A Phase 3 interventional study of Duloxetine in Fibromyalgia, sponsored by Eli Lilly and Company. Completed at 1 site in Japan. Open to participants aged 20 Years to 74 Years. Per ClinicalTrials.gov, last updated 2015-02-11.
Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Treatment
The purpose of the study is to assess the safety and efficacy of duloxetine in participants with fibromyalgia at long-term use.
1,336 studies on the registry are indexed under Fibromyalgia; 266 are open to participants now.
This study's enrollment of 149 is above the median of 60 across 1,035 interventional studies indexed under Fibromyalgia.
Browse Fibromyalgia studies →Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.
Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Duloxetine 20 milligrams (mg) taken orally once every day for 1 week, followed by 40 mg taken orally once every day for 1 week, and then 60 mg taken orally once every day for 48 weeks
Drug: Duloxetine
Administered Orally
Also known as: LY248686, Cymbalta, Ariclaim, Xeristar, Yentreve
Number of Participants Who Experienced an Adverse Event (AE)
A summary of serious and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
Time frame: Baseline through 53 weeks
Patient Global Impression-Improvement (PGI-I) at Endpoint
PGI-I measures the participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse).
Time frame: 50 weeks
Clinical Global Impression-Improvement (CGI-I) at Endpoint
CGI-I measures the clinician's perception of participant improvement at the time of assessment (compared with the start of treatment). Scores ranged from 1 (very much better) to 7 (very much worse).
Time frame: 50 weeks
Change From Baseline to 50-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)
FIQ is a 20-item, self-administered questionnaire using Likert-type scales to measure participant outcomes over the past week. Items 1 through 11 measured physical functioning on 4-point scales. Items 12 and 13 measured the number of days a participant felt well and days a participant was unable to work due to fibromyalgia symptoms, respectively. Items 14 through 20 were 11-point scales on which a participant rated work difficulty, pain, fatigue, morning tiredness, stiffness, anxiety, and depression, respectively. If a participant did not do all the tasks listed, those items were deleted from scoring. Algorithms were used to determine total FIQ scores which ranged from 0 to 100; higher scores indicated a more negative impact.
Time frame: Baseline, 50 weeks
Change From Baseline to 50-Week Endpoint in Brief Pain Inventory-Severity (BPI-S) and Brief Pain Inventory-Interference (BPI-I) Scores on the BPI-Modified Short Form
BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function, respectively. Severity scores ranged from 0 (no pain) to 10 (severe pain) for each question assessing average pain, worst pain, least pain, and pain right now. Interference scores ranged from 0 (does not interfere) to 10 (completely interferes) for each question assessing interference of pain in past 24 hours with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference was the average of non-missing scores of individual interference items.
Time frame: Baseline, 50 weeks
Change From Baseline to 50-Week Endpoint in 36-Item Short-Form (SF-36) Health Survey Domain Scores
The SF-36 Health Survey is a generic, health-related survey assessing the participant's quality of life on 8 domains: physical functioning, daily functioning (physical), bodily pain, general health, vitality, social functioning, daily functioning (emotional), and mental health. Each domain was scored by summing individual items pertaining to that domain and transforming scores into a 0 to 100 scale, with higher scores indicating better health status or functioning.
Time frame: Baseline, 50 weeks
Change From Baseline to 50-Week Endpoint in Beck Depression Inventory-II (BDI-II)
The BDI-II is a 21-item self-administered questionnaire designed to assess the characteristics of depression. Each item was scored on a 4-point scale ranging from 0 (not present) to 3 (present in the extreme) and was summed to give a total BDI-II score. A total BDI-II score of 0 through 13 was considered minimal, 14 through 19 was mild, 20 through 28 was moderate, and 29 through 63 was severe depression symptoms.
Time frame: Baseline, 50 weeks
Change From Baseline to 50-Week Endpoint in Widespread Pain Index (WPI) and Symptom Severity (SS) in American College of Rheumatology (ACR) Fibromyalgia Diagnostic Criteria 2010
WPI: Participant-reported areas (out of 19 points on the body) in which the participant had pain in the past week. WPI scores ranged from 0 (no areas) to 19 (all areas). SS: The sum of severity scores for fatigue, waking unrefreshed, and cognitive symptoms \[each rated from 0 (no problem) to 3 (severe; life-disturbing problems)\] plus the severity of somatic symptoms in general \[rated from 0 (no symptoms) to 3 (a great deal of symptoms)\]. The total SS score ranged from 0 and 12.
Time frame: Baseline, 50 weeks
Participants who completed the 15-week treatment in the preceding study F1J-JE-HMGZ (HMGZ) (NCT01552057) were enrolled in this study.
| Milestone | Duloxetine 60 mg |
|---|---|
| Started | 149 |
| Received at least 1 dose of study drug | 149 |
| Had at least 1 post-baseline observation | 148 |
| Completed | 124 |
| Not completed | 25 |
| Withdrew: Adverse event | 9 |
| Withdrew: Withdrawal by subject | 8 |
| Withdrew: Lack of efficacy | 6 |
| Withdrew: Lost to follow-up | 1 |
| Withdrew: Site removed from study | 1 |
A summary of serious and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
| participants | Duloxetine 60 mg |
|---|---|
| Number of Participants Who Experienced an Adverse Event (AE) | 138 |
PGI-I measures the participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse).
| units on a scale | Duloxetine 60 mg |
|---|---|
| Patient Global Impression-Improvement (PGI-I) at Endpoint | 2.48 ± 1.31 |
CGI-I measures the clinician's perception of participant improvement at the time of assessment (compared with the start of treatment). Scores ranged from 1 (very much better) to 7 (very much worse).
| units on a scale | Duloxetine 60 mg |
|---|---|
| Clinical Global Impression-Improvement (CGI-I) at Endpoint | 2.34 ± 1.08 |
FIQ is a 20-item, self-administered questionnaire using Likert-type scales to measure participant outcomes over the past week. Items 1 through 11 measured physical functioning on 4-point scales. Items 12 and 13 measured the number of days a participant felt well and days a participant was unable to work due to fibromyalgia symptoms, respectively. Items 14 through 20 were 11-point scales on which a participant rated work difficulty, pain, fatigue, morning tiredness, stiffness, anxiety, and depression, respectively. If a participant did not do all the tasks listed, those items were deleted from scoring. Algorithms were used to determine total FIQ scores which ranged from 0 to 100; higher scores indicated a more negative impact.
| units on a scale | Duloxetine 60 mg |
|---|---|
| Change From Baseline to 50-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ) | -6.00 ± 15.12 |
BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function, respectively. Severity scores ranged from 0 (no pain) to 10 (severe pain) for each question assessing average pain, worst pain, least pain, and pain right now. Interference scores ranged from 0 (does not interfere) to 10 (completely interferes) for each question assessing interference of pain in past 24 hours with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference was the average of non-missing scores of individual interference items.
| units on a scale | Duloxetine 60 mg |
|---|---|
| Average Pain | -1.31 ± 1.70 |
| Worst Pain | -1.53 ± 1.87 |
| Least Pain | -1.26 ± 1.82 |
| Pain Right Now | -1.47 ± 2.03 |
| Interference With General Activity | -0.72 ± 2.04 |
| Interference With Mood | -0.82 ± 1.82 |
| Interference With Walking Ability | -0.73 ± 2.04 |
| Interference With Normal Work | -0.66 ± 2.01 |
| Interference With Relations With Other People | -0.38 ± 1.95 |
| Interference With Sleep | -1.00 ± 2.26 |
| Interference With Enjoyment of Life | -0.68 ± 2.00 |
| Average Interference | -0.71 ± 1.65 |
The SF-36 Health Survey is a generic, health-related survey assessing the participant's quality of life on 8 domains: physical functioning, daily functioning (physical), bodily pain, general health, vitality, social functioning, daily functioning (emotional), and mental health. Each domain was scored by summing individual items pertaining to that domain and transforming scores into a 0 to 100 scale, with higher scores indicating better health status or functioning.
| units on a scale | Duloxetine 60 mg |
|---|---|
| Physical Functioning | 4.26 ± 14.54 |
| Role-Physical | 4.02 ± 17.05 |
| Bodily Pain | 6.89 ± 14.89 |
| General Health | 4.14 ± 11.88 |
| Vitality | 0.16 ± 18.13 |
| Social Functioning | 3.26 ± 21.47 |
| Role-Emotional | 3.55 ± 18.83 |
| Mental Health | 2.13 ± 14.00 |
The BDI-II is a 21-item self-administered questionnaire designed to assess the characteristics of depression. Each item was scored on a 4-point scale ranging from 0 (not present) to 3 (present in the extreme) and was summed to give a total BDI-II score. A total BDI-II score of 0 through 13 was considered minimal, 14 through 19 was mild, 20 through 28 was moderate, and 29 through 63 was severe depression symptoms.
| units on a scale | Duloxetine 60 mg |
|---|---|
| Change From Baseline to 50-Week Endpoint in Beck Depression Inventory-II (BDI-II) | -0.94 ± 5.22 |
WPI: Participant-reported areas (out of 19 points on the body) in which the participant had pain in the past week. WPI scores ranged from 0 (no areas) to 19 (all areas). SS: The sum of severity scores for fatigue, waking unrefreshed, and cognitive symptoms \[each rated from 0 (no problem) to 3 (severe; life-disturbing problems)\] plus the severity of somatic symptoms in general \[rated from 0 (no symptoms) to 3 (a great deal of symptoms)\]. The total SS score ranged from 0 and 12.
| units on a scale | Duloxetine 60 mg |
|---|---|
| WPI | -1.46 ± 3.74 |
| SS | -0.37 ± 1.27 |
Collected over Baseline through 53 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 60 mg Duloxetine | — | 8/149 (5.4%) | 138/149 (92.6%) |
| Event | 60 mg Duloxetine |
|---|---|
| Retinal detachmentEye disorders | 1/149 |
| SubileusGastrointestinal disorders | 1/149 |
| Clavicle fractureInjury, poisoning and procedural complications | 1/149 |
| Rib fractureInjury, poisoning and procedural complications | 1/149 |
| Skull fractureInjury, poisoning and procedural complications | 1/149 |
| Thoracic vertebral fractureInjury, poisoning and procedural complications | 1/149 |
| Traumatic intracranial haemorrhageInjury, poisoning and procedural complications | 1/149 |
| WoundInjury, poisoning and procedural complications | 1/149 |
| Diabetes mellitus inadequate controlMetabolism and nutrition disorders | 1/149 |
| Spinal osteoarthritisMusculoskeletal and connective tissue disorders | 1/149 |
| Event | 60 mg Duloxetine |
|---|---|
| NasopharyngitisInfections and infestations | 58/149 |
| SomnolenceNervous system disorders | 34/149 |
| ConstipationGastrointestinal disorders | 27/149 |
| NauseaGastrointestinal disorders | 22/149 |
| Weight increasedInvestigations | 14/149 |
| ThirstGeneral disorders | 11/149 |
| Back painMusculoskeletal and connective tissue disorders | 10/149 |
| VertigoEar and labyrinth disorders | 9/149 |
| Seasonal allergyImmune system disorders | 9/149 |
| DizzinessNervous system disorders | 9/149 |
Enrolled participants who received at least 1 dose of study drug and had at least 1 post-baseline observation.
| Age, Continuous(years) | Duloxetine 60 mg |
|---|---|
| Mean | 47.3 ± 11.9 |
| Sex: Female, Male(Participants) | Duloxetine 60 mg |
|---|---|
| Female | 121 |
| Male | 27 |
| Race/Ethnicity, Customized(participants) | Duloxetine 60 mg |
|---|---|
| Japanese | 148 |
| Region of Enrollment(participants) | Duloxetine 60 mg |
|---|---|
| Japan | 148 |
This study is completed, as verified in Jan 2015. You cannot join it, but the record below documents what was studied.
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