CClinicalTrials.gg
CompletedNCT01621191Updated Feb 11, 2015Results posted

An Extension Study of Duloxetine in Fibromyalgia (Extension of F1J-JE-HMGZ, NCT01552057)

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

Phase
Phase 3
Study type
Interventional
Enrollment
149
Allocation
Not applicable
Ages
20 Years to 74 Years
Sex
All
01

Study summary

The purpose of the study is to assess the safety and efficacy of duloxetine in participants with fibromyalgia at long-term use.

02

Conditions studied

03

In context

Fibromyalgia

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 →

Lead sponsor

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.

04

Who can participate

Ages eligible
20 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants who have completed the 15-week treatment in the preceding study HMGZ
  • Participants who wish continuous treatment with duloxetine after the preceding study
  • Participants are able to give their own written consent

Exclusion criteria

Exclusion Criteria:

  • Participants with serious cardiovascular, hepatic, renal, respiratory, or hematological disease, or clinically significant laboratory or electrocardiogram abnormality which indicate a serious medical problem or require significant intervention in the judgment of the investigators
  • Participants with alanine aminotransferase/aspartate aminotransferase of not less than 100 International Units/Liter (IU/L) or total bilirubin of not less than 1.6 milligrams/deciliter (mg/dL) at Week 0 (Visit 8 of the preceding study)
  • Participants with serum creatinine level of not less than 2.0 mg/dL, participant who has undergone kidney transplantation or hemodialysis at Week 0 (Visit 8 of the preceding study)
  • Participants with pain difficult to discriminate from pain associated with fibromyalgia or disease which disturbs the assessment
  • Participants with thyroidal dysfunction, excluding those assessed by the investigator that the disorder is controlled as appropriate by three-month or longer drug therapy
  • Participants with present or past history of rheumatoid arthritis, inflammatory arthritis, infectious arthritis, or auto immune disease rather than thyroid deficiency
  • Participants with uncontrolled angle closure glaucoma
  • Participants who received monoamine oxidase (MAO) inhibitors within 14 days before Week 0 (Visit 8 of the preceding study) or need to receive a MAO inhibitor within 5 days after study discontinuation
  • Participants who have experienced suicidal ideation or suicide attempt during the preceding study
  • Participants answering "yes" to any of the questions about active suicidal ideation/intent/behaviors occurring in the preceding study (Columbia Suicide Severity Rating Scale, Suicide Ideation section - Questions 4 and 5; Suicidal Behavior section)
  • Female participants who are pregnant, lactating, or who want to get pregnant during the study period. Male participants who want his partner to get pregnant
  • Females of child-bearing potential who cannot agree to utilize medically acceptable and reliable means of birth control during the study and for 1 month following the last dose of the study
  • Participants assessed ineligible by the investigator (sub-investigator) for other reasons
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
149 participants (actual)

Study arms

  • Experimental
    60 mg Duloxetine

    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

Interventions

  • DrugDuloxetine

    Administered Orally

    Also known as: LY248686, Cymbalta, Ariclaim, Xeristar, Yentreve

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

07

Results

Posted Feb 11, 2015

Participant flow

Participants who completed the 15-week treatment in the preceding study F1J-JE-HMGZ (HMGZ) (NCT01552057) were enrolled in this study.

Participant flow — Overall Study
MilestoneDuloxetine 60 mg
Started149
Received at least 1 dose of study drug149
Had at least 1 post-baseline observation148
Completed124
Not completed25
Withdrew: Adverse event9
Withdrew: Withdrawal by subject8
Withdrew: Lack of efficacy6
Withdrew: Lost to follow-up1
Withdrew: Site removed from study1

Outcome measures

PrimaryNumber 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
Reported as:
Number · participants
Number of Participants Who Experienced an Adverse Event (AE)
participantsDuloxetine 60 mg
Number of Participants Who Experienced an Adverse Event (AE)138
SecondaryPatient 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
Reported as:
Mean · units on a scale
Patient Global Impression-Improvement (PGI-I) at Endpoint
units on a scaleDuloxetine 60 mg
Patient Global Impression-Improvement (PGI-I) at Endpoint2.48 ± 1.31
SecondaryClinical 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
Reported as:
Mean · units on a scale
Clinical Global Impression-Improvement (CGI-I) at Endpoint
units on a scaleDuloxetine 60 mg
Clinical Global Impression-Improvement (CGI-I) at Endpoint2.34 ± 1.08
SecondaryChange 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
Reported as:
Mean · units on a scale
Change From Baseline to 50-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)
units on a scaleDuloxetine 60 mg
Change From Baseline to 50-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)-6.00 ± 15.12
SecondaryChange 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
Reported as:
Mean · units on a scale
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
units on a scaleDuloxetine 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
SecondaryChange 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
Reported as:
Mean · units on a scale
Change From Baseline to 50-Week Endpoint in 36-Item Short-Form (SF-36) Health Survey Domain Scores
units on a scaleDuloxetine 60 mg
Physical Functioning4.26 ± 14.54
Role-Physical4.02 ± 17.05
Bodily Pain6.89 ± 14.89
General Health4.14 ± 11.88
Vitality0.16 ± 18.13
Social Functioning3.26 ± 21.47
Role-Emotional3.55 ± 18.83
Mental Health2.13 ± 14.00
SecondaryChange 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
Reported as:
Mean · units on a scale
Change From Baseline to 50-Week Endpoint in Beck Depression Inventory-II (BDI-II)
units on a scaleDuloxetine 60 mg
Change From Baseline to 50-Week Endpoint in Beck Depression Inventory-II (BDI-II)-0.94 ± 5.22
SecondaryChange 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
Reported as:
Mean · units on a scale
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
units on a scaleDuloxetine 60 mg
WPI-1.46 ± 3.74
SS-0.37 ± 1.27

Adverse events

Collected over Baseline through 53 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
60 mg Duloxetine—8/149 (5.4%)138/149 (92.6%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
Event60 mg Duloxetine
Retinal detachmentEye disorders1/149
SubileusGastrointestinal disorders1/149
Clavicle fractureInjury, poisoning and procedural complications1/149
Rib fractureInjury, poisoning and procedural complications1/149
Skull fractureInjury, poisoning and procedural complications1/149
Thoracic vertebral fractureInjury, poisoning and procedural complications1/149
Traumatic intracranial haemorrhageInjury, poisoning and procedural complications1/149
WoundInjury, poisoning and procedural complications1/149
Diabetes mellitus inadequate controlMetabolism and nutrition disorders1/149
Spinal osteoarthritisMusculoskeletal and connective tissue disorders1/149
Most frequent other events
Showing 10 of 183
Most frequent other events
Event60 mg Duloxetine
NasopharyngitisInfections and infestations58/149
SomnolenceNervous system disorders34/149
ConstipationGastrointestinal disorders27/149
NauseaGastrointestinal disorders22/149
Weight increasedInvestigations14/149
ThirstGeneral disorders11/149
Back painMusculoskeletal and connective tissue disorders10/149
VertigoEar and labyrinth disorders9/149
Seasonal allergyImmune system disorders9/149
DizzinessNervous system disorders9/149

Baseline characteristics

Enrolled participants who received at least 1 dose of study drug and had at least 1 post-baseline observation.

Age, Continuous
Age, Continuous(years)Duloxetine 60 mg
Mean47.3 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Duloxetine 60 mg
Female121
Male27
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Duloxetine 60 mg
Japanese148
Region of Enrollment
Region of Enrollment(participants)Duloxetine 60 mg
Japan148
08

Study locations

1 site
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    Miyagi, 982-0032, Japan
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01621191
Lead sponsor
Eli Lilly and Company
Collaborators
Shionogi
Responsible party
Sponsor
First posted
Jun 18, 2012
Start date
Jun 2012
Primary completion
Feb 2014
Completion
Feb 2014
Results posted
Feb 11, 2015
Last update
Feb 11, 2015

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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