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Diabetic neuropathy is known to be the most common complication of diabetes, although the estimated prevalence is highly variable, ranging from 1.6 to 90%. Also, chronic pain is accompanied with sleep disorders, depression, and anxiety, thereby impairing quality of life and increasing societal costs. Pregabalin is one of proven and marketed oral medicine to manage the chronic neuropathic pain in diabetic patients. This study is designed as a randomized controlled trial to demonstrate that the efficacy of KW21052 in pain reduction measured by the weekly mean pain score on the numerical pain rating scale (NRS) at the 8th week of intervention is inferior to that of Lyrica.
Patient Reported Outcomes (PRO) using validated questionnaires and patient diaries will be assessed for efficacy analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KW21052 | Experimental | This arm will be pre-treated with Lyrica 150mg (75mg bid) for titration period of 1 week and then be treated with KW21052 300mg and Placebo of Lyrica for intervention period of 8 weeks. |
|
| LYRICA | Active Comparator | This arm will be pre-treated with Lyrica 150mg (75mg bid) for titration period of 1 week and then be treated with Lyrica 300mg (150mg bid) and Placebo of KW21052 300mg for intervention period of 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KW21052 | Drug | 1 Tablet contains 300mg of pregabalin. Oral, once a day, for 8 weeks. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical pain rating scale (NRS) | After 8 weeks of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change on on the numerical pain rating scale (NRS) | From baseline to 8th week of intervention | |
| Response rate | From baseline to 4th and 8th week of intervention | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hae-kwan Eo | Contact | 82 2 2047 7789 | hkeo@kunwha.com | |
| Youngrang Lee | Contact | 82 70 4335 4759 | yrlee@symyoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Kwang-Kuk Kim, M.D., Ph.D. | Asan Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical Center | Seoul | South Korea |
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| ID | Term |
|---|---|
| D003929 | Diabetic Neuropathies |
| D009437 | Neuralgia |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D048909 | Diabetes Complications |
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| ID | Term |
|---|---|
| D000069583 | Pregabalin |
| ID | Term |
|---|---|
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
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| Lyrica |
| Drug |
1 Capsule contains 150mg of pregabalin. Oral, twice a day, for 8 weeks. |
|
| Lyrica (low dose) | Drug | 1 Capsule contains 75mg of pregabalin. Oral, twice a day, for 1 week. |
|
| Placebo of KW21052 | Drug | Oral,once a day, for 8 weeks |
|
| Placebo of Lyrica | Drug | Oral, twice a day, for 8 weeks. |
|
| Clinical Global Impression of Change (CGIC) |
| After 8 weeks of intervention |
| Improved quality of life (QoL) | After 4 and 8 weeks of intervention |
| Drug compliance | During 8 weeks of intervention |
| Adverse events | Every clinic visit |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |