus

What participants receive

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

  • LX9211Drug

    Oral Tablets

  • LX9211 Matching PlaceboDrug

    Oral Tablets

Study groups in NCT04455633
Study groupRoleWhat they receive
PlaceboPlacebo comparatorFollowing a 2-week run-in period, participants were randomized to LX9211 matching placebo received as a single loading dose, orally, on Day 1, followed by maintenance doses of LX9211 matching placebo tablets, orally, once daily (QD) from Day 2 up to Week 6. Following completion of the 6-week treatment, all participants were followed for safety and received single oral tablet of LX9211 matching placebo, QD, for 5 weeks during the safety follow-up.
Receives: Drug: LX9211 Matching Placebo
LX9211 100 mg/10 mgExperimentalFollowing a 2-week run-in period, participants were randomized to receive a single loading dose of LX9211, 100 milligrams (mg), tablet, orally, on Day 1, followed by maintenance doses of LX9211 10 mg tablets, orally, QD from Day 2 up to Week 6. Following completion of the 6-week treatment, all participants were followed for safety and received single oral tablet of LX9211 matching placebo, QD, for 5 weeks during safety follow-up.
Receives: Drug: LX9211
LX9211 200 mg/20 mgExperimentalFollowing a 2-week run-in period, participants were randomized to receive a single loading dose of LX9211, 200 mg orally on Day 1, followed by maintenance doses of LX9211, 20 mg, orally, QD from Day 2 up to Week 6. Following completion of the 6-week treatment, all participants were followed for safety and received single oral tablet of LX9211 matching placebo, QD, for 5 weeks during safety follow-up.
Receives: Drug: LX9211

What is being measured

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

  1. Change From Baseline to Week 6 in ADPS as Measured by the Numerical Rating Scale

    ADPS is based on question 5 of Brief Pain Inventory (BPI)-short form for Diabetic Peripheral Neuropathy (BPI-DPN) and is assessed on an 11-point numerical rating scale. Participants were asked to rate their average pain over the past 24 hours, by answering the question 5 "Please rate your pain due to your diabetes by indicating the one number that best describes your pain on the average." on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Higher ADPS scores indicate higher pain intensity. Negative change from baseline indicates improvement.

    Measured: Baseline (Week 2 of the Run-in period) to Week 6

Secondary outcomes (7)
  1. Percentage of Participants With ≥30% Reduction in Pain Intensity in ADPS From Baseline to Week 6

    ADPS is based on question 5 of BPI-DPN and assessed on an 11-point numerical rating scale. Participants were asked to rate their average pain over the past 24 hours, by answering the question 5 "Please rate your pain due to your diabetes by indicating the one number that best describes your pain on the average." on a scale of 0 to 10 where 0 = No Pain and 10 = pain as bad as you can imagine. If % change from Baseline ≤ (-30) then participant was considered a Responder and if missing % change from Baseline or >(-30) participant is considered a Non-responder. Percentage of participants who were responders (who achieved ≥30% reduction in pain intensity in ADPS from Baseline to Week 6) are reported.

    Measured: Baseline (Week 2 of the Run-in period) to Week 6

  2. Percentage of Participants With ≥50% Reduction in Pain Intensity in ADPS From Baseline at Week 6

    ADPS is based on question 5 of BPI-DPN and assessed on an 11-point numerical rating scale. Participants were asked to rate their average pain over the past 24 hours, by answering the question 5 "Please rate your pain due to your diabetes by indicating the one number that best describes your pain on the average." on a scale of 0 to 10 where 0 = No Pain and 10 = pain as bad as you can imagine. If % change from Baseline ≤ (-50) then participant is considered a Responder and if missing % change from Baseline or >(-50) then participant is considered a Non-responder. Percentage of participants who were responders (who achieved ≥50% reduction in pain intensity in ADPS from Baseline to Week 6) are reported.

    Measured: Baseline (Week 2 of the Run-in period) to Week 6

  3. Change From Baseline to Week 6 in Severity of Pain and Interference of Pain With Sleep and Other Aspects of the Participant's Life Based on the BPI-DPN

    BPI-DPN: questionnaire that assesses severity of pain \& its impact on functioning in participants with DPN. It consists of 4 questions that measure pain at its "worst,"least","average","now"(current pain) on 11-point numerical scale 0=no pain;10=worst pain.Score range:0-10 for each of these pain questions, higher scores=greater pain severity. Other 7 questions of BPI evaluate level of interference of pain on daily functioning (general activity,walking,work ability,mood,enjoyment of life,relations,sleep) on 11-point numerical scale, 0=does not interfere;10=completely interferes.Score range:0-10 for each of these intensity questions, higher scores=greater interference. Pain severity \& pain interference factors are reported as separate categories. Average interference score= mean of 7 interference categories collected in Questions 9A-G, only if 50% (ie at least 4 of 7) of scores were non-missing. Negative change from baseline=improvement. Score range for average interference score: 0-70.

    Measured: Baseline (Week 2 of the Run-in period) to Week 6

  4. Percentage of Participants Discontinuing Treatment Due to Lack of Efficacy

    Lack of efficacy was defined as an increase of 30% from baseline in ADPS based on question 5 of the BPI-DPN. Baseline was defined as the average of the Week 2 Run-in period data collected by participants in the daily pain diary of BPI-DPN. ADPS is based on question 5 of BPI-DPN and assessed on an 11-point numerical rating scale where 0 = No Pain to 10 = pain as bad as you can imagine, higher score indicates higher pain intensity.

    Measured: Baseline (Week 2 of the Run-in period) to Week 6

  5. Patient Global Impression of Change (PGIC) Scale Score at Week 6

    PGIC is a 7-point rating scale that assesses participant's belief about the overall improvement experienced after the end of treatment, where 1= very much improved to 7 = very much worse. Higher score indicates worsening.

    Measured: Baseline (Week 2 of the Run-in period) to Week 6

  6. Time to Loss of Efficacy From Week 6 to Week 11 Among Participants Achieving a ≥30% Reduction in Pain Intensity at Week 6

    For participants who achieved ≥30% reduction in ADPS based on Question 5 of the BPI-DPN at Week 6, the time to loss of efficacy was defined as the time from the date of Week 6 visit to the date of termination of safety follow-up due to lack of efficacy. ADPS is based on question 5 of BPI-DPN and assessed on an 11-point numerical rating scale where, 0 = No Pain to 10 = pain as bad as you can imagine.

    Measured: Weeks 6 to 11

  7. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Adverse Events (AE) is defined as any sign, symptom, or diagnosis/disease that is unfavorable or unintended, that is new, or if pre-existing, worsens in participants administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Treatment-emergent AEs are defined as any AEs that occur or worsen after the first dose of study medication.

    Measured: First dose of study drug after randomization up to the end of study (up to Week 11)

Timeline

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

  1. First posted2 Jul 2020
  2. Study start3 Sep 2020
  3. Primary completion23 May 2022
  4. Study completion28 Jun 2022

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
319 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04455633
Sponsor's protocol ID
LX9211.1-201-DPN
Other IDs
LX9211.201
Acronym
RELIEF-DPN 1
Status last verified
Jun 2025
First submitted
29 Jun 2020
Last updated
25 Jun 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Luo G, Chen L, Kostich WA, Hamman B, Allen J, Easton A, Bourin C, Gulianello M, Lippy J, Nara S, Maishal TK, Thiyagarajan K, Jalagam P, Pattipati SN, Dandapani K, Dokania M, Vattikundala P, Sharma V, Elavazhagan S, Verma MK, Das ML, Wagh S, Balakrishnan A, Johnson BM, Santone KS, Thalody G, Denton R, Saminathan H, Holenarsipur VK, Kumar A, Rao A, Putlur SP, Sarvasiddhi SK, Shankar G, Louis JV, Ramarao M, Conway CM, Li YW, Pieschl R, Tian Y, Hong Y, Ditta J, Mathur A, Li J, Smith D, Pawluczyk J, Sun D, Yip S, Wu DR, Vetrichelvan M, Gupta A, Wilson A, Gopinathan S, Wason S, Bristow L, Albright CF, Bronson JJ, Macor JE, Dzierba CD. Discovery of (S)-1-((2',6-Bis(difluoromethyl)-[2,4'-bipyridin]-5-yl)oxy)-2,4-dimethylpentan-2-amine (BMS-986176/LX-9211): A Highly Selective, CNS Penetrable, and Orally Active Adaptor Protein-2 Associated Kinase 1 Inhibitor in Clinical Trials for the Treatment of Neuropathic Pain. J Med Chem. 2022 Mar 24;65(6):4457-4480. doi: 10.1021/acs.jmedchem.1c02131. Epub 2022 Mar 8.

    PubMed 35257579

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LX9211 in people with Diabetic Peripheral Neuropathy and Diabetes, run by Lexicon Pharmaceuticals at 44 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 7 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 25 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 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 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 25 Jun 2025). 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 to Week 6 in ADPS as Measured by the Numerical Rating Scale (time frame: Baseline (Week 2 of the Run-in period) to Week 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04455633, which also lists 1 linked publication.

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 25 Jun 2025.

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