Diabetes complications

Efficacy and Safety of LX9211 for Relief of Diabetic Peripheral Neuropathic Pain (RELIEF-DPN 1): Results of a Double-Blind, Randomized, Placebo-Controlled, Proof-of-Concept Study

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

These preliminary findings of improvement in DPNP with LX9211 support further investigation in larger trials.

Study context

Population
Individuals with diabetic peripheral neuropathic pain (DPNP)randomized 1:1:1
Participants
319 individuals
Comparison
LX9211 10 mg or 20 mg once daily vs placebo for 6 weeks
  • LX9211 10 mgn = 106
  • LX9211 20 mgn = 106
  • Placebon = 107reference
Primary endpoint
Change from baseline in average daily pain score (11-point numerical rating scale)
Follow-up
Week 6
Methodological detailsdouble-blind, multicenter, proof-of-concept, placebo-controlled
  • Double-blind
  • Multicenter
  • Proof-of-concept
  • Placebo-controlled

Primary result

As reported in the abstract

Change in average daily pain score

LX9211 10 mg

−1.39

points

LX9211 20 mg

−1.27

points

Placebo

−0.72

points

Each group vs placeboEstimate (95% CI)P value
LX9211 10 mgSE 0.249; primary end point achieved
least squares mean difference −0.67(−1.16 to −0.18)
P = 0.007
LX9211 20 mgSE 0.254; did not reach prespecified statistical significance
LS mean difference −0.55(−1.06 to −0.05)
P = 0.030

Secondary outcomes

Onset of treatment benefit

Treatment benefit observed beginning at week 1 and maintained thereafter

Patient-reported secondary outcomes

LX9211 improved several patient-reported secondary outcomes

Safety

Premature discontinuation of study drug due to AEs

OutcomeLX9211 10 mgLX9211 20 mgPlacebo
Serious AEsSerious AEs were uncommon0 events1.9%0.9%

Most common adverse events (AEs)

Most common AEs were dizziness, nausea and headache

Original publication

Efficacy and Safety of LX9211 for Relief of Diabetic Peripheral Neuropathic Pain (RELIEF-DPN 1): Results of a Double-Blind, Randomized, Placebo-Controlled, Proof-of-Concept Study. Diabetes Care. Published 19 June 2024. doi:10.2337/dc24-0188

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