Last reviewed · How we verify

NCT02215252

A Clinical Trial To Evaluate PF-05089771 On Its Own And As An Add-On Therapy To Pregabalin (Lyrica) For The Treatment Of Pain Due To Diabetic Peripheral Neuropathy (DPN)

Completed Phase 2 Results posted Last updated 5 May 2017
What this trial tests

Phase 2 trial testing PF-05089771 150 mg in Diabetic Neuropathy, Painful in 141 participants. Completed in 28 September 2015.

Timeline
10 November 2014
Primary endpoint
15 July 2015
28 September 2015

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment141
Start date10 November 2014
Primary completion15 July 2015
Estimated completion28 September 2015
Sites32 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 80, any sex, with Diabetic Neuropathy, Painful. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Daily Pain Numeric Rating Scale (NRS) Primary · Baseline, Week 1, Week 2, Week 3 and Week 4

The endpoint average pain score, based on the mean of the last 7 days' daily pain numeric rating scale (NRS) scores at (NRS is an 11-point scale where 0 = no pain and 10 = worst possible pain) from the daily pain diaries while receiving study medication during the treatment period.

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID6.17± 1.164
Pregabalin6.62± 1.420
Placebo6.35± 1.170
Week 1 (n = 44, 46, 44)
GroupValue95% CI
PF-05089771 150 mg BID5.45± 1.372
Pregabalin5.87± 1.872
Placebo6.07± 1.454
Week 2 (n = 43, 44, 40)
GroupValue95% CI
PF-05089771 150 mg BID5.14± 1.762
Pregabalin5.26± 2.302
Placebo6.10± 1.504
Week 3 (n = 38, 40, 41)
GroupValue95% CI
PF-05089771 150 mg BID5.01± 1.820
Pregabalin5.36± 2.386
Placebo5.76± 1.540
Week 4 (n = 41, 38, 39)
GroupValue95% CI
PF-05089771 150 mg BID4.83± 1.595
Pregabalin5.14± 2.508
Placebo5.61± 1.820
Responder Rate Based on a 30% Improvement in Mean Pain Response Using the Daily Pain NRS Score Secondary · Baseline, Week 1, Week 2, Week 3 and Week 4

Percentage of participants that received ≥30% improvement from baseline in mean pain response (from the daily pain diary).

Week 1 (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID9.09
Pregabalin15.22
Placebo4.44
Week 2 (n = 44, 45, 44)
GroupValue95% CI
PF-05089771 150 mg BID22.73
Pregabalin31.11
Placebo9.09
Week 3 (n = 42, 42, 43)
GroupValue95% CI
PF-05089771 150 mg BID23.81
Pregabalin26.19
Placebo11.63
Week 4 (n = 42, 38, 43)
GroupValue95% CI
PF-05089771 150 mg BID28.57
Pregabalin31.58
Placebo16.28
Responder Rate Based on a 50% Improvement in Mean Pain Response Using the Daily Pain NRS Score Secondary · Baseline, Week 1, Week 2, Week 3, and Week 4

Percentage of participants that received ≥50% improvement from baseline in mean pain response (from the daily pain diary).

Week 1 (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID0
Pregabalin4.35
Placebo4.44
Week 2 (n = 44, 45, 44)
GroupValue95% CI
PF-05089771 150 mg BID11.36
Pregabalin15.56
Placebo2.27
Week 3 (n = 42, 42, 43)
GroupValue95% CI
PF-05089771 150 mg BID7.14
Pregabalin19.05
Placebo2.33
Week 4 (n = 42, 38, 43)
GroupValue95% CI
PF-05089771 150 mg BID9.52
Pregabalin23.68
Placebo6.98
Neuropathic Pain Symptom Inventory (NPSI) - Burning (Superficial) Spontaneous Pain Secondary · Baseline, Week 2, and Week 4

Participants rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning \[superficial\] spontaneous pain, pressing \[deep\] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia \[P/D\]) including 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. A score in each dimension and also a total score (from 0-100) is generated using data from the questionnaire. Higher score indicates a greater intensity of pain.

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID4.6± 2.71
Pregabalin5.3± 2.49
Placebo4.8± 2.35
Week 2 (n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID3.7± 2.94
Pregabalin4.3± 3.06
Placebo4.2± 2.35
Week 4 (n = 42, 38, 42)
GroupValue95% CI
PF-05089771 150 mg BID3.4± 3.04
Pregabalin4.3± 2.80
Placebo4.5± 2.55
Neuropathic Pain Symptom Inventory (NPSI) - Pressing (Deep) Spontaneous Pain Secondary · Baseline, Week 2 and Week 4

Participant rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning \[superficial\] spontaneous pain, pressing \[deep\] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia \[P/D\]) including 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. A score in each dimension and also a total score (from 0-100) is generated using data from the questionnaire. Higher score indicates a greater intensity of pain.

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID3.8± 2.48
Pregabalin4.9± 2.21
Placebo4.5± 2.40
Week 2 (n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID3.3± 2.51
Pregabalin4.4± 2.83
Placebo4.2± 2.33
Week 4 (n = 42, 38, 42)
GroupValue95% CI
PF-05089771 150 mg BID3.4± 2.67
Pregabalin3.9± 3.08
Placebo4.0± 2.48
Neuropathic Pain Symptom Inventory (NPSI) - Paroxysmal Pain Secondary · Baseline, Week 2, and Week 4

Participant rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning \[superficial\] spontaneous pain, pressing \[deep\] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia \[P/D\]) including 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. A score in each dimension and also a total score (from 0-100) is generated using data from the questionnaire. Higher score indicates a greater intensity of pain.

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID4.5± 2.36
Pregabalin5.8± 2.18
Placebo5.6± 2.23
Week 2 (n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID4.1± 2.61
Pregabalin4.7± 2.98
Placebo4.9± 2.11
Week 4 (n = 42, 38, 42)
GroupValue95% CI
PF-05089771 150 mg BID3.9± 2.87
Pregabalin4.6± 2.83
Placebo4.8± 2.55
Neuropathic Pain Symptom Inventory (NPSI) - Evoked Pain Secondary · Baseline, Week 2 and Week 4

Participant rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning \[superficial\] spontaneous pain, pressing \[deep\] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia \[P/D\]) including 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. A score in each dimension and also a total score (from 0-100) is generated using data from the questionnaire. Higher score indicates a greater intensity of pain.

Baseline (n = 44, 45, 45)
GroupValue95% CI
PF-05089771 150 mg BID2.7± 2.38
Pregabalin5.0± 2.51
Placebo4.2± 2.42
Week 2 (n = 42, 40, 43)
GroupValue95% CI
PF-05089771 150 mg BID2.0± 1.92
Pregabalin4.0± 2.67
Placebo3.5± 2.47
Week 4 (n = 42, 37, 42)
GroupValue95% CI
PF-05089771 150 mg BID2.3± 2.24
Pregabalin3.8± 3.07
Placebo3.6± 2.53
Neuropathic Pain Symptom Inventory (NPSI) - Paresthesia/Dysethesia Secondary · Baseline, Week 2 and Week 4

Participant rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning \[superficial\] spontaneous pain, pressing \[deep\] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia \[P/D\]) including 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. A score in each dimension and also a total score (from 0-100) is generated using data from the questionnaire. Higher score indicates a greater intensity of pain.

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID5.7± 2.02
Pregabalin6.1± 2.35
Placebo6.6± 1.96
Week 2 (n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID4.8± 2.45
Pregabalin5.3± 2.83
Placebo5.9± 2.40
Week 4 (n = 42, 38, 42)
GroupValue95% CI
PF-05089771 150 mg BID4.9± 2.34
Pregabalin5.4± 2.84
Placebo5.9± 2.63
Neuropathic Pain Symptom Inventory (NPSI) - Total Score Secondary · Baseline, Week 2 and Week 4

Participant rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning \[superficial\] spontaneous pain, pressing \[deep\] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia \[P/D\]) including 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. A score in each dimension and also a total score (from 0-100) is generated using data from the questionnaire. Higher score indicates a greater intensity of pain.

Baseline (n = 44, 45, 45)
GroupValue95% CI
PF-05089771 150 mg BID40.6± 17.33
Pregabalin53.4± 19.35
Placebo50.7± 16.87
Week 2 (n = 42, 40, 34)
GroupValue95% CI
PF-05089771 150 mg BID34.2± 17.39
Pregabalin44.6± 24.64
Placebo44.7± 18.11
Week 4 (n = 42, 37, 42)
GroupValue95% CI
PF-05089771 150 mg BID34.7± 19.40
Pregabalin42.7± 27.23
Placebo44.5± 20.18
Patient's Global Impression of Change Score (PGIC). Secondary · Baseline, Week 2, and Week 4

Participant rated instrument to measure participant's change in overall status on a 7-point scale; range from 1 (very much improved) to 7 (very much worse) at week 4. The PGIC was combined to produce a 3-point scale, "Improved", "No Change" and "Worse".

Improved (Baseline, n = 43, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID20
Pregabalin11
Placebo16
Improved (Week 2, n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID27
Pregabalin30
Placebo26
Improved (Week 4, n = 42, 38, 42)
GroupValue95% CI
PF-05089771 150 mg BID28
Pregabalin27
Placebo24
No change (Baseline, n = 43, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID19
Pregabalin30
Placebo25
No change (Week 2, n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID10
Pregabalin7
Placebo13
No change (Week 4, n = 42, 38, 42)
GroupValue95% CI
PF-05089771 150 mg BID12
Pregabalin9
Placebo14
Worse (Baseline, n = 43, 46, 35)
GroupValue95% CI
PF-05089771 150 mg BID4
Pregabalin5
Placebo4
Worse (Week 2, n = 42, 41, 43)
GroupValue95% CI
PF-05089771 150 mg BID5
Pregabalin4
Placebo4
Daily Sleep Interference Scale Score (DSIS). Secondary · Baseline, Week 1, Week 2, Week 3 and Week 4

Participant rated 11-point Likert scale ranging from 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep) during past 24-hour period. Higher score indicates a greater level of sleep disturbance. Self-assessment performed daily on awakening prior to taking study medication. This score was measured as a weekly average.

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID4.7± 2.42
Pregabalin5.6± 2.38
Placebo4.9± 2.29
Week 1 (n= 44, 46, 44)
GroupValue95% CI
PF-05089771 150 mg BID4.1± 2.29
Pregabalin4.7± 2.55
Placebo4.7± 2.46
Week 2 (n = 43, 44, 40)
GroupValue95% CI
PF-05089771 150 mg BID4.0± 2.33
Pregabalin4.1± 2.74
Placebo4.7± 2.41
Week 3 (n = 38, 40, 41)
GroupValue95% CI
PF-05089771 150 mg BID3.6± 2.28
Pregabalin4.4± 2.71
Placebo4.3± 2.49
Week 4 (n = 41, 38, 39)
GroupValue95% CI
PF-05089771 150 mg BID3.4± 2.13
Pregabalin4.2± 2.82
Placebo4.3± 2.51
Total Amount of Rescue Medication Per Week Secondary · Baseline, Week 1, Week 2, Week 3, and Week 4

Total amount of rescue medication participants take per week

Baseline (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID2726± 4310
Pregabalin3398± 5723
Placebo1863± 3684
Week 1 (n = 44, 46, 45)
GroupValue95% CI
PF-05089771 150 mg BID2272± 4043
Pregabalin2897± 5605
Placebo1694± 3425
Week 2 (n = 44, 45, 44)
GroupValue95% CI
PF-05089771 150 mg BID1669± 3248
Pregabalin2952± 5488
Placebo1391± 3238
Week 3 (n = 42, 42, 43)
GroupValue95% CI
PF-05089771 150 mg BID1851± 3228
Pregabalin1885± 4918
Placebo1306± 3308
Week 4 (n = 42, 38, 43)
GroupValue95% CI
PF-05089771 150 mg BID1617± 2945
Pregabalin2328± 5256
Placebo1372± 3307

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of placebo run-in until 28 days after last dose of placebo run-out, an average of 3 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PF-05089771 150 mg BID
Serious: 1/44 (2%)
Deaths:
Pregabalin
Serious: 1/46 (2%)
Deaths:
Placebo
Serious: 0/45 (0%)
Deaths:

Serious adverse events (3 terms)

ReactionSystemPF-05089771 150 mg BIDPregabalinPlacebo
Cardiac failure congestiveCardiac disorders
PneumoniaInfections and infestations
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Other adverse events (5 terms — click to expand)

ReactionSystemPF-05089771 150 mg BIDPregabalinPlacebo
DizzinessNervous system disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
Vulvovaginal pruritusReproductive system and breast disorders

Most-reported serious reactions: Cardiac failure congestive, Pneumonia, Chronic obstructive pulmonary disease.

Data from ClinicalTrials.gov NCT02215252 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy and safety of PF-05089771 as a monotherapy and as an add-on to pregabalin for the treatment of painful diabetic peripheral neuropathy (DPN)

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pregabalin for neuropathic pain in adults.
    Derry S, Bell RF, Straube S, Wiffen PJ, et al · · 2019 · cited 194× · PMID 30673120 · DOI 10.1002/14651858.cd007076.pub3
  2. Nav1.7 and other voltage-gated sodium channels as drug targets for pain relief.
    Emery EC, Luiz AP, Wood JN. · · 2016 · cited 152× · PMID 26941184 · DOI 10.1517/14728222.2016.1162295
  3. Efficacy of the Nav1.7 blocker PF-05089771 in a randomised, placebo-controlled, double-blind clinical study in subjects with painful diabetic peripheral neuropathy.
    McDonnell A, Collins S, Ali Z, Iavarone L, et al · · 2018 · cited 134× · PMID 29578944 · DOI 10.1097/j.pain.0000000000001227
  4. Voltage gated sodium channels as therapeutic targets for chronic pain.
    Ma RSY, Kayani K, Whyte-Oshodi D, Whyte-Oshodi A, et al · · 2019 · cited 49× · PMID 31564962 · DOI 10.2147/jpr.s207610
  5. Lack of Detection of the Analgesic Properties of PF-05089771, a Selective Na<sub>v</sub> 1.7 Inhibitor, Using a Battery of Pain Models in Healthy Subjects.
    Siebenga P, van Amerongen G, Hay JL, McDonnell A, et al · · 2020 · cited 44× · PMID 31642607 · DOI 10.1111/cts.12712
  6. Inhibition of Na<sub>V</sub>1.7: the possibility of ideal analgesics.
    Kitano Y, Shinozuka T. · · 2022 · cited 13× · PMID 36092147 · DOI 10.1039/d2md00081d

Verify or expand the search:

Other recruiting trials for Diabetic Neuropathy, Painful

Currently open trials in the same condition.

Other Pfizer trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02215252.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing