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Study Of 3 Fixed Doses Of EAA-090 In Adult Outpatients With Neuropathic Pain Associated With Diabetic Neuropathy



Study Of 3 Fixed Doses Of EAA-090 In Adult Outpatients With Neuropathic Pain Associated With Diabetic Neuropathy

For Condition: Diabetic Neuropathy, Painful
Status: Recruiting
Sponsor(s): Wyeth-Ayerst Research ,
Synopsis: EAA-090 is being developed for the treatment of neuropathic pain associated with diabetic neuropathy. It is a selective antagonist that binds competitively to the glutamate site of the N-methyl-Daspartate (NMDA) receptor. This study will assess the safety and efficacy of 3 fixed oral doses of EAA-090 compared with placebo in subjects with neuropathic pain associated with diabetic neuropathy.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Outpatients. - At least 18 years of age. - Women of childbearing potential must have a negative serum pregnancy test result at screening. The signed informed consent should reflect an awareness of the stipulations concerning the use of contraception. A woman of childbearing potential is defined as one who is biologically capable of becoming pregnant. This includes women who are using contraceptives or whose partners are either sterile or using contraceptives. Sexually active women participating in the study must use a medically acceptable form of contraception. Medically acceptable forms of contraception include oral contraceptives, injectable or implantable methods, intrauterine devices, or properly used double-barrier methods. - Diabetes mellitus (type I or II) that is controlled by oral or parenteral hypoglycemic agents or diet. Glycosylated hemoglobin (HbA1C) 9% at screen. A subject with HbA1C > 9% but <11% may be given a maximum of 3 months to optimize his/her glucose control under the supervision of an endocrinologist. If the endocrinologist feels that no further improvement is possible at the end of the optimization period, the subject may be enrolled, providing that HbA1C remains < 11%. This effort will be discussed with and approved by the medical monitor and documented in the source documents. Specific screening assessments will be repeated at the end of the period to confirm that entry criteria are still met. - Diagnosis of painful diabetic distal symmetric sensory/motor polyneuropathy. The primary site of symptoms must be the lower extremity. Signs and symptoms of diabetic polyneuropathy must be confirmed by a neurologist or endocrinologist. Symptoms referable to painful diabetic neuropathy present for at least 3 months before screening. - Average total daytime and nighttime pain score 4 on the numeric rating scale during the screening period. At least 12 observations (ie, 6 days worth of daytime and nighttime recordings) must be recorded within the 10 days before randomization. - At least 1 abnormality of nerve conduction studies (NCS) or vibratory perception threshold (VPT) as determined by the normative data at the core laboratory. - Subjects on a stable analgesic regimen for other indications may be enrolled, provided that the investigator does not consider these medications to be effective against neuropathic pain. This does not include anticonvulsants, tricyclic antidepressants, selective serotonin-norepinephrine reuptake inhibitors, or tramadol, which are prohibited during the study. Opioids are also prohibited during the study, except for up to 30 mg of codeine with acetaminophen, which is permitted as rescue medication. - Stable chest x-ray report within 2 years before the baseline visit. If not available, a chest x-ray must be performed before randomization. - Signed and dated informed consent before any study related procedures are performed. Exclusion Criteria: - Pregnancy, lactation, or plans to become pregnant during the study. - Depo-Provera or oral contraceptives that have been taken for less than 1 month before study day 1 if not using another medically accepted form of birth control. - History of multiple drug allergies that may put the subject at greater risk during study participation in the opinion of the investigator. - Unstable diabetic control (refer to Inclusion Criterion 4 for definition of adequate diabetic control). - Treatment within 14 days before the first dose of test article (study day 1) with agents effective against the subject’s neuropathic pain, such as anticonvulsants, tricyclic antidepressants, selective serotonin-norepinephrine reuptake inhibitors, opiates, or tramadol. If the subject is currently taking any of these drugs and deems them to be ineffective against his/her neuropathic pain, the medication must be discontinued over a 14-day washout before receiving test article. Exceptions are those medications specifically permitted for rescue medication. - Failure due to lack of efficacy (not for inability to tolerate the medication) at maximum therapeutic doses and over appropriate durations in 2 or more previous treatment regimens with agents felt to be effective for neuropathic pain. - Use of prohibited treatments. Refer to sections 16.2 (Permitted Treatment) and 16.3 (Prohibited Treatment) and the Excluded Treatments chart for treatments and associated timeframes. - Other neurologic disorder that, in the opinion of the investigator, confounds the assessment of painful diabetic symmetric sensory/motor polyneuropathy, such as pure small fiber neuropathy, lumbosacral radiculopathy, proximal diabetic lumbosacral radiculopathy, and mononeuritis multiplex. - Presence of any central or peripheral nervous system condition(s) that might mimic polyneuropathy. - Presence of significant asymmetrical neuropathic signs and symptoms. - Presence of a neuropathy that is not due to diabetes in the judgment of the investigator. This may include significant vasculitis, collagen vascular disorder, medications known to cause neuropathies, history of familial neuropathy, drug and/or alcohol abuse, hepatitis or human immunodeficiency virus (HIV) infection, and pernicious anemia. - Other forms of pain that may confuse the self-evaluation of diabetic neuropathic pain. - History of seizure disorder other than a single childhood febrile seizure. - History of any malignancy other than basal cell carcinomas of the skin. - History or presence of any unstable hepatic, renal, pulmonary, cardiovascular, or psychiatric disease; peripheral vascular disease as evidenced by symptomatic ischemic claudication, or any other medical condition that might compromise the study or put the subject at greater risk during study participation. - History of significant depression before the onset of neuropathic pain symptoms. - Score of 2 or 3 on item 9 of the Beck Depression Inventory II (BDI-II) or other evidence that the subject may be at significant risk of self-harm in the opinion of the investigator. - Current evidence of gastrointestinal disease known to interfere with the absorption or excretion of drugs. - Clinically important abnormalities, as determined by the investigator, on screening physical examination,electrocardiogram (ECG), ophthalmologic examination,laboratory tests, urine drug screen (UDS), or chest x-ray. - Presence or history of ischemic foot ulcer or amputation for vascular disease. - Severe retinopathy based on ophthalmic examination. - Creatinine clearance 50 mL/min (estimated from serum creatinine, body weight, age, and sex using the Cockcroft and Gault equation). Note: Proteinuria is not exclusionary. - Liver function tests (LFTs) > 3 times upper normal limit. - WBCs < 2500 mm3; platelets < 75,000 mm3; or neutrophils < 1500 mm3. - Acute illness within 1 week of screening.
Total Enrollment: 

Location and Contact Information:

University of Oklahoma *Recruiting*
Oklahoma City,  Oklahoma,  73104
United States
Recruiting LeAnn  Olansky 405-271-8854

The Cleveland Clinic Foundation *Recruiting*
Cleveland,  Ohio,  44195
United States
Recruiting Angelo  Licata 216-444-6248

Research Site *Recruiting*
Chicago,  Illinois,  60610
United States
Recruiting Robert  Harden 312-238-7878

The Center for Diabetes and Endocrine Care *Recruiting*
Hollywood,  Florida,  33021
United States
Recruiting Sam  Lerman 954-963-7100

St. Louis Center for Clinical Research *Recruiting*
St. Louis,  Missouri,  63128
United States
Recruiting Rudee  Suwannasri 314-543-5225

Center for Pharmaceutical Research *Recruiting*
Kansas City,  Missouri,  64114
United States
Recruiting John  Ervin 816-943-0770

Diabetes Care and Information Center *Recruiting*
Flushing,  New York,  11365
United States
Recruiting Daniel  Lorber 718-661-2536

Dallas Diabetes and Endocrine Center *Recruiting*
Dallas,  Texas,  75230-2513
United States
Recruiting Julio  Rosenstock 214-661-7020

Diabetes & Glandular Disease Research Associates, P.A. *Recruiting*
San Antonio,  Texas,  78229
United States
Recruiting Sherwyn  Schwartz 210-615-5564

Baylor University Medical Center *Recruiting*
Dallas,  Texas,  75246
United States
Recruiting Pricilla  Hollander 214-820-3466

Colorado Neurology and Headache Center *Recruiting*
Denver,  Colorado,  80218
United States
Recruiting Jack  Klapper 303-839-9900

Research Solutions, LLC *Recruiting*
Evansville,  Indiana,  47714
United States
Recruiting Jennifer  Wahle 812-473-0141

Radiant Research-Cincinnati *Recruiting*
Cincinnati,  Ohio,  45236
United States
Recruiting Michael  Noss 513-984-6887

Palm Beach Neurological Center *Recruiting*
Palm Beach Gardens,  Florida,  33410
United States
Recruiting Michael  Tuchman 561-694-1010

Washington University School of Medicine *Recruiting*
St. Louis,  Missouri,  63110
United States
Recruiting Janet  McGill 314-362-8681

Peripheral Neurophathy Center *Recruiting*
New York City,  New York,  10022
United States
Recruiting Thomas  Brannagan 212-888-8516

Yale University *Recruiting*
New Haven,  Connecticut,  06510
United States
Recruiting Steven  Novella 203-785-6141

Lehigh Valley Hospital Neurosciences & Pain Research *Recruiting*
Allentown,  Pennsylvania,  18103
United States
Recruiting Bruce  Nicholson 610-402-9008

Alpine Clinical Research Center *Recruiting*
Boulder,  Colorado,  80304
United States
Recruiting Paul  Brownstone 303-443-7229

The Medical Research Network, L.L.C. *Recruiting*
New York City,  New York,  10024
United States
Recruiting Mohsin  Ali 212-595-5012

Diablo Clinical Research *Recruiting*
Walnut Creek,  California,  94598-3300
United States
Recruiting Richard  Weinstein 925-930-7267

CNS Research, Inc. *Recruiting*
Providence,  Rhode Island,  02916
United States
Recruiting Norman  Gordon 800-707-6013

Metrolina Medical Research *Recruiting*
Charlotte,  North Carolina,  28209
United States
Recruiting Hemanth  Rao 704-527-6672

New Britain General Hospital *Recruiting*
New Britain,  Connecticut,  06050
United States
Recruiting William  Petit 860-224-5900

Pivotal Research Centers *Recruiting*
Peoria,  Illinois,  85381
United States
Recruiting Louis  III 623-815-9714

Metabolic Research Institute, Inc. *Recruiting*
West Palm Beach,  Florida,  33401
United States
Recruiting Barry  Horowitz 561-802-3060

Broward Research Group *Recruiting*
Pembroke Pines,  Florida,  33026
United States
Recruiting David  Seiden 954-322-1600

Beth Israel Deaconess Medical Center *Recruiting*
Boston,  Massachusetts,  02215
United States
Recruiting Roy  Freeman 617-632-8454

Axiom Clinical Research of Florida *Recruiting*
Tampa,  Florida,  33609
United States
Recruiting Stephen  Sergay 813-353-9613

Baystate Medical Associates *Recruiting*
Springfield,  Massachusetts,  01199
United States
Recruiting Burritt  Haag 413-794-7031

Neurology Center of Ohio *Recruiting*
Toledo,  Ohio,  43623
United States
Recruiting Gary  Gerard 419-885-8848


Additional Information:
Study ID Numbers:
  0912A2-212-NA; 
Study Start Date: 
Record last reviewed: November 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00073034

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