Clinical trial • Phase II • Neurology

VX-993 for Painful diabetic peripheral neuropathy

Phase II trial of VX-993 for Painful diabetic peripheral neuropathy.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Painful diabetic peripheral neuropathy
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
26-11-2024
First CTIS Authorization Date
26-03-2025

Trial design

Randomised, pregabalin (active comparator), oral; dose/schedule not specified in the record-controlled Phase II trial across 10 sites in Germany, Italy, France.

Randomised
Yes
Comparator
PREGABALIN (active comparator), oral; dose/schedule not specified in the record
Target Sample Size
240
Trial Duration For Participant
84

Eligibility

Recruits 240 No vulnerable populations selected (isVulnerablePopulationSelected:false). Informed consent documents for adult subjects are included (L1_SIS and ICF Adult documents in country-specific languages). No assent/parental consent arrangements for minors are indicated..

Vulnerable Population
No vulnerable populations selected (isVulnerablePopulationSelected:false). Informed consent documents for adult subjects are included (L1_SIS and ICF Adult documents in country-specific languages). No assent/parental consent arrangements for minors are indicated.

Inclusion criteria

  • {"criterion_text":"- Diagnosis of diabetes mellitus type 1 or type 2 with o glycosylated hemoglobin A1c (HbA1c) ≤9%; o in the opinion of the investigator, optimized glycemic control, and subject has been stable on anti-diabetic medicine/drugs or dietary treatment for ≥3 months before Screening Visit 1; and o presence of bilateral pain in lower extremities due to DPN (defined as a symmetric, length-dependent sensory or sensorimotor polyneuropathy) for at least 1 year."}

Exclusion criteria

  • {"criterion_text":"- Painful neuropathy other than DPN, such as post-herpetic neuralgia, post-traumatic nerve injury, diabetic amyotrophy, human immunodeficiency virus (HIV) neuropathy, immune sensory and autonomic polyneuropathy (e.g., Sjogren’s syndrome), hereditary sensory and autonomic polyneuropathy, focal diabetic neuropathies (e.g., proximal motor neuropathy, mononeuropathy, mononeuropathy multiplex), or chronic regional pain syndrome. Previously diagnosed compressive neuropathy (e.g., carpal tunnel syndrome) with symptoms limited to upper extremities that is now resolved is not exclusionary"}
  • {"criterion_text":"- Cardiac dysrhythmias requiring anti-arrhythmic treatment(s) within the last 2 years; history or evidence of abnormal study ECGs that in the opinion of the investigator or medical monitor would preclude the subject’s participation in the study; or history of QT prolongation or standard 12-lead ECG (performed in triplicate) demonstrating median QTcF >450 msec at Screening Visit 1; or clinical evidence of structural heart disease."}
  • {"criterion_text":"- History of a clinical atherosclerotic event, such as myocardial infarction or stroke, within the past 12 months before Screening Visit 1."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change from baseline in the weekly average of daily pain intensity on the numeric pain rating scale (NPRS) at Week 12","definition_or_measurement_approach":"Change from baseline in the weekly average of daily pain intensity measured by the Numeric Pain Rating Scale (NPRS), assessed at Week 12 (weekly average of daily NPRS scores)."}

Secondary endpoints

  • {"endpoint_text":"- Proportions of subjects with ≥30%, ≥50%, and ≥70% reductions from baseline in the weekly average of daily pain intensity on the NPRS at Week 12","definition_or_measurement_approach":"Proportion of subjects achieving ≥30%, ≥50%, and ≥70% reductions from baseline in the weekly average of daily pain intensity on the NPRS at Week 12."}
  • {"endpoint_text":"- Safety and tolerability based on adverse events (AEs), laboratory test results, vital signs, and ECGs","definition_or_measurement_approach":"Safety and tolerability assessed by monitoring adverse events, laboratory test results, vital signs, and ECGs."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
240
Recruitment Window Months
5
Consent Approach
Informed consent obtained from adult participants using subject information sheets and informed consent forms (L1_SIS and ICF Adult documents). Country-specific ICFs and supporting documents are available in German, Italian and French (documents listed for DE, IT, FR). Pregnancy ICF and privacy supplements are provided where applicable. No assent/parental consent for minors is mentioned.

Methods

  • Online screener (documented: Online screener files present; country-specific versions for DE, IT)
  • Phone screener (country-specific phone screener documents present: DE, IT)
  • Flyers and printed brochures (Flyer_FutureMeds, Recruitment Brochure, Poster, Print Ad; country-specific versions DE, IT, FR)
  • Digital outreach/advertisement (Images for outreach campaign, Advertisement copy; country-specific versions DE, IT, FR)
  • Recruitment text/messages for local sites (Recruiment Text_FutureMeds Berlin, Offenbach - Germany)
  • Invitation to trial letter / Patient Invitation to Trial Letter (country-specific versions)
  • PI to Doctor Letter / Physician invitation (country-specific versions)
  • Study fact sheet and recruitment brochure distributed to patients and HCPs (country-specific versions)

Geography

Total Number Of Sites
10
Total Number Of Participants
60

Germany

Earliest CTIS Part Ii Submission Date
12-03-2025
Latest Decision Or Authorization Date
31-03-2025
Processing Time Days
19
Number Of Sites
3
Number Of Participants
18

Sites

Site Name
FutureMeds GmbH (Wilmersdorfer Strasse 79, Charlottenburg)
Department Name
FutureMeds
Contact Person Name
Sascha Oehm
Contact Person Email
sascha.oehm@futuremeds.com
Site Name
FutureMeds GmbH (Platz Der Deutschen Einheit 4, Offenbach Am Main)
Department Name
FutureMeds
Contact Person Name
Florieke Joanne Berfelo
Site Name
Herz Und Diabeteszentrum NRW Bad Oeynhausen Universitaetsklinik Der Ruhr-Universitaet Bochum
Department Name
Klinik für Diabetologie und Endokrinologie
Contact Person Name
Young Hee Lee-Barkey
Contact Person Email
yhlee-barkey@hdz-nrw.de

Italy

Earliest CTIS Part Ii Submission Date
17-03-2025
Latest Decision Or Authorization Date
26-03-2025
Processing Time Days
9
Number Of Sites
2
Number Of Participants
12

Sites

Site Name
Ospedale San Raffaele S.r.l.
Department Name
Neurologia
Contact Person Name
Stefano Carlo Previtali
Contact Person Email
previtali.stefano@hsr.it
Site Name
IRCCS Foundation Istituto Neurologico Carlo Besta
Department Name
Neuroscienze cliniche
Contact Person Name
Grazia Devigili

France

Earliest CTIS Part Ii Submission Date
07-03-2025
Latest Decision Or Authorization Date
31-03-2025
Processing Time Days
24
Number Of Sites
5
Number Of Participants
30

Sites

Site Name
CHU Gabriel-Montpied
Department Name
Centre d'Evaluation et de Traitement de la Douleur (CETD)
Contact Person Name
Xavier Moisset
Contact Person Email
xavier.moisset@gmail.com
Site Name
Hopital Ambroise Pare
Department Name
Centre d'Evaluation et de Traitement de la Douleur (CETD)
Contact Person Name
Nadine Attal
Contact Person Email
nadine.attal@aphp.fr
Site Name
Centre Hospitalier Universitaire De Saint Etienne
Department Name
Centre d'Evaluation et de Traitement de la Douleur (CETD)
Contact Person Name
Christelle Créac'h
Site Name
Centre Hospitalier Universitaire De Nimes
Department Name
Centre d'Evaluation et de Traitement de la Douleur (CETD)
Contact Person Name
François Jedryka
Contact Person Email
francois.jedryka@chu-nimes.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Centre d'Evaluation et de Traitement de la Douleur (CETD)
Contact Person Name
Serge Perrot
Contact Person Email
serge.perrot@aphp.fr

Sponsor

Primary sponsor

Full Name
Vertex Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Investigational products

Investigational Product Name
VX-993 tablet
Active Substance
VX-993
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Investigational Product Name
VX-993 Placebo
Modality
Other
Investigational Product Name
PREGABALIN
Active Substance
PREGABALIN
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Investigational Product Name
Pregabalin placebo
Modality
Other
Routes Of Administration
ORAL
Route
ORAL

Related trials

Other published trials that may interest you.