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Non-diabetic Painful Peripheral PolyneuropathyPhase 4ELEVATENCT01713426

A Study to Compare QUTENZA With Pregabalin for the Treatment of Peripheral Neuropathic Pain (PNP) After 8 Weeks of Treatment

A Phase 4 study testing Qutenza and Pregabalin in people with Non-diabetic Painful Peripheral Polyneuropathy and Postherpetic Neuralgia (PHN), run by Astellas Pharma Europe Ltd. at 98 sites in 22 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is comparing the efficacy and tolerability of Qutenza with that of pregabalin in patients suffering from peripheral neuropathic pain. Treatment allocation will be to one of these treatments and the duration of the study will be about 10 weeks (assuming that from screening to treatment allocation takes 2… Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Qutenza and Pregabalin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
568 participants
Where
98 sitesin 22 countries
Study dates
11 Jul 2012to 26 Sep 2013
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Documented diagnosis of probable or definite PNP
  • 2. Localized and well-defined area of PNP, suitable for treatment with QUTENZA
  • 3. Documented diagnosis at the Baseline Visit of either:
  • Postherpetic neuralgia (PHN) with pain persisting at least 6 months since shingles vesicle crusting
  • Peripheral nerve injury (PNI) including post-surgical or post-traumatic neuropathic pain, persisting for a minimum of 3 months
  • Non-diabetic painful peripheral polyneuropathy with pain which has persisted for a minimum of 3 months, including (i) small-fiber neuropathy, as confirmed by quantitative sensory testing (QST), laser evoked potentials (LEP) or skin biopsy, (ii) chemotherapy induced neuropathy in subjects with stable neoplastic disease, (iii) other, adequately characterized painful peripheral polyneuropathy, based on clinical history and examination
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  • 4. Average pain score ≥4 during Screening Period, over a minimum of at least 4 consecutive days (using the "average pain for the past 24 hours" Numeric Pain Rating Scale (NPRS) score
  • 5. Intact, non-irritated, dry skin over the painful area(s) to be treated
  • 6. Is either:
  • Naïve to treatment with pregabalin and gabapentin, OR
  • In the opinion of the investigator, has not received an adequate trial of treatment with pregabalin or gabapentin
  • 7. Subject is willing to receive pregabalin or QUTENZA as part of the trial
  • 8. Females of child bearing potential must be willing to use highly effective methods of birth control during the study and for 30 days following study termination

Who cannot join

  • 1. Significant ongoing or recurrent pain of etiology other than PHN, PNI or non-diabetic painful peripheral polyneuropathy, for example: compression-related neuropathies (e.g. spinal stenosis), radiculopathy, tumor-related pain, fibromyalgia or arthritis
  • 2. Complex Regional Pain Syndrome (CRPS, Type I or II)
  • 3. Neuropathic pain related to previously administered radiotherapy, diabetes mellitus or HIV-AN
  • 4. Neuropathic pain areas located only on the face, above the hairline of the scalp, and/or in proximity to mucous membranes
  • 5. Severe loss of heat sensation in the painful area, indicative of C-fiber denervation
  • 6. Reported daily pain score of 10 on the NPRS for at least 4 days during the Screening Period
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  • 7. Past or current history of diabetes mellitus
  • 8. Unstable or poorly controlled hypertension or a recent history of a cardiovascular event which, in the opinion of the investigator, would put the subject at risk of adverse cardiovascular reactions related to the patch application procedure
  • 9. Creatinine clearance (CLcr) < 60mL/min according to the Cockcroft-Gault formula
  • 10. Untreated ongoing generalized anxiety disorder according to DSM-IV or ICD-10 criteria
  • 11. Severe ongoing depression according to DSM-IV or ICD-10 criteria
  • 12. Evidence of cognitive impairment including dementia that may interfere with subject's ability to complete study evaluations and recall pain levels in the past 24 hours
  • 13. Planned elective surgery during the trial
  • 14. Changes to stable neuropathic pain background medication in the 4 weeks prior to the Baseline Visit
  • 15. Any prior receipt of QUTENZA patches, including blinded patches administered as part of a clinical trial
  • 16. Hypersensitivity to capsaicin (i.e., chilli peppers or Over-the-counter [OTC] capsaicin products), any QUTENZA excipients, local anesthetics, or adhesives
  • 17. Treatment with pregabalin or gabapentin within 2 months prior to the Baseline Visit
  • 18. Hypersensitivity to pregabalin or any of the excipients
  • 19. Use of opioids exceeding a total daily dose of morphine of 200 mg/day, or equivalent; or any intravenous opioids or tapentadol, regardless of dose, within 7 days preceding the Baseline Visit
  • 20. Use of any topical pain medication, such as non-steroidal anti-inflammatory drugs, menthol, methyl salicylate, local anesthetics (including patch containing lidocaine), steroids or capsaicin products on the painful areas to be treated within 7 days preceding the Baseline Visit
  • 21. Chemotherapy within 3 months of the Baseline Visit, except maintenance hormone treatment
  • 22. Use of any investigational agent within 30 days prior to Baseline Visit
  • 23. Active substance abuse or history of chronic substance abuse within 1 year prior to screening; or any prior chronic substance abuse (including alcoholism) likely to re-occur during the study period as judged by the investigator
  • 24. Female subjects of child-bearing potential with a positive serum or urine pregnancy test prior to treatment

Trial locations and contacts

98 sites in 22 countries.

98 sites in 22 countries

Italy11 sites
  • Site 227 Azienda Ospedaliera Universita

    Florence, 50134

  • Site 222 A.O.U Ospedali Riuniti

    Foggia, 71100

  • Site 232 Ospedale Niguarda Ca' Granda

    Milan, 20146

  • Site 225 Policlinico San Donato

    Milan, 20097

  • Site 221 FONDAZIONE S.MAUGERI I.R.C.C.S

    Pavia, 27100

  • Site 228 Azienda Ospedaliero di Perugia

    Perugia, 06156

  • Site 229 Azienda Ospedaliero di Perugia

    Perugia, 06156

  • Site 231 Ospedale S. Chiara

    Pisa, 56126

  • Site 226 Presidio Ospedale G.Mazzini

    Teramo, 64100

  • Site 230 Azienda Ospedaliera SantaMaria

    Terni, 05100

  • Site 223 AOU San Giovanni Battista

    Torino, 10126

Other trials in Italy

Belgium7 sites
  • Site 131 UZ Brussels

    Brussels, 1090

  • Site 138 Cliniques Universitaires Saint

    Brussels, 1200

  • Site 134 Grand Hospital de Charleroi

    Charleroi, 6000

  • Site 137 Univ. Ziekenhuis Antwerpen

    Edegem, 2650

  • Site 132 Ziekenhuis Oost-Limburg

    Genk, 3600

  • Site 136 UZ Pellenberg

    Pellenberg, 3212

  • Site 133 Heilig Hart Ziekenhuis

    Roeselare, 8800

Other trials in Belgium

France7 sites
  • Site 171 Hospital Ambroise Pare

    Boulogne-Billancourt, 92100

  • Site 174 Hopital Neurologique Pierre W

    Bron, 69677

  • Site 177 Hospital Roger Salengro CHRU

    Lille, 59037

  • Site 175 CHU Caremeau

    Nîmes, 30029

  • Site 172 Hospital Saint Antoine

    Paris, 75012

  • Site 173 CHU Hopital Nord

    Saint-Etienne, 42055

  • Site 176 CH Regional de Valence

    Valence, 26953

Other trials in France

Russia7 sites
  • Site 271 First Moscow State Medical University named after I.M. Sechenov

    Moscow

  • Site 272 City Clinical Hospital # 12

    Moscow

  • Site 278 Semashko Regional Clinical Hospital

    Nizhny Novgorod

  • Site 276 OOO Clinical Neurology Center

    Novosibirsk

  • Site 273 Military Medical Academy

    Saint Petersburg

  • Site 274 Saint-Petersburg State Medical University

    Saint Petersburg

  • Site 277 Hospital №40 of Kurortniy

    Saint Petersburg

Other trials in Russia

Bulgaria6 sites
  • Site 142 UMHAT - Pleven

    Pleven, 5800

  • Site 141 Centre for Mental Health

    Rousse, 7000

  • Site 144 Tokuda Hospital Sofia

    Sofia, 1407

  • Site 146 MHAT Alexandrovska Hospital

    Sofia, 1431

  • Site 147 MHAT Sv. Ivan Rilski

    Sofia, 1431

  • Site 145 Military Medical Academy

    Sofia, 1606

Other trials in Bulgaria

Poland6 sites
  • Site 244 Niepubliczny Zakład Opieki Zdr

    Gdansk, 80-286

  • Site 245 Poradnia Leczenia Bólu, Uniwer

    Gdansk, 80-952

  • Site 243 NZOZ Poradnia Leczenia Bólu

    Gdynia, 81-049

  • Site 241 Tomasz Dąbrowski Śląskie Centr

    Katowice, 40-084

  • Site 246 NZOZ Poradnia Leczenia Bolu Pr

    Tychy, 43-100

  • Site 242 NZOZ Centrum Medyczne

    Warsaw, 02-793

Other trials in Poland

Romania6 sites
  • Site 261 Quantum Medical Center SRL

    Bucharest, 011422

  • Site 264 Spitalul Clinic Colentina

    Bucharest, 020125

  • Site 262 Spitalul Clinic Judetean de Ur

    Constanța, 900591

  • Site 266 Spitalul Clinic de Urgenta "Pr

    Iași, 700309

  • Site 265 Spit Clin Judetean de Urgenta

    Târgu Mureş, 540136

  • Site 263 Spitalul Clinic Judetean de Ur

    Timișoara, 300736

Other trials in Romania

United Kingdom6 sites
  • Site 332 Gartnavel General Hospital

    Glasgow, G12 0YN

  • Site 334 Seacroft Hospital

    Leeds, LS14 6UH

  • Site 336 Leicester Royal Infirmary

    Leicester, LE1 5WW

  • Site 331 The Walton Centre

    Liverpool, L9 7LJ

  • Site 333 St Thomas' Hospital

    London, SE1 7EH

  • Site 335 The Christies NHS Foundation

    Manchester, M20 4BX

Other trials in United Kingdom

Austria5 sites
  • Site 116 Krankenhaus der Barmherzigen B

    Graz, 8020

  • Site 115 Medical University Innsbruck

    Innsbruck, Tyrol, 6020

  • Site 114 Klinikum Klagenfurt Worthersee

    Klagenfurt, Carynthia, 9020

  • Site 111 AKH Universitatsklinik

    Vienna, 1090

  • Site 112 Wilhelminenspital

    Vienna, 1160

Other trials in Austria

Germany5 sites
  • Site 200 Prax S.Wolf u.B.Schütz Pal.med

    Cottbus, 03050

  • Site 192 Universitätsklinikum Giessen

    Giessen, 35385

  • Site 193 Universitätsklinikum Münster

    Münster, 48149

  • Site 194 Schmerz Palliativznt Wiesbaden

    Wiesbaden, 65189

  • Site 197 Universitätsklinikum Würzburg

    Würzburg, 97080

Other trials in Germany

Turkey (Türkiye)5 sites
  • Site 321 Hacettepe University Medical Faculty Hospital

    Ankara, 06100

  • Site 325 Pamukkale University Medical Faculty Hospital

    Denizli, 20070

  • Site 326 Maramara University, Pendik Training and Research Hospital

    Istanbul, 34890

  • Site 323 Ege University Medical Faculty Hospital

    Izmir, 35100

  • Site 324 Dokuz Eylul University Medical Faculty Hospital

    Izmir, 35340

Other trials in Turkey (Türkiye)

Armenia4 sites
  • Site 101 Medical Union 2

    Yerevan

  • Site 102 Medical Center Erebuni

    Yerevan

  • Site 103 Scientific research Institute of physiotherapy

    Yerevan

  • Site 104 Medical Center "Surb Nerses Mets"

    Yerevan

Other trials in Armenia

Greece4 sites
  • Site 204 Athens Naval Hospital

    Athens, 115 21

  • Site 202 Hippokration General Hospital of Athens

    Athens, 115 27

  • Site 201 Aretaieio University Hospital

    Athens, 115 28

  • Site 203 Aretaieio/Maginio Hospital

    Athens, 115 28

Other trials in Greece

Finland3 sites
  • Site 163 ORTON Invalidisaatio

    Helsinki, 00280

  • Site 161 Finnmedi OY

    Tampere, 33520

  • Site 162 Vassa Central Hospital

    Vaasa, 65130

Other trials in Finland

Portugal3 sites
  • Site 254 Hospital Fernando Fonseca

    Amadora, 2700

  • Site 252 Instituto Portuges de Oncologic

    Lisbon, 1099-023

  • Site 253 CHS - Hosp. S. Bernardo

    Setúbal, 2910-446

Other trials in Portugal

Slovakia3 sites
  • Site 282 Neurological surgery

    Bratislava, 811 01

  • Site 281 AB-BA ambulancia

    Bratislava, 85107

  • Site 283 SANERA, s.r.o.

    Prešov, 8001

Other trials in Slovakia

Sweden3 sites
  • Site 313 SU/Östra

    Gothenburg, 41685

  • Site 311 Karolinska University Hospital

    Stockholm, 14186

  • Site 312 Karolinska University Hospital

    Stockholm, 17176

Other trials in Sweden

Czechia2 sites
  • Site 151 Fakultni nemocnice Plzen

    Pilsen, 305 99

  • Site 153 Klinika anesteziologie

    Prague, 128 08

Other trials in Czechia

Spain2 sites
  • Site 301 Hospital General Universitario de Alicante

    Alicante, 03010

  • Site 303 Hospital Universitario Virgen

    Granada, 18014

Other trials in Spain

Belarus1 site
  • Site 121 Vitebsk Regional Clinical Hospital # 1

    Vitebsk

Other trials in Belarus

Hungary1 site
  • Site 213 Semmelweis Egyetem Molekuláris Neurológiai Klinikai és Kutatási Központ

    Budapest, H-1083

Other trials in Hungary

Slovenia1 site
  • Site 292 University Medical Centre Mari

    Maribor, 2000

Other trials in Slovenia

About this study

Official title: Qutenza Versus Pregabalin in Subjects With Peripheral Neuropathic Pain: an Open-label, Randomized, Multicenter, Non-inferiority Efficacy and Tolerability Study

This study is comparing the efficacy and tolerability of Qutenza with that of pregabalin in patients suffering from peripheral neuropathic pain. Treatment allocation will be to one of these treatments and the duration of the study will be about 10 weeks (assuming that from screening to treatment allocation takes 2 weeks). Participants will be asked to complete questionnaires about various aspects relating to their condition throughout the study.

This study will include subjects suffering from Postherpetic Neuralgia, Peripheral Nerve Injury or Non Diabetic peripheral polyneuropathy.

Being tested
Qutenza, Pregabalin
Keywords
Post herpetic neuralgia, Qutenza, NGX-4010, Peripheral Neuropathic Pain, Pregabalin
Medical subject headings
Neuralgia, Postherpetic, Peripheral Nerve Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • QutenzaDrug

    Also called Capsaicin

    Cutaneous patch

  • PregabalinDrug

    Oral capsule

Study groups in NCT01713426
Study groupRoleWhat they receive
QutenzaExperimentalCutaneous patch
Receives: Drug: Qutenza
PregabalinActive comparatorOral capsule
Receives: Drug: Pregabalin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of subjects in each arm who achieve at least 30% decrease in the "average pain for the past 24 hours" Numeric Pain Rating Scale (NPRS) score from baseline to week 8

    Measured: Baseline and week 8

Secondary outcomes (17)
  1. Proportion of subjects in each arm who achieve "optimal Therapeutic effect"

    Optimal therapeutic effect is defined as:

    • No change in background chronic pain medication and no discontinuation of study drug due to lack of efficacy or tolerability prior to Week 8
    • At least a 30% reduction in the "average pain for the past 24 hours" NPRS score, from baseline to Week 8, and
    • No moderate or severe adverse drug reactions (ADRs) during the stable Treatment Period

    Measured: Baseline and week 8

  2. Proportion of subjects who achieve at least a 30% decrease in the "average pain for the past 24 hours"

    NPRS score from baseline to the mean of all scores recorded between Week 1 (Day 8) and Week 8 (Day 57)

    Measured: Baseline to Week 8

  3. Proportion of subjects who achieve at least a 50% decrease in the "average pain for the past 24 hours"

    NPRS score from baseline to week 8, and from baseline to the mean of all scores recorded between Week 1 (Day 8) and Week 8 (Day 57)

    Measured: Baseline to Week 8

  4. Absolute and percent change in "average pain for the past 24 hours"

    NPRS score from baseline to Week 8, and from baseline to the mean of all scores recorded between Weeks 1 to 8

    Measured: Baseline to Week 8

  5. Time to onset of pain relief (in days)

    Assessed by at least a 30% reduction in "average pain for the past 24 hours" NPRS score

    Measured: Up to 8 weeks

  6. Overall subject status using Patient Global Impression of Change (PGIC) questionnaire

    Measured: At Weeks 4 and 8

  7. Change in the Medical Outcomes Study (MOS) 6-Item Cognitive Functioning Scale

    Measured: Baseline to Week 8

  8. MOS - Sleep Scale

    Measured: Baseline to Weeks 4 and 8

  9. Change in the EQ-5D-5L (Euroqol-5 dimensions-5 levels) total score

    Measured: Baseline to Week 8

  10. Treatment satisfaction

    As assessed by:

    • Proportion of subjects who discontinue study drug or withdraw from the study due to either a lack of efficacy or tolerability
    • Treatment Satisfaction Questionnaire for Medication (TSQM) questionnaire at Week 4 and Week 8

    Measured: Baseline to Weeks 4 and 8

  11. Treatment satisfaction - continuance of treatment

    As assessed by willingness to continue treatment at Week 8

    Measured: Week 8

  12. Time to reach optimal maintenance dose for pregabalin

    Measured: Baseline to Week 8

  13. Healthcare Resource use

    Number of contacts with health professionals

    Measured: Baseline to Week 8

  14. Tolerability (Assessed by the number, severity and duration of ADRs)

    Collected as self-rated health-related complaints by the subject and then medically confirmed and causality assigned by the investigator

    Measured: Baseline to Week 8

  15. Change in intensity and area of allodynia

    Measured: Baseline to Week 8

  16. Changes in sensory symptoms

    Assessed using Neuropathic Pain Symptom Inventory (NPSI) scores

    Measured: Baseline to Week 8

  17. Reduction in pain

    By the pattern of sensory symptoms as defined using NPSI scores at baseline.

    Measured: Baseline to Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2012 (estimated)
  2. Study start11 Jul 2012
  3. Primary completion26 Sep 2013
  4. Study completion26 Sep 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
568 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01713426
Sponsor's protocol ID
QTZ-EC-0004
Other IDs
2011-005872-41
Acronym
ELEVATE
Status last verified
Apr 2018
First submitted
22 Oct 2012
Last updated
23 Apr 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided

Publications

  • Viel E, Eerdekens M, Kandaswamy P. Treatment Impact on Patient-Reported Outcomes in Peripheral Neuropathic Pain: Comparing Single Intervention With Topical High-Concentration Capsaicin to Daily Oral Pregabalin. Pain Physician. 2021 Sep;24(6):453-463.

    PubMed 34554688

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Qutenza and Pregabalin in people with Non-diabetic Painful Peripheral Polyneuropathy and Postherpetic Neuralgia (PHN), run by Astellas Pharma Europe Ltd. at 98 sites in 22 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 98 sites in Italy, Belgium, France, Russia, Bulgaria and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of subjects in each arm who achieve at least 30% decrease in the "average pain for the past 24 hours" Numeric Pain Rating Scale (NPRS) score from baseline to week 8 (time frame: Baseline and week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01713426, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Apr 2018.

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