ClinicalTrials.gg
CompletedNCT03304522Updated Nov 15, 2021Results posted

A Study to Evaluate the Efficacy and Safety of VX-150 in Treating Subjects With Pain Caused by Small Fiber Neuropathy

A Phase 2 interventional study of VX-150 and Placebo in Small Fiber Neuropathy, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 34 sites in 4 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-11-15.

Sponsored by Vertex Pharmaceuticals Incorporated · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
89
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Small Fiber Neuropathy with a site in United States — 3 open to participants now, 3 under way, none of them phase 3. Small Fiber Neuropathy · United States.

Enrollment
3rd of 11
89 · median 27
Started
2017
the only one that year
Phase 2
6 of 12
1 open now
Registered
5th of 12
by date
Lead sponsor
1 of 12
Vertex Pharmaceuticals Incorporated

Among the 12 studies in Small Fiber Neuropathy with a site in United States, this one is the 3rd largest by enrollment of the 11 interventional ones that give a count, is the only one that started in 2017, is one of 6 in phase 2, and was the 5th registered.

Small Fiber Neuropathy

50 studies on the registry are indexed under Small Fiber Neuropathy; 12 are open to participants now.

Browse Small Fiber Neuropathy studies →

Open to participants now

3 of the 12 studies in Small Fiber Neuropathy with a site in United States are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 9 Small Fiber Neuropathy studies recruiting now, 6 set no upper age limit and 2 stop at 75 or younger; none take children under 18; none take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Small Fiber Neuropathy with a site in United States, or all of them as a file.
02

Study summary

This is a Phase 2, randomized, double-blind, placebo-controlled, parallel-group, multicenter study evaluating the efficacy of VX-150 for the treatment of pain caused by small fiber neuropathy.

03

Conditions studied

  • Small Fiber Neuropathy

Browse trials for

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • (BMI) of 18.0 to 31.0 kg/m2, inclusive, and a total body weight >50 kg
  • Diagnosis of small fiber neuropathy, as per European Federation Neurological Societies (EFNS)/American Academy of Neurology (AAN) guidelines, with pain for at least 3 months prior to screening
  • Reduction below the 5th percentile of sex and age-adjusted normal values in epidermal nerve fiber density on punch skin at the distal site of the leg performed at screening
  • Normal nerve conduction studies (NCS), including presence of sural response.
  • Average NRS score between ≥4 and ≤9 reported in the daily diary on Days -7 through -1

Exclusion criteria

Exclusion Criteria:

  • History in the past 10 years of except for squamous cell skin cancer, basal cell skin cancer, and Stage 0 cervical carcinoma in situ
  • History of connective tissue disorders, sarcoidosis, Sjögren's syndrome, amyloidosis, Fabry's disease, celiac disease, lyme disease, disorders
  • A known or clinically suspected infection with or or C viruses
  • Current liver or kidney dysfunction
  • Current uncontrolled thyroid dysfunction
  • A diagnosis of diabetes, ≥8% at screening
  • History of cardiac dysrhythmias requiring anti-arrhythmia treatment(s)
  • Concomitant severe pain conditions which may impair self-assessment of pain due to small fiber neuropathy

Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
89 participants (actual)

Study arms

  • Experimental
    VX-150

    Drug: VX-150

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugVX-150

    Participants received VX-150 1250 milligrams (mg) once daily (qd) orally for 6 weeks.

  • DrugPlacebo

    Participants received placebo matched to VX-150 for 6 weeks.

06

What researchers measure

Primary outcomes

  1. Change in Weekly Average of Daily Pain Intensity on the 11 Point NRS

    Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain.

    Time frame: From Baseline at Week 6

Secondary outcomes

  1. Percentage of Participants With Greater Than or Equal to (>=) 30 Percent (%) Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS

    Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain. Percentage of participants \>= 30% reduction in the weekly average of daily pain intensity on the 11-Point NRS were reported.

    Time frame: From Baseline at Week 6

  2. Percentage of Participants With >=50% Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS

    Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain. Percentage of participants \>= 50% reduction in the weekly average of daily pain intensity on the 11-Point NRS were reported.

    Time frame: From Baseline at Week 6

  3. Change in the Daily Sleep Interference Scale (DSIS)

    Pain-associated sleep interference was assessed using DSIS, based on an 11-point scale (where 0 signified none: pain does not interfere with sleep and 10 signified severe: pain completely interferes with sleep, unable to sleep). Higher score indicates greater pain associated sleep interference.

    Time frame: From Baseline at Week 6

  4. Percentage of Participants Categorized as Improved on the Patient Global Impression of Change (PGIC) Scale

    PGIC scale evaluated the change in activity limitations, symptoms, emotions, and overall quality of life (QoL) related to the participants painful condition on 7-point scale from 1 (improved) to 7 (worse). Participants were categorized as following: scale from 1 - 2 were categorized as "improved", scale from 3 - 4 as "no change" and scale from 5 - 7 were categorized as "worse". Percentage of participants categorized as improved on PGIC scale at week 6 were reported for this outcome measure.

    Time frame: At Week 6

  5. Change in Pain Intensity on the 11-Point NRS

    Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain. Higher score indicates greater level of pain.

    Time frame: From Baseline at Week 6

  6. Pre-dose Plasma Concentration (Ctrough) of VRT-1207355 and the Metabolite VRT-1268114

    Time frame: Pre-dose at Day 7

  7. Number of Participants With Clinically Meaningful Findings in Columbia Suicide Severity Rating Scale (C-SSRS) Responses

    The C-SSRS is an interview-based rating scale was evaluated through a series of questions about suicidal thoughts and behaviors with the possible answers yes or no. Yes represents a worse outcome. Clinically Meaningfulness of C-SSRS responses were judged by investigator based on answers received from participants.

    Time frame: Day 1 up to Week 10

  8. Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Day 1 up to Week 10

07

Results

Posted Nov 15, 2021

Participant flow

Participant flow — Overall Study
MilestoneVX-150Placebo
Started4643
Completed4535
Not completed18
Withdrew: Adverse event04
Withdrew: Withdrawal of consent (due to lack of efficacy)11
Withdrew: Withdrawal of consent (for other reason)02
Withdrew: Other01

Outcome measures

PrimaryChange in Weekly Average of Daily Pain Intensity on the 11 Point NRS

Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain.

Time frame:
From Baseline at Week 6
Reported as:
Least squares mean · units on a scale
Change in Weekly Average of Daily Pain Intensity on the 11 Point NRS
units on a scaleVX-150Placebo
Change in Weekly Average of Daily Pain Intensity on the 11 Point NRS-2.018 ± 0.274-0.933 ± 0.287
Statistical analysis
  • VX-150 vs Placebo · Mixed-effects Model for Repeated Measure · p = <0.0001 · Least squares (ls) mean difference: -1.085 · 95% CI -1.876 to -0.293
SecondaryPercentage of Participants With Greater Than or Equal to (>=) 30 Percent (%) Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS

Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain. Percentage of participants \>= 30% reduction in the weekly average of daily pain intensity on the 11-Point NRS were reported.

Time frame:
From Baseline at Week 6
Reported as:
Number · percentage of participants
Percentage of Participants With Greater Than or Equal to (>=) 30 Percent (%) Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS
percentage of participantsVX-150Placebo
Percentage of Participants With Greater Than or Equal to (>=) 30 Percent (%) Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS45.026.5
SecondaryPercentage of Participants With >=50% Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS

Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain. Percentage of participants \>= 50% reduction in the weekly average of daily pain intensity on the 11-Point NRS were reported.

Time frame:
From Baseline at Week 6
Reported as:
Number · percentage of participants
Percentage of Participants With >=50% Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS
percentage of participantsVX-150Placebo
Percentage of Participants With >=50% Reduction in the Weekly Average of Daily Pain Intensity on the 11-Point NRS32.517.6
SecondaryChange in the Daily Sleep Interference Scale (DSIS)

Pain-associated sleep interference was assessed using DSIS, based on an 11-point scale (where 0 signified none: pain does not interfere with sleep and 10 signified severe: pain completely interferes with sleep, unable to sleep). Higher score indicates greater pain associated sleep interference.

Time frame:
From Baseline at Week 6
Reported as:
Least squares mean · units on a scale
Change in the Daily Sleep Interference Scale (DSIS)
units on a scaleVX-150Placebo
Change in the Daily Sleep Interference Scale (DSIS)-1.777 ± 0.276-0.665 ± 0.289
Statistical analysis
  • VX-150 vs Placebo · Mixed-effects Model for Repeated Measure · p = <0.0001 · Ls mean difference: -1.111 · 95% CI -1.911 to -0.312
SecondaryPercentage of Participants Categorized as Improved on the Patient Global Impression of Change (PGIC) Scale

PGIC scale evaluated the change in activity limitations, symptoms, emotions, and overall quality of life (QoL) related to the participants painful condition on 7-point scale from 1 (improved) to 7 (worse). Participants were categorized as following: scale from 1 - 2 were categorized as "improved", scale from 3 - 4 as "no change" and scale from 5 - 7 were categorized as "worse". Percentage of participants categorized as improved on PGIC scale at week 6 were reported for this outcome measure.

Time frame:
At Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Categorized as Improved on the Patient Global Impression of Change (PGIC) Scale
percentage of participantsVX-150Placebo
Percentage of Participants Categorized as Improved on the Patient Global Impression of Change (PGIC) Scale39.513.5
SecondaryChange in Pain Intensity on the 11-Point NRS

Pain intensity was evaluated using the 11-point NRS (where 0 signified no pain and 10 signified worst imaginable pain) during the last 24 hours on the NRS each evening. Higher score indicates greater level of pain. Higher score indicates greater level of pain.

Time frame:
From Baseline at Week 6
Reported as:
Least squares mean · units on a scale
Change in Pain Intensity on the 11-Point NRS
units on a scaleVX-150Placebo
Change in Pain Intensity on the 11-Point NRS-1.7 ± 0.3-1.1 ± 0.3
Statistical analysis
  • VX-150 vs Placebo · Mixed-effects Model for Repeated Measure · p = <0.0001 · Ls mean difference: -0.6 · 95% CI -1.5 to 0.3
SecondaryPre-dose Plasma Concentration (Ctrough) of VRT-1207355 and the Metabolite VRT-1268114
Time frame:
Pre-dose at Day 7
Reported as:
Mean · microgram per milliliter (mcg/mL)
Pre-dose Plasma Concentration (Ctrough) of VRT-1207355 and the Metabolite VRT-1268114
microgram per milliliter (mcg/mL)VX-150
VRT-12073553.89 ± 2.73
VRT-12681141.35 ± 0.752
SecondaryNumber of Participants With Clinically Meaningful Findings in Columbia Suicide Severity Rating Scale (C-SSRS) Responses

The C-SSRS is an interview-based rating scale was evaluated through a series of questions about suicidal thoughts and behaviors with the possible answers yes or no. Yes represents a worse outcome. Clinically Meaningfulness of C-SSRS responses were judged by investigator based on answers received from participants.

Time frame:
Day 1 up to Week 10
Reported as:
Number · participants
Number of Participants With Clinically Meaningful Findings in Columbia Suicide Severity Rating Scale (C-SSRS) Responses
participantsVX-150Placebo
Number of Participants With Clinically Meaningful Findings in Columbia Suicide Severity Rating Scale (C-SSRS) Responses00
SecondarySafety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame:
Day 1 up to Week 10
Reported as:
Number · participants
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
participantsVX-150Placebo
Participants with AEs2924
Participants with SAEs03

Adverse events

Collected over Day 1 up to Week 10. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
VX-1500/46 (0%)0/46 (0%)16/46 (34.8%)
Placebo0/43 (0%)3/43 (7%)7/43 (16.3%)
Most frequent serious events
Most frequent serious events
EventVX-150Placebo
Atrial fibrillationCardiac disorders0/461/43
DiverticulitisInfections and infestations0/461/43
Tendon ruptureInjury, poisoning and procedural complications0/461/43
Most frequent other events
Most frequent other events
EventVX-150Placebo
HeadacheNervous system disorders11/465/43
Dry mouthGastrointestinal disorders3/461/43
NauseaGastrointestinal disorders3/461/43
ArthralgiaMusculoskeletal and connective tissue disorders3/461/43
Muscle spasmsMusculoskeletal and connective tissue disorders3/460/43

Baseline characteristics

Age, Continuous
Age, Continuous(years)VX-150PlaceboTotal
Mean55.1 ± 12.3458.1 ± 11.8656.6 ± 12.14
Sex: Female, Male
Sex: Female, Male(Participants)VX-150PlaceboTotal
Female222143
Male242246
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)VX-150PlaceboTotal
Hispanic or Latino358
Not Hispanic or Latino433881
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)VX-150PlaceboTotal
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American6410
White393473
More than one race123
Unknown or Not Reported022
Pain Intensity at Baseline on 11-point Numeric Rating Scale (NRS)
Pain Intensity at Baseline on 11-point Numeric Rating Scale (NRS)(units on a scale)VX-150PlaceboTotal
Mean6.433 ± 1.4405.990 ± 1.4136.219 ± 1.436
08

Study locations

34 sites
  • Xenoscience Inc. - 21st Century Neurology
    Phoenix, Arizona 85004, United States
  • Phoenix Neurological Associates, Ltd.
    Phoenix, Arizona 85251, United States
  • Sutter Health - Alta Bates Summit Medical Center - The Jordan Research & Education Institute
    Berkeley, California 94705, United States
  • Neuropain Medical Center
    Fresno, California 93710, United States
  • University of California San Diego
    La Jolla, California 92093, United States
  • SDS Clinical Trials, Inc.
    Orange, California 92868, United States
  • Stanford University School of Medicine
    Redwood City, California 94063, United States
  • Blue Sky Neurology
    Englewood, Colorado 80113, United States
  • Bioclinica Research - Orlando
    Orlando, Florida 32806, United States
  • Infinity Clinical Research
    Sunrise, Florida 33351, United States
  • Southern Illinois University (SIU) School of Medicine
    Springfield, Illinois 62702, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • University of Kansas Medical Center (KUMC)
    Kansas City, Kansas 66160, United States
  • International Clinical Research Institute (ICRI)
    Overland Park, Kansas 66210, United States
  • River Cities Clinical Research Center
    Shreveport, Louisiana 71105, United States
  • The Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Washington University School of Medicine in St. Louis
    Saint Louis, Missouri 63110, United States
  • Dartmouth-Hitchcock Medical Center (DHMC)
    Lebanon, New Hampshire 03756, United States
  • Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08901, United States
  • University of New Mexico Hospital
    Albuquerque, New Mexico 87131, United States
  • Albany Medical Center- Neurology Group
    Albany, New York 12208, United States
  • The Mount Sinai Hospital
    New York, New York 10029, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • University of Rochester
    Rochester, New York 14618, United States
  • University of North Carolina School of Medicine
    Chapel Hill, North Carolina 27514, United States
  • Duke Neurological Disorders Clinic
    Durham, North Carolina 27710, United States
  • Carolinas Pain Institute
    Winston-Salem, North Carolina 27103, United States
  • Neurology Diagnostics, Inc
    Dayton, Ohio 45459, United States
  • The Richter Clinic for Neurology and Neuro-Psychiatry
    Tulsa, Oklahoma 74104, United States
  • Carilion Clinic Neurology
    Roanoke, Virginia 24013, United States
  • University of Washington
    Seattle, Washington 98105, United States
  • Universitätsklinikum Würzburg
    Würzburg, Germany
  • Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
    Milano, Italy
  • Maastricht UMC+
    Maastricht, Netherlands
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in Oct 2018, 12 months.

Results were first posted in Nov 2021, 3 years 1 month after primary completion. A results delay was requested in Oct 2019.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2017
First posted
Oct 9, 2017
StartActual
Sep 20, 2017
Primary completionActual
Oct 12, 2018
CompletionActual
Nov 8, 2018
Results delay requested
Oct 14, 2019
Results first posted
Nov 15, 2021
Last update
Nov 15, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03304522
Responsible party
Sponsor
First posted
Oct 9, 2017
Start date
Sep 20, 2017
Primary completion
Oct 12, 2018
Completion
Nov 8, 2018
Results posted
Nov 15, 2021
Last update
Nov 15, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: VX-150

Start the discussion