CClinicalTrials.gg
CompletedNCT05177094Updated Nov 22, 2023Results posted

Chronic Pain Master Protocol (CPMP): A Study of LY3526318 in Participants With Diabetic Peripheral Neuropathic Pain

A Phase 2 interventional study of LY3526318 and Placebo in Diabetic Peripheral Neuropathic Pain, sponsored by Eli Lilly and Company. Completed at 37 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-22.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
155
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to test the safety and efficacy of study drug LY3526318 for the treatment of diabetic peripheral neuropathic pain (DPNP). This trial is part of the chronic pain master protocol H0P-MC-CPMP (NCT05986292) which is a protocol to accelerate the development of new treatments for chronic pain.

02

Conditions studied

  • Diabetic Peripheral Neuropathic Pain
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 155 is above the median of 52 across 973 interventional studies indexed under Neuralgia.

Browse Neuralgia 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
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Have a visual analog scale (VAS) pain value ≥40 and \<95 during screening.
  • Have a history of daily pain for at least 12 weeks based on participant report or medical history.
  • Have a body mass index \<40 kilograms per meter squared (kg/m²) (inclusive).
  • Are willing to maintain a consistent regimen of any ongoing nonpharmacologic pain-relieving therapies (for example, physical therapy) and will not start any new nonpharmacologic pain-relieving therapies during study participation.
  • Are willing to discontinue all pain medications taken for chronic pain conditions for the duration of the study.
  • Have daily symmetrical foot pain secondary to peripheral neuropathy present for at least 6 months and as diagnosed through use of the Michigan Neuropathy Screening Instrument Part B ≥3 (©University of Michigan).
  • Have a history and current diagnosis of type 1 or type 2 diabetes mellitus.
  • Have stable glycemic control as indicated by a glycated hemoglobin ≤11 at time of screening.
  • Are men, or women able to abide by reproductive and contraceptive requirements.

Exclusion criteria

Exclusion Criteria:

  • Have had a procedure within the past 6 months intended to product permanent sensory loss in the target area of interest (for example, ablation techniques).
  • Have surgery planned during the study for any reason, related or not the disease state under evaluation.
  • Have, in the judgment of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation.
  • Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association).
  • Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision.
  • Have fibromyalgia
  • Are, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide.
  • Have a positive human immunodeficiency virus (HIV) test result at screening.
  • Have an intolerance to acetaminophen or paracetamol or any of its excipients.
  • Have a history of alcohol, illicit drug, analgesic or narcotic use disorder within 2 years prior to screening.
  • Have a current drug-induced neuropathy, for example, due to some types of chemotherapy, or other types of peripheral neuropathy.
  • Have known hereditary motor, sensory or autonomic neuropathies.
  • Are pregnant or breastfeeding.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
155 participants (actual)

Study arms

  • Experimental
    LY3526318

    Participants received 250 milligram (mg) of LY3526318 orally, once daily for the first 4 weeks and were switched to placebo once daily for the next 4 weeks of the treatment period.

    Drug: LY3526318

  • Placebo comparator
    Placebo

    Participants received placebo orally, once daily, for 8-weeks treatment period.

    Drug: Placebo

Interventions

  • DrugLY3526318

    Administered orally

  • DrugPlacebo

    Administered orally

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

    The NRS was used to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95 percent (%) credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  2. Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

    The NRS was used to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

Secondary outcomes

  1. Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score

    The BPI-SFM is a numeric rating scale that assesses the severity of pain (severity scale) and its impact on daily functioning (Pain Interference scale). BPI-SFM pain interference scale has been reported here. Pain interference scale has 7 items, including general activity, mood, walking ability, normal work, relations with others, sleep, and enjoyment of life each assessed on a 10-point scale. All the 7-items are averaged to produce a total score ranging from 0 to 10 where, 0=does not interfere to 10=completely interferes and the mean is reported here. Higher score represents worse outcome. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  2. Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score

    The BPI-SFM is a numeric rating scale that assesses the severity of pain (severity scale) and its impact on daily functioning (Pain Interference scale). BPI-SFM pain interference scale has been reported here. Pain interference scale has 7 items, including general activity, mood, walking ability, normal work, relations with others, sleep, and enjoyment of life each assessed on a 10-point scale. All the 7-items are averaged to produce a total score ranging from 0 to 10 where, 0=does not interfere to 10=completely interferes and the mean is reported here. Higher score represents worse outcome. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

  3. Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change

    Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  4. Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change

    Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

  5. Change From Baseline for Worst Pain Intensity as Measured by NRS

    The NRS was used to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  6. Change From Baseline for Worst Pain Intensity as Measured by NRS

    The NRS was used to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

  7. Change From Baseline on the Visual Analog Scale (VAS) for Pain

    VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  8. Change From Baseline on the Visual Analog Scale (VAS) for Pain

    VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

  9. Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

    The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  10. Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

    The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

  11. Total Amount of Rescue Medication Use as Measured by Average Daily Dosage

    Total amount of rescue medication use as measured by average daily dosage. Posterior mean, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Week 4

  12. Total Amount of Rescue Medication Use as Measured by Average Daily Dosage

    Total amount of rescue medication use as measured by average daily dosage. Posterior mean, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Week 8

  13. Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)

    The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score using the United States algorithm. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 4

  14. Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)

    The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score using the United States algorithm. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

    Time frame: Baseline, Week 8

07

Results

Posted Nov 22, 2023

Participant flow

Participant flow — Overall Study
Milestone250 Milligram (mg) LY3526318Placebo
Started10352
Received at least one dose of study drug (safety population week 1-4)10252
Safety population week 5-89546
Completed8843
Not completed159
Withdrew: Adverse event55
Withdrew: Non-compliance with study drug and procedures01
Withdrew: Protocol deviation30
Withdrew: Withdrawal by subject63
Withdrew: Participant could not tolerate long study visits10

Outcome measures

PrimaryChange From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

The NRS was used to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95 percent (%) credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · score on a scale
Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)
score on a scale250 mg LY3526318Placebo
Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)-1.50 (-1.81 to -1.19)-1.35 (-1.80 to -0.90)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.15 · 95% CI -0.70 to 0.40Posterior mean difference with 95% credible interval is reported.
PrimaryChange From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

The NRS was used to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · score on a scale
Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)
score on a scale250 mg LY3526318Placebo
Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)-1.80 (-2.17 to -1.42)-1.78 (-2.32 to -1.24)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.01 · 95% CI -0.66 to 0.64Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score

The BPI-SFM is a numeric rating scale that assesses the severity of pain (severity scale) and its impact on daily functioning (Pain Interference scale). BPI-SFM pain interference scale has been reported here. Pain interference scale has 7 items, including general activity, mood, walking ability, normal work, relations with others, sleep, and enjoyment of life each assessed on a 10-point scale. All the 7-items are averaged to produce a total score ranging from 0 to 10 where, 0=does not interfere to 10=completely interferes and the mean is reported here. Higher score represents worse outcome. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · score on a scale
Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score
score on a scale250 mg LY3526318Placebo
Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score-1.54 (-1.90 to -1.17)-1.41 (-1.90 to -0.91)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.13 · 95% CI -0.72 to 0.46Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score

The BPI-SFM is a numeric rating scale that assesses the severity of pain (severity scale) and its impact on daily functioning (Pain Interference scale). BPI-SFM pain interference scale has been reported here. Pain interference scale has 7 items, including general activity, mood, walking ability, normal work, relations with others, sleep, and enjoyment of life each assessed on a 10-point scale. All the 7-items are averaged to produce a total score ranging from 0 to 10 where, 0=does not interfere to 10=completely interferes and the mean is reported here. Higher score represents worse outcome. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · score on a scale
Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score
score on a scale250 mg LY3526318Placebo
Change From Baseline in the Brief Pain Inventory-Short Form Modified (BPI-SFM) Total Pain Interference Score-1.69 (-2.14 to -1.25)-1.43 (-2.05 to -0.81)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.26 · 95% CI -0.98 to 0.46Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change

Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · score on a scale
Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change
score on a scale250 mg LY3526318Placebo
Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change2.77 (2.55 to 3.00)2.99 (2.67 to 3.31)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.22 · 95% CI -0.61 to 0.18Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change

Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · score on a scale
Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change
score on a scale250 mg LY3526318Placebo
Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change2.77 (2.54 to 3.01)2.94 (2.61 to 3.28)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.17 · 95% CI -0.58 to 0.24Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline for Worst Pain Intensity as Measured by NRS

The NRS was used to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · score on a scale
Change From Baseline for Worst Pain Intensity as Measured by NRS
score on a scale250 mg LY3526318Placebo
Change From Baseline for Worst Pain Intensity as Measured by NRS-1.48 (-1.81 to -1.15)-1.36 (-1.83 to -0.88)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.12 · 95% CI -0.68 to 0.45Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline for Worst Pain Intensity as Measured by NRS

The NRS was used to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · score on a scale
Change From Baseline for Worst Pain Intensity as Measured by NRS
score on a scale250 mg LY3526318Placebo
Change From Baseline for Worst Pain Intensity as Measured by NRS-1.68 (-2.09 to -1.26)-1.74 (-2.32 to -1.14)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: 0.06 · 95% CI -0.65 to 0.77Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline on the Visual Analog Scale (VAS) for Pain

VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · score on a scale
Change From Baseline on the Visual Analog Scale (VAS) for Pain
score on a scale250 mg LY3526318Placebo
Change From Baseline on the Visual Analog Scale (VAS) for Pain-21.84 (-26.33 to -17.38)-18.75 (-24.99 to -12.55)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -3.09 · 95% CI -10.43 to 4.28Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline on the Visual Analog Scale (VAS) for Pain

VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · score on a scale
Change From Baseline on the Visual Analog Scale (VAS) for Pain
score on a scale250 mg LY3526318Placebo
Change From Baseline on the Visual Analog Scale (VAS) for Pain-23.11 (-28.31 to -17.95)-21.61 (-28.74 to -14.50)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -1.50 · 95% CI -10.04 to 7.00Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · hours per night
Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep
hours per night250 mg LY3526318Placebo
Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep0.40 (0.14 to 0.66)0.29 (-0.07 to 0.65)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: 0.12 · 95% CI -0.32 to 0.54Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · hours per night
Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep
hours per night250 mg LY3526318Placebo
Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep0.45 (0.17 to 0.74)0.25 (-0.13 to 0.63)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: 0.20 · 95% CI -0.24 to 0.65Posterior mean difference with 95% credible interval is reported.
SecondaryTotal Amount of Rescue Medication Use as Measured by Average Daily Dosage

Total amount of rescue medication use as measured by average daily dosage. Posterior mean, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Week 4
Reported as:
Mean · mg per day (mg/day)
Total Amount of Rescue Medication Use as Measured by Average Daily Dosage
mg per day (mg/day)250 mg LY3526318Placebo
Total Amount of Rescue Medication Use as Measured by Average Daily Dosage255.71 (163.50 to 347.62)211.35 (81.10 to 342.14)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: 44.36 · 95% CI -114.73 to 204.00Posterior mean difference with 95% credible interval is reported.
SecondaryTotal Amount of Rescue Medication Use as Measured by Average Daily Dosage

Total amount of rescue medication use as measured by average daily dosage. Posterior mean, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Week 8
Reported as:
Mean · mg/day
Total Amount of Rescue Medication Use as Measured by Average Daily Dosage
mg/day250 mg LY3526318Placebo
Total Amount of Rescue Medication Use as Measured by Average Daily Dosage138.75 (62.87 to 215.62)237.51 (126.82 to 346.84)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -98.76 · 95% CI -231.86 to 34.49Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)

The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score using the United States algorithm. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 4
Reported as:
Mean · score on a scale
Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)
score on a scale250 mg LY3526318Placebo
Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)0.04 (-0.00 to 0.08)0.03 (-0.02 to 0.09)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: 0.01 · 95% CI -0.05 to 0.07Posterior mean difference with 95% credible interval is reported.
SecondaryChange From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)

The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score using the United States algorithm. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame:
Baseline, Week 8
Reported as:
Mean · score on a scale
Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)
score on a scale250 mg LY3526318Placebo
Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm)0.05 (-0.01 to 0.10)0.05 (-0.02 to 0.13)
Statistical analysis
  • 250 mg LY3526318 vs Placebo · Posterior mean difference: -0.01 · 95% CI -0.09 to 0.08Posterior mean difference with 95% credible interval is reported.

Adverse events

Collected over Baseline through Week 8. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
250 mg LY3526318 Week 1-40/102 (0%)2/102 (2%)40/102 (39.2%)
250 mg LY3526318/Placebo Week 5-80/95 (0%)3/95 (3.2%)23/95 (24.2%)
Placebo Week 1-40/52 (0%)1/52 (1.9%)22/52 (42.3%)
Placebo Week 5-80/46 (0%)1/46 (2.2%)10/46 (21.7%)
Most frequent serious events
Most frequent serious events
Event250 mg LY3526318 Week 1-4250 mg LY3526318/Placebo Week 5-8Placebo Week 1-4Placebo Week 5-8
Road traffic accidentInjury, poisoning and procedural complications0/1020/950/521/46
Skin abrasionInjury, poisoning and procedural complications0/1020/950/521/46
Skin lacerationInjury, poisoning and procedural complications0/1020/950/521/46
CellulitisInfections and infestations0/1022/950/520/46
Acute myocardial infarctionCardiac disorders0/1020/951/520/46
HypoglycaemiaMetabolism and nutrition disorders0/1021/950/520/46
Chest painGeneral disorders1/1020/950/520/46
ContusionInjury, poisoning and procedural complications1/1020/950/520/46
Transient ischaemic attackNervous system disorders1/1020/950/520/46
Most frequent other events
Showing 10 of 101
Most frequent other events
Event250 mg LY3526318 Week 1-4250 mg LY3526318/Placebo Week 5-8Placebo Week 1-4Placebo Week 5-8
HeadacheNervous system disorders3/1020/954/521/46
DiarrhoeaGastrointestinal disorders5/1020/951/521/46
NauseaGastrointestinal disorders5/1021/952/521/46
DizzinessNervous system disorders5/1020/951/520/46
Skin abrasionInjury, poisoning and procedural complications2/1020/950/522/46
FatigueGeneral disorders3/1020/952/521/46
Covid-19Infections and infestations1/1020/952/520/46
CellulitisInfections and infestations0/1023/950/520/46
ContusionInjury, poisoning and procedural complications3/1020/951/520/46
Urinary tract infectionInfections and infestations2/1022/951/521/46

Baseline characteristics

All enrolled participants.

Age, Categorical
Age, Categorical(Participants)250 mg LY3526318PlaceboTotal
<=18 years000
Between 18 and 65 years542680
>=65 years492675
Age, Continuous
Age, Continuous(years)250 mg LY3526318PlaceboTotal
Mean63.8 ± 8.363.6 ± 8.163.7 ± 8.2
Sex: Female, Male
Sex: Female, Male(Participants)250 mg LY3526318PlaceboTotal
Female422769
Male612586
Race (NIH/OMB)
Race (NIH/OMB)(Participants)250 mg LY3526318PlaceboTotal
American Indian or Alaska Native000
Asian325
Native Hawaiian or Other Pacific Islander101
Black or African American8614
White9042132
More than one race112
Unknown or Not Reported011
Region of Enrollment
Region of Enrollment(Participants)250 mg LY3526318PlaceboTotal
Puerto Rico202
United States10152153
Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)
Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)(score on a scale)250 mg LY3526318PlaceboTotal
Mean5.80 ± 1.875.99 ± 1.685.87 ± 1.80
08

Study locations

37 sites
  • Synexus Clinical Research US, Inc.
    Chandler, Arizona 85224, United States
  • Synexus Clinical Research - Glendale
    Glendale, Arizona 85306, United States
  • Arizona Research Center
    Phoenix, Arizona 85053, United States
  • Alliance for Multispecialty Research, LLC Tempe
    Tempe, Arizona 85281, United States
  • Artemis Institute for Clinical Research
    Riverside, California 92503, United States
  • Artemis Institute for Clinical Research
    San Diego, California 92103, United States
  • CMR of Greater New Haven
    Hamden, Connecticut 06517, United States
  • VIN-Julie Schwartzbard
    Aventura, Florida 33180, United States
  • Suncoast Research Group
    Miami, Florida 33135, United States
  • University of Miami Don Suffer Clinical Research Building
    Miami, Florida 33136, United States
  • New Horizon Research Center
    Miami, Florida 33165, United States
  • Renstar Medical Research
    Ocala, Florida 34470, United States
  • Synexus Clinical Research US, Inc - Orlando
    Orlando, Florida 32806, United States
  • Synexus Clinical Research US, Inc.
    Pinellas Park, Florida 33781, United States
  • Synexus Clinical Research US, Inc - Orlando
    The Villages, Florida 32162, United States
  • North Georgia Clinical Research
    Woodstock, Georgia 30189, United States
  • Rocky Mountain Clinical Research
    Idaho Falls, Idaho 83404, United States
  • Synexus Clinical Research US, Inc.
    Chicago, Illinois 60602, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • NorthShore University HealthSystem
    Skokie, Illinois 60077, United States
  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
  • Joslin Diabetes Center
    Boston, Massachusetts 02215, United States
  • ActivMed Practices and Research
    Methuen, Massachusetts 01844, United States
  • MedVadis Research Corporation
    Waltham, Massachusetts 02451, United States
  • Great Lakes Research Group, Inc.
    Bay City, Michigan 48706, United States
  • StudyMetrix Research
    Saint Peters, Missouri 63303, United States
  • Clinvest Research LLC
    Springfield, Missouri 65807, United States
  • Synexus - Cincinnati
    Cincinnati, Ohio 45236, United States
  • META Medical Research Institute
    Dayton, Ohio 45432, United States
  • Altoona Center For Clinical Research
    Duncansville, Pennsylvania 16635, United States
  • FutureSearch Trials
    Austin, Texas 78731, United States
  • Cedar Health Research
    Dallas, Texas 75251, United States
  • Synexus - US
    San Antonio, Texas 78229, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Rainier Clinical Research Center
    Renton, Washington 98057, United States
  • Ponce Medical School Foundation Inc.
    Ponce, 00716, Puerto Rico
  • Latin Clinical Trial Center
    San Juan, 00909, Puerto Rico
09

References and documents

Study documents

  • Study protocol · Sep 30, 2021
  • Statistical analysis plan · Jul 12, 2022

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

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

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 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05177094
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Jan 4, 2022
Start date
Jan 26, 2022
Primary completion
Oct 13, 2022
Completion
Oct 13, 2022
Results posted
Nov 22, 2023
Last update
Nov 22, 2023

Study contacts

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

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