MedPath

A Safety and Efficacy Study of AGN-214868 in Patients With Postherpetic Neuralgia

Phase 2
Terminated
Conditions
Neuralgia, Postherpetic
Interventions
Drug: AGN-214868 Placebo (Vehicle)
Registration Number
NCT01678924
Lead Sponsor
Allergan
Brief Summary

This is a safety and efficacy study of AGN-214868 in patients with postherpetic neuralgia (PHN).

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
280
Inclusion Criteria
  • Postherpetic neuralgia with pain present for at least 9 months
Exclusion Criteria
  • Active herpes zoster skin rash
  • Anticipated treatment for postherpetic neuralgia during the first 3 months of the study, including oral and topical medications, acupuncture, spinal cord stimulation, transcutaneous nerve stimulation (TNS), or trigger point injection
  • Anticipated treatment with pain medication for the treatment of postherpetic neuralgia during the first 3 months of the study
  • Use of capsaicin treatment for postherpetic neuralgia within 6 months, or anticipated use during the first 3 months of the study
  • Use of botulinum toxin of any serotype for any reason within 6 months, or anticipated use during the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AGN-214868 Dose 2AGN-214868AGN-214868 Dose 2 given as injections into the area of pain on Day 1.
AGN-214868 Placebo (Vehicle)AGN-214868 Placebo (Vehicle)AGN-214868 placebo (vehicle) given as injections into the area of pain on Day 1.
AGN-214868 Dose 3AGN-214868AGN-214868 Dose 3 given as injections into the area of pain on Day 1.
AGN-214868 Dose 1AGN-214868AGN-214868 Dose 1 given as injections into the area of pain on Day 1.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Average Pain Intensity Score - Cohort 1Baseline to Week 12

The average pain intensity score at each week was the mean of the daily average pain intensity scores reported in the patient's eDiary during each 7-day period, starting with the day of study treatment injection. Patients used the 11-point Likert scale, with anchors at 0 = "no pain" and 10 = "pain as bad as you can imagine" Baseline was defined as the mean of the daily average pain intensity scores reported during the baseline period for the 7 days immediately prior to the treatment.

Change From Baseline in Average Pain Intensity Score - Cohort 2Baseline to Week 12

The average pain intensity score at each week was the mean of the daily average pain intensity scores reported in the patient's eDiary during each 7-day period, starting with the day of study treatment injection. patients used the 11-point Likert scale, with anchors at 0 = "no pain" and 10 = "pain as bad as you can imagine" Baseline was defined as the mean of the daily average pain intensity scores reported during the baseline period for the 7 days immediately prior to the treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 1Baseline to Week 1

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 3Baseline to Week 3

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 4Baseline to Week 4

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease), and in 10% increments, up to 100% improvement, in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 2Baseline to Week 2

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 9Baseline to Week 9

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 2Baseline to Week 2

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 4Baseline to Week 4

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 5Baseline to Week 5

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 6Baseline to Week 6

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 7Baseline to Week 7

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 8Baseline to Week 8

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 10Baseline to Week 10

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 1Baseline to Week 1

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 3Baseline to Week 3

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 11Baseline to Week 11

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 1 - Week 12Baseline to Week 12

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 1 - Week 12Baseline to Week 12

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 2 - Week 2Baseline to Week 2

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 2 - Week 4Baseline to Week 4

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 5Baseline to Week 5

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 6Baseline to Week 6

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 7Baseline to Week 7

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 8Baseline to Week 8

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 9Baseline to Week 9

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 10Baseline to Week 10

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 11Baseline to Week 11

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Change From Baseline in Evoked Pain Score in the Area of Allodynia Cohort 1 - Week 12Baseline to Week 12

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Change From Baseline in Evoked Pain Score in the Area of Allodynia - Cohort 2 - Week 8Baseline to Week 8

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Percentage of Average Pain Intensity Score Responders - Cohort 2 - Week 12Baseline to Week 12

Average Pain Intensity Score Responder is defined as a patient who had at least a 30% improvement (decrease) in average pain intensity score at each week compared with baseline

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 1 - Week 2Baseline to Week 2

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient and that the patient was asked to circle their MASP on with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 1 - Week 4Baseline to Week 4

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 1 - Week 8Baseline to Week 8

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 2 - Week 8Baseline to Week 8

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 2 - Week 12Baseline to Week 12

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Evoked Pain Score in the Area of Allodynia Cohort 1 - Week 2Baseline to Week 2

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 2 - Week 8Baseline to Week 8

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Maximal Area of Spontaneous Pain - Cohort 2 - Week 12Baseline to Week 12

The assessment of maximal area of spontaneous pain (MASP) was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their MASP with a black marker. Areas of pain were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 1 - Week 2Baseline to Week 2

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 1 - Week 4Baseline to Week 4

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 1 - Week 8Baseline to Week 8

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 1 - Week 12Baseline to Week 12

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 2 - Week 2Baseline to Week 2

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Area of Allodynia - Cohort 2 - Week 4Baseline to Week 4

The assessment of maximal area of allodynia was conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). This assessment is based on color photographs taken of the patient in which the patient was asked to outline their maximal area of skin that feels unpleasant to the touch (allodynic skin) with a red marker. Areas of allodynia were quantified at a central reading center.

Change From Baseline in Evoked Pain Score in the Area of Allodynia Cohort 1 - Week 4Baseline to Week 4

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Change From Baseline in Evoked Pain Score in the Area of Allodynia Cohort 1 - Week 8Baseline to Week 8

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Change From Baseline in Evoked Pain Score in the Area of Allodynia - Cohort 2 - Week 4Baseline to Week 4

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Change From Baseline in Evoked Pain Score in the Area of Allodynia - Cohort 2 - Week 12Baseline to Week 12

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Change From Baseline in Evoked Pain Score in the Area of Allodynia - Cohort 2 - Week 2Baseline to Week 2

Assessment of evoked pain were conducted by a qualified and trained investigator or designee (eg, physician, physician's assistant, nurse practitioner, and nurse). Evoked pain was scored using a visual analog scale (VAS; 0 to100 mm scale with anchors of 0 = No pain and 100 = Worst pain imaginable). The patient was asked to use the VAS to rate the unpleasantness of 3 brush strokes within the center of the area of allodynia and pain.

Trial Locations

Locations (68)

Agave Clinical Research, LLC

🇺🇸

Mesa, Arizona, United States

Territory Neurology & Research Institute

🇺🇸

Tucson, Arizona, United States

Neuro-Pain Medical Center

🇺🇸

Fresno, California, United States

University of California, Irvine

🇺🇸

Irvine, California, United States

Loma Linda University

🇺🇸

Loma Linda, California, United States

Northern California Research Corp

🇺🇸

Sacramento, California, United States

Neurological Research Institute

🇺🇸

Santa Monica, California, United States

Alpine Clinical Research Center

🇺🇸

Boulder, Colorado, United States

The Mile High Research Center

🇺🇸

Denver, Colorado, United States

Riverside Clinical Research

🇺🇸

Edgewater, Florida, United States

Scroll for more (58 remaining)
Agave Clinical Research, LLC
🇺🇸Mesa, Arizona, United States

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.