QUTENZA™ versus Pregabalin in Subjects with Peripheral Neuropathic Pain: an Open-label, Randomized, Multicenter, Non-inferiority Efficacy and Tolerability Study Medicine or Vaccine (generic name) capsaicin Sponsor Identification Number QTZ-EC-0004 Trial Registry Identification Number(#'s) NCT01713426 EudraCT Number: 2011-005872-41
Not Fulfilling Inculsion Criteria or Exclusion Criteria (Not Fulfilling Inculsion Criteria or Exclusion Criteria)
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Adverse Event (Adverse Event)
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Lost to Follow-Up (Lost to Follow-Up)
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Withdrawal by subject (Withdrawal by subject)
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Pregnancy (Pregnancy)
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Other (Other)
Screen Failure: Inclusion or Exclusion Criteria
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If "Not fulfill inclusion or exclusion criteria" is selected, please indicate the appropriate incusion or exclusion criteria number:
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C0220908 (UMLS CUI [1,1]) C0680095 (UMLS CUI [1,2]) C1512693 (UMLS CUI [1,3]) C0220908 (UMLS CUI [2,1]) C0680095 (UMLS CUI [2,2]) C0680251 (UMLS CUI [2,3])
Screen Failure: Specification
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If Primary Screen Failure Reason is "Other" please specify:
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C0220908 (UMLS CUI [1,1]) C0680095 (UMLS CUI [1,2]) C2348235 (UMLS CUI [1,3])
1. Male or female between 18 and 90 years of age, inclusive. (1. Male or female between 18 and 90 years of age, inclusive.)
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2. In good health as determined by the investigator. (2. In good health as determined by the investigator.)
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3. Documented diagnosis of probable or definite PNP (Treede et al, 2008) (3. Documented diagnosis of probable or definite PNP (Treede et al, 2008))
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4. Localized and well-defined area of PNP, suitable for treatment with QUTENZA (4. Localized and well-defined area of PNP, suitable for treatment with QUTENZA)
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5a. Documented diagnosis at the Baseline Visit of either a) PHN with pain persisting at least 6 months since shingles vesicle crusting (5a. Documented diagnosis at the Baseline Visit of either a) PHN with pain persisting at least 6 months since shingles vesicle crusting)
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5b. PNI including post-surgical or post-traumatic neuropathic pain, persisting for minimum of 3 months (5b. PNI including post-surgical or post-traumatic neuropathic pain, persisting for minimum of 3 months)
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5c. Non-diabetic painful peripheral polyneuropathy with pain which has persisted for a minimum of 3 months, including I. small-fiber neuropathy, as confirmed by 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 (5c. Non-diabetic painful peripheral polyneuropathy with pain which has persisted for a minimum of 3 months, including I. small-fiber neuropathy, as confirmed by 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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6. 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" (NPRS) score (6. 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" (NPRS) score)
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7. Intact non-irritated, dry skin over the painful area(s) to be treated (7. Intact non-irritated, dry skin over the painful area(s) to be treated)
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8a. Naive to treatment with pregabalin and gabapentin (8a. Naive to treatment with pregabalin and gabapentin)
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8b. in the opinion of the investigator, has not received an adequate trial of treatment with pregabalin or gabapentin (8b. in the opinion of the investigator, has not received an adequate trial of treatment with pregabalin or gabapentin)
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9. Subject is willing to receive pregabalin or QUTENZA as part of the trial. (9. Subject is willing to receive pregabalin or QUTENZA as part of the trial.)
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10. 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 (a highly effective method of birth control is defined as those which result in a low failure rate (CHMP/ICH/286/95 modified) of less that 1% per year when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices (IUDs), sexual abstinence or vasectomized partner). (10. 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 (a highly effective method of birth control is defined as those which result in a low failure rate (CHMP/ICH/286/95 modified) of less that 1% per year when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices (IUDs), sexual abstinence or vasectomized partner). )
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11. Willing and able to comply with protocol requirements for the duration of study participation (11. Willing and able to comply with protocol requirements for the duration of study participation)
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12. Given written informed consent (12. Given written informed consent)
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 athritis (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 athritis)
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2. Complex Regional Pain Syndrome (CRPS, Type I or II) (2. Complex Regional Pain Syndrome (CRPS, Type I or II))
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3. Neuropathic pain related to previously administered radiotherapy, diabetes mellitus or HIV-AN (3. Neuropathic pain related to previously administered radiotherapy, diabetes mellitus or HIV-AN)
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4. Neuropathic pain areas located only on the face, above the hairline of the scalp, and/ or in proximity to mucous membranes (4. Neuropathic pain areas located only on the face, above the hairline of the scalp, and/ or in proximity to mucous membranes)
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5. Severe loss of heat sensation in the painful area, indicative of C-fiber denervation (5. Severe loss of heat sensation in the painful area, indicative of C-fiber denervation)
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6. Reported daily pain score of 10 on the NPRS for at least 4 days during the screening period (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. (7. Past or current history of diabetes mellitus.)
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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 (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)
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9. Creatinine clearance (CLcr) < 60 mL/ min according to the Cockcroft-Gault formula (9. Creatinine clearance (CLcr) < 60 mL/ min according to the Cockcroft-Gault formula)
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10. Untreated ongoing generalized anxiety disorder according to DSM-IV or ICD-10 criteria (10. Untreated ongoing generalized anxiety disorder according to DSM-IV or ICD-10 criteria)
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11. Severe ongoing depression according to DSM-IV or ICD-10 criteria (11. Severe ongoing depression according to DSM-IV or ICD-10 criteria)
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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 (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)
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13. Planned elective surgery during the trial (13. Planned elective surgery during the trial)
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14. Changes to stable neuropathic pain background medication in the 4 weeks prior to the Baseline Visit (14. Changes to stable neuropathic pain background medication in the 4 weeks prior to the Baseline Visit)
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15. Any prior receipt of QUTENZA patches, including blinded patches administered as part of a clinical trial (15. Any prior receipt of QUTENZA patches, including blinded patches administered as part of a clinical trial)
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16. Hypersensitivity to capsaicin (i.e., chilli peppers or Over-the-counter [OTC] capsaicin products), any QUTENZA excipients, local anesthetics, or adhesives (16. Hypersensitivity to capsaicin (i.e., chilli peppers or Over-the-counter [OTC] capsaicin products), any QUTENZA excipients, local anesthetics, or adhesives)
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17. Treatment with pregabalin or gabapentin within 2 months prior to the Baseline Visit. (17. Treatment with pregabalin or gabapentin within 2 months prior to the Baseline Visit.)
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18. Hypersensitivity to pregabalin or any of the excipients (18. Hypersensitivity to pregabalin or any of the excipients)
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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. (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.)
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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 (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)
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21. Chemotherapy within 3 months of the Baseline Visit, except maintenance hormone treatment (21. Chemotherapy within 3 months of the Baseline Visit, except maintenance hormone treatment)
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22. Use of any investigational agent within 30 days prior to Baseline Visit (22. Use of any investigational agent within 30 days prior to Baseline Visit)
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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 (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)
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24. Female subjects of child-bearing potential with a positive serum or urine pregnancy test prior to treatment (24. Female subjects of child-bearing potential with a positive serum or urine pregnancy test prior to treatment)
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25. Subject, who in th eopinion of the investigator, is not suitable for the study for any reason. (25. Subject, who in th eopinion of the investigator, is not suitable for the study for any reason.)
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