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Not yet recruitingNCT07936292Updated Nov 13, 2026

Efficacy and Safety of Mirogabalin in Uremic Pruritus

A Phase 2 interventional study of Mirogabalin (Intermittent) and Mirogabalin (Daily) in Uremic Pruritus, sponsored by Alexandria University. Not yet recruiting at 1 site in Egypt. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Alexandria University · Phase 2, Interventional, and Treatment

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 17 studies in Pruritus with a site in Egypt — 2 open to participants now, 2 under way, none of them phase 3. Pruritus · Egypt.

Planned enrollment
4th of 16
120 · median 75
Started
2026
the only one that year
Phase 2
5 of 17
1 open now
Registered
17th of 17
by date
Lead sponsor
4 of 17
Alexandria University

Among the 17 studies in Pruritus with a site in Egypt, this one is the 4th largest by planned enrollment of the 16 interventional ones that give a count, is the only one that started in 2026, is one of 5 in phase 2, and was the 17th registered.

Pruritus

491 studies on the registry are indexed under Pruritus; 94 are open to participants now.

Browse Pruritus studies →

Open to participants now

2 of the 17 studies in Pruritus with a site in Egypt are open now. Recruiting first, the newest first:

All 2 open studies →

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

Who these studies take

Of the 54 Pruritus studies recruiting now, 22 (41%) set no upper age limit and 24 (44%) stop at 75 or younger; 15 take children under 18; 10 take healthy volunteers.

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

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies in Pruritus with a site in Egypt, or all of them as a file.
02

Study summary

This study aims to assess the efficacy and safety of mirogabalin in alleviating moderate-to-severe uremic pruritus in patients undergoing maintenance hemodialysis, and to establish the optimal dosing frequency by comparing continuous daily administration against intermittent post-dialysis administration.

Read the detailed description

Uremic pruritus is a prevalent and distressing condition affecting over 60% of patients undergoing hemodialysis, with 20% to 40% experiencing moderate-to-severe symptoms. This condition is strongly associated with poor sleep architecture, depression, diminished quality of life, and an increased risk of mortality. The exact pathogenesis is multifactorial, involving metabolic disturbances, dysregulated immune responses, imbalances in the endogenous opioid system, and peripheral neuropathy.

While current off-label therapies for uremic pruritus include gabapentinoids targeting neuropathic mechanisms, their clinical utility in end-stage renal disease (ESRD) is severely limited by dose-dependent central nervous system (CNS) toxicity, particularly somnolence and dizziness. Mirogabalin is a novel, preferentially selective α2δ - 1 ligand hypothesized to provide robust anti-pruritic efficacy with a significantly lower incidence of neurotoxicity. Because mirogabalin is primarily eliminated by the kidneys, this trial will evaluate the efficacy, safety, and optimal dosing frequency (daily versus post-dialysis intermittent dosing) to prevent drug accumulation in the hemodialysis population.

03

Conditions studied

  • Uremic Pruritus

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Keywords

  • mirogabalin
  • uremic pruritis
  • hemodialysis
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

  1. ≥1 month of maintenance haemodialysis, 3 times per week for 4 hours.
  2. Adult patients with ages between 18-80 years.
  3. Patients presenting with moderate-to-severe pruritus, confirmed during the 7-day run-in period.

Exclusion criteria

Exclusion Criteria:

  1. Primary skin diseases (eczema, psoriasis, allergic dermatitis or drug rash).
  2. History of Peripheral neuropathy, thyroid disease, leukemia, lymphoma, liver disease, Systemic lupus erythematosus or current pregnancy.
  3. Patients who consumed emollients cream, antihistamine, opioid antagonist, , cholestyramine, or UVB phototherapy 1 month before study.
  4. Severe uncontrolled metabolic derangements defined as a calcium X phosphorus (Ca X P) >55.0 mg/dl, P >5.5 mg/dl, parathyroid hormone (PTH) >450 pg/ml.
Terms in these criteria, in plain language(2)

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Mirogabalin (Intermittent)

    Patients will receive mirogabalin 5 mg three times per week, administered immediately after each hemodialysis session for the 12-week duration.

    Drug: Mirogabalin (Intermittent)

  • Experimental
    Mirogabalin (Daily)

    Patients will receive mirogabalin 5 mg once daily for the 12-week duration.

    Drug: Mirogabalin (Daily)

  • Placebo comparator
    placebo

    Patients will receive a matched placebo for the 12-week duration.

    Drug: Placebo

Interventions

  • DrugMirogabalin (Intermittent)

    Patients will receive mirogabalin 5 mg three times per week, administered immediately after each hemodialysis session for the 12-week duration

  • DrugMirogabalin (Daily)

    Patients will receive mirogabalin 5 mg once daily for the 12-week duration

  • DrugPlacebo

    Patients will receive a matched placebo for the 12-week duration

06

What researchers measure

Primary outcomes

  1. Change in Uremic Pruritus Intensity

    The mean change in uremic pruritus intensity will be measured by two tools: the Visual Analogue Scale (VAS) and the 5-D itch scale. The VAS ranges from 0 (no pruritus) to 10 (worst possible itching). The 5-D itch scale ranges from 5 to 25, with higher scores reflecting worse pruritus severity.

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Percentage of Participants Achieving a Clinically Significant Reduction in Pruritus Severity

    Pruritus severity will be assessed using the Visual Analogue Scale (VAS), which ranges from 0 (no pruritus) to 10 (worst possible itching). A clinically significant reduction is defined as a shift in severity grade, such as moving from severe/very severe ($\\ge 7$) to mild/moderate (\<7).

    Time frame: Baseline and Week 12

  2. Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs)

    Safety and tolerability will be evaluated and compared between the intermittent and daily mirogabalin arms. This measure will track the number of participants experiencing central nervous system adverse events (e.g., dizziness, somnolence, confusion) and gastrointestinal events (e.g., diarrhea, vomiting), along with the clinical grading of their severity.

    Time frame: Up to Week 12

07

Study locations

1 site
08

References and documents

Publications

  • Deeks ED. Mirogabalin: First Global Approval. Drugs. 2019 Mar;79(4):463-468. doi: 10.1007/s40265-019-01070-8. PubMed 30778848 ↗
  • Rayner HC, Larkina M, Wang M, Graham-Brown M, van der Veer SN, Ecder T, Hasegawa T, Kleophas W, Bieber BA, Tentori F, Robinson BM, Pisoni RL. International Comparisons of Prevalence, Awareness, and Treatment of Pruritus in People on Hemodialysis. Clin J Am Soc Nephrol. 2017 Dec 7;12(12):2000-2007. doi: 10.2215/CJN.03280317. Epub 2017 Sep 18. PubMed 28923831 ↗
  • Fishbane S, Jamal A, Munera C, Wen W, Menzaghi F; KALM-1 Trial Investigators. A Phase 3 Trial of Difelikefalin in Hemodialysis Patients with Pruritus. N Engl J Med. 2020 Jan 16;382(3):222-232. doi: 10.1056/NEJMoa1912770. Epub 2019 Nov 8. PubMed 31702883 ↗
  • Elsayed MM, Elgohary IE, Abdelhamid HHS, Zaki SA. The effectiveness of sertraline in alleviating uremic pruritus in hemodialysis patients: a randomized clinical trial. BMC Nephrol. 2023 Jun 3;24(1):155. doi: 10.1186/s12882-023-03212-3. PubMed 37270517 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Mar 2027, 3 months later.

Of 52 phase 2 interventional studies under Pruritus, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 31. This study's planned 3 months is below that.

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

Registered
Nov 7, 2026
First posted
Nov 13, 2026
StartEst.
Dec 2026
Primary completionEst.
Mar 2027
CompletionEst.
Apr 2027
Last update
Nov 13, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07936292
Responsible party
Mohamed Mamdouh Mahmoud Mohamed Elsayed , MD (Associate professor, Alexandria University) — Principal investigator
First posted
Nov 13, 2026
Start date
Dec 2026 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Nov 13, 2026

Study contacts

Mohamed Mamdouh Elsayed, MD
Contact
dr_mohamedmamdouh87@yahoo.com
+201068055103
Mohamed Mamdouh Elsayed, MD
principal investigator · University of Alexandria
Mohamed A Abdelhalim, MD
study chair · Medical Research Institute, Alexandria University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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