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Diabetic Peripheral Neuropathic PainPhase 2CYPRESSNCT05895552

A Study of RTA 901 (BIIB143) in Participants With Diabetic Peripheral Neuropathic Pain

A Phase 2 study testing RTA 901 in people with Diabetic Peripheral Neuropathic Pain, run by Reata, a wholly owned subsidiary of Biogen at 75 sites in United States.

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 2-part, randomized, placebo-controlled, double-blind, Phase 2 study to evaluate the safety, tolerability, efficacy, and pharmacokinetics (PK) of RTA 901 in qualified participants with Diabetic Peripheral Neuropathic Pain (DPNP). 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?
RTA 901
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
209 participants
Where
75 sitesUnited States
Study dates
28 Jul 2023to 15 Nov 2024
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

Run-in Inclusion Criteria:

  • Diagnosis of type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) at least 1 year prior to Screening
  • Clinical diagnosis of DPNP defined as symptomatic distal symmetric polyneuropathy (secondary to diabetes) in the lower extremities, which may include symptoms of pain that is burning, lancinating, tingling, or shooting (electric shock-like). Pain in the lower extremities may occur with paresthesia or dysesthesia (unpleasant sensations of burning). Neuropathic pain may be accompanied by an exaggerated response to painful stimuli (hyperalgesia) and pain evoked by light touch or contact, eg, with socks, shoes, and bedclothes (allodynia);
  • NPRS pain intensity score ≥ 4 on an 11-point scale at Screening
  • A score ≥ 2.5 on the Michigan Neuropathy Screening Instrument (MNSI) Part B

Run-in Exclusion Criteria:

  • Has neuropathy from a cause other than T1DM or T2DM
  • Has a condition other than DPNP that could confound the assessment of pain (eg, fibromyalgia or regional pain caused by lumbar or cervical compression);
  • Diabetic foot ulceration or infection within 90 days prior to Screening
  • Prior participation in a study with RTA 901;

NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

75 sites in 1 country.

75 sites in 1 country

United States75 sites
  • Agile Clinical Research Trials, LLC

    Atlanta, Georgia, 30328

  • FutureSearch Trials of Neurology

    Austin, Texas, 78731

  • REX Clinical Trials, LLC

    Beaumont, Texas, 77701

  • Boston Clinical Trials, LLC

    Boston, Massachusetts, 02131

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02215

  • Hope Clinical Research, Inc.

    Canoga Park, California, 91303

  • East Coast Institute for Research, LLC

    Canton, Georgia, 30114

  • Diabetes & Endocrinology Associates of Stark County, Inc.

    Canton, Ohio, 44718

  • Notus Clinical Research

    Charleston, South Carolina, 29414

  • WR-ClinSearch, LLC

    Chattanooga, Tennessee, 37421

  • Velocity Clinical Research, Cincinnati

    Cincinnati, Ohio, 45242

  • StudyMetrix Research

    City of Saint Peters, Missouri, 63303

  • Innovative Research of West Florida, Inc.

    Clearwater, Florida, 33756

  • Clinical Research of West Florida Inc

    Clearwater, Florida, 33765

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Centricity Research Columbus Endocrinology

    Columbus, Georgia, 31904

  • Remington-Davis, Inc.

    Columbus, Ohio, 43215

  • Zenos Clinical Research

    Dallas, Texas, 75230

  • Meta Medical Research Institute

    Dayton, Ohio, 45432

  • Velocity Clinical Research, Providence

    East Greenwich, Rhode Island, 68510

  • Denver Endocrinology Diabetes and Thyroid Center PC

    Englewood, Colorado, 80113

  • MediSphere Medical Research Center, LLC

    Evansville, Indiana, 47714

  • Carolina Institute for Clinical Research, LLC

    Fayetteville, North Carolina, 28303

  • Care United Research, LLC

    Forney, Texas, 75126

  • Diabetes and Thyroid Center of Fort Worth

    Fort Worth, Texas, 76053

  • Valley Research - Trials

    Fresno, California, 93720

  • Las Vegas Endocrinology

    Henderson, Nevada, 89074

  • Nerve and Muscle Center of Texas

    Houston, Texas, 77030

  • Biopharma Informatic, LLC

    Houston, Texas, 77043

  • Endocrine IPS, PLLC

    Houston, Texas, 77079

  • Amir A Hassan, MD, PA

    Houston, Texas, 77089

  • East Coast Institute for Research, LLC

    Jacksonville, Florida, 32204

  • Clinical Research Consultants, LLC

    Kansas City, Missouri, 64111

  • 3 Sync LLC

    Kingwood, Texas, 77339

  • Multi Specialty Research Associates, LLC

    Lake City, Florida, 32055

  • 3 Sync LLC

    Lake Worth, Florida, 33460

  • Jubilee Clinical Research Inc

    Las Vegas, Nevada, 89106

  • Excel Clinical Research

    Las Vegas, Nevada, 89109

  • Epic Clinical Research

    Lewisville, Texas, 75057

  • Velocity Clinical Research, Inc.

    Lincoln, Nebraska, 68510

  • Clinical Research Institute

    Los Angeles, California, 90048

  • East Coast Institute for Research, LLC

    Macon, Georgia, 31210

  • Tandem Clinical Research

    Marrero, Louisiana, 70072

  • Centricity Research Phoenix Multispecialty

    Mesa, Arizona, 85206

  • Tandem Clinical Research

    Metairie, Louisiana, 70006

  • ActivMed Practices & Research, LLC

    Methuen, Massachusetts, 01844

  • Finlay Medical Research

    Miami, Florida, 33126

  • New Horizon Research Center

    Miami, Florida, 33165

  • Floridian Clinical Research

    Miami Lakes, Florida, 33016

  • Columbia University

    New York, New York, 10032

  • Velocity Clinical Research, Inc.

    Norfolk, Nebraska, 68510

  • Shadow Creek Medical Clinic

    Pearland, Texas, 77584

  • Methodist Medical Center of Illinois

    Peoria, Illinois, 61606

  • Arizona Research Center

    Phoenix, Arizona, 85053

  • ActivMed Practices & Research, LLC

    Portsmouth, New Hampshire, 03801

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • Diabetes & Glandular Disease Clinic, P.A.

    San Antonio, Texas, 78229

  • VIP Trials

    San Antonio, Texas, 78230

  • Acclaim Clinical Research

    San Diego, California, 92120

  • Optimus Medical Group

    San Francisco, California, 94102

  • IMA Clinical Research, PC

    St. Petersburg, Florida, 33709

  • Richmond Behavioral Associates

    Staten Island, New York, 10314

  • Revival Research Institute, LLC.

    Sterling Heights, Michigan, 48126

  • 3 Sync LLC

    Sunrise, Florida, 33013

  • Genesis Clinical Research

    Tampa, Florida, 33603

  • Clinical Research of West Florida, Inc.

    Tampa, Florida, 33606

  • Baycare Clinical Research

    Tampa, Florida, 33607

  • VICIS Clinical Research

    Tampa, Florida, 33615

  • Trinity Clinical Research LLC

    Tullahoma, Tennessee, 37388

  • Integrated Clinical Trial Services, Inc.

    West Des Moines, Iowa, 50265

  • Velocity Clinical Research, Salt Lake City

    West Jordan, Utah, 84088

  • Paradigm Clinical Research

    Wheat Ridge, Colorado, 80033

  • PIH Health Whittier Hospital

    Whittier, California, 90606

  • Clinical Site Partners, Orlando

    Winter Park, Florida, 32789

  • Conquest Research, LLC

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Phase 2 Study to Evaluate the Safety and Efficacy of RTA 901 in Patients With Diabetic Peripheral Neuropathic Pain

This is a 2-part, randomized, placebo-controlled, double-blind, Phase 2 study to evaluate the safety, tolerability, efficacy, and pharmacokinetics (PK) of RTA 901 in qualified participants with Diabetic Peripheral Neuropathic Pain (DPNP). Each study part will be randomized into 3 treatment arms; 2 different doses of RTA 901 and RTA 901-maching placebo. The doses of RTA 901 in Part 2 will be selected based on the Exposure-Response (E-R) analyses of data from Part 1.

The duration of each part of the study will be approximately 20 weeks, including a Screening period of up to 2 weeks, a Run-in-period of 2 weeks, a Treatment period of 12 weeks, and a Follow-up period of 4 weeks. All participants in Part 1 and Part 2 of the study will follow the same visit and assessment schedule. Eligibility will be assessed during the Screening and Run-in-periods.

Read the detailed description

Study Sponsor, originally Reata Pharmaceuticals, Inc., is now Reata Pharmaceuticals, Inc., a wholly owned subsidiary of Biogen.

Being tested
RTA 901, RTA 901-Matching Placebo
Keywords
RTA 901

What participants receive

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

  • RTA 901Drug

    Also called BIIB143, Cemdomespib

    Administered as specified in the treatment arm.

  • RTA 901-Matching PlaceboDrug

    Administered as specified in the treatment arm.

Study groups in NCT05895552
Study groupRoleWhat they receive
Part 1 RTA 901 Dose 1ExperimentalParticipants will receive study drug, once daily (QD), during the 2-week Run-in Period. Following randomization, the participants will receive a dose of RTA 901, QD, for a 12-week treatment duration.
Receives: Drug: RTA 901
Part 1 RTA 901 Dose 2ExperimentalParticipants will receive study drug, QD, during the 2-week Run-in Period. Following randomization, the participants will receive a dose of RTA 901, QD, for a 12-week treatment duration.
Receives: Drug: RTA 901
Part 1 RTA 901-Matching PlaceboPlacebo comparatorParticipants will receive study drug, QD, during the 2-week Run-in Period. Following randomization, the participants will receive a dose of RTA 901-matching placebo, QD, for a 12-week treatment duration.
Receives: Drug: RTA 901-Matching Placebo
Part 2 RTA 901 Dose 1ExperimentalParticipants will receive study drug, QD, during the 2-week Run-in Period. Following randomization, the participants will receive a dose of RTA 901, QD, for a 12-week treatment duration.
Receives: Drug: RTA 901
Part 2 RTA 901 Dose 2ExperimentalParticipants will receive study drug, QD, during the 2-week Run-in Period. Following randomization, the participants will receive a dose of RTA 901, QD, for a 12-week treatment duration.
Receives: Drug: RTA 901
Part 2 RTA 901-Matching PlaceboPlacebo comparatorParticipants will receive study drug, QD, during the 2-week Run-in Period. Following randomization, the participants will receive a dose of RTA 901-matching placebo, QD, for a 12-week treatment duration.
Receives: Drug: RTA 901-Matching Placebo

What is being measured

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

  1. Change From Baseline in Weekly Average Pain Intensity Assessed by the Numeric Pain Rating Scale (NPRS) at Week 12

    The NPRS of pain intensity is an 11-point numeric scale, ranging from 0 (representing no pain at all) to 10 (representing the worst pain imaginable). The participants were asked to select a whole number (0 to 10) that best indicates the intensity of his/her neuropathic pain in the past 24 hours. The weekly average score of NPRS was defined as the sum of non-missing daily scores divided by the number of days with non-missing scores for that week. Negative change from baseline indicates decreased pain intensity.

    Measured: Baseline, Week 12

  2. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) During and Following the Treatment Period

    An adverse event (AE) was any unfavorable and unintended sign (including any CS abnormal laboratory test result), symptom, or disease temporally associated with use of the study drug, whether or not it is considered to be study drug related. An SAE was any untoward medical occurrence that at any dose resulted in death, in the view of Investigator, placed participant at immediate risk of death, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in a birth defect. AEs that presented, or worsened in intensity or frequency, following the initiation of study treatment were categorized as TEAEs.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  3. Number of Participants With Clinically Significant Abnormalities in Physical Examinations

    Clinically significant abnormalities in physical examinations were based on investigator discretion.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  4. Number of Participants With Potential Clinically Significant Abnormalities in Vital Sign Parameters

    Vital sign parameters included temperature, pulse rate systolic blood pressure, diastolic blood pressure, and respiratory rate. As pre-specified in protocol, the criteria for determining potentially clinically relevant abnormalities in vital signs included: temperature < 36.0 and > 38.0 degrees Celsius (c), pulse rate < 60 and > 100 beats per minute (bpm), systolic blood pressure < 90, > 140 and > 160 millimeters of mercury (mmHg), diastolic blood pressure < 50, > 90 and > 100 mmHg, weight (7% or more increase from baseline, 7% or more decrease from baseline) and respiratory rate < 12 and > 20 breaths per minute. The categories with at least one participant with clinically significant vital sign abnormalities are reported.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  5. Number of Participants With Shift From Baseline in Clinically Significant Abnormalities in Electrocardiogram (ECG)

    Clinical significance of abnormalities in ECG was determined based on the investigator's discretion.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  6. Number of Participants With Shift From Baseline in Clinical Laboratory Measurement (Hematology Parameters)

    Hematology parameters included hematocrit, hemoglobin, erythrocytes, leukocytes, neutrophils, lymphocytes, monocytes, basophils, eosinophils, platelets, mean corpuscular hemoglobin, mean corpuscular volume, and mean corpuscular hemoglobin concentration. These parameters were flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available. Here, shift to low indicated values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high postbaseline values. The categories with at least one participant with shift from baseline in these parameters are reported.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  7. Number of Participants With Shift From Baseline in Clinical Laboratory Measurement (Blood Chemistry Parameters)

    Parameters included alanine aminotransferase (ALT), aspartate aminotransferase (AST), cholesterol, choriogonadotropin beta, follicle stimulating hormone (FSH), estimated glomerular filtration rate (eGFR), ferritin, creatine kinase, blood urea nitrogen, creatinine, bilirubin(total and direct), alkaline phosphatase, amylase, lipase, sodium, potassium, calcium, phosphorus, uric acid, total protein, glucose, albumin, lactate dehydrogenase, magnesium, chloride, bicarbonate, and gamma-glutamyl transferase. These parameters were flagged as low, normal or high relative to parameter's normal range or as unknown if no result was available, by Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high values postbaseline. Categories with at least one participant with shift from baseline in these parameters are reported.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  8. Number of Participants With Shift From Baseline in Clinical Laboratory Measurement (Urinalysis)

    Urinalysis included assessments of bacteria, Bilirubin, Calcium Oxalate Crystals, Choriogonadotropin Beta, Color, Erythrocytes, Glucose, Granular Casts, Hyaline Casts, Ketones, Leukocyte Esterase, Leukocytes, Nitrite, Occult Blood, Protein, red blood cells (RBC) Casts, Renal Epithelial Cells, Specific Gravity, Specimen Appearance, Squamous Epithelial Cells, Transitional Epithelial Cells, Triple Phosphate Crystals, Uric Acid Crystals, white blood cells (WBC) Casts and pH. These parameters were flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available, by the Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high postbaseline. The categories with at least one participant with shift from baseline in these parameters are reported.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  9. Number of Participants With Shift From Baseline in Clinical Laboratory Measurement (Coagulation Parameters)

    Coagulation included assessments of prothrombin. The parameter was flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available, by the Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high postbaseline.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

  10. Number of Participants With Clinically Significant Abnormality in Body Weight

    Weight decrease was characterized by a decrease of ≥7% from baseline and weight increase was characterized by an increase of ≥7% from baseline.

    Measured: From the first dose of study drug up to end of follow-up period (up to 16 weeks)

Secondary outcomes (6)
  1. Number of Participants Who Achieved at Least a >=30% Decrease From Baseline in the Average NPRS Score at Week 12

    Responders is defined as participants with at least >=30% reduction in neuropathic pain from baseline in the NPRS average neuropathic pain intensity at Week 12 and were analysed using a logistic regression. The NPRS of pain intensity is a numeric scale, ranging from 0 (representing no pain at all) to 10 (representing the worst pain imaginable). The participant was asked to select a whole number (0 to 10) that best indicates the intensity of his/her neuropathic pain in the past 24 hours. Lower scores indicate less pain.

    Measured: Baseline, Week 12

  2. Number of Participants Who Achieved at Least a >=50% Decrease From Baseline in the Average NPRS Score at Week 12

    Responder is defined as participants with at least >=50% reduction in neuropathic pain from baseline in the NPRS average neuropathic pain intensity at Week 12. The NPRS of pain intensity is a numeric scale, ranging from 0 (representing no pain at all) to 10 (representing the worst pain imaginable). The participant was asked to select a whole number (0 to 10) that best indicates the intensity of his/her neuropathic pain in the past 24 hours.

    Measured: Baseline, Week 12

  3. Number of Participants Using Rescue Medications During the Treatment Period

    Rescue medication for diabetic peripheral neuropathic pain (DPNP) is in addition to standard of care medication (gabapentin, pregabalin or duloxetine) for DPNP. Rescue medication is intended to treat temporary elevations in a participant's DPNP and is intended to be used occasionally and not meant to be used for prolonged periods of time.

    Measured: Up to Week 12

  4. Amount of Rescue Medications Used During the Treatment Period

    The amount of rescue medication used per day during the 12-week treatment period was calculated as the total dosage recorded divided by total days of study drug exposure during the treatment period.

    Measured: Up to Week 12

  5. Time to First Occurrence of Rescue Medication Use

    Time to first occurrence of rescue medication use was defined as the time from first randomized dose to the first date of rescue medication use recorded in e-diary during the 12-week treatment period. If a participant withdraws from the study prior to week 12 and the participant did not take any rescue medication, then the participant will be censored on the last day in the study.

    Measured: Up to Week 12

  6. Change From Baseline in the Weekly Average of Daily Sleep Interference Scale (DSIS) Score at Week 12

    DSIS is a participant reported outcome that was developed to quantify sleep interference due to pain. The DSIS was completed daily by participants upon waking, preferably in the morning, to accurately capture variability in sleep interference due to pain, thus minimizing recall bias. Using the e-diary, participants assessed how neuropathic pain has interfered with their sleep during the past 24 hours. This score ranges from 0 to 10; 0 representing no interference with sleep to 10 representing complete inability to sleep, lower score indicating less pain interference during sleep. The weekly average score of DSIS was defined as the sum of non-missing daily scores divided by the number of days with non-missing scores for that week. A negative change from baseline indicates decreased interference in sleep due to pain.

    Measured: Baseline, 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 posted8 Jun 2023
  2. Study start28 Jul 2023
  3. Primary completion15 Nov 2024
  4. Study completion15 Nov 2024

Why it stopped: Sponsor decision to close study early; not due to safety concerns.

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
209 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05895552
Sponsor's protocol ID
297DP201
Other IDs
901-C-2102
Acronym
CYPRESS
Status last verified
Nov 2025
First submitted
13 Oct 2022
Last updated
15 Dec 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing RTA 901 in people with Diabetic Peripheral Neuropathic Pain, run by Reata, a wholly owned subsidiary of Biogen at 75 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?

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 15 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 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 15 Dec 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 Weekly Average Pain Intensity Assessed by the Numeric Pain Rating Scale (NPRS) at Week 12 (time frame: Baseline, Week 12). The study lists 10 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 Dec 2025.

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