CClinicalTrials.gg
CompletedNCT02318719Updated Nov 2, 2020Results posted

DS-5565 Phase III Study for Post-herpetic Neuralgia

An interventional study of Placebo and DS-5565 in Post-Herpetic Neuralgia, sponsored by Daiichi Sankyo Co., Ltd.. Completed at 1 site in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2020-11-02.

Sponsored by Daiichi Sankyo Co., Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
765
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

Investigate the efficacy and safety of DS-5565 in subjects with Post-Herpetic Neuralgia (PHN) in comparison to placebo

Read the detailed description

[Double Blind Phase] The primary objective is to compare change in the Average Daily Pain Score (ADPS) from baseline to Week 14 in Asian subjects with PHN receiving DS-5565 versus placebo.

[Open Extension Phase] The objective is to assess the long-term safety and efficacy of DS-5565 in subjects with PHN.

02

Conditions studied

  • Post-Herpetic Neuralgia

Keywords

  • Post-Herpetic Neuralgia
  • Developmental Phase III
03

In context

Neuralgia

1,287 studies on the registry are indexed under Neuralgia; 256 are open to participants now.

This study's enrollment of 765 is above the median of 52 across 973 interventional studies indexed under Neuralgia.

Browse Neuralgia studies →

Lead sponsor

Daiichi Sankyo Co., Ltd. is the lead sponsor of 72 studies on the registry; none are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • PHN defined as pain present for more than 3 months after herpes zoster skin rash at screening
  • At screening, a pain scale of ≥ 40 mm

Exclusion criteria

Exclusion Criteria:

  • Previous use of neurolytic block
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
765 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo (14-weeks)

    Drug: Placebo

  • Experimental
    DS-5565 15 mg Group

    DS-5565 15 mg, oral administration, Treatment period; 2-weeks titration and 12-weeks fixed dose

    Drug: DS-5565

  • Experimental
    DS-5565 20 mg Group

    DS-5565 20 mg, oral administration, Treatment period; 1-week titration and 13-weeks fixed dose

    Drug: DS-5565

  • Experimental
    DS-5565 30 mg Group

    DS-5565 30 mg, oral administration, Treatment period; 2-weeks titration and 12-weeks fixed dose

    Drug: DS-5565

Interventions

  • DrugPlacebo

    Placebo

  • DrugDS-5565

    Also known as: Mirogabalin

06

What researchers measure

Primary outcomes

  1. Change in the Average Daily Pain Score (ADPS) From Baseline to Week 14 Following Oral Administration of DS-5565 in Asian Participants With Post-herpetic Neuralgia

    Each participant recorded a pain score in the electronic patient diary once daily from the day after the screening visit (Visit 1) to the end of treatment/early termination visit (Visit 10). Prior to taking the study drug each morning, the participant selected the number that best described his or her pain over the past 24 hours on a scale of 0 (no pain) to 10 (worst possible pain). Higher ADPS scores indicated worse outcome. ADPS was the weekly average pain score based on the pain scores from the electronic patient diaries (Pain diary). In this outcome, the change from baseline in ADPS is being reported with negative values representing improvements in average daily pain. The larger the negative value (ie. improvement), the greater the improvement in average daily pain.

    Time frame: Baseline to Week 14

Secondary outcomes

  1. Change in Visual Analog Scale (VAS) Pain From Baseline (Week 14) to Week 66 Following Administration of DS-5565 in Asian Participants With Post-herpetic Neuralgia

    Visual Analog Scale (VAS) pain is a 10-point assessment tool to measure pain levels, where 0 is defined as 'no pain' and 10 is defined as 'worst possible pain'. Higher VAS pain scores indicate worse outcome. In this outcome, the change from baseline in VAS pain is being reported with negative values representing improvements in pain intensity. The larger the negative value (ie. improvement), the greater the improvement in pain intensity.

    Time frame: From baseline (Week 14) to Week 66

07

Results

Posted Nov 2, 2020

Participant flow

A total of 765 participants who met all inclusion and no exclusion criteria were enrolled in the study; 763 participants received treatment in the double-blind phase. A total of 239 participants received treatment in the open-label extension phase.

Double-blind Phase
Participant flow — Double-blind Phase
MilestonePlaceboDS-5565 15 mg/DayDS-5565 20 mg/DayDS-5565 30 mg/DayDS-5565 Open-label Extension
Started3041531531550
Did not receive treatment11000
Completed2661371281400
Not completed381625150
Withdrew: Adverse event761240
Withdrew: Lack of efficacy50110
Withdrew: Protocol violation01300
Withdrew: Withdrawal by subject2579100
Withdrew: Other12000
Open-label Extension Phase
Participant flow — Open-label Extension Phase
MilestonePlaceboDS-5565 15 mg/DayDS-5565 20 mg/DayDS-5565 30 mg/DayDS-5565 Open-label Extension
Started0000239
Completed0000184
Not completed000055
Withdrew: Adverse event000015
Withdrew: Death00001
Withdrew: Lack of efficacy00001
Withdrew: Withdrawal by subject000031
Withdrew: Other00007

Outcome measures

PrimaryChange in the Average Daily Pain Score (ADPS) From Baseline to Week 14 Following Oral Administration of DS-5565 in Asian Participants With Post-herpetic Neuralgia

Each participant recorded a pain score in the electronic patient diary once daily from the day after the screening visit (Visit 1) to the end of treatment/early termination visit (Visit 10). Prior to taking the study drug each morning, the participant selected the number that best described his or her pain over the past 24 hours on a scale of 0 (no pain) to 10 (worst possible pain). Higher ADPS scores indicated worse outcome. ADPS was the weekly average pain score based on the pain scores from the electronic patient diaries (Pain diary). In this outcome, the change from baseline in ADPS is being reported with negative values representing improvements in average daily pain. The larger the negative value (ie. improvement), the greater the improvement in average daily pain.

Time frame:
Baseline to Week 14
Reported as:
Mean · units on a scale
Change in the Average Daily Pain Score (ADPS) From Baseline to Week 14 Following Oral Administration of DS-5565 in Asian Participants With Post-herpetic Neuralgia
units on a scalePlaceboDS-5565 15 mg/DayDS-5565 20 mg/DayDS-5565 30 mg/Day
Week 1-0.10 ± 0.743-0.39 ± 0.787-0.54 ± 0.783-0.46 ± 0.693
Week 2-0.33 ± 0.902-0.72 ± 1.036-1.06 ± 0.998-0.95 ± 1.003
Week 3-0.48 ± 1.030-0.96 ± 1.195-1.16 ± 1.122-1.20 ± 1.188
Week 4-0.64 ± 1.163-1.08 ± 1.283-1.24 ± 1.192-1.33 ± 1.236
Week 5-0.74 ± 1.215-1.17 ± 1.351-1.36 ± 1.233-1.49 ± 1.275
Week 6-0.81 ± 1.329-1.29 ± 1.412-1.44 ± 1.337-1.55 ± 1.277
Week 7-0.96 ± 1.399-1.32 ± 1.409-1.45 ± 1.382-1.67 ± 1.346
Week 8-1.03 ± 1.466-1.39 ± 1.509-1.40 ± 1.455-1.62 ± 1.375
Week 9-1.09 ± 1.478-1.44 ± 1.574-1.42 ± 1.480-1.72 ± 1.431
Week 10-1.15 ± 1.547-1.49 ± 1.632-1.51 ± 1.564-1.81 ± 1.486
Week 11-1.22 ± 1.601-1.53 ± 1.647-1.60 ± 1.576-1.84 ± 1.473
Week 12-1.21 ± 1.614-1.59 ± 1.727-1.63 ± 1.624-1.89 ± 1.519
Week 13-1.25 ± 1.665-1.63 ± 1.769-1.68 ± 1.643-1.95 ± 1.486
Week 14-1.31 ± 1.710-1.67 ± 1.717-1.73 ± 1.715-1.96 ± 1.501
Statistical analysis
  • Placebo vs DS-5565 15 mg/Day · Mixed Models Analysis · p = 0.0170 (DS-5565 20 mg and 30 mg vs placebo were tested at level of 0.025. If both were significant, 15 mg was tested at 0.05. If neither were significant, 15 mg was no longer tested. If either 20 mg or 30 mg was significant, 15 mg was tested at 0.025.) · Difference of least square mean: -0.41 · 95% CI -0.74 to -0.07
  • Placebo vs DS-5565 20 mg/Day · Mixed Models Analysis · p = 0.0058 (DS-5565 20 mg and 30 mg vs placebo were tested at level of 0.025. If both were significant, 15 mg was tested at 0.05. If neither were significant, 15 mg was no longer tested. If either 20 mg or 30 mg was significant, 15 mg was tested at 0.025.) · Difference of least square means: -0.47 · 95% CI -0.81 to -0.14
  • Placebo vs DS-5565 30 mg/Day · Mixed Models Analysis · p = <0.0001 (DS-5565 20 mg and 30 mg vs placebo were tested at level of 0.025. If both were significant, 15 mg was tested at 0.05. If neither were significant, 15 mg was no longer tested. If either 20 mg or 30 mg was significant, 15 mg was tested at 0.025.) · Difference of least square means: -0.77 · 95% CI -1.10 to -0.44
SecondaryChange in Visual Analog Scale (VAS) Pain From Baseline (Week 14) to Week 66 Following Administration of DS-5565 in Asian Participants With Post-herpetic Neuralgia

Visual Analog Scale (VAS) pain is a 10-point assessment tool to measure pain levels, where 0 is defined as 'no pain' and 10 is defined as 'worst possible pain'. Higher VAS pain scores indicate worse outcome. In this outcome, the change from baseline in VAS pain is being reported with negative values representing improvements in pain intensity. The larger the negative value (ie. improvement), the greater the improvement in pain intensity.

Time frame:
From baseline (Week 14) to Week 66
Reported as:
Mean · units on a scale
Change in Visual Analog Scale (VAS) Pain From Baseline (Week 14) to Week 66 Following Administration of DS-5565 in Asian Participants With Post-herpetic Neuralgia
units on a scaleDS-5565 Open-label Extension
Week 16-0.70 ± 9.530
Week 184.60 ± 9.850
Week 22-8.30 ± 12.070
Week 26-8.60 ± 12.030
Week 30-8.70 ± 13.670
Week 34-10.00 ± 14.260
Week 38-10.40 ± 14.450
Week 42-11.20 ± 13.930
Week 46-12.00 ± 13.890
Week 50-12.60 ± 14.530
Week 54-12.50 ± 14.760
Week 58-12.90 ± 15.250
Week 62-14.00 ± 16.790
Week 66-14.70 ± 15.270

Adverse events

Collected over Adverse events (AEs) were collected from after the participant signed the informed consent form and up to 7 days after the last dose of the study drug (the post-treatment follow-up visit [Visit 11]), up to 2 years 5 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/303 (0%)0/303 (0%)45/303 (14.9%)
DS-5565 15 mg/Day0/152 (0%)0/152 (0%)44/152 (28.9%)
DS-5565 20 mg/Day0/153 (0%)0/153 (0%)53/153 (34.6%)
DS-5565 30 mg/Day0/155 (0%)0/155 (0%)72/155 (46.5%)
DS-5565 Open-label Extension1/237 (0.4%)20/237 (8.4%)99/237 (41.8%)
Most frequent serious events
Showing 10 of 20
Most frequent serious events
EventPlaceboDS-5565 15 mg/DayDS-5565 20 mg/DayDS-5565 30 mg/DayDS-5565 Open-label Extension
CellulitisInfections and infestations0/3030/1520/1530/1551/237
PneumoniaInfections and infestations0/3030/1520/1530/1551/237
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/3030/1520/1530/1551/237
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/3030/1520/1530/1551/237
Hepatocellular carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/3030/1520/1530/1551/237
HyperglycaemiaMetabolism and nutrition disorders0/3030/1520/1530/1551/237
Dissociative disorderPsychiatric disorders0/3030/1520/1530/1551/237
Transient ischaemic attackNervous system disorders0/3030/1520/1530/1551/237
Acute myocardial infarctionCardiac disorders0/3030/1520/1530/1551/237
Atrial fibrillationCardiac disorders0/3030/1520/1530/1551/237
Most frequent other events
Most frequent other events
EventPlaceboDS-5565 15 mg/DayDS-5565 20 mg/DayDS-5565 30 mg/DayDS-5565 Open-label Extension
SomnolenceNervous system disorders11/30320/15226/15337/15536/237
NasopharyngitisInfections and infestations26/30313/15216/15320/15539/237
DizzinessNervous system disorders10/30310/15215/15324/15526/237
Weight increasedInvestigations1/3037/1528/1538/15522/237
OedemaGeneral disorders2/3032/1526/15311/15514/237

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PlaceboDS-5565 15 mgDS-5565 20 mgDS-5565 30 mgTotal
<=18 years00000
Between 18 and 65 years102473964252
>=65 years20210611491513
Age, Continuous
Age, Continuous(years)PlaceboDS-5565 15 mgDS-5565 20 mgDS-5565 30 mgTotal
Mean66.2 ± 10.1366.6 ± 8.9768.9 ± 9.1964.5 ± 10.7466.5 ± 9.94
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboDS-5565 15 mgDS-5565 20 mgDS-5565 30 mgTotal
Female127566259304
Male177979196461
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboDS-5565 15 mgDS-5565 20 mgDS-5565 30 mgTotal
American Indian or Alaska Native00000
Asian304153153155765
Native Hawaiian or Other Pacific Islander00000
Black or African American00000
White00000
More than one race00000
Unknown or Not Reported00000
Region of Enrollment
Region of Enrollment(participants)PlaceboDS-5565 15 mgDS-5565 20 mgDS-5565 30 mgTotal
Japan304153153155765
08

Study locations

1 site
  • Medical Corporation Fujigaki Clinic
    Oita, 870-0942, Japan
09

References and documents

Publications

  • Kato J, Baba M, Kuroha M, Kakehi Y, Murayama E, Wasaki Y, Ohwada S. Safety and Efficacy of Mirogabalin for Peripheral Neuropathic Pain: Pooled Analysis of Two Pivotal Phase III Studies. Clin Ther. 2021 May;43(5):822-835.e16. doi: 10.1016/j.clinthera.2021.03.015. Epub 2021 May 29. PubMed 34059327 ↗
  • Kato J, Matsui N, Kakehi Y, Murayama E, Ohwada S. Long-term safety and efficacy of mirogabalin in Asian patients with postherpetic neuralgia: Results from an open-label extension of a multicenter randomized, double-blind, placebo-controlled trial. Medicine (Baltimore). 2020 Sep 4;99(36):e21976. doi: 10.1097/MD.0000000000021976. PubMed 32899037 ↗

Study documents

  • Protocol and statistical analysis plan · Apr 18, 2016

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Supporting information: Study protocol, Sap, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02318719
Lead sponsor
Daiichi Sankyo Co., Ltd.
Collaborators
SRL Medisearch Inc., Quintiles, Inc.
Responsible party
Sponsor
First posted
Dec 17, 2014
Start date
Jan 2015
Primary completion
May 25, 2017
Completion
May 25, 2017
Results posted
Nov 2, 2020
Last update
Nov 2, 2020

Study contacts

Global Clinical Leader
study director · Daichii Sankyo

Oversight

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

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