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Diabetic NeuropathyPhase 3PRISENCT07712913

Extended-release Pregabalin for the Treatment of Neuropathic Pain in Patients With Diabetic Peripheral Neuropathy and Postherpetic Neuralgia

A Phase 3 study testing Experimental: Pregabalin XR and Comparator: Dorene Tabs in people with Diabetic Neuropathy and Neuropathic Pain, run by Brainfarma Industria Química e Farmacêutica S/A at 15 sites in Brazil.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Extended-release Pregabalin for the Treatment of Neuropathic Pain in Patients With Diabetic Peripheral Neuropathy and Postherpetic Neuralgia Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Experimental: Pregabalin XR and Comparator: Dorene Tabs
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
348 participants
Where
15 sitesBrazil
Study dates
18 Jun 2026to 1 Jun 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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

  • The following criteria must be met for a participant to be included in the study:
  • Participants of either sex, aged 18 to 75 years.
  • Be able to understand and agree to participate in the study, undergo the procedures, and attend the visits, as indicated by signing the informed consent form approved by the CEP/Conep System.
  • Have a diagnosis of peripheral neuropathic pain associated with:
  • diabetes mellitus (type 1 or 2), with glycated hemoglobin (HbA1c) levels ≤ 11%, documented symptoms of peripheral diabetic neuropathy for at least 6 months, and use of medication for glycemic control at a stable dose for at least 30 days.
  • postherpetic neuralgia, with pain symptoms for at least 3 months following a skin rash due to an acute episode of herpes zoster.
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  • Presence of neuropathic pain, with an intensity of ≥ 4 on the 11-point DPRS numerical scale (from 0 "no pain" to 10 "worst possible pain"‡). ‡ Pain intensity ≥ 4 will be confirmed at the initial visit (IV); during the screening/randomization visit, Participant Diary No. 1 containing the DPRS scales will be provided, in which the participant will record pain intensity daily upon waking and at the end of the day for 7 days (±2 days). The mean value for pain intensity recorded during the Screening/Randomization Phase will be used to confirm eligibility at the initial visit (IV).
  • Participants who are unable to become pregnant (postmenopausal women, defined as 12 months or more of amenorrhea, or who have undergone surgical sterilization*; and men who have undergone vasectomy) OR participants of reproductive potential who agree to use a reliable method of contraception*.
  • Female sterilization (undergoing bilateral surgical oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least 6 weeks prior to administration of the investigational drug.
  • Male sterilization at least 6 months prior to screening. *** If the participant is of childbearing age and decides to participate in the study, they must use or request that their partner use a safe contraceptive method. A safe contraceptive method is defined as the use of at least one of the following: condoms, a diaphragm, and/or a hormonal method (estrogenic and/or progestogenic) in the form of medication, including oral, vaginal, injectable, transdermal, and intrauterine devices. Only participants who expressly declare themselves exempt from the risk of pregnancy-whether because they do not engage in sexual activity or because they engage in it in a non-reproductive manner-will have the right to participate in the study without the mandatory use of contraceptives. Examples include participants who have undergone a vasectomy, those with an infertile partner, or those practicing total heterosexual abstinence.
  • The decision regarding the best contraceptive method to use will be made jointly by the physician and the study participant. If there are any costs involved, the chosen contraceptive method will be provided by the sponsor free of charge for as long as necessary. In addition, condoms with spermicide will be provided to participants at all study visits, when applicable.

Who cannot join

  • A positive response to any of the following criteria will exclude the participant from the study:
  • The presence of pain unrelated to the primary diagnosis of diabetic peripheral neuropathy or postherpetic neuralgia that could interfere with the evaluation.
  • Any skin condition that potentially alters sensation in the affected dermatome or area of neuropathic involvement, which could interfere with the assessment.
  • Having undergone neurosurgical therapy for the treatment of neuropathy.
  • Current use, or use within the past 7 days, of nerve block therapy and/or medications commonly used to treat neuropathic pain (e.g., benzodiazepines, skeletal muscle relaxants, capsaicin, local anesthetics, opioids, memantine), antiepileptic drugs (e.g., carbamazepine, clonazepam, phenytoin, valproic acid, lamotrigine, topiramate, gabapentin), antidepressants (e.g., tricyclics, serotonin reuptake inhibitors, venlafaxine), and potential neurotoxins (e.g., hydroxychloroquine, deferoxamine, thioridazine, vigabatrin).
  • History of treatment failure or hypersensitivity to pregabalin or gabapentin.
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  • History of neoplastic disease within the past 2 years (excluding basal cell carcinoma), neurological disease, unstable heart disease, psychiatric conditions (particularly suicidal ideation), and/or infection with hepatitis B, hepatitis C, or HIV.
  • Current laboratory abnormalities in liver enzymes (elevated AST and/or ALT 2.5 times the upper limit of the reference range) and/or renal insufficiency (glomerular filtration rate < 60 mL/min/1.73 m²).
  • History of illicit drug abuse in the past 2 years.
  • History of alcoholism (average alcohol intake exceeding 3 standard drinks* per day or more than 7 standard drinks per week for women, and exceeding 4 standard drinks per day or more than 14 standard drinks per week for men) in the past 2 years.
  • A standard drink is: a can of regular beer (330 mL at 4%); a shot of distilled spirits (30 mL at 40%); a glass of wine or a small glass of sherry (100 mL at 12% or 70 mL at 18%); a small glass of liqueur or similar (50 mL at 25%) (53).
  • Being pregnant, breastfeeding, or intending to become pregnant during the study period.
  • Having participated in clinical studies in the past 12 (twelve) months, unless there may be a direct benefit to the study participant, at the investigator's discretion.
  • Having any condition that prevents participation, at the investigator's discretion.

Trial locations and contacts

15 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Juliana G. Augusto, Clinical Research Manager contact

55-11-97677-6726

juliana.augusto@brainfarma.ind.br

Juliana A. L. Antonio, Scientific Documentation Coord contact

juliana.antonio@brainfarma.ind.br

15 sites in 1 country

Brazil15 sites, 15 recruiting
  • Fundação de Beneficência Hospital de Cirurgia

    Aracaju, Sergipe, 49055480

    Katiane Soares Research Center Manager, 5511970306077, katiane.soares@newdatatrials.com

    Alex V. C. França, Gastroenterologist

    Recruiting
  • Associação Aracajuana Hospital Santa Isabel

    Aracaju, Sergipe, 49072720

    Katiane Soares Research Center Manager, 5511970306077, katiane.soares@newdatatrials.com

    Alex V. C. França, Gastroenterologist

    Recruiting
  • Newdata Clinical Research

    Aracaju, Sergipe, 49075000

    Katiane Soares Research Center Manager, 5511970306077, katiane.soares@newdatatrials.com

    Alex V. C. França, Gastroenterologist

    Recruiting
  • Instituto Anima de Extensão Universitária - Unibh

    Belo Horizonte, Minas Gerais, 30575180

    Tatiane C B, 5531982858977, tatiane.cristine@animaeducacao.com.br

    Dayane R. F. C, Neurology Residency

    Recruiting
  • Casa de Nossa Senhora Da Paz Ação Social Franciscana

    Bragança Paulista, São Paulo, 12916900

    Larissa Germana Silva, 5511972076829, larissa.germana@unifag.com.br

    Rafaella S. D. Beltrame, Intensive care

    Recruiting
  • Synvia Campinas

    Campinas, São Paulo, 1308756

    Hilari R Bonito, 5519993001616, hilary.bonito@synvia.com

    Ana Lígia G. M. Germano, Endocrinologist

    Recruiting
  • Trialstar Campinas

    Campinas, São Paulo, 13092108

    Natasha Scavone, 5511934217295, natasha.scavonek@outlook.com

    Márcia S Carvalho, Endocrinologist

    Recruiting
  • Clinica Neurologica E Neurocirurgica de Joinville

    Joinville, Santa Catarina, 89202190

    Ana Paula O. P. Pires, 5547999048082, centrodepesquisaavc@neurologica.com.br

    Alexandre L Longo, Neurologist

    Recruiting
  • Apec Sociedade Potiguar de Educação E Cultura

    Natal, Rio Grande do Norte, 59076000

    Maynara Caroline, 5584988852274, maynara.gabriel@inspirali.com

    Marcos L Freitas, Neurologist

    Recruiting
  • Instituto Anima de Extensão Universitária - Unisul

    Palhoça, Santa Catarina, 88137270

    Bruna K Coelho, 5549988118267, bruna.kellet@animaeducacao.com.br

    Alexandre C Buffon, Anesthesiologist

    Recruiting
  • Instituto Estadual Do Cerebro Paulo Niemeyer

    Rio de Janeiro, Rio de Janeiro, 20231092

    Charles R Seixas, 5521967075993, charleseixas.cpc@gmail.com

    Luiz E. A. Wildemberg, Endocrinologist

    Recruiting
  • Cpec Obras Sociais Irmã Dulce

    Salvador, Estado de Bahia, 41680430

    Tâmara T. C. Marocci, 557134835365, tamara.marocci@irmadulce.org.br

    Edson D. M. Júnior, Epidemiologist

    Recruiting
  • Synvia Clinical Barra Funda

    São Paulo, São Paulo, 01139000

    Giovana M Berbel, 19994891366, giovana.berbel@synvia.com

    Sara C Siqueira, Endocrinologist

    Recruiting
  • Iscp Sociedade Educacional

    São Paulo, São Paulo, 03164000

    Pedro A M, 5511949041252, pedro.moyano@inspirali.com

    Matheus A Silva, Neurologist

    Recruiting
  • Centro de Ensino Superior de Vespasiano

    Vespasiano, Minas Gerais, 33200664

    Bruna Paola V Fonseca, 5531995149056, bruna.vilela@animaeducacao.com.br

    Fernanda C Perreiras, General/Surgical Oncologist

    Recruiting

Other trials in Brazil

About this study

Official title: A Phase III, Multicenter, Randomized, Double-blind, Double-dummy, Controlled, Parallel-group, Non-inferiority Clinical Trial to Evaluate the Efficacy and Safety of Extended-release Pregabalin Tablets Compared With Immediate-release Pregabalin Tablets, in the Relief of Neuropathic Pain in Participants With Diabetic Peripheral Neuropathy or Postherpetic Neuralgia.

Extended-release Pregabalin for the Treatment of Neuropathic Pain in Patients With Diabetic Peripheral Neuropathy and Postherpetic Neuralgia

Being tested
Experimental: Pregabalin XR, Comparator: Dorene Tabs, Comparator placebo, experimental placebo
Keywords
multicenter, randomized, double-blind, double-dummy, controlled, parallel-group, non-inferiority, diabetic, postherpetic neuralgia, peripheral neuropathy, Pregabalin
Medical subject headings
Diabetic Neuropathies, Neuralgia, Neuralgia, Postherpetic, Peripheral Nervous System Diseases

What participants receive

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

  • Experimental: Pregabalin XRDrug

    Pregabalin XR: extended-release tablet, with an initial dose of 82.5 mg once daily. The dose may be adjusted every 7 days during the first 4 weeks of treatment, up to a maximum of 660 mg once daily. In addition, the experimental group will receive a placebo twice daily.

  • Comparator: Dorene TabsDrug

    Pregabalin immediate-release tablets, at an initial dose of 75 mg twice daily. The dose may be adjusted every 7 days during the first 4 weeks of treatment, up to a maximum of 300 mg twice daily. In addition, the comparator group will receive a placebo once daily.

  • Comparator placeboDrug

    Comparator placebo

  • experimental placeboDrug

    experimental placebo

Study groups in NCT07712913
Study groupRoleWhat they receive
Pregabalin XR: Extended-release pregabalinExperimentalPregabalin XR: will receive extended-release pregabalin tablets at an initial dose of 82.5 mg once daily (during the first week for titration). The dose may be adjusted every 7 days during the first 4 weeks of treatment, up to a maximum of 660 mg once daily. In addition, the experimental group may receive a placebo twice daily.
Receives: Drug: Experimental: Pregabalin XR; Drug: experimental placebo
Dorene Tabs: Immediate-release pregabalinActive comparatorDorene Tabs: will receive immediate-release pregabalin tablets (Dorene Tabs) at a starting dose of 75 mg twice daily. The dose may be adjusted every 7 days during the first 4 weeks of treatment, up to a maximum of 300 mg twice daily. In addition, the comparison group will receive a placebo once daily.
Receives: Drug: Comparator: Dorene Tabs; Drug: Comparator placebo

What is being measured

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

  1. Difference in the mean pain intensity score 16 weeks after the start of treatment, compared to baseline

    Difference in the mean pain intensity score 16 weeks after the start of treatment, compared to baseline, between the study drug and the comparator, as measured by the 11-point DPRS (Daily Pain Rating Scale) (ranging from 0 "no pain" to 10 "worst possible pain").

    Participants completed the baseline scale at the research center and filled it out daily at home until visit V8, twice a day. The average number of scales will be calculated by dividing the number of scales completed by the number of days on which they were completed.

    Measured: 16 weeks

Secondary outcomes (5)
  1. To assess improvement in neuropathic pain during treatment.

    Difference in the mean pain intensity score at 1, 4, 8, and 12 weeks after the start of treatment, compared to baseline, between the experimental drug and the comparator, as measured by the 11-point DPRS scale.

    Measured: 1 to 12 weeks

  2. To assess the proportion of participants who experienced significant improvement in neuropathic pain during and at the end of treatment.

    Difference in the mean total pain score at 1, 4, 8, 12, and 16 weeks after the start of treatment, compared to baseline, between the experimental drug and the comparator, as measured by the SF-MPQ (Short Form - McGill Pain Questionnaire).

    Measured: 1 to 16 weeks

  3. To assess improvements in the impact of neuropathic pain on sleep, quality of life, and symptoms of anxiety and depression during and at the end of treatment.

    Proportion of participants with a ≥ 30% reduction in pain intensity at 1, 4, 8, 12, and 16 weeks after the start of treatment, compared to baseline, between the study drug and the comparator, as measured by the 11-point DPRS scale. Difference in the mean score for pain interference with sleep at 4, 8, 12, and 16 weeks after the start of treatment, relative to baseline, between the study drug and the comparator, as measured by the 11-point DSIS (Daily Sleep Interference Scale) (ranging from 0 "pain did not interfere with sleep" to 10 "pain completely interfered with sleep").

    Difference in quality of life at 4, 8, 12, and 16 weeks after the start of treatment, compared to baseline, between the experimental drug and the comparator, as measured by the WHOQoL-BREF (World Health Organization Quality of Life Scale).

    Difference in anxiety and depression symptoms at 4, 8, 12, and 16 weeks after the start of treatment, compared to baseline, between the experimental drug and the comparator.

    Measured: 1 to 16 weeks

  4. Assess the participant's overall perception of change at the end of treatment.

    Proportion of participants who rated their clinical condition as "much better," "moderately better," "slightly better," "no change," "slightly worse," "moderately worse," and "much worse," using the PGIC (Patient Global Impression of Change) scale, when comparing the experimental drug to the comparator 16 weeks after the start of treatment.

    Measured: Week 16

  5. Evaluate the use of rescue medication.

    Proportion of participants who used rescue medication, frequency of use, dose, and duration, comparing the experimental medication with the comparator.

    Measured: 1 to 16 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 Jul 2026
  2. Study start18 Jun 2026
  3. Primary completion1 Jun 2027 (estimated)
  4. Study completion1 Jun 2027 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A multicenter, double-blind, double-dummy, parallel-group study with two treatment groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
348 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07712913
Sponsor's protocol ID
HYP008-24
Acronym
PRISE
Status last verified
Jul 2026
First submitted
18 Jun 2026
Last updated
20 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Experimental: Pregabalin XR and Comparator: Dorene Tabs in people with Diabetic Neuropathy and Neuropathic Pain, run by Brainfarma Industria Química e Farmacêutica S/A at 15 sites in Brazil.

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 11 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Brazil. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Juliana G. Augusto, Clinical Research Manager (55-11-97677-6726, juliana.augusto@brainfarma.ind.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in the mean pain intensity score 16 weeks after the start of treatment, compared to baseline (time frame: 16 weeks). 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 20 Jul 2026.

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