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Ricolinostat in Patients With Painful Diabetic Peripheral Neuropathy

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ClinicalTrials.gov Identifier: NCT03176472
Recruitment Status : Completed
First Posted : June 5, 2017
Results First Posted : September 21, 2023
Last Update Posted : September 21, 2023
Sponsor:
Information provided by (Responsible Party):
Regenacy Pharmaceuticals LLC

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition Painful Diabetic Peripheral Neuropathy
Interventions Drug: ricolinostat
Drug: Placebo
Enrollment 282
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Ricolinostat Placebo
Hide Arm/Group Description

Ricolinostat 120 mg, taken once daily (QD) by mouth; each dose in 12 mL liquid formulation (10 mg ricolinostat per mL)

ricolinostat: 120 mg per dose in 12 mL liquid formulation

Placebo, 12 mL of liquid formulation with no active ingredient (i.e., ricolinostat), taken once daily (QD) by mouth

Placebo: 12 mL liquid formulation placebo

Period Title: Double Blind Treatment Period
Started 142 140
Completed 132 124
Not Completed 10 16
Reason Not Completed
Withdrawal by Subject             5             10
Adverse Event             0             5
Lost to Follow-up             3             0
Physician Decision             0             1
Protocol Violation             1             0
Not Provided             1             0
Period Title: Open Label Extension
Started 131 121
Completed 123 109
Not Completed 8 12
Reason Not Completed
Withdrawal by Subject             3             4
Adverse Event             2             4
Lost to Follow-up             1             2
Protocol Violation             0             1
Not Provided             2             1
Arm/Group Title Ricolinostat Placebo Total
Hide Arm/Group Description

Ricolinostat 120 mg, taken once daily (QD) by mouth; each dose in 12 mL liquid formulation (10 mg ricolinostat per mL)

ricolinostat: 120 mg per dose in 12 mL liquid formulation

Placebo, 12 mL of liquid formulation with no active ingredient (i.e., ricolinostat), taken once daily (QD) by mouth

Placebo: 12 mL liquid formulation placebo

Total of all reporting groups
Overall Number of Baseline Participants 142 140 282
Hide Baseline Analysis Population Description
The Intent To Treat (ITT) Population is defined as all randomized subjects regardless of study drug administration
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 142 participants 140 participants 282 participants
59.5  (9.64) 60.9  (7.81) 60.2  (8.79)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 142 participants 140 participants 282 participants
Female
86
  60.6%
83
  59.3%
169
  59.9%
Male
56
  39.4%
57
  40.7%
113
  40.1%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 142 participants 140 participants 282 participants
American Indian or Alaska Native
2
   1.4%
0
   0.0%
2
   0.7%
Asian
6
   4.2%
3
   2.1%
9
   3.2%
Native Hawaiian or Other Pacific Islander
1
   0.7%
1
   0.7%
2
   0.7%
Black or African American
37
  26.1%
39
  27.9%
76
  27.0%
White
93
  65.5%
95
  67.9%
188
  66.7%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
3
   2.1%
2
   1.4%
5
   1.8%
Height  
Mean (Standard Deviation)
Unit of measure:  Centimeters
Number Analyzed 142 participants 140 participants 282 participants
172.7  (9.82) 173.1  (9.91) 172.9  (9.85)
Weight  
Mean (Standard Deviation)
Unit of measure:  Kg
Number Analyzed 142 participants 140 participants 282 participants
93.7  (18.29) 96.76  (16.50) 95.22  (17.46)
Body Mass Index (BMI)  
Mean (Standard Deviation)
Unit of measure:  Kg/m^2
Number Analyzed 142 participants 140 participants 282 participants
31.31  (4.91) 32.21  (4.17) 31.75  (4.57)
1.Primary Outcome
Title Change in Mean Average Pain Intensity (NRS)
Hide Description Difference between mean average pain intensity using the 11-point numerical pain rating scale (NRS) consisting of pain measurement from 0-10 with 10 being the worst pain and 0 being no pain at all.
Time Frame Baseline week [Day-7 to Day 1] compared to Final week [12 Weeks]
Hide Outcome Measure Data
Hide Analysis Population Description
The number of subjects with non-missing values at both Baseline and specified visit.
Arm/Group Title Ricolinostat Placebo
Hide Arm/Group Description:

Ricolinostat 120 mg, taken once daily (QD) by mouth; each dose in 12 mL liquid formulation (10 mg ricolinostat per mL)

ricolinostat: 120 mg per dose in 12 mL liquid formulation

Placebo, 12 mL of liquid formulation with no active ingredient (i.e., ricolinostat), taken once daily (QD) by mouth

Placebo: 12 mL liquid formulation placebo

Overall Number of Participants Analyzed 140 142
Mean (Standard Deviation)
Unit of Measure: units on a scale
-1.21  (1.4) -1.03  (1.4)
2.Secondary Outcome
Title Change in Non-pain Neuropathic Signs (UENS)
Hide Description Change in non-pain neuropathic signs utilizing the Utah Early Neuropathy Score (UENS) which is a physical examination-based scale designed to assess early sensory predominant polyneuropathy. Compared with other scales, the UENS emphasizes severity and spatial distribution of pin (sharp) sensation loss in the foot and leg and focuses less on motor weakness. The UENS utilizes a numeric scale from 0-42, with higher scores indicating greater disease severity.
Time Frame Baseline week [Day-7 to Day 1] compared to Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
The number of subjects with non-missing values at both Baseline and specified visit.
Arm/Group Title Ricolinostat Placebo
Hide Arm/Group Description:

Ricolinostat 120 mg, taken once daily (QD) by mouth; each dose in 12 mL liquid formulation (10 mg ricolinostat per mL)

ricolinostat: 120 mg per dose in 12 mL liquid formulation

Placebo, 12 mL of liquid formulation with no active ingredient (i.e., ricolinostat), taken once daily (QD) by mouth

Placebo: 12 mL liquid formulation placebo

Overall Number of Participants Analyzed 141 139
Mean (Standard Deviation)
Unit of Measure: units on a scale
-1.51  (0.39) -1.84  (0.40)
Time Frame Baseline through 24 weeks
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Ricolinostat Placebo Open Label Extension
Hide Arm/Group Description

Ricolinostat 120 mg, taken once daily (QD) by mouth; each dose in 12 mL liquid formulation (10 mg ricolinostat per mL)

ricolinostat: 120 mg per dose in 12 mL liquid formulation

Placebo, 12 mL of liquid formulation with no active ingredient (i.e., ricolinostat), taken once daily (QD) by mouth

Placebo: 12 mL liquid formulation placebo

Ricolinostat 120 mg, taken once daily (QD) by mouth; each dose in 12 mL liquid formulation (10 mg ricolinostat per mL)

ricolinostat: 120 mg per dose in 12 mL liquid formulation

All-Cause Mortality
Ricolinostat Placebo Open Label Extension
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/142 (0.00%)      0/140 (0.00%)      0/252 (0.00%)    
Hide Serious Adverse Events
Ricolinostat Placebo Open Label Extension
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   6/142 (4.23%)      2/140 (1.43%)      4/252 (1.59%)    
Cardiac disorders       
Proximal RCA Stenosis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
ATRIAL TACHYCARDIA  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
CORONARY ARTERY DISEASE  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
CARDIAC ARREST EPISODES  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
ACUTE MYOCARDIAL INFARCTION  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
PROXIMAL LAD STENOSIS  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Gastrointestinal disorders       
Worsening diarrhea  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
General disorders       
CHEST PAIN, NON-CARDIAC  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Hepatobiliary disorders       
CHOLELITHIASIS  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Infections and infestations       
Diverticulitis  1  1/142 (0.70%)  2 0/140 (0.00%)  0 1/252 (0.40%)  1
RIGHT FOOT CELLULITIS  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
SURGICAL SITE INFECTION  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Injury, poisoning and procedural complications       
Skin Abrasion  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
NASAL BONE FRACTURE  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
LIVER LACERATION  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
LEFT KNEE WOUND CONTAMINATION  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
BILATERAL UPPER EXTREMITIES RECOVERED/RESOLVED ABRASIONS  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
RIGHT FLANK ABRASIONS  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
LEFT KNEE LACERATION  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
TONGUE LACERATION  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Metabolism and nutrition disorders       
UNCONTROLED DIABETES  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
HYPERKALEMIA  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)       
Invasive Ductal Breast Carcinoma  1  1/142 (0.70%)  1 1/140 (0.71%)  1 0/252 (0.00%)  0
Nervous system disorders       
Complex Migraine  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
STROKE  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
EPILEPTIC SEIZURES  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Respiratory, thoracic and mediastinal disorders       
BILATERAL LUNG CONSOLIDATION  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Skin and subcutaneous tissue disorders       
WORSENING CHRONIC DERMATITIS  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Vascular disorders       
SEVERE SYMPTOMATIC ORTHOSTATIC SEVERE HYPOTENSION  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
1
Term from vocabulary, MeDRA(23.1)
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Ricolinostat Placebo Open Label Extension
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   17/142 (11.97%)      21/140 (15.00%)      20/252 (7.94%)    
Blood and lymphatic system disorders       
Leukocytosis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Hemolysis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Ear and labyrinth disorders       
Vertigo  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
Eye disorders       
Vision Blurred  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
Gastrointestinal disorders       
Bloating  1  0/142 (0.00%)  0 0/140 (0.00%)  0 0/252 (0.00%)  0
Abdominal Pain  1  0/142 (0.00%)  0 0/140 (0.00%)  0 2/252 (0.79%)  2
Diarrhea  1  3/142 (2.11%)  3 3/140 (2.14%)  3 2/252 (0.79%)  2
Difficulty Swallowing  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Dry Mouth  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
Nausea  1  3/142 (2.11%)  3 4/140 (2.86%)  5 1/252 (0.40%)  1
Vomitting  1  1/142 (0.70%)  1 3/140 (2.14%)  3 0/252 (0.00%)  0
Lymphocytic colitis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
General disorders       
Fatigue  1  0/142 (0.00%)  0 2/140 (1.43%)  2 0/252 (0.00%)  0
Infections and infestations       
Urinary Tract Infection  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Common Cold  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Investigations       
Neutrophil Count Decreased  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Thrombocytopenia  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Metabolism and nutrition disorders       
Anorexia  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Diabetic Ketoacidosis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Hyperglycemia  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
Hyperkalemia  1  0/142 (0.00%)  0 0/140 (0.00%)  0 3/252 (1.19%)  3
Hypomagnesemia  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Metabolic Acidosis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Musculoskeletal and connective tissue disorders       
Spinal Stenosis  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
Nervous system disorders       
Drowsiness  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Dizziness  1  1/142 (0.70%)  1 0/140 (0.00%)  0 1/252 (0.40%)  1
Headache  1  0/142 (0.00%)  0 1/140 (0.71%)  1 1/252 (0.40%)  1
Facial Paralysis  1  0/142 (0.00%)  0 0/140 (0.00%)  0 1/252 (0.40%)  1
Renal and urinary disorders       
Dysuria  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Respiratory, thoracic and mediastinal disorders       
Cough  1  1/142 (0.70%)  1 0/140 (0.00%)  0 1/252 (0.40%)  1
Oropharyngeal Pain  1  0/142 (0.00%)  0 1/140 (0.71%)  2 0/252 (0.00%)  0
Skin and subcutaneous tissue disorders       
Psoriasis  1  1/142 (0.70%)  1 0/140 (0.00%)  0 0/252 (0.00%)  0
Rash  1  0/142 (0.00%)  0 1/140 (0.71%)  2 0/252 (0.00%)  0
Urticaria  1  0/142 (0.00%)  0 1/140 (0.71%)  1 0/252 (0.00%)  0
1
Term from vocabulary, MeDRA(23.1)
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Dr. David Michelson, CMO
Organization: Regenacy Pharmaceuticals Inc.
Phone: 2676639826
EMail: dmichelson@regenacy.com
Layout table for additonal information
Responsible Party: Regenacy Pharmaceuticals LLC
ClinicalTrials.gov Identifier: NCT03176472    
Other Study ID Numbers: REGY-DN-201
First Submitted: May 18, 2017
First Posted: June 5, 2017
Results First Submitted: May 30, 2023
Results First Posted: September 21, 2023
Last Update Posted: September 21, 2023