A Phase 2/3 interventional study of Placebo and E2007 (2 mg) in Diabetic Neuropathy, sponsored by Eisai Inc.. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-07-11.
Sponsored by Eisai Inc. · Phase 2/3, Interventional, and Treatment
The purpose of this study is to determine the efficacy and safety of Perampanel in patients with painful diabetic neuropathy.
This is a randomized, double-blind, placebo-controlled, parallel-group study. This is a 5-arm, 21-week study comprised of up to a 2-week Screening period, a 15-week Dose-Escalation and Maintenance Phase using 4 doses of E2007 (2 mg, 4 mg, 6 mg, and 8 mg) or placebo, and a 4-week, single-blind placebo Follow-Up Phase. Patients will be randomly assigned to one of the five treatment groups. Those patients assigned to receive either 4 mg, 6 mg, or 8 mg E2007 will be escalated to the appropriate dose according to an escalation schedule. All patients will take four identical-looking tablets on a daily basis for the entire study duration for blinding purposes.
1,003 studies on the registry are indexed under Peripheral Nervous System Diseases; 177 are open to participants now.
This study's enrollment of 352 is above the median of 60 across 768 interventional studies indexed under Peripheral Nervous System Diseases.
Browse Peripheral Nervous System Diseases studies →Eisai Inc. is the lead sponsor of 360 studies on the registry; 7 are open to participants now.
Of its 81 completed or terminated interventional studies of FDA-regulated products, 54 (67%) have results posted.
Counted across the registry records on this site, refreshed daily.
To be included, patients must meet all of the following:
Be reliable, willing, and able to cooperate with all study procedures including the following:
EXCLUSION CRITERIA:
Patients with any one of the following will be excluded.
Patients with any condition that could interfere with the conduct of the study or confound efficacy evaluations including the following:
Patients with clinically significant, progressive, or potentially unstable disease of any body system including cardiovascular, gastrointestinal, CNS, psychiatric, endocrine (other than diabetes), or immunologic, including patients with any of the following broad disease categories:
Patients with any of the following laboratory abnormalities at Screening (Visit 1) or Baseline (Visit 2):
Drug: Placebo
Drug: E2007 (2 mg)
Drug: E2007 (4 mg)
Drug: E2007 (6 mg)
Drug: E2007 (8 mg)
Placebo tablets, once daily, for 15 weeks (taken orally).
Perampanel, 2 mg once daily, for 15 weeks (taken orally).
Also known as: Perampanel
Perampanel, 2 mg once daily for three weeks, followed by 4 mg, once daily, for 12 weeks (taken orally).
Also known as: Perampanel
Perampanel, 2 mg once daily for three weeks, followed by 4 mg once daily, for three weeks and 6 mg, once daily, for nine weeks (taken orally).
Also known as: Perampanel
Perampanel, 2 mg once daily, for three weeks, followed by 4 mg, once daily for three weeks, 6 mg once daily for three weeks and 8 mg, once daily, for six weeks (taken orally).
Also known as: Perampanel
Change in Average Pain Scores From Baseline to Week 15/End of Treatment (EOT)
Average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). This is based on a modified baseline observation carried forward (BOCF).
Time frame: Baseline to Week 15/EOT
Responder Rate: Analysis of the Change in Pain Score From Baseline to Week 15/EOT in Subjects Who Had at Least a 30% Reduction in Pain Score
Average pain scores were calculated as the average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). This is based on a modified BOCF.
Time frame: Baseline to Week 15/EOT
Responder Rate: Analysis of the Change in Pain Score From Baseline to Week 15/EOT in Subjects Who Had at Least a 50% Reduction in Pain Score
Average pain scores were calculated as the average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). This is based on a modified BOCF.
Time frame: Baseline to Week 15/EOT
Mean Change in Average Pain Scores From Baseline at Each Study Week
Average pain scores were calculated as the average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). Last on-treatment value refers to last 7 days of available diary data while subject was on double-blind study drug.
Time frame: Baseline, Week 1 to Week 17
Change in Average Sleep Interference Scores From Baseline to Week 15/EOT
Average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for sleep interference (0=pain did not interfere with sleep, to 10=pain completely interfered with sleep \[unable to sleep\]). Based on modified BOCF.
Time frame: Baseline to Week 15/EOT
Change in Short Form - McGill Pain Questionnaire (SF-MPQ) From Baseline to Week 15/EOT
SF-MPQ sensory score = sum of intensity scores for descriptors 1-11 (throbbing, shooting, stabbing, sharp, cramping, gnawing, hot-burning, aching, heavy, tender, splitting). Each descriptor scored as 0=none, 1=mild, 2=moderate, or 3=severe. Range of possible sensory scores, 0 to 33, with a score of 33 being the most severe intensity.
Time frame: Baseline and Week 15/EOT
Analysis of Patient Global Impression of Change (PGIC) at Week 15/EOT
At the EOT (Visit 7) or Early Withdrawal Visit (as appropriate), the subject assessed his/her status compared to how they felt before entering the study. This assessment included an evaluation of pain frequency and intensity, the occurrence of AEs, and overall functional status using a 7-point scale where 1=very much improved and 7=very much worse. Using Modified BOCF.
Time frame: Week 15/EOT
Change From Baseline to Week 15/EOT in SF-36 Physical and Mental Component Scores
Short Form 36 Health Survey Questionnaire (SF-36) measuring limitations in Physical Components including physical activities, usual role activities (due to physical problems), measuring bodily pain, general health perceptions, and Mental Components including social activities, usual role activities (due to emotional problems), vitality (energy and fatigue. Each of the 8 domains are described by a score ranging from 0 to 100, for a range of total possible scores of 0-400 for physical and 0-400 for mental. Higher scores reflect better subject status.
Time frame: Baseline and Week 15/EOT
Change From Baseline to Week 15/EOT in Hospital Anxiety and Depression Scale (HADS) Anxiety and Depression Subscale Scores
HADS anxiety subscale score=sum of scores for 7 anxiety items, each scored on a 4-pt scale (0, 1, 2, or 3), where a higher score indicates worse anxiety. Range of possible HADS anxiety subscale scores, 0 to 21. HADS depression subscale score=sum of scores for 7 depression items, each scored on a 4-pt scale (0, 1, 2, or 3), where a higher score indicates worse depression. Range of possible HADS depression subscale scores, 0 to 21.
Time frame: Baseline and Week 15/EOT
Withdrawal Due to Treatment Failure During Double-Blind Dosing Period
Based on data reported on the End of Study case report form (CRF): If a subject terminated the study early during the Double-blind Dosing Period due to 'lack of therapeutic efficacy,' the subject was counted as a withdrawal due to treatment failure.
Time frame: Baseline and Week 15
Presence or Absence of Allodynia at Week 15/EOT
Investigators rated subjects' allodynia as mild, moderate, severe, or not present. The presence of allodynia (yes/no) at Week 15/EOT was analyzed.
Time frame: Week 15/EOT
Analysis of Rescue Analgesic Medication Use (Acetaminophen) During Double-Blind Dosing Period
If acetaminophen was not reported on the Pain Therapy CRF or on the Concomitant Medication CRF, it was assumed that the subject did not use rescue analgesic medication.
Time frame: Baseline to Week 15
| Milestone | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Started | 73 | 72 | 69 | 68 | 70 |
| Completed | 63 | 56 | 57 | 49 | 37 |
| Not completed | 10 | 16 | 12 | 19 | 33 |
| Withdrew: Adverse event | 3 | 7 | 9 | 14 | 22 |
| Withdrew: Protocol violation | 0 | 1 | 1 | 0 | 0 |
| Withdrew: Withdrawal by subject | 2 | 6 | 1 | 0 | 6 |
| Withdrew: Lack of efficacy | 0 | 1 | 1 | 1 | 1 |
| Withdrew: Physician decision | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Other | 5 | 0 | 0 | 4 | 4 |
Average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). This is based on a modified baseline observation carried forward (BOCF).
| Scores on a Scale | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Change in Average Pain Scores From Baseline to Week 15/End of Treatment (EOT) | -2.22 ± 2.19 | -1.73 ± 2.34 | -1.30 ± 2.18 | -1.85 ± 2.01 | -1.18 ± 2.00 |
Average pain scores were calculated as the average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). This is based on a modified BOCF.
| Percentage of Participants | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Responders (Yes) | 56.3 | 36.6 | 32.4 | 39.4 | 31.9 |
| Non-responders (No) | 43.7 | 63.4 | 67.6 | 60.6 | 68.1 |
Average pain scores were calculated as the average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). This is based on a modified BOCF.
| Percentage of Participants | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Responders (Yes) | 38 | 23.9 | 22.1 | 30.3 | 18.8 |
| Non-responders (No) | 62 | 76.1 | 77.9 | 69.7 | 81.2 |
Average pain scores were calculated as the average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for pain (0=no pain, to 10=worst possible pain). Last on-treatment value refers to last 7 days of available diary data while subject was on double-blind study drug.
| Scores on a Scale | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Week 1 | -0.58 ± 1.46 | -0.71 ± 1.33 | -0.58 ± 1.39 | -0.79 ± 1.44 | -0.72 ± 1.33 |
| Week 2 | -0.87 ± 1.65 | -1.09 ± 1.53 | -0.80 ± 1.55 | -1.19 ± 1.71 | -1.05 ± 1.52 |
| Week 3 | -1.19 ± 1.85 | -1.33 ± 1.64 | -0.91 ± 1.67 | -1.53 ± 1.92 | -1.22 ± 1.75 |
| Week 4 | -1.46 ± 1.73 | -1.33 ± 2.01 | -1.10 ± 1.93 | -1.75 ± 1.99 | -1.38 ± 1.97 |
| Week 5 | -1.49 ± 1.71 | -1.55 ± 2.21 | -1.12 ± 2.08 | -1.93 ± 1.96 | -1.56 ± 1.94 |
| Week 6 | -1.73 ± 1.81 | -1.70 ± 2.17 | -1.31 ± 2.12 | -2.03 ± 2.14 | -1.58 ± 2.11 |
| Week 7 | -1.99 ± 1.96 | -1.84 ± 2.10 | -1.50 ± 2.04 | -2.31 ± 2.32 | -1.80 ± 1.98 |
| Week 8 | -1.91 ± 2.01 | -1.86 ± 2.05 | -1.72 ± 2.20 | -2.19 ± 2.23 | -1.71 ± 2.18 |
| Week 9 | -2.19 ± 2.10 | -1.86 ± 2.14 | -1.76 ± 2.19 | -2.28 ± 2.12 | -2.01 ± 2.31 |
| Week 10 | -2.30 ± 1.96 | -1.88 ± 2.19 | -1.84 ± 2.12 | -2.04 ± 1.98 | -1.92 ± 2.08 |
| Week 11 | -2.39 ± 2.03 | -1.98 ± 2.20 | -1.85 ± 2.14 | -2.10 ± 2.09 | -1.95 ± 2.06 |
| Week 12 | -2.46 ± 1.99 | -1.81 ± 2.31 | -1.76 ± 2.16 | -2.13 ± 2.11 | -1.91 ± 2.16 |
| Week 13 | -2.36 ± 2.00 | -1.80 ± 2.16 | -1.62 ± 2.29 | -2.23 ± 1.99 | -2.01 ± 2.17 |
| Week 14 | -2.30 ± 2.17 | -1.84 ± 2.31 | -1.56 ± 2.27 | -2.25 ± 2.00 | -1.89 ± 2.19 |
| Week 15 | -2.39 ± 2.23 | -1.99 ± 2.39 | -1.58 ± 2.16 | -2.36 ± 1.91 | -1.93 ± 2.23 |
| Week 16 | -2.40 ± 2.38 | -2.49 ± 2.20 | -1.50 ± 2.12 | -1.87 ± 2.12 | -1.88 ± 2.01 |
| Week 17 | NA ± NA | -5.50 ± 3.33 | NA ± NA | NA ± NA | 0.71 ± NA |
| Last On-Treatment Value | -2.24 ± 2.18 | -1.79 ± 2.32 | -1.48 ± 2.23 | -2.41 ± 2.15 | -1.69 ± 2.24 |
Average of last 7 available scores prior to the visit, based on 11-point Likert-type numerical rating scale for sleep interference (0=pain did not interfere with sleep, to 10=pain completely interfered with sleep \[unable to sleep\]). Based on modified BOCF.
| Scores on a Scale | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Change in Average Sleep Interference Scores From Baseline to Week 15/EOT | -2.17 ± 2.18 | -1.49 ± 2.11 | -1.08 ± 2.19 | -1.71 ± 2.00 | -1.15 ± 2.19 |
SF-MPQ sensory score = sum of intensity scores for descriptors 1-11 (throbbing, shooting, stabbing, sharp, cramping, gnawing, hot-burning, aching, heavy, tender, splitting). Each descriptor scored as 0=none, 1=mild, 2=moderate, or 3=severe. Range of possible sensory scores, 0 to 33, with a score of 33 being the most severe intensity.
| Scores on a Scale | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Change in Short Form - McGill Pain Questionnaire (SF-MPQ) From Baseline to Week 15/EOT | -5.6 ± 6.83 | -3.9 ± 6.93 | -4.8 ± 5.83 | -6.2 ± 6.91 | -2.9 ± 5.85 |
At the EOT (Visit 7) or Early Withdrawal Visit (as appropriate), the subject assessed his/her status compared to how they felt before entering the study. This assessment included an evaluation of pain frequency and intensity, the occurrence of AEs, and overall functional status using a 7-point scale where 1=very much improved and 7=very much worse. Using Modified BOCF.
| Participants | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Very much improved | 9 | 3 | 4 | 3 | 4 |
| Much improved | 17 | 13 | 15 | 14 | 8 |
| Minimally improved | 18 | 18 | 20 | 13 | 10 |
| No change | 18 | 24 | 24 | 28 | 31 |
| Minimally worse | 3 | 3 | 3 | 3 | 4 |
| Much worse | 1 | 1 | 0 | 1 | 1 |
Short Form 36 Health Survey Questionnaire (SF-36) measuring limitations in Physical Components including physical activities, usual role activities (due to physical problems), measuring bodily pain, general health perceptions, and Mental Components including social activities, usual role activities (due to emotional problems), vitality (energy and fatigue. Each of the 8 domains are described by a score ranging from 0 to 100, for a range of total possible scores of 0-400 for physical and 0-400 for mental. Higher scores reflect better subject status.
| Scores on a Scale | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Physical Component Score | 4.32 ± 7.43 | 1.57 ± 6.35 | 1.67 ± 8.21 | 1.59 ± 7.92 | 0.89 ± 6.86 |
| Mental Component Score | -0.26 ± 9.14 | 0.40 ± 8.26 | 0.06 ± 10.77 | -1.90 ± 8.74 | -1.61 ± 9.56 |
HADS anxiety subscale score=sum of scores for 7 anxiety items, each scored on a 4-pt scale (0, 1, 2, or 3), where a higher score indicates worse anxiety. Range of possible HADS anxiety subscale scores, 0 to 21. HADS depression subscale score=sum of scores for 7 depression items, each scored on a 4-pt scale (0, 1, 2, or 3), where a higher score indicates worse depression. Range of possible HADS depression subscale scores, 0 to 21.
| Scores on a Scale | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Anxiety | -0.5 ± 3.01 | -0.3 ± 2.85 | -0.5 ± 3.43 | -0.5 ± 2.89 | -0.4 ± 2.71 |
| Depression | -0.7 ± 2.72 | -0.4 ± 2.43 | 0.0 ± 3.16 | 0.1 ± 3.42 | 0.2 ± 2.90 |
Based on data reported on the End of Study case report form (CRF): If a subject terminated the study early during the Double-blind Dosing Period due to 'lack of therapeutic efficacy,' the subject was counted as a withdrawal due to treatment failure.
| Participants | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Yes (withdrawn) | 0 | 1 | 1 | 1 | 1 |
| No (Not withdrawn) | 73 | 71 | 68 | 67 | 69 |
Investigators rated subjects' allodynia as mild, moderate, severe, or not present. The presence of allodynia (yes/no) at Week 15/EOT was analyzed.
| Participants | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Yes (Allodynia present) | 20 | 18 | 19 | 17 | 17 |
| No (Allodynia absent) | 47 | 45 | 47 | 48 | 44 |
If acetaminophen was not reported on the Pain Therapy CRF or on the Concomitant Medication CRF, it was assumed that the subject did not use rescue analgesic medication.
| Participants | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| Yes (Used rescue analgesic medication) | 13 | 9 | 10 | 10 | 13 |
| No (Did not use rescue analgesic medication) | 60 | 63 | 59 | 58 | 57 |
Collected over Treatment-emergent adverse events (TEAEs): started on or after (or before if TEAE worsened in severity after first dose) the day of first dose of double-blind study drug up to 30 days after the last dose of double-blind study drug.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 2/71 (2.8%) | 26/71 (36.6%) |
| Perampanel 2mg | — | 2/71 (2.8%) | 30/71 (42.3%) |
| Perampanel 4mg | — | 2/68 (2.9%) | 33/68 (48.5%) |
| Perampanel 6mg | — | 8/67 (11.9%) | 40/67 (59.7%) |
| Perampanel 8mg | — | 8/68 (11.8%) | 38/68 (55.9%) |
| Event | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| SepsisInfections and infestations | 0/71 | 1/71 | 0/68 | 2/67 | 0/68 |
| AnaemiaBlood and lymphatic system disorders | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| Atrial FibrillationCardiac disorders | 0/71 | 0/71 | 0/68 | 1/67 | 1/68 |
| Cardiac Failure CongestiveCardiac disorders | 0/71 | 0/71 | 1/68 | 1/67 | 0/68 |
| TachycardiaCardiac disorders | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| CellulitisInfections and infestations | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| LabyrinthitisInfections and infestations | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| OsteomyelitisInfections and infestations | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| SinusitisInfections and infestations | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| Wound Infection StaphylococcalInfections and infestations | 0/71 | 0/71 | 0/68 | 1/67 | 0/68 |
| Event | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg |
|---|---|---|---|---|---|
| DizzinessNervous system disorders | 1/71 | 6/71 | 2/68 | 15/67 | 15/68 |
| SomnolenceNervous system disorders | 2/71 | 2/71 | 9/68 | 5/67 | 11/68 |
| FallInjury, poisoning and procedural complications | 2/71 | 2/71 | 4/68 | 7/67 | 7/68 |
| Pain in ExtremityMusculoskeletal and connective tissue disorders | 3/71 | 0/71 | 2/68 | 6/67 | 1/68 |
| NauseaGastrointestinal disorders | 2/71 | 4/71 | 2/68 | 5/67 | 5/68 |
| Gait DisturbanceGeneral disorders | 0/71 | 2/71 | 3/68 | 5/67 | 3/68 |
| Oedema PeripheralGeneral disorders | 5/71 | 3/71 | 5/68 | 3/67 | 2/68 |
| NasopharyngitisInfections and infestations | 3/71 | 2/71 | 5/68 | 1/67 | 2/68 |
| ContusionInjury, poisoning and procedural complications | 3/71 | 1/71 | 3/68 | 4/67 | 5/68 |
| Upper Respiratory Tract InfectionInfections and infestations | 5/71 | 3/71 | 2/68 | 3/67 | 4/68 |
| Age, Customized(Participants) | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg | Total |
|---|---|---|---|---|---|---|
| <65 years | 50 | 50 | 40 | 34 | 41 | 215 |
| >=65 years | 21 | 21 | 28 | 33 | 27 | 130 |
| Sex: Female, Male(Participants) | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg | Total |
|---|---|---|---|---|---|---|
| Female | 37 | 27 | 28 | 34 | 25 | 151 |
| Male | 34 | 44 | 40 | 33 | 43 | 194 |
| Race/Ethnicity, Customized(participants) | Placebo | Perampanel 2mg | Perampanel 4mg | Perampanel 6mg | Perampanel 8mg | Total |
|---|---|---|---|---|---|---|
| White | 56 | 56 | 56 | 60 | 60 | 288 |
| Black | 8 | 11 | 4 | 4 | 6 | 33 |
| Asian | 4 | 1 | 2 | 0 | 0 | 7 |
| Other | 3 | 3 | 6 | 3 | 2 | 17 |
This study is completed, as verified in Feb 2013. You cannot join it, but the record below documents what was studied.
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Peripheral Nervous System Diseases→
Eisai Inc.