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Diabetic Peripheral Neuropathic PainPhase 2NCT04707157

Chronic Pain Master Protocol (CPMP): A Study of LY3556050 in Participants With Diabetic Peripheral Neuropathic Pain

A Phase 2 study testing LY3556050 in people with Diabetic Peripheral Neuropathic Pain, run by Eli Lilly and Company at 37 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is being done to test the safety and efficacy of the study drug LY3556050 for the treatment of diabetic peripheral neuropathic pain. This trial is part of the chronic pain master protocol (H0P-MC-CPMP) which is a protocol to accelerate the development of new treatments for chronic pain. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Peripheral Neuropathic Pain
What is being tested?
LY3556050
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
37 sitesin 2 countries
Study dates
6 May 2021to 13 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

  • Have a visual analog scale (VAS) pain value ≥40 and <95 during screening.
  • Have a history of daily pain for at least 12 weeks based on participant report or medical history.
  • Have a body mass index <40 kilograms per meter squared (kg/m²) (inclusive).
  • Are willing to maintain a consistent regimen of any ongoing nonpharmacologic pain-relieving therapies (for example, physical therapy) and will not start any new nonpharmacologic pain-relieving therapies during study participation.
  • Are willing to discontinue all pain medications taken for chronic pain conditions for the duration of the study.
  • Have daily symmetrical foot pain secondary to peripheral neuropathy present for at least 6 months and as diagnosed through use of the Michigan Neuropathy Screening Instrument Part B ≥3 (©University of Michigan).
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  • Have a history and current diagnosis of type 1 or type 2 diabetes mellitus.
  • Have stable glycemic control as indicated by a glycated hemoglobin ≤11 at time of screening.
  • Are men, or women able to abide by reproductive and contraceptive requirements.

Who cannot join

  • Have had a procedure within the past 6 months intended to produce permanent sensory loss in the target area of interest (for example, ablation techniques).
  • Have surgery planned during the study for any reason, related or not to the disease state under evaluation.
  • Have, in the judgment of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation.
  • Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association).
  • Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision.
  • Are, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide.
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  • Have a positive human immunodeficiency virus (HIV) test result at screening.
  • Have an intolerance to acetaminophen or paracetamol or any of its excipients.
  • Have a history of alcohol, illicit drug, analgesic or narcotic use disorder within 2 years prior to screening.
  • Have a current drug-induced neuropathy, for example, due to some types of chemotherapy, or other types of peripheral neuropathy.
  • Have known hereditary motor, sensory or autonomic neuropathies.
  • Have a history within 2 years prior to screening or current evidence of syncope, presyncope, uncontrolled vertigo, or postural dizziness, judged to be clinically significant by the investigator.
  • Have clinically significant active thyroid disease, including Hashimoto's thyroiditis.
  • Are taking metformin therapy. Metformin Exception Limited dosages of metformin are allowed in this study. Additional exclusion criteria for participants taking metformin.
  • Have a history or presence of lactic acidosis.
  • Have a history or presence of severe hepatic disease including cirrhosis.
  • Have uncontrolled or unstable congestive heart failure.
  • Are taking carbonic anhydrase inhibitors if also taking metformin.
  • Have had a change in metformin therapy in the last 12 weeks.
  • Have not maintained a stable dose of glucose-lowering agents other than metformin before randomization.
  • Are pregnant or breastfeeding.
  • Have fibromyalgia.

Trial locations and contacts

37 sites in 2 countries.

37 sites in 2 countries

United States35 sites
  • FutureSearch Trials

    Austin, Texas, 78731

  • VIN-Julie Schwartzbard

    Aventura, Florida, 33180

  • Great Lakes Research Group, Inc.

    Bay City, Michigan, 48706

  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

  • Boston Clinical Trials

    Boston, Massachusetts, 02131

  • Joslin Diabetes Center

    Boston, Massachusetts, 02215

  • Synexus- Chandler

    Chandler, Arizona, 85224

  • Synexus Clinical Research US, Inc.

    Chicago, Illinois, 60602

  • Northwestern University

    Chicago, Illinois, 60611

  • Synexus - Cincinnati

    Cincinnati, Ohio, 45236

  • StudyMetrix Research

    City of Saint Peters, Missouri, 63303

  • Clinical Research of South Florida

    Coral Gables, Florida, 33134

  • Cedar Health Research

    Dallas, Texas, 75251

  • META Medical Research Institute

    Dayton, Ohio, 45432

  • Altoona Center For Clinical Research

    Duncansville, Pennsylvania, 16635

  • Synexus Clinical Research - Glendale

    Glendale, Arizona, 85306

  • CMR of Greater New Haven

    Hamden, Connecticut, 06517

  • Rocky Mountain Clinical Research

    Idaho Falls, Idaho, 83404

  • ActivMed Practices and Research

    Methuen, Massachusetts, 01844

  • Suncoast Research Group

    Miami, Florida, 33135

  • University of Miami Don Suffer Clinical Research Building

    Miami, Florida, 33136

  • New Horizon Research Center

    Miami, Florida, 33165

  • Renstar Medical Research

    Ocala, Florida, 34470

  • Synexus Clinical Research US, Inc - Orlando

    Orlando, Florida, 32806

  • Synexus Clinical Research US, Inc.

    Pinellas Park, Florida, 33781

  • Gold Coast Research

    Plantation, Florida, 33317

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • Artemis Institute for Clinical Research

    Riverside, California, 92503

  • Synexus - US

    San Antonio, Texas, 78229

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • NorthShore University HealthSystem

    Skokie, Illinois, 60077

  • Clinvest Research LLC

    Springfield, Missouri, 65807

  • Alliance for Multispecialty Research - Clinical Research Consortium

    Tempe, Arizona, 85281

  • Synexus Clinical Research US, Inc - Orlando

    The Villages, Florida, 32162

  • MedVadis Research Corporation

    Waltham, Massachusetts, 02451

Other trials in United States

Puerto Rico2 sites
  • Ponce Medical School Foundation Inc.

    Ponce, 00716

  • Latin Clinical Trial Center

    San Juan, 00909

Other trials in Puerto Rico

About this study

Official title: Randomized, Placebo-Controlled, Phase 2 Clinical Trial to Evaluate LY3556050 for the Treatment of Diabetic Peripheral Neuropathic Pain

This study is being done to test the safety and efficacy of the study drug LY3556050 for the treatment of diabetic peripheral neuropathic pain. This trial is part of the chronic pain master protocol (H0P-MC-CPMP) which is a protocol to accelerate the development of new treatments for chronic pain.

Being tested
LY3556050, Placebo

What participants receive

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

  • LY3556050Drug

    given orally

  • PlaceboDrug

    given orally

Study groups in NCT04707157
Study groupRoleWhat they receive
600 Milligram (mg) LY3556050ExperimentalParticipants received 600 mg LY3556050 twice daily (BID) every 12 hours for up to 8 weeks.
Receives: Drug: LY3556050
PlaceboPlacebo comparatorParticipants received placebo BID every 12 hours for up to 8 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

    The NRS was used to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine.

    Posterior mean change from baseline, 95 percent (%) credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

Secondary outcomes (7)
  1. Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score

    The BPI-SFM is a numeric rating scale that assesses the severity of pain (severity scale), its impact on daily functioning (Pain Interference scale), and other aspects of pain (for example, location of pain, relief from medications). BPI-SFM pain interference scale has been reported here. Pain interference scale has 7 items, including general activity, mood, walking ability, normal work, relations with others, sleep, and enjoyment of life assessed on 10-point scale. All the 7-items are averaged to produce a total score ranging from 0 to 10 where, 0=no interfere to 10=completely interferes and the mean is reported here. Higher score represents worse outcome. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

  2. Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change

    Patients Global Impression of Change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse.

    Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

  3. Change From Baseline for Worst Pain Intensity as Measured by NRS

    The NRS was used to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine.

    Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

  4. Change From Baseline on the Visual Analog Scale (VAS) for Pain

    VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity.

    Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

  5. Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

    The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement.

    Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

  6. Total Amount of Rescue Medication Use as Measured by Average Daily Dosage

    Total amount of rescue medication use as measured by average daily dosage. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Week 8

  7. Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)

    The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score using the United States algorithm. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health.

    Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Measured: Baseline, Week 8

Timeline

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

  1. First posted13 Jan 2021
  2. Study start6 May 2021
  3. Primary completion13 Jun 2022
  4. Study completion13 Jun 2022

Why it stopped: The trial was slow to enroll, and the sponsor made a business decision to terminate the trial earlier than planned.

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
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04707157
Sponsor's protocol ID
17514
Other IDs
H0P-MC-NP03
Status last verified
Oct 2023
First submitted
12 Jan 2021
Last updated
2 Nov 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LY3556050 in people with Diabetic Peripheral Neuropathic Pain, run by Eli Lilly and Company at 37 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 9 inclusion and 22 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: stopped early, as of the sponsor's last update on 2 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Puerto Rico. 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 2 Nov 2023). 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 Intensity as Measured by the Numeric Rating Scale (NRS) (time frame: Baseline, Week 8). 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 2 Nov 2023.

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