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
Investigate the efficacy and safety of DS-5565 in subjects with Post-Herpetic Neuralgia (PHN) in comparison to placebo
[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.
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 →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.
Exclusion Criteria:
Placebo (14-weeks)
Drug: Placebo
DS-5565 15 mg, oral administration, Treatment period; 2-weeks titration and 12-weeks fixed dose
Drug: DS-5565
DS-5565 20 mg, oral administration, Treatment period; 1-week titration and 13-weeks fixed dose
Drug: DS-5565
DS-5565 30 mg, oral administration, Treatment period; 2-weeks titration and 12-weeks fixed dose
Drug: DS-5565
Placebo
Also known as: Mirogabalin
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
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
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.
| Milestone | Placebo | DS-5565 15 mg/Day | DS-5565 20 mg/Day | DS-5565 30 mg/Day | DS-5565 Open-label Extension |
|---|---|---|---|---|---|
| Started | 304 | 153 | 153 | 155 | 0 |
| Did not receive treatment | 1 | 1 | 0 | 0 | 0 |
| Completed | 266 | 137 | 128 | 140 | 0 |
| Not completed | 38 | 16 | 25 | 15 | 0 |
| Withdrew: Adverse event | 7 | 6 | 12 | 4 | 0 |
| Withdrew: Lack of efficacy | 5 | 0 | 1 | 1 | 0 |
| Withdrew: Protocol violation | 0 | 1 | 3 | 0 | 0 |
| Withdrew: Withdrawal by subject | 25 | 7 | 9 | 10 | 0 |
| Withdrew: Other | 1 | 2 | 0 | 0 | 0 |
| Milestone | Placebo | DS-5565 15 mg/Day | DS-5565 20 mg/Day | DS-5565 30 mg/Day | DS-5565 Open-label Extension |
|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 239 |
| Completed | 0 | 0 | 0 | 0 | 184 |
| Not completed | 0 | 0 | 0 | 0 | 55 |
| Withdrew: Adverse event | 0 | 0 | 0 | 0 | 15 |
| Withdrew: Death | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Lack of efficacy | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 0 | 0 | 0 | 31 |
| Withdrew: Other | 0 | 0 | 0 | 0 | 7 |
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.
| units on a scale | Placebo | DS-5565 15 mg/Day | DS-5565 20 mg/Day | DS-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 |
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.
| units on a scale | DS-5565 Open-label Extension |
|---|---|
| Week 16 | -0.70 ± 9.530 |
| Week 18 | 4.60 ± 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 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/303 (0%) | 0/303 (0%) | 45/303 (14.9%) |
| DS-5565 15 mg/Day | 0/152 (0%) | 0/152 (0%) | 44/152 (28.9%) |
| DS-5565 20 mg/Day | 0/153 (0%) | 0/153 (0%) | 53/153 (34.6%) |
| DS-5565 30 mg/Day | 0/155 (0%) | 0/155 (0%) | 72/155 (46.5%) |
| DS-5565 Open-label Extension | 1/237 (0.4%) | 20/237 (8.4%) | 99/237 (41.8%) |
| Event | Placebo | DS-5565 15 mg/Day | DS-5565 20 mg/Day | DS-5565 30 mg/Day | DS-5565 Open-label Extension |
|---|---|---|---|---|---|
| CellulitisInfections and infestations | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| PneumoniaInfections and infestations | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Hepatocellular carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| HyperglycaemiaMetabolism and nutrition disorders | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Dissociative disorderPsychiatric disorders | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Transient ischaemic attackNervous system disorders | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Acute myocardial infarctionCardiac disorders | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Atrial fibrillationCardiac disorders | 0/303 | 0/152 | 0/153 | 0/155 | 1/237 |
| Event | Placebo | DS-5565 15 mg/Day | DS-5565 20 mg/Day | DS-5565 30 mg/Day | DS-5565 Open-label Extension |
|---|---|---|---|---|---|
| SomnolenceNervous system disorders | 11/303 | 20/152 | 26/153 | 37/155 | 36/237 |
| NasopharyngitisInfections and infestations | 26/303 | 13/152 | 16/153 | 20/155 | 39/237 |
| DizzinessNervous system disorders | 10/303 | 10/152 | 15/153 | 24/155 | 26/237 |
| Weight increasedInvestigations | 1/303 | 7/152 | 8/153 | 8/155 | 22/237 |
| OedemaGeneral disorders | 2/303 | 2/152 | 6/153 | 11/155 | 14/237 |
| Age, Categorical(Participants) | Placebo | DS-5565 15 mg | DS-5565 20 mg | DS-5565 30 mg | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 102 | 47 | 39 | 64 | 252 |
| >=65 years | 202 | 106 | 114 | 91 | 513 |
| Age, Continuous(years) | Placebo | DS-5565 15 mg | DS-5565 20 mg | DS-5565 30 mg | Total |
|---|---|---|---|---|---|
| Mean | 66.2 ± 10.13 | 66.6 ± 8.97 | 68.9 ± 9.19 | 64.5 ± 10.74 | 66.5 ± 9.94 |
| Sex: Female, Male(Participants) | Placebo | DS-5565 15 mg | DS-5565 20 mg | DS-5565 30 mg | Total |
|---|---|---|---|---|---|
| Female | 127 | 56 | 62 | 59 | 304 |
| Male | 177 | 97 | 91 | 96 | 461 |
| Race (NIH/OMB)(Participants) | Placebo | DS-5565 15 mg | DS-5565 20 mg | DS-5565 30 mg | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 304 | 153 | 153 | 155 | 765 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 |
| White | 0 | 0 | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | Placebo | DS-5565 15 mg | DS-5565 20 mg | DS-5565 30 mg | Total |
|---|---|---|---|---|---|
| Japan | 304 | 153 | 153 | 155 | 765 |
Documents are hosted by the registry — open the source record to download them.
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
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Daiichi Sankyo Co., Ltd.