A Phase 2 Study of RTA 901 (BIIB143) in Participants With Diabetic Peripheral Neuropathic Pain (CYPRESS)

Last updated: June 28, 2024
Sponsor: Reata, a wholly owned subsidiary of Biogen
Overall Status: Active - Recruiting

Phase

2

Condition

Pain

Pain (Pediatric)

Treatment

Placebo

RTA 901-Matching Placebo

RTA 901

Clinical Study ID

NCT05895552
901-C-2102
  • Ages > 18
  • All Genders

Study Summary

This is a 2-part, randomized, placebo-controlled, double-blind, Phase 2 study to evaluate the safety, tolerability, efficacy, and pharmacokinetics (PK) of RTA 901 in qualified participants with Diabetic Peripheral Neuropathic Pain (DPNP). Each study part will be randomized into 3 treatment arms; 2 different doses of RTA 901 and RTA 901-maching placebo. The doses of RTA 901 in Part 2 will be selected based on the Exposure-Response (E-R) analyses of data from Part 1. A total of 384 participants will be randomized in this study. Each part will have 192 participants, with 64 participants randomized 1:1:1 to each treatment arm.

The duration of each part of the study will be approximately 20 weeks, including a Screening period of up to 2 weeks, a Run-in-period of 2 weeks, a Treatment period of 12 weeks, and a Follow-up period of 4 weeks. All participants in Part 1 and Part 2 of the study will follow the same visit and assessment schedule. Eligibility will be assessed during the Screening and Run-in-periods.

Eligibility Criteria

Inclusion

Run-in Inclusion Criteria:

  • Diagnosis of type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) atleast 1 year prior to Screening

  • Clinical diagnosis of DPNP defined as symptomatic distal symmetric polyneuropathy (secondary to diabetes) in the lower extremities, which may include symptoms of painthat is burning, lancinating, tingling, or shooting (electric shock-like). Pain inthe lower extremities may occur with paresthesia or dysesthesia (unpleasantsensations of burning). Neuropathic pain may be accompanied by an exaggeratedresponse to painful stimuli (hyperalgesia) and pain evoked by light touch orcontact, eg, with socks, shoes, and bedclothes (allodynia);

  • NPRS pain intensity score ≥ 4 on an 11-point scale at Screening

  • A score ≥ 2.5 on the Michigan Neuropathy Screening Instrument (MNSI) Part B

Exclusion

Run-in Exclusion Criteria:

  • Has neuropathy from a cause other than T1DM or T2DM

  • Has a condition other than DPNP that could confound the assessment of pain (eg,fibromyalgia or regional pain caused by lumbar or cervical compression);

  • Diabetic foot ulceration or infection within 90 days prior to Screening

  • Prior participation in a study with RTA 901;

NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 384
Treatment Group(s): 3
Primary Treatment: Placebo
Phase: 2
Study Start date:
August 21, 2023
Estimated Completion Date:
August 01, 2026

Study Description

Study Sponsor, originally Reata Pharmaceuticals, Inc., is now Reata Pharmaceuticals, Inc., a wholly owned subsidiary of Biogen.

Connect with a study center

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