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
- Contact Person Email
- florieke.berfelo@futuremeds.com
- 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
- Contact Person Email
- grazia.devigili@istituto-besta.it
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
- Contact Person Email
- christelle.creach@univ-st-etienne.fr
- 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
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