Lidoderm® (Lidocaine Patch 5%) in Diabetic and Idiopathic Neuropathy

Overview[ - collapse ][ - ]

Purpose Patients with Type I or II diabetes and painful distal symmetric sensorimotor polyneuropathy with dynamic allodynia of the lower extremities, patients with Type I or II diabetes and pain distal symmetric sensorimotor polyneuropathy with no dynamic allodynia of the lower extremities, or patients with idiopathic distal predominantly sensory neuropathy participated in a Phase IV clinical trial to assess the efficacy of lidocaine patches in treating painful diabetic neuropathy or idiopathic distal sensory neuropathy.
ConditionDiabetes
InterventionDrug: Lidoderm
PhasePhase 4
SponsorEndo Pharmaceuticals
Responsible PartyEndo Pharmaceuticals
ClinicalTrials.gov IdentifierNCT00903851
First ReceivedMay 15, 2009
Last UpdatedFebruary 12, 2010
Last verifiedFebruary 2010

Tracking Information[ + expand ][ + ]

First Received DateMay 15, 2009
Last Updated DateFebruary 12, 2010
Start DateApril 2002
Estimated Primary Completion DateNot Provided
Current Primary Outcome MeasuresMean change from baseline to Week 3 in average pain intensity as measured from patient diaries using Brief Pain Inventory Question 5. [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • McGill Pain Questionnaire [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: No]
  • Other Pain Questions in BPI [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: No]
  • Weekly pain intensity/relief measures [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: No]
  • Pain duration using questions that assess duration and frequency of pain [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: No]
  • Assessment of allodynia [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: Yes]
  • Neuropathy Pain Scale [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: No]
  • Assessment of safety was based on AEs, skin assessment, physical examination, vital signs, clinical laboratory data, and plasma lidocaine levels [Time Frame: Visits - V2 (Day 0), V3 (Day 7), V4 (Day 21), V5 (Day 35), V6/EOs (Day 56)] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleLidoderm® (Lidocaine Patch 5%) in Diabetic and Idiopathic Neuropathy
Official TitleA Prospective, Open-label Trial of Lidoderm® (Lidocaine Patch 5%)in Painful Diabetic and Idiopathic Neuropathy.
Brief Summary
Patients with Type I or II diabetes and painful distal symmetric sensorimotor polyneuropathy
with dynamic allodynia of the lower extremities, patients with Type I or II diabetes and
pain distal symmetric sensorimotor polyneuropathy with no dynamic allodynia of the lower
extremities, or patients with idiopathic distal predominantly sensory neuropathy
participated in a Phase IV clinical trial to assess the efficacy of lidocaine patches in
treating painful diabetic neuropathy or idiopathic distal sensory neuropathy.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionDiabetes
InterventionDrug: Lidoderm
Patients participated in an 8-week treatment period; patients at one site were to continue treatment for the entire 8 weeks while patients at two sites were to terminate treatment after 3 weeks. Commercially available Lidoderm® (lidocaine patch 5%) was provided to each patient with up to four patches applied topically 18 hours on, 6 hours off per day to the area of maximal peripheral neuropathic pain.
Other Names:
Lidocaine Patch 5%
Study Arm (s)Experimental: (1) Lidoderm
(1)Commercially available Lidoderm® (lidocaine patch 5%), up to four patches applied topically 18 hours on, 6 hours off per day to the area of maximal peripheral neuropathic pain

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment76
Estimated Completion DateNot Provided
Estimated Primary Completion DateJune 2003
Eligibility Criteria
Inclusion Criteria:

- At Sites 1, 2, and 3 - Had painful diabetic polyneuropathy of 3 or more months
duration

- At Site 1 only - Had clinical signs and symptoms of distal predominantly sensory
polyneuropathy of 3 or more months duration. Diagnosis of predominantly sensory
polyneuropathy were to be confirmed by either nerve conduction studies (large fiber
sensory or sensorimotor axonal neuropathy) or by abnormal epidermal innervations on
punch skin biopsy (distal leg/proximal thigh) (Herrmann et al., 1999; Holland et al.,
1997)

- Had an average daily pain rating for the baseline week of pain ratings equal to 4 or
greater on the 0 to 10 numerical pain rating scale

- Had at least 2 hours of moderate or severe pain intensity due to polyneuropathy daily
in the immediately prior 3-month period

- Were using stable analgesic drug therapy for at least 1 week (regimen and dosages)
prior to screening visit, with the exception of acetaminophen and lidocaine for
patients undergoing a punch skin biopsy

Exclusion Criteria:

- Had prior treatment with topical lidocaine, except for use with the punch skin biopsy
procedure

- Were currently under treatment with Class I antiarrhythmic agents (such as tocainide
and mexiletine)

- Had any other pain more severe than the painful diabetic or idiopathic neuropathy

- Had open skin lesions in the area where the lidocaine patches were to be applied
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00903851
Other Study ID NumbersEN3220-005
Has Data Monitoring CommitteeNot Provided
Information Provided ByEndo Pharmaceuticals
Study SponsorEndo Pharmaceuticals
CollaboratorsNot Provided
Investigators Study Director: Study Director Endo Pharmaceuticals
Verification DateFebruary 2010

Locations[ + expand ][ + ]

United States, Alabama
Birmingham, Alabama, United States
United States, Alabama
Hueytown, Alabama, United States
United States, Florida
Jacksonville, Florida, United States
United States, New York
Rochester, New York, United States