EPPIC-Net: Novaremed Painful Diabetic Peripheral Neuropathy ISA
Purpose
The purpose of this study is to investigate the safety and efficacy of the current hard gelatin capsule formulation of NRD135S.E1 80 mg once daily in the treatment of PDPN when administered for 13 weeks.
Condition
- Painful Diabetic Neuropathy
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
(To be used in conjunction with Platform Protocol criteria; note, some ISA criteria may be more stringent than Platform criteria; always follow the more stringent criteria when determining eligibility.) 1. Provides written consent for the EN21-01 ISA. Legally Authorized Representatives (LARs) are not allowed, but impartial witnesses may be utilized as needed for visually impaired participants. 2. Patient-reported daily 11-point NRS (for average pain over the last 24 hours) meets the criteria specified in "Appendix B: Blinded Information" during both the 7-day screening and 7-day baseline periods. The algorithm will be assessed centrally. Waivers to the inclusion criteria will not be allowed. 7.2 ISA-Specific Exclusion Criteria (To be used in conjunction with Platform Protocol criteria; note, some ISA criteria may be more stringent than Platform criteria; always follow the more stringent criteria when determining eligibility.) Participants fulfilling any of the following criteria are not eligible for the study. 1. Diagnosis of alcohol or substance abuse or dependence (other than nicotine or caffeine) within the 2 years before the Screening visit. **This criterion is more stringent than a related Platform Protocol criterion.** 2. Moderate or severe renal impairment, known (documented) or defined as an estimated/calculated creatinine clearance/estimated glomerular filtration rate (eGFR) < 45 mL/min/1.73 m2, according to the Chronic Kidney Disease Epidemiology Collaboration formula during the screening process. **This criterion is more stringent than a related Platform Protocol criterion.** 3. Any of the following conditions related to corrected QT intervals using Fridericia's formula (QTcF): 1. A QTcF > 500 ms prior to starting IP, up to and including the V3 pre-dose ECG. 2. A history of the following additional risk factors for torsade de pointes: heart failure, hypokalemia, history or family history of long QT syndrome. 4. History of myocardial infarction, other clinically active significant heart disease, or stroke. **This criterion is more stringent than a related Platform Protocol criterion.** 5. Participants known to have participated in four or more studies for investigational pain drugs. 6. Participants known to be non-responders to more than three previous neuropathic pain medications at adequate doses over at least 4 weeks. Adequate doses (given as total daily doses) are defined as follows: 1,800 mg gabapentin; 300 mg pregabalin; opioid analgesics 60 mg oxycodone equivalent or 200 mg tramadol; 75 mg amitriptyline or equivalent tricyclic antidepressant; 60 mg duloxetine; 150 mg venlafaxine. 7. Known hypersensitivity or contraindication to any excipients of the study drug formulation. 8. Taking prohibited medications as described in Appendix A, "Prohibited Medications." 9. Major depressive episode within the 6 months before screening and/or a history of diagnosed recurrent major depressive disorder within two years. Any of the following conditions related to suicidality: 1. Any suicidal ideation with intent, with or without a plan, at screening, i.e., answering "yes" to questions 4 or 5 on the Suicidal Ideation section of the Baseline/Screening version of the Columbia-Suicide Severity Rating Scale (C-SSRS); 2. Answering "yes" on any item of the Suicidal Behavior Section (except for the "non-suicidal self-injurious behavior") of the C-SSRS if this behavior occurred in the past 2 years; 3. A lifetime history of suicide attempt (V1). 10. Previous known or possible exposure to NRD135S.E1. Waivers to the
Exclusion Criteria
will not be allowed.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- This study is an interventional, prospective, parallel-group, multicenter, randomized, double-blind, placebo-controlled, Phase 2 study.
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
- Masking Description
- Randomization assignment will be blinded from study participants, staff from clinical sites, investigators, asset owner, IND sponsors, and/or designees.
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental NRD135S.E1 80mg/day |
NRD135S.E1 as a potential treatment for moderate to severe painful diabetic peripheral neuropathy (PDPN). While the activity of NRD135S.E1 has been extensively studied, its molecular target is not known, though it does not appear to work through any of the opioid receptors or molecular pathways currently targeted by available analgesics. The best evidence suggests it may act, at least in part, through modulating the Lyn kinase signaling pathway In clinical studies, NRD135S.E1 has been well tolerated at all dose levels tested in single-dose (up to 1,200 mg) and repeat-dose regimens (up to 300 mg/day over 5 days or 150 mg over 3 weeks), and it has been shown to have predictable pharmacokinetics with dose-dependent increases in exposure. |
|
|
Placebo Comparator Matching placebo |
A matching placebo comparator will be used. |
|
Recruiting Locations
San Diego 5391811, California 5332921 92037
Gainesville 4156404, Florida 4155751 32611
Chicago 4887398, Illinois 4896861 60611
Flossmoor 4892684, Illinois 4896861 60422
Kansas City 4273837, Kansas 4273857 66160
Baltimore 4347778, Maryland 4361885 21201
Baltimore 4347778, Maryland 4361885 21205
Hazelwood 4389967, Missouri 4398678 63042
New York 5128581, New York 5128638 10017
New York 5128581, New York 5128638 10029
New York 5128581, New York 5128638 10032
Rochester 5134086, New York 5128638 14627
Pittsburgh 5206379, Pennsylvania 6254927 15260
Rapid City 5768233, South Dakota 5769223 57701
Houston 4699066, Texas 4736286 77030
Norfolk 4776222, Virginia 6254928 23510
Richmond 4781708, Virginia 6254928 23298
Seattle 5809844, Washington 5815135 98195
Madison 5261457, Wisconsin 5279468 53706
More Details
- NCT ID
- NCT05480228
- Status
- Recruiting
- Sponsor
- James P. Rathmell, MD
Detailed Description
This ISA describes a double-blind Phase II study of the PK/PD, safety, tolerability, and effect of 13 weeks of NRD135S.E1 (80mg/day) as an ISA within the context of the Platform Protocol to Assess Treatments for Painful Diabetic Peripheral Neuropathy, EN21-PP. The ISA is intended to be read and interpreted within the context of the Platform Protocol and focuses on the description of design features that are specific to NRD135S.E1.