A Comparison of EpiCept™ NP-1 Topical Cream vs. Oral Gabapentin in Postherpetic Neuralgia (PHN)

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to compare EpiCept™ NP-1 Topical Cream (2% ketamine / 4% amitriptyline) vs. Oral Gabapentin in the treatment of Postherpetic Neuralgia (PHN)
ConditionPost Herpetic Neuralgia
PHN
Neuropathy
Nerve Pain
InterventionDrug: EpiCept-NP-1 Cream
Drug: Gabapentin Capsules
Drug: placebo
PhasePhase 2
SponsorEpiCept Corporation
Responsible PartyEpiCept Corporation
ClinicalTrials.gov IdentifierNCT00475904
First ReceivedMay 17, 2007
Last UpdatedJuly 25, 2011
Last verifiedJuly 2011

Tracking Information[ + expand ][ + ]

First Received DateMay 17, 2007
Last Updated DateJuly 25, 2011
Start DateJuly 2007
Estimated Primary Completion DateJune 2008
Current Primary Outcome Measures
  • Change in Pain Scores Comparing NP-1 Cream vs. Placebo Cream for Treatment of the Pain of Post Herpetic Neuralgia(PHN)From Baseline to 28 Days. [Time Frame: baseline and 28 days] [Designated as safety issue: No]Difference in pain scores between NP-1 cream vs. placebo cream for the treatment of the pain of PHN. Baseline pain scores were compared to the pain scores after 28 days of treatment. Pain scores were rated on a 11 point numerical rating scale (0-10) where 0 was no pain and 10 was worst possible pain.
  • Change in Pain Intensity From Baseline to 28 Days of Treatment, Comparison Between NP-1 Topical Cream and Oral Gabapentin [Time Frame: baseline to 28 Days] [Designated as safety issue: No]Change in pain intensity scores between NP-1 cream vs. oral gabapentin for the treatment of the pain of PHN. Baseline pain scores were compared to the pain scores after 28 days of treatment. Pain scores were rated on a 11 point numerical rating scale (0-10) where 0 was no pain and 10 was worst possible pain.
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleA Comparison of EpiCept™ NP-1 Topical Cream vs. Oral Gabapentin in Postherpetic Neuralgia (PHN)
Official TitleA Phase II, Double-Blind, Randomized, Placebo-Controlled Non-inferiority Trial of EpiCept™ NP-1 Topical Cream (2% Ketamine / 4% Amitriptyline) vs. Oral Gabapentin in Postherpetic Neuralgia (PHN)
Brief Summary
The purpose of this study is to compare EpiCept™ NP-1 Topical Cream (2% ketamine / 4%
amitriptyline) vs. Oral Gabapentin in the treatment of Postherpetic Neuralgia (PHN)
Detailed Description
This is a phase II, multicenter, double-blind, randomized, placebo-controlled, parallel
group study of NP-1 and oral gabapentin in approximately 500 patients with PHN. Adult
patients with pain resulting from PHN and meeting all other eligibility requirements will be
screened for 7 days to determine their average daily pain intensity. Qualifying patients
will be randomized on a 2:2:1 basis to NP-1, oral gabapentin, or placebo. The treatment
period will be 4-Weeks.
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Condition
  • Post Herpetic Neuralgia
  • PHN
  • Neuropathy
  • Nerve Pain
InterventionDrug: EpiCept-NP-1 Cream
ketamine 4% amitriptyline 2% cream, twice daily for 4 weeks
Other Names:
EpiCept-NP-1 creamDrug: Gabapentin Capsules
1800mg/day capsules for 4 weeks
Other Names:
gabapentin, neurontinDrug: placebo
placebo cream and caps
Other Names:
vehicle cream, placebo capsules
Study Arm (s)
  • Active Comparator: amitriptyline 4% ketamine 2% cream, placebo capsules
    Np-1 cream and placebo gabapentin
  • Active Comparator: gabapentin capsules, placebo cream
    gabapentin caps and placebo cream
  • Placebo Comparator: placebo cream and capsules
    placebo cream and capsules

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment360
Estimated Completion DateJune 2008
Estimated Primary Completion DateJune 2008
Eligibility Criteria
Inclusion Criteria:

- Adult patients with pain for ≥ 3 months following onset of a herpes zoster rash

Exclusion Criteria:

- Clinically significant intercurrent illness (e.g., endocrine, cardiac, hepatic,
renal, neurologic, hematologic, skeletal) that the investigator determines could
interfere with the efficacy or safety assessments.
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesIndia

Administrative Information[ + expand ][ + ]

NCT Number NCT00475904
Other Study ID NumbersEPC2007-02
Has Data Monitoring CommitteeNo
Information Provided ByEpiCept Corporation
Study SponsorEpiCept Corporation
CollaboratorsNot Provided
Investigators Principal Investigator: Robert H Dworkin, Ph.D. University of Rochester
Verification DateJuly 2011

Locations[ + expand ][ + ]

Multiple Centers
New Delhi, India, 110016