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This was an open-label, extension trial designed to evaluate the long-term safety over 12 months of TNX-102 SL tablets taken daily at bedtime for the treatment of fibromyalgia. Patients recruited into this trial were those who had successfully completed the double-blind study, TNX-CY-F202 (F202) (NCT01903265). Patients were not made aware of the therapy they received during the double-blind study.
The study consisted of 7 clinic visits, including Screening/Baseline Visit 1 (Day 0 which was typically the same date as Visit 6 of the double-blind lead-in study), visits after 1, 3, 6, 9, and 12 months of treatment (Visits 2-6), and a Follow-up Visit (Visit 7) scheduled within one month after stopping study drug treatment.
Primary:
The primary objective of the study was to evaluate the long-term safety of TNX-102 SL tablets taken daily at bedtime over 12 months in patients with fibromyalgia who have completed Study TNX-CY-F202 (NCT01903265)
Secondary:
The secondary objective was to evaluate the long-term efficacy of TNX-102 SL tablets taken daily at bedtime to control symptoms of fibromyalgia
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TNX-102 SL | Experimental | 1x TNX-102 SL 2.8 mg sublingual tablet taken daily at bedtime for 12 months |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TNX-102 SL | Drug | TNX-102 SL 2.8 mg taken daily at bedtime. |
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| Measure | Description | Time Frame |
|---|---|---|
| Newly-emergent Adverse Events (NEAEs) During Treatment With TNX-102 SL Tablets Taken Daily at Bedtime Over 12 Months in Patients With Fibromyalgia. | NEAEs and Serious Adverse events (SAEs) were collected and are coded using the latest version of the Medical Dictionary for Regulatory Activities (MedDRA). | Up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Numerical Rating Scale (NRS) Assessments of Average Pain Based on 24 Hour Recall | The NRS for average pain was an 11-point scale (0=no pain → 10=worst pain imaginable) that was assessed on a 24-hour recall basis. | Months 1, 3, 6, 9 and 12. |
| Change From Baseline in Numerical Rating Scale (NRS) Assessments of Average Pain Based on a 7 Day Recall |
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Inclusion Criteria:
Exclusion Criteria:
None
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| Name | Affiliation | Role |
|---|---|---|
| Gregory Sullivan | Tonix Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Denver | Denver | Colorado | 80239 | United States | ||
| 16176 Cortez Boulevard |
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Restricted to patients who completed the lead-in double-blind study and continued to meet the inclusion/exclusion criteria.
One hundred fifty-eight (158) of the 174 patients who completed 12 weeks of treatment in Study F202 were eligible and consented to participate in the 12-month safety extension study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo - TNX-102 SL 2.8 mg | These patients received placebo during the lead-in study (F202), followed by 1 x TNX-102 SL 2.8 mg tablet taken daily at bedtime for 12 months during the open-label study. |
| FG001 | TNX-102 SL 2.8mg - TNX-102 SL 2.8 mg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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The NRS for average pain over the past 7 days was an 11-point scale (0=no pain → 10=worst pain imaginable) that was assessed on a 7-day recall basis. |
| Month 1, 3, 6, 9, 12 |
| Responder Analysis of Patient's Global Impression of Change (PGIC) | PGIC is a fibromyalgia-specific validated instrument to gauge the patient's assessment of change in condition.The scores are categorized as provided below. A responder was defined by a score of 1 (very much improved), or 2 (much improved).
| Months 1, 3, 6, 9, 12 |
| Brooksville |
| Florida |
| 34601 |
| United States |
| 100 West Gore Street | Orlando | Florida | 32806 | United States |
| 71 Thomas Johnson Drive | Frederick | Maryland | 21702 | United States |
| 370 Faunce Corner Road | North Dartmouth | Massachusetts | 02747 | United States |
| Worcester | Worcester | Massachusetts | 01605 | United States |
| Jackson | Jackson | Mississippi | 39202 | United States |
| Cincinnati | Cincinnati | Ohio | 45219 | United States |
| 1275 Olentangy River Road | Columbus | Ohio | 43212 | United States |
| 18660 Bagley Road | Middleburg Heights | Ohio | 44130 | United States |
| 1001 South Market Street | Mechanicsburg | Pennsylvania | 17055 | United States |
| 322 Memorial Drive | Greer | South Carolina | 29650 | United States |
| 601 Broadway | Seattle | Washington | 98122 | United States |
These patients received 1 x TNX-102 SL 2.8 mg tablet taken daily at bedtime during both the lead-in study (F202) as well as the open-label study, for a total treatment duration of up to 15 months. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo - TNX-102 SL 2.8 mg | 1x TNX-102 SL 2.8 mg sublingual tablet taken daily at bedtime for 12 months TNX-102 SL: TNX-102 2.8 mg SL taken daily at bedtime. |
| BG001 | TNX-102 SL 2.8 mg - TNX-102 SL 2.8 mg | 1x TNX-102 SL 2.8 mg sublingual tablet taken daily at bedtime for 12 months TNX-102 SL: TNX-102 2.8 mg SL taken daily at bedtime. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Full Range | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Newly-emergent Adverse Events (NEAEs) During Treatment With TNX-102 SL Tablets Taken Daily at Bedtime Over 12 Months in Patients With Fibromyalgia. | NEAEs and Serious Adverse events (SAEs) were collected and are coded using the latest version of the Medical Dictionary for Regulatory Activities (MedDRA). | All of the 158 enrolled patients took at least 1 dose of study drug and were included in the safety analysis population. | Posted | Count of Participants | Participants | Up to 12 months |
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| Secondary | Change From Baseline in Numerical Rating Scale (NRS) Assessments of Average Pain Based on 24 Hour Recall | The NRS for average pain was an 11-point scale (0=no pain → 10=worst pain imaginable) that was assessed on a 24-hour recall basis. | Patients who took at least 1 dose of study drug prior to study discontinuation were included in the efficacy analysis. By the end of the study, 36 patients from the Placebo - TNX-102 SL group and 25 patients from the TNX-102 SL - TNX-102 SL group had discontinued the study. | Posted | Mean | Standard Deviation | Scores on a scale | Months 1, 3, 6, 9 and 12. |
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| Secondary | Change From Baseline in Numerical Rating Scale (NRS) Assessments of Average Pain Based on a 7 Day Recall | The NRS for average pain over the past 7 days was an 11-point scale (0=no pain → 10=worst pain imaginable) that was assessed on a 7-day recall basis. | Patients who took at least 1 dose of study drug prior to study discontinuation were included in the efficacy analysis. By the end of the study, 36 patients from the Placebo - TNX-102 SL group and 25 patients from the TNX-102 SL - TNX-102 SL group had discontinued the study. | Posted | Mean | Standard Deviation | Scores on a scale | Month 1, 3, 6, 9, 12 |
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| Secondary | Responder Analysis of Patient's Global Impression of Change (PGIC) | PGIC is a fibromyalgia-specific validated instrument to gauge the patient's assessment of change in condition.The scores are categorized as provided below. A responder was defined by a score of 1 (very much improved), or 2 (much improved).
| Patients who took at least 1 dose of study drug prior to study discontinuation were included in the efficacy analysis. Overall, 36 patients from the Placebo - TNX-102 SL group and 25 patients from the TNX-102 SL - TNX-102 SL group had discontinued the study early. Any missing PGIC responses were included in the "scores 3-7" for that visit. | Posted | Count of Participants | Participants | Months 1, 3, 6, 9, 12 |
|
12 months
5% was used as the adverse event reporting cut-off
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo - TNX-102 SL 2.8 mg | These patients received placebo during the lead-in study (F202), followed by 1 x TNX-102 SL 2.8 mg tablet taken daily at bedtime for 12 months during the open-label study. | 0 | 79 | 3 | 79 | 43 | 79 |
| EG001 | TNX-102 SL 2.8mg - TNX-102 SL 2.8 mg | These patients received 1 x TNX-102 SL 2.8 mg tablet taken daily at bedtime during both the lead-in study (F202), as well as the open-label study, for a total treatment duration of up to 15 months. | 0 | 79 | 5 | 79 | 39 | 79 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anxiety | Psychiatric disorders |
| |||
| Intraductal proliferative breast lesion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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| Abdominal hernia | Gastrointestinal disorders |
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| Ankle fracture | Injury, poisoning and procedural complications |
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| Brain stem glioma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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| Pubic fracture | Injury, poisoning and procedural complications |
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| Vertigo | Ear and labyrinth disorders |
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| Malignant melanoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypoaesthesia oral | Gastrointestinal disorders |
| |||
| Sinusitis | Infections and infestations |
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| Fatigue | General disorders |
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| Product taste abnormal | General disorders |
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| Glossodynia | Gastrointestinal disorders |
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| Constipation | Gastrointestinal disorders |
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| Upper respiratory tract infection | Respiratory, thoracic and mediastinal disorders |
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| Somnolence | Nervous system disorders |
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| Paraesthesia | Nervous system disorders |
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An industry standard NDA in place with all study investigators.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gregory M. Sullivan, Chief Medical Officer | Tonix Pharmaceuticals | 212 980 9155 | 117 | greg.sullivan@tonixpharma.com |
| ID | Term |
|---|---|
| D005356 | Fibromyalgia |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C004704 | cyclobenzaprine |
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| >=65 years |
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| Male |
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| Patient with at least 1 SAE |
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| Units | Counts |
|---|---|
| Participants |
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