Post-herpetic Neuralgia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * At the time of Screening, have documented diagnosis of PHN (ICD-10 code B02.29), defined as pain in the region of the rash persisting for more than 6 months after onset of herpes zoster rash. * Be assessed as suffering from moderate to severe neuropathic pain across the Screening epoch (NRS >= 4). * Patients must have documented past and/or ongoing inadequate treatment response (having insufficient pain relief with treatment or inability to tolerate) to at least 2 different prescribed therapies commonly used to treat and considered effective by the Investigator for the treatment of PHN.
Exclusion criteria
Exclusion criteria: * History or current diagnosis of electrocardiogram (ECG) abnormalities indicating significant risk of safety for patients participating in the study. * Major depressive episode within 6 months prior to Screening and/or a history of diagnosed recurrent major depressive disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) diagnostic criteria. * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant. * Have evidence of significant renal insufficiency or pre-existing liver condition. * Have platelets = 8%. Those who do not have a known diagnosis of diabetes with a hemoglobin A1c > 7%. * Have previously received herpes zoster vaccine. * Patient is unwilling or unable to complete daily e-Diary. Other protocol-defined inclusion/exclusion criteria may apply.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| efficacy Dose-response in change in weekly mean of the 24-hour average pain score, using an 11-point Numeric Rating Scale (NRS), from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] | — |
Secondary
| Measure | Time frame |
|---|---|
| efficacy Change in weekly mean 24-hour average pain score (using the 11 point Numerical Rating Scale) from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] efficacy Change in Brief Pain Inventory-Short Form interference total score from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] efficacy Change in weekly mean of the 24-hour worst pain score, using an 11-point NRS, from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] efficacy Patient Global Impression of Change at Week 12 [ Time Frame: Week 12 ] efficacy Percentage of patients meeting responder criteria from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] efficacy Change in Insomnia Severity Index from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] efficacy Change in Neuropathic Pain Symptom Inventory from Baseline to Week 12 [ Time Frame: Baseline, Week 12 ] pharmacokinetics Pharmacokinetics of EMA401: Tmax [ Time Frame: Week 8, Week 12 ] pharmacokinetics Pharmacokinetics of EMA401: Cmax [ Time Frame: Week 8, Week 12 ] pharmacokinetics Pharmacokinetics of EMA401: AUC [ Time Frame: Week 8, Week 12 ] pharmacokinetics Exposure-response (decrease in pain intensity) [ Time Frame: Week 8, Week 12 ] | — |
Countries
Asia except Japan, Europe, Japan, North America, Oceania