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PainPhase 2NEPTUNE-17NCT05838755

A Study to Evaluate Efficacy and Safety of GSK3858279 in Diabetic Peripheral Neuropathic Pain

A Phase 2 study testing GSK3858279 in people with Pain, run by GlaxoSmithKline at 81 sites in 11 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 is a multicenter randomized, double-blind, placebo-controlled phase 2 study to evaluate efficacy, safety, tolerability, pharmacokinetics, and target engagement of GSK3858279 in adult participants with chronic Diabetic Peripheral Neuropathic Pain (DPNP). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Pain
What is being tested?
GSK3858279
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
147 participants
Where
81 sitesin 11 countries
Study dates
20 Sep 2023to 17 Feb 2025
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must be 18-75 years of age inclusive, at the time of signing the informed consent.
  • Type I or Type II diabetes with painful, distal, symmetrical, sensory motor neuropathy attributed to diabetes, of at least 6 months duration.
  • A pain score ≥4 and less than or equal to (≤) 9 by the 11-point NRS (0-10) for average daily pain intensity over the past 24 hours at the screening visit.
  • Body mass index (BMI) within the range 18-40 kilogram per meter square (kg/m^2) (inclusive)
  • Capable of giving signed informed consent.

Who cannot join

  • History or presence of cardiovascular, renal, gastrointestinal, lymphatic disorders which in the opinion of the investigator would interfere with the study procedures and/or assessments.
  • Participant has current painful peripheral neuropathy due to a cause other than diabetes (e.g. pernicious anemia, hypothyroidism, post-herpetic neuralgia).
  • History of significant allergies to monoclonal antibodies.
  • Current enrolment or past participation in a clinical study of an investigational medicinal product intervention within the last 30 days or 5 half-lives (whichever is longer) of signing consent.
  • Participants who are unlikely to comply with the protocol (e.g. uncooperative attitude, inability to return for subsequent visits, inability to complete the eDiary daily etc.) and/or otherwise considered by the Investigator to be unlikely to complete the study.

Trial locations and contacts

81 sites in 11 countries.

81 sites in 11 countries

United States19 sites
  • GSK Investigational Site

    Anniston, Alabama, 36207

  • GSK Investigational Site

    Bellevue, Washington, 98007

  • GSK Investigational Site

    Cerritos, California, 90703

  • GSK Investigational Site

    Chicago, Illinois, 60611

  • GSK Investigational Site

    Cypress, Texas, 77429

  • GSK Investigational Site

    Decatur, Georgia, 30030

  • GSK Investigational Site

    DeSoto, Texas, 75154

  • GSK Investigational Site

    Houston, Texas, 77030

  • GSK Investigational Site

    Huntersville, North Carolina, 28078

  • GSK Investigational Site

    Lancaster, South Carolina, 29720

  • GSK Investigational Site

    Largo, Florida, 33777

  • GSK Investigational Site

    Lomita, California, 90717

  • GSK Investigational Site

    McAllen, Texas, 78501

  • GSK Investigational Site

    Miami, Florida, 33135

  • GSK Investigational Site

    Miami, Florida, 33175

  • GSK Investigational Site

    Surprise, Arizona, 85378

  • GSK Investigational Site

    Waltham, Massachusetts, 02451

  • GSK Investigational Site

    West Palm Beach, Florida, 33401

  • GSK Investigational Site

    Williamsville, New York, 14221

Other trials in United States

Japan14 sites
  • GSK Investigational Site

    Chiba, 260-0804

  • GSK Investigational Site

    Fukuoka, 807-8556

  • GSK Investigational Site

    Gunma, 370-3573

  • GSK Investigational Site

    Hokkaido, 060-0061

  • GSK Investigational Site

    Ibaraki, 300-0028

  • GSK Investigational Site

    Kanagawa, 211-8533

  • GSK Investigational Site

    Osaka, 565-0853

  • GSK Investigational Site

    Tochigi, 321-0204

  • GSK Investigational Site

    Tochigi, 321-0974

  • GSK Investigational Site

    Tochigi, 322-8550

  • GSK Investigational Site

    Tokyo, 103-0027

  • GSK Investigational Site

    Tokyo, 104-0031

  • GSK Investigational Site

    Tokyo, 143-0015

  • GSK Investigational Site

    Tokyo, 160-0008

Other trials in Japan

Poland9 sites
  • GSK Investigational Site

    Częstochowa, 42-217

  • GSK Investigational Site

    Gdynia, 81-338

  • GSK Investigational Site

    Katowice, 40-081

  • GSK Investigational Site

    Katowice, 40-282

  • GSK Investigational Site

    Katowice, 40-648

  • GSK Investigational Site

    Katowice, 40-749

  • GSK Investigational Site

    Skorzewo, 60-185

  • GSK Investigational Site

    Sochaczew, 96-500

  • GSK Investigational Site

    Warsaw, 02-117

Other trials in Poland

China7 sites
  • GSK Investigational Site

    Beijing, 100032

  • GSK Investigational Site

    Guangzhou, 510000

  • GSK Investigational Site

    Harbin, 150001

  • GSK Investigational Site

    Luoyang, 471003

  • GSK Investigational Site

    Shanghai, 200032

  • GSK Investigational Site

    Wuhan, 430030

  • GSK Investigational Site

    Yueyang, 414000

Other trials in China

South Korea6 sites
  • GSK Investigational Site

    Bucheon-si, 422711

  • GSK Investigational Site

    Daejeon, 35233

  • GSK Investigational Site

    Seoul, 120-752

  • GSK Investigational Site

    Seoul, 136-705

  • GSK Investigational Site

    Seoul, 137-701

  • GSK Investigational Site

    Seoul

Other trials in South Korea

Spain6 sites
  • GSK Investigational Site

    A Coruña, 15006

  • GSK Investigational Site

    Barcelona, 08023

  • GSK Investigational Site

    Málaga, 29010

  • GSK Investigational Site

    Palma de Mallorca, 07120

  • GSK Investigational Site

    San SebastiAn de Los Rey, 28702

  • GSK Investigational Site

    Torrevieja Alicante, 3186

Other trials in Spain

Canada5 sites
  • GSK Investigational Site

    New Westminster, British Columbia, V3L 3W4

  • GSK Investigational Site

    Toronto, Ontario, L6S 0C6

  • GSK Investigational Site

    Toronto, Ontario, M5G 2C4

  • GSK Investigational Site

    Vancouver, British Columbia, V5Y 3W2

  • GSK Investigational Site

    Winnipeg, Manitoba, R3C 0N2

Other trials in Canada

South Africa5 sites
  • GSK Investigational Site

    Cape Town, 7530

  • GSK Investigational Site

    Johannesburg, 2196

  • GSK Investigational Site

    KwaDukuza, 4450

  • GSK Investigational Site

    Pretoria, 0184

  • GSK Investigational Site

    Somerset West, 7130

Other trials in South Africa

Germany4 sites
  • GSK Investigational Site

    Bad Homburg, 61348

  • GSK Investigational Site

    Mainz, 55128

  • GSK Investigational Site

    Münster, 48145

  • GSK Investigational Site

    Wallerfing, 94574

Other trials in Germany

United Kingdom4 sites
  • GSK Investigational Site

    Cannock, WS11 0BN

  • GSK Investigational Site

    Liverpool, L9 7AL

  • GSK Investigational Site

    Teesside, TS17 6EW

  • GSK Investigational Site

    West Yorkshire, LS10 1DU

Other trials in United Kingdom

France2 sites
  • GSK Investigational Site

    Corbeil-Essonnes, 91100

  • GSK Investigational Site

    Mulhouse, 68100

Other trials in France

About this study

Official title: A Multicenter Randomized, Double-blind, Placebo-controlled Phase 2 Study to Evaluate Efficacy, Safety, Tolerability, Pharmacokinetics and Target Engagement of GSK3858279 in Adult Participants With Chronic Diabetic Peripheral Neuropathic Pain (DPNP) /NEPTUNE-17

This is a multicenter randomized, double-blind, placebo-controlled phase 2 study to evaluate efficacy, safety, tolerability, pharmacokinetics, and target engagement of GSK3858279 in adult participants with chronic Diabetic Peripheral Neuropathic Pain (DPNP). The primary objective of the study is to assess the efficacy of GSK3858279 in participants with DPNP who have been unable to sufficiently manage their pain.

Conditions
Pain
Being tested
GSK3858279, Placebo
Keywords
Diabetes, Neuropathic pain, Diabetic Peripheral Neuropathic Pain (DPNP), 214221, GSK3858279, Efficacy, Safety, Pharmacokinetics, Tolerability
Medical subject headings
Pain, Diabetes Mellitus, Neuralgia

What participants receive

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

  • GSK3858279Drug

    GSK3858279 was administered

  • PlaceboDrug

    Placebo was administered

Study groups in NCT05838755
Study groupRoleWhat they receive
GSK3858279 60 mgExperimentalParticipants received GSK3858279 SC injection 60 milligram (mg) once per week for 12 weeks.
Receives: Drug: GSK3858279
GSK3858279 360 mgExperimentalParticipants received GSK3858279 SC injection 360 mg once per week for 12 weeks.
Receives: Drug: GSK3858279
PlaceboPlacebo comparatorParticipants received matching placebo subcutaneous (SC) injection once per week for 12 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 the Weekly Average of Average Daily Pain Score at Week 12, Assessed on the Numeric Rating Scale (NRS)

    The change from baseline (CFB) in the weekly average of the average daily pain score at Week 12 was assessed using Numeric Rating Scale (NRS). Participants recorded their average daily pain response daily using a Brief Pain Inventory Item 5. It is a single item designed for self-reporting average pain score for past 24 hours. Participants were asked to mark their average pain intensity daily, using the NRS, on an 11-point scale (0 = no pain, 10 = worst pain imaginable). The weekly average was computed as weekly average of the average daily scores (range: 0-10), where higher scores indicate more severe pain. A negative CFB indicates pain improvement. Baseline was defined as the average score over the 7 days before dosing (Day -7 to -1). Posterior mean CFB and the 95% credible interval were derived using a Bayesian mixed model repeated measures analysis. The data presented as "Mean" refers to the 'posterior mean' and "95% confidence interval" to '95% credible interval'.

    Measured: Baseline (Day -7 to Day -1) and Week 12

Secondary outcomes (11)
  1. Number of Participants With Adverse Events (AEs), Serious AE (SAEs) and AEs of Special Interest (AESI)

    Adverse events, SAEs, and AESIs were collected. An AE is any untoward medical occurrence in participant, temporally associated with use of study intervention, whether or not considered related to medicinal product. Any untoward event resulting in death, life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, medically important were categorized as SAE. AESIs of the study drug includes serious and opportunistic infections, tuberculosis (TB), serious hypersensitivity reactions and Injection site reactions.

    Measured: Up to 27 weeks

  2. Number of Participants With Greater Than Or Equal To (>=) Grade 3 Hematological/Clinical Chemistry Abnormalities According to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE)

    The laboratory measurements included hematology and clinical chemistry. The parameters evaluated were Eosinophils, Hemoglobin, White blood cell, Lymphocyte count, Neutrophil count and Platelet count, Alanine aminotransferase, Alkaline phosphatase, Aspartate aminotransferase, Blood bilirubin, Hypercalcemia, Hypocalcemia, Cholesterol, Creatine Phosphokinase, Creatinine, Gamma Glutamyl Transferase (GGT), Hypoglycemia, Hyperkalemia, Hypernatremia and Hypertriglyceridemia. Worst case grade (G) increase from baseline grade was evaluated for all the laboratory tests that were gradable by National Cancer Institute Common Terminology Criteria (NCI CTCAE). Data is presented for only those parameters for which participants had worst case >= Grade 3 increase from Baseline.

    Measured: Up to 27 weeks

  3. Maximum Concentration (Cmax) of GSK3858279

    Blood samples were collected for the determination of serum concentrations of GSK3858279 from which pharmacokinetic (PK) parameters were determined. Cmax was predicted from the population PK model fitted to GSK3859279 serum concentration time data collected at the indicated time points for PK analysis.

    Measured: Pre-dose, Week 1, Week 4, Week 7, Week 8, Week 11, Week 12, Week 16, Week 20 and Week 27 post dose

  4. Time to Maximum Concentration (Tmax) of GSK3858279

    Blood samples were collected for the determination of serum concentrations of GSK3858279 from which PK parameters were determined. Tmax was predicted from the population PK model fitted to GSK3859279 serum concentration time data collected at the indicated time points for PK analysis.

    Measured: Pre-dose, Week 1, Week 4, Week 7, Week 8, Week 11, Week 12, Week 16, Week 20 and Week 27 post dose

  5. Trough Concentration at the End of the Dosing Interval (Ctau) of GSK3858279

    Blood samples were collected for the determination of serum concentrations of GSK3858279 from which PK parameters were determined. Ctau is defined as the lowest concentration reached by a drug before the next dose is administered. Ctau was predicted from the population PK model fitted to GSK3859279 serum concentration time data collected at the indicated time points for PK analysis.

    Measured: Pre-dose, Week 1, Week 4, Week 7, Week 8, Week 11, Week 12, Week 16, Week 20 and Week 27 post dose

  6. Average Concentration Over a Dosing Interval (Cavg) of GSK3858279

    Blood samples were collected for the determination of serum concentrations of GSK3858279 from which PK parameters were determined. Cavg is the average concentration over the dosing interval (weekly). Cavg was predicted from the population PK model fitted to GSK3859279 serum concentration time data collected at the indicated time points for PK analysis.

    Measured: Pre-dose, Week 1, Week 4, Week 7, Week 8, Week 11, Week 12, Week 16, Week 20 and Week 27 post dose

  7. Area Under the Time-Concentration Curve (AUC) Over the Dosing Interval (AUC[0-Tau]) of GSK3858279

    Blood samples were collected for the determination of serum concentrations of GSK3858279 from which PK parameters were determined. AUC(0-tau) was predicted from the population model fitted to GSK3859279 serum concentration time data collected at the indicated time points for PK analysis.

    Measured: Pre-dose, Week 1, Week 4, Week 7, Week 8, Week 11, Week 12, Week 16, Week 20 and Week 27 post dose

  8. Change From Baseline in the Short-Form Mcgill Pain Questionnaire Total Score Over Time

    The McGill pain questionnaire Short Form 2 is a 22-item questionnaire total score, which evaluated multi-dimensional pain over time. The questionnaire consists of 22 different descriptors of pain, and each item is rated based on a 0-10 pain intensity scale with 0 indicating no pain and 10 as worst possible pain. The total score was calculated as the mean of all item ratings. Higher scores indicate more severe pain. Baseline is defined as the last assessment prior to the first dose with a non-missing value, including those from unscheduled visits. Posterior mean change from baseline, 95 percent (%) credible interval (CI) was derived using Bayesian mixed model repeated measures. The data presented as 'Mean' refers to 'posterior mean' and '95% confidence interval' refers to '95% credible intervals'.

    Measured: Baseline (Day1), Week 2, Week 4, Week 8 and Week 12

  9. Change From Baseline in the Weekly Average of Average Daily Pain Score Over Time, Assessed on the NRS

    The change from baseline (CFB) in the weekly average of the average daily pain score at indicated time points was assessed using NRS. Participants recorded their average daily pain response daily using a Brief Pain Inventory Item 5. It is a single item designed for self-reporting average pain score for past 24 hours. Participants were asked to mark their average pain intensity daily, using the NRS, on an 11-point scale (0 = no pain, 10 = worst pain imaginable). The weekly average was computed as weekly average of the average daily scores (range: 0-10), where higher scores indicate more severe pain. A negative CFB indicates pain improvement. Baseline was defined as the average score over the 7 days before dosing (Day - 7 to -1). Posterior mean CFB and the 95% credible interval were derived using a Bayesian mixed model repeated measures analysis. The data presented as 'Mean' refers to the 'posterior mean' and '95% confidence interval' to the '95% credible interval'.

    Measured: Baseline (Day -7 to Day -1), Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11 and Week 12

  10. Proportion of Participants With Greater Than or Equal To (>=) 30 Percentage (%) Reduction From Baseline in the Weekly Average of Average Daily Pain Intensity at Week 12, Assessed on the NRS

    The proportion of participants who achieved >=30 percentage reduction from Baseline (responders) in the weekly average of the average daily pain score at Week 12 as measured by NRS is reported. Participants were instructed to assess their average daily pain daily, and to record the response in a Brief Pain Inventory item 5. It is a single item designed to capture information on the self- reported average pain score over the past 24 hours. Participants were asked to mark their pain- intensity daily, using the NRS, on an 11- point scale (0-10), with 0 = no pain, and 10 = worst pain imaginable. The weekly average was computed as weekly average of the average daily scores (range: 0-10), where higher scores indicate more severe pain. The data is presented for proportion of responders where 'Mean' refers to 'posterior mean proportion' and '95% confidence interval' refers to '95% credible interval'.

    Measured: At Week 12

  11. Proportion of Participants With Greater Than or Equal To >= 50 % Reduction From Baseline in the Weekly Average of Average Daily Pain Score at Week 12, Assessed on the NRS

    The proportion of participants who achieved >=50 percentage reduction from Baseline (responders) in the weekly average of the average daily pain score at Week 12 as measured by NRS is reported. Participants were instructed to assess their average daily pain daily, and to record the response in a Brief Pain Inventory item 5. It is a single item designed to capture information on the self- reported average pain score over the past 24 hours. Participants were asked to mark their pain- intensity daily, using the NRS, on an 11- point scale (0-10), with 0 = no pain, and 10 = worst pain imaginable. The weekly average was computed as weekly average of the average daily scores (range: 0-10), where higher scores indicate more severe pain. The data is presented for proportion of responders where 'Mean' refers to 'posterior mean proportion' and '95% confidence interval' refers to '95% credible interval'.

    Measured: At Week 12

Timeline

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

  1. First posted3 May 2023
  2. Study start20 Sep 2023
  3. Primary completion14 Oct 2024
  4. Study completion17 Feb 2025

Why it stopped: The study met futility criteria at pre-planned interim analysis, showing no clinical efficacy of the investigational drug. Based on the lack of efficacy at the interim data review, the sponsor decided to terminate the study.

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
147 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05838755
Sponsor's protocol ID
214221
Other IDs
2022-502313-28-00
Acronym
NEPTUNE-17
Status last verified
Nov 2025
First submitted
20 Apr 2023
Last updated
21 Nov 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK3858279 in people with Pain, run by GlaxoSmithKline at 81 sites in 11 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 5 inclusion and 5 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 21 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 81 sites in United States, Japan, Poland, China, South Korea and 6 more countries. 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 21 Nov 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 in the Weekly Average of Average Daily Pain Score at Week 12, Assessed on the Numeric Rating Scale (NRS) (time frame: Baseline (Day -7 to Day -1) and Week 12). 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 21 Nov 2025.

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