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NCT03560986

Efficacy and Safety of Intravenous Neridronic Acid in Complex Regional Pain Syndrome (CRPS)

Terminated Phase 3 Results posted Last updated 5 August 2020
What this trial tests

Phase 3 trial testing Neridronic acid 100 mg in Complex Regional Pain Syndrome (CRPS) in 267 participants. Terminated before completion.

Timeline
31 May 2018
Primary endpoint
1 August 2019
1 August 2019

Quick facts

Lead sponsorGrünenthal GmbH
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment267
Start date31 May 2018
Primary completion1 August 2019
Estimated completion1 August 2019
Sites71 locations across Slovakia, Serbia, United Kingdom, Poland, Canada, United States, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Grünenthal GmbH — full company profile →

Who can join

18 and older, any sex, with Complex Regional Pain Syndrome (CRPS). 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.

Change From Baseline to Week 12 in the Average Pain Intensity Score (Weekly Average of Pain Values Recorded Daily in the Electronic Diary) Primary · From the Baseline Phase (Day -7 to Day -1) to Week 12

In the Baseline Phase and in Treatment Period A/Follow-up Period 1, participants were asked to assessed their average CRPS-related pain on an 11-point numerical rating scale (NRS) - from 0 = "no pain" to 10 = "pain as bad as you can imagine" and report it once daily (in the evening, 24-hour recall) in an electronic diary. Changes from baseline (average for the Baseline Phase) to the weekly average for Week 12 were calculated.

GroupValue95% CI
Neridronic Acid - Treatment Period A-1.28± 0.270
Placebo - Treatment Period A-1.71± 0.268

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were documented from the time of enrollment (i.e., the time the informed consent form was signed) up to the time of the last protocol scheduled contact, i.e., date of last visit/contact (could be a phone call, e.g., in case of withdrawal). Only treatment emergent adverse events (TEAEs, i.e., those reported from baseline (after first administration of study medication) are reported in the tables below.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Baseline to Week 26: Placebo TPA
Serious: 3/51 (6%)
Deaths: 0/51
Baseline to Week 26: Neridronic Acid TPA
Serious: 2/48 (4%)
Deaths: 0/48
Week 26 to Week 52: Placebo TPA
Serious: 0/43 (0%)
Deaths: 0/43
Week 26 to Week 52: Placebo TPA, Neridronic Acid TPB
Serious: 1/8 (13%)
Deaths: 0/8
Week 26 to Week 52: Neridronic Acid TPA
Serious: 0/39 (0%)
Deaths: 0/39
Week 26 to Week 52: Neridronic Acid TPA, Neridronic Acid TPB
Serious: 1/9 (11%)
Deaths: 0/9

Serious adverse events (8 terms)

ReactionSystemBaseline to Week 26: Place…Baseline to Week 26: Nerid…Week 26 to Week 52: Placeb…Week 26 to Week 52: Placeb…Week 26 to Week 52: Neridr…Week 26 to Week 52: Neridr…
NephrolithiasisRenal and urinary disorders
Silent myocardial infarctionCardiac disorders
Urinary tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
DysaesthesiaNervous system disorders
OverdoseInjury, poisoning and procedural complications
Retinal detachmentEye disorders
FallInjury, poisoning and procedural complications
Other adverse events (49 terms — click to expand)

ReactionSystemBaseline to Week 26: Place…Baseline to Week 26: Nerid…Week 26 to Week 52: Placeb…Week 26 to Week 52: Placeb…Week 26 to Week 52: Neridr…Week 26 to Week 52: Neridr…
NauseaGastrointestinal disorders
Acute phase reactionGeneral disorders
Urine albumin/creatinine ratio increasedInvestigations
Vitamin D deficiencyMetabolism and nutrition disorders
HeadacheNervous system disorders
Influenza like illnessGeneral disorders
Urinary tract infectionInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
PainGeneral disorders
Lipase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Complex regional pain syndromeNervous system disorders
DizzinessNervous system disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
LaryngitisInfections and infestations
NasopharyngitisInfections and infestations
SinusitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
HyperglycaemiaMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
TendonitisMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
Taste disorderNervous system disorders
AnxietyPsychiatric disorders
InsomniaPsychiatric disorders
HypertensionVascular disorders
PruritusSkin and subcutaneous tissue disorders
HypersensitivityImmune system disorders
AnaemiaBlood and lymphatic system disorders
Eye painEye disorders
Abscess neckInfections and infestations
CellulitisInfections and infestations
Clostridium difficile infectionInfections and infestations

Most-reported serious reactions: Nephrolithiasis, Silent myocardial infarction, Urinary tract infection, Decreased appetite, Dysaesthesia, Overdose, Retinal detachment, Fall.

Data from ClinicalTrials.gov NCT03560986 adverse events section.

Sponsor's own description

The aim of this trial was to investigate the efficacy and safety of intravenous neridronic acid in subjects with Complex Regional Pain Syndrome (CRPS). The trial consisted of an Enrollment Period lasting up to 60 days, Treatment Period A consisting of 4 infusions (neridronic acid 100 mg or placebo) over 10 days, and a Follow-up Period 1 until Week 26. At Week 26, participants meeting the pre-specified criteria entered the open-label Treatment Period B with 4 additional infusions (neridronic acid) over 10 days and follow-up visits until Week 52. Participants not meeting the pre-specified criteria to continue into Treatment Period B continued in Follow-up Period 2 until Week 52.

Publications & conference data

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

  1. Intramuscular neridronate for the treatment of complex regional pain syndrome type 1: a randomized, double-blind, placebo-controlled study.
    Varenna M, Braga V, Gatti D, Iolascon G, et al · · 2021 · cited 28× · PMID 34178124 · DOI 10.1177/1759720x211014020
  2. Interventions for treating pain and disability in adults with complex regional pain syndrome- an overview of systematic reviews.
    Ferraro MC, Cashin AG, Wand BM, Smart KM, et al · · 2023 · cited 22× · PMID 37306570 · DOI 10.1002/14651858.cd009416.pub3

Verify or expand the search:

Other trials of Neridronic acid 100 mg

Trials testing the same drug.

Other recruiting trials for Complex Regional Pain Syndrome (CRPS)

Currently open trials in the same condition.

Other Grünenthal GmbH 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/NCT03560986.

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