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Completed

NCT Number: NCT05140863

To Evaluate the Efficacy and Safety of HSK16149 Capsule in Chinese Patients With Postherpetic Neuralgia

Investigate the Efficacy and Safety of HSK16149 capsules in Chinese Postherpetic Neuralgia Following 12 Weeks Treatment in Comparison to Placebo

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Dermatology Hospital of Chinese Academy of Medical Sciences, Nanjing, Jiangsu, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Signed informed consent;
  • Males or females aged 18-75 years of age inclusive;
  • Outpatient, Patients can not stay in the hospital overnight;
  • Patients must have pain present for more than 1 months after the healing of the herpes zoster skin rash;
  • At Screening, pain scale (VAS) of ≥40 mm;

Exclusion criteria

  • Peripheral neuropathy or pain unrelated to PHN that may confuse the assessment of PHN;
  • Skin conditions in the area affected by neurupathy that could alter sensation;
  • Chronic systemic diseases that may affect subjects' participation in the study;
  • Severe hematologic, hepatic or renal dysfunction, the subject will be excluded if:1)Neutrophils < 1.5 × 109/L, or platelet < 90 × 109/L, or hemoglobin < 100 g/L, or 2)AST/ALT > 2.5 × upper limit of normal (ULN), or TBIL > 1.5 × ULN, or 3)Estimation of glomerular filtration rate (eGFR) < 60 mL/min / 1.73 m2, or 4)Creatine kinase > 2.0 × ULN.
  • Uncontrolled diabetes(HbA1c≥11.0% at screening) ;
  • History of substance abuse or alcohol abuse;
  • Any active infections at screening;
  • HBsAg or HCV Ab positive, or HIV Ab positive, or serum TP Ab positive;
  • Inability or unwillingness to discontinue any other prohibited concomitant medications (see Section 6.3);
  • Patients who have undergone neurolytic or neurosurgical therapy 1 week before screening for postherpetic neuralgia;
  • Failure to response to previous treatment with pregabalin at doses ≥ 300 mg/d or gabapentin at doses ≥ 1200 mg/d for treatment of PHN;
  • History of allergic or medically significant adverse reaction to investigational products or their excipients, acetaminophen or related compounds;
  • History of suicidal behavior or attempted suicide;
  • Pregnant or preparing for pregnancy or breastfeeding during the study period, or subjects were not willing to use reliable contraceptives methods from the date of ICF signature until 28 days after the last trial drug administration, or planning to use progesterone contraceptives during this period;
  • Mechanical operators who are engaged in high-altitude operations, motor vehicle driving and other dangerous machinery operators;
  • Participated in another clinical study within 30 days prior to screening;
  • Other conditions unlikely to participate in this trial.

Treatment and study plan

HSK16149 20mg BID

Drug

HSK16149 20mg, orally twice a day, treatment period; 12-weeks fixed dose

HSK16149 40mg BID

Drug

HSK16149 40mg, orally twice a day, treatment period; 12-weeks fixed dose

placebo bid

Drug

Placebo, orally twice a day, treatment period; 12-weeks fixed dose

Primary outcomes

  1. Compare the change from baseline in ADPS between HSK16149 and placebo at week 12

    Time frame: Baseline and week 12

    The mean change in average daily pain score (ADPS) was measured using a 11-point numeric rating scale (NRS; 0 [no pain] to 10 [worst possible pain]. The rating averaged over a 7-day period and was based on entries in patients' daily pain diaries

Secondary outcomes

  1. Compare the response rate between HSK16149 and placebo at week 12 (Proportion of subjects whose ADPS decreased by ≥30% and ≥50% from baseline )

    Time frame: Baseline and week 12

    Ratio of Participants Responding to Treatment, as Measured by Average Daily Pain Score (ADPS) Reduction from Baseline. The ADPS is used to determine categorical response rates.

  2. Compare the change from baseline in ADPS between HSK16149 and placebo at week 1 to 12

    Time frame: From week 1 to week 12

    The mean change in average daily pain score (ADPS) was measured using a 11-point numeric rating scale (NRS; 0 [no pain] to 10 [worst possible pain]. The rating averaged over a 7-day period and was based on entries in patients' daily pain diaries

  3. Compare the change from baseline in Visual Analogue Scale(VAS) between HSK16149 and placebo at week 12

    Time frame: Baseline and week 12

    VAS, in which the participant rates pain on a 100 mm-long horizontal line, where 0 mm = no pain and 100 mm = worst possible pain

  4. Compare the change from baseline in Short Form McGill Pain Questionnaire (SF-MPQ) between HSK16149 and placebo at week 12

    Time frame: Baseline and week 12

    Participants rate their pain in three parts of the questionnaire, which are combined into a single pain intensity score:

    Part 1 - fifteen descriptors of pain intensity, on a scale of 0 (none) to 3 (severe)

    Part 2 - a visual analog scale (VAS), in which the participant rates pain on a 100 mm-long horizontal line, where 0 mm = no pain and 100 mm = worst possible pain

    Part 3 - a Present Pain Intensity index in which the participant rates present pain intensity on a scale of 0 (no pain) to 5 (most intense pain)

  5. Compare the change from baseline in Average Daily Sleep interference score(ADSIS) between HSK16149 and placebo at week 12

    Time frame: Baseline and week 12

    he sleep interference scores on a scale of 0-10, where 0 = pain did not interfere with sleep to 10 = pain completely interfered with sleep. The weekly ADSIS is based on participants daily sleep interference scores

  6. Compare the total consumption of Acetaminophen and Paracetamol and Dihydrocodeine Tartrate between HSK16149 and placebo during the trial

    Time frame: From week 1 to week 12

  7. Compare the change from baseline in EQ-5D-5L between HSK16149 and placebo at week 12

    Time frame: Baseline and week 12

    The change from baseline in total EuroQol-5-Domain-5-Level health questionnaire

  8. AE(adverse event) to evaluate the safety of HSK16149 during the trial

    Time frame: From week 1 to week 12

    Number and severity of AEs

  9. Peak Plasma Concentration (Cmax) of HSK16149 capsules in Chinese patients with Postherpetic Neuralgia

    Time frame: Week 4,week 8,week 10,week 12

  10. Area under the plasma concentration versus time curve (AUC) of HSK16149 capsules in Chinese patients with Postherpetic Neuralgia

    Time frame: Week 4,week 8,week 10,week 12

Sponsors and collaborators

Lead sponsor

Haisco Pharmaceutical Group Co., Ltd.

Industry

Registry information

Official study title

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, 12-Week, Phase 3 Study to Evaluate the Efficacy and Safety of HSK16149 Capsules in Chinese Patients With Postherpetic Neuralgia

Important dates

Study start
2021
Primary completion
2022
Study completion
2023
First posted
Dec 2, 2021
Registry last updated
Feb 27, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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