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A Study to Compare the Safety and Tolerability of Sativex® in Patients With Neuropathic Pain.
This study has been completed.
Sponsored by: GW Pharmaceuticals Ltd.
Information provided by: GW Pharmaceuticals Ltd.
ClinicalTrials.gov Identifier: NCT00713323
  Purpose

The purpose of this study is to assess the safety and tolerability of long term therapy with Sativex® in relieving neuropathic pain.


Condition Intervention Phase
Pain
Peripheral Neuropathy
Drug: Sativex®
Phase III

MedlinePlus related topics: Peripheral Nerve Disorders
Drug Information available for: Propylene glycol Cannabis GW-1000 Ethanol
U.S. FDA Resources
Study Type: Interventional
Study Design: Supportive Care, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Multicentre, Open Label, Follow on Study to Assess the Maintenance of Effect, Tolerance and Safety of Sativex® in the Treatment of Subjects With Neuropathic Pain. This Will be Followed by a Randomised-Withdrawal Phase (Part B) for a Subset of Patients.

Further study details as provided by GW Pharmaceuticals Ltd.:

Primary Outcome Measures:
  • The weekly pain severity on a 0-10 NRS score compared monthly to titration score and pre-treatment score. [ Time Frame: Month 1 to last Month ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Neuropathic Pain Score [ Time Frame: Weeks 2,14 & 26 ] [ Designated as safety issue: No ]
  • sleep quality 0-10 NRS [ Time Frame: Weeks 2,14 & 26 ] [ Designated as safety issue: No ]
  • subject global impression of change [ Time Frame: Last Visit ] [ Designated as safety issue: No ]
  • Health Questionnaires [ Time Frame: Last Visit ] [ Designated as safety issue: No ]
  • Adverse events [ Time Frame: Duration of study ] [ Designated as safety issue: Yes ]
  • Clinical laboratory tests. [ Time Frame: Week 58 ] [ Designated as safety issue: Yes ]
  • Vital signs. [ Time Frame: week 2, 14, 26 and 38 ] [ Designated as safety issue: Yes ]
  • Oral Examination. [ Time Frame: week 2, 14, 26 and 38 ] [ Designated as safety issue: Yes ]
  • intoxication 0-10 NRS [ Time Frame: Week 2, 14 & 26 ] [ Designated as safety issue: Yes ]

Enrollment: 380
Study Start Date: October 2005
Study Completion Date: June 2007
Primary Completion Date: June 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Sativex®
containing THC (27 mg/ml):CBD (25 mg/ml), in ethanol:propylene glycol (50:50) excipients, with peppermint oil (0.05%) flavouring. Maximum permitted dose was eight actuations in any three hour period and 24 actuations (THC 65 mg: CBD 60 mg) in 24 hours

Detailed Description:

This was a 38 week, multicentre, open label (Part A) follow-on study to evaluate, the maintenance of effect of, the development of tolerance through exposure to, and safety of, Sativex® in the treatment of subjects with neuropathic pain. The study provided continued availability of Sativex® to subjects who completed the preceding double-blind neuropathic pain studies. Consenting, eligible subjects who had participated in previous GW Pharma Ltd (GW) randomised, placebo-controlled clinical studies entered the study (Visit 1, Day 0) and commenced dosing. Study visits took place at Week 2 (Visit 2, Day 14), Week 14 (Visit 3, Day 98), and Week 26 (Visit 4, Day 182). Subjects returned to the centre for an end of treatment visit at week 38 (Visit 5, Day 266). All subjects received Sativex®. This was followed by a five week randomised-withdrawal phase (Part B) for a subset of subjects. An end of study visit took place 28 days after Visit 5 (or 5b or 5c) or withdrawal from the study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Had participated in a GW clinical study to investigate the effects of Sativex® on peripheral neuropathic pain and had completed the study. This must have been within the last seven days
  • Had complied with all of the study requirements in the preceding GW parent RCTs, including the completion of diary cards and study questionnaires
  • Had shown tolerability to the study medication in a preceding GW study
  • Was expected, in the opinion of the investigator, to gain clinical benefit from receiving Sativex® therapy
  • Ability (in the investigators opinion) and willingness to comply with all study requirements, including the completion of diary cards and study questionnaires
  • Agreement for the responsible authorities (as applicable in individual countries), their primary care physician, and their consultant, if appropriate, to be notified of their participation in the study.

Exclusion Criteria:

  • History of schizophrenia, other psychotic illness, severe personality disorder or other significant psychiatric disorder other than depression associated with their underlying condition
  • Known or suspected history of alcohol or substance abuse
  • History of epilepsy or recurrent seizures
  • Known or suspected hypersensitivity to cannabinoids or any of the excipients of the study medication Evidence of cardiomyopathy
  • Experienced myocardial infarction or clinically relevant cardiac dysfunction within the last 12 months or had a cardiac disorder that, in the opinion of the investigator would put the subject at risk of a clinically relevant arrhythmia or myocardial infarction
  • QT interval; of > 450 ms (males) or > 470 ms (females) at Visit 1
  • Secondary or tertiary AV block or sinus bradycardia (HR <50bpm unless physiological) or sinus tachycardia (HR>110bpm) at Visit 1
  • Diastolic blood pressure of <50 mmHg or >105 mmHg in a sitting position at rest for five minutes prior to measurement at Visit 1
  • Impaired renal function i.e., creatinine clearance is lower than 50ml/min at Visit 1 and is indicative of renal impairment
  • Significantly impaired hepatic function, at Visit 1, in the Investigator's opinion
  • Female subjects of child bearing potential and male subjects whose partner was of child bearing potential, unless they were willing to ensure that they or their partner used effective contraception during the study and for three months thereafter
  • If female, were pregnant or lactating, or were planning pregnancy during the course of the study and for three months thereafter
  • Received an IMP within the 12 weeks before Visit 1 (except the prerequisite study medication from the GW parent RCTs)
  • Any other significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk because of participation in the study, may influence the result of the study or the subject's ability to participate in the study
  • Following a physical examination, the subject had any abnormalities that, in the opinion of the investigator, would prevent the subject from safely participating in the study.
  • Intention to donate blood during the study
  • Previous randomisation into this study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00713323

Locations
United Kingdom, West Midlands
Pain Management Research, Clinical Trials Unit, Netherwood House, Solihull Hospital
Solihull, West Midlands, United Kingdom, B91 2JL,
Sponsors and Collaborators
GW Pharmaceuticals Ltd.
Investigators
Principal Investigator: Barbara Hoggart, MBBS, FRCA Pain Management Research, Clinical Trials Unit, Netherwood House, Solihull Hospital
  More Information

Responsible Party: GW Pharmaceuticals Ltd. ( Richard Potts / Clinical Operations Director )
Study ID Numbers: GWCL0404 Part A
Study First Received: July 10, 2008
Last Updated: July 10, 2008
ClinicalTrials.gov Identifier: NCT00713323  
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency;   Czech Republic: State Institute for Drug Control;   Romania: National Medicines Agency;   Belgium: The Federal Public Service (FPS) Health, Food Chain Safety and Environment;   Canada: Health Canada

Keywords provided by GW Pharmaceuticals Ltd.:
Pain
Peripheral Neuropathy

Study placed in the following topic categories:
Neuromuscular Diseases
Peripheral Nervous System Diseases
Pain
Ethanol

Additional relevant MeSH terms:
Nervous System Diseases

ClinicalTrials.gov processed this record on January 14, 2009