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Esophageal Hypersensitivity Study in Patients With Gastroesophageal Reflux Disease (GERD)

A Phase IIa, Double-blind, Randomized, 2-way Cross-over Study to Evaluate the Effect of a Single Dose of AZD1386 95 mg Compared to Placebo in a Multimodal Experimental Pain Model on Esophageal Sensitivity in GERD Patients With a Partial Response to PPI Treatment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01019928
Enrollment
14
Registered
2009-11-25
Start date
2009-11-30
Completion date
2011-01-31
Last updated
2012-11-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sensitivity in Esophagus

Keywords

GERD, patient, esophagus, pain

Brief summary

The purpose of the study is to compare sensitivity of visceral pain in the esophagus using different pain stimuli.

Interventions

95 mg, oral solution, single dose

DRUGPlacebo to AZD1386

Placebo, oral solution, single dose

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Provision of signed informed consent form * BMI 18.5-35.0, inclusive * Continuous PPI treatment for GERD during the last 4 weeks

Exclusion criteria

* Patients that have not experienced any GERD symptoms improvement at all after PPI treatment * Unstable or clinically significant disorders including cardiovascular, respiratory, renal, hepatic, metabolic, psychiatric, other gastrointestinal and esophageal disorders besides GERD * Prior surgery of the upper GI tract

Design outcomes

Primary

MeasureTime frameDescription
Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 1.5 Hours Post-Dose.1.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Secondary

MeasureTime frameDescription
Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 2.5 Hours Post Dose2.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 0.5 Hours Post Dose0.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Volume change in the bag was recorded continuously at each level of the visual analogue scale (VAS) and up to VAS7 (Volume at Visual Analogue Scale 7). The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 1.5 Hours Post-Dose1.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Volume change in the bag was recorded continuously at each level of the visual analogue scale (VAS) and up to VAS7 (Volume at Visual Analogue Scale 7). The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 2.5 Hours Post-Dose.2.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Volume change in the bag was recorded continuously at each level of the visual analogue scale (VAS) and up to VAS7 (Volume at Visual Analogue Scale 7). The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Current at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation 0.5 Hours Post Dose0.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES) and stimulations were performed at approximately 8 cm above the LES. The intensity of the stimuli is increased steadily in steps of 0.5 to 1 mA and the intensity corresponding to the VAS levels 1, 3, 5 and 7 were recorded. The current will be increased until the patient report moderate pain (VAS 7) or max 80 mA. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Current at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 1.5 Hours Post Dose1.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES) and stimulations were performed at approximately 8 cm above the LES. The intensity of the stimuli is increased steadily in steps of 0.5 to 1 mA and the intensity corresponding to the VAS levels 1, 3, 5 and 7 were recorded. The current will be increased until the patient report moderate pain (VAS 7) or max 80 mA. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Current at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 2.5 Hours Post Dose2.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES) and stimulations were performed at approximately 8 cm above the LES. The intensity of the stimuli is increased steadily in steps of 0.5 to 1 mA and the intensity corresponding to the VAS levels 1, 3, 5 and 7 were recorded. The current will be increased until the patient report moderate pain (VAS 7) or max 80 mA. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
AUCt0 to 4 hours post doseArea under the plasma concentration curve from time zero to the last quantifiable concentration
Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 0.5 Hours Post Dose0.5 hours post doseA probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain
Tmax0 to 4 hours post doseTime of maximum plasma concentration
SBP1.5 hours post doseSupine Systolic Blood Pressure at 1.5 hours post dose
DBP1.5 hours post doseSupine Diastolic Blood Pressure at 1.5 hours post dose
Pulse1.5 hours post doseSupine Pulse at 1.5 hours post dose
QTcF1.5 hours post doseQT interval corrected for heart rate using Fredericia formula(QTcF) at 1.5 hours post dose
Body Temperature1.5 hours post doseOral Body Temperature at 1.5 hours post dose
Clinically Relevant Change of Laboratory VariablesPre-entry to follow-upNumber of participants with clinically relevant change of laboratory variables(clinical chemistry, haematology and urinalysis parameters)
Cmax0 to 4 hours post doseMaximum plasma concentration

Countries

Denmark, Sweden

Participant flow

Recruitment details

A total of 30 patients were enrolled, 16 of these patients were NOT randomized for the following reasons: Voluntary discontinuation by patient = 3 Incorrect enrollment (did not meet inclusion/excl criteria) = 13

Pre-assignment details

14 patients were randomised, 1 patient received placebo in the first treatment period without any events, but had an SAE prior to receiving AZD1386 in the second period and was withdrawn. 13 randomised patients completed the study, but one of these patients was incorrectly enrolled and excluded from the per-protocol analysis set.

Participants by arm

ArmCount
AZD1386 95 mg7
Placebo7
Total14

Baseline characteristics

CharacteristicAZD1386 95 mgPlaceboTotal
Age Continuous
Age (years)
54.9 years
STANDARD_DEVIATION 15
54.7 years
STANDARD_DEVIATION 17.4
54.8 years
STANDARD_DEVIATION 16.2
Sex: Female, Male
Female
5 Participants4 Participants9 Participants
Sex: Female, Male
Male
2 Participants3 Participants5 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
11 / 132 / 14
serious
Total, serious adverse events
0 / 131 / 14

Outcome results

Primary

Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 1.5 Hours Post-Dose.

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 1.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgTime to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 1.5 Hours Post-Dose.84.0 seconds
PlaceboTime to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 1.5 Hours Post-Dose.86.9 seconds
Secondary

AUCt

Area under the plasma concentration curve from time zero to the last quantifiable concentration

Time frame: 0 to 4 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgAUCt5899 nmol*h/L
Secondary

Body Temperature

Oral Body Temperature at 1.5 hours post dose

Time frame: 1.5 hours post dose

ArmMeasureValue (MEAN)Dispersion
AZD1386 95 mgBody Temperature37.2 degrees CelsiusStandard Deviation 0.4
PlaceboBody Temperature36.8 degrees CelsiusStandard Deviation 0.3
Secondary

Clinically Relevant Change of Laboratory Variables

Number of participants with clinically relevant change of laboratory variables(clinical chemistry, haematology and urinalysis parameters)

Time frame: Pre-entry to follow-up

ArmMeasureValue (NUMBER)
AZD1386 95 mgClinically Relevant Change of Laboratory Variables0 Participants
PlaceboClinically Relevant Change of Laboratory Variables0 Participants
Secondary

Cmax

Maximum plasma concentration

Time frame: 0 to 4 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgCmax2361 nmol/L
Secondary

Current at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation 0.5 Hours Post Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES) and stimulations were performed at approximately 8 cm above the LES. The intensity of the stimuli is increased steadily in steps of 0.5 to 1 mA and the intensity corresponding to the VAS levels 1, 3, 5 and 7 were recorded. The current will be increased until the patient report moderate pain (VAS 7) or max 80 mA. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 0.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgCurrent at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation 0.5 Hours Post Dose16.7 mA
PlaceboCurrent at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation 0.5 Hours Post Dose16.7 mA
Secondary

Current at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 1.5 Hours Post Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES) and stimulations were performed at approximately 8 cm above the LES. The intensity of the stimuli is increased steadily in steps of 0.5 to 1 mA and the intensity corresponding to the VAS levels 1, 3, 5 and 7 were recorded. The current will be increased until the patient report moderate pain (VAS 7) or max 80 mA. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 1.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgCurrent at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 1.5 Hours Post Dose16.7 mA
PlaceboCurrent at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 1.5 Hours Post Dose15.8 mA
Secondary

Current at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 2.5 Hours Post Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES) and stimulations were performed at approximately 8 cm above the LES. The intensity of the stimuli is increased steadily in steps of 0.5 to 1 mA and the intensity corresponding to the VAS levels 1, 3, 5 and 7 were recorded. The current will be increased until the patient report moderate pain (VAS 7) or max 80 mA. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 2.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgCurrent at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 2.5 Hours Post Dose16.2 mA
PlaceboCurrent at Visual Analogue Scale 7 (VAS7) During Electrical Stimulation at 2.5 Hours Post Dose14.8 mA
Secondary

DBP

Supine Diastolic Blood Pressure at 1.5 hours post dose

Time frame: 1.5 hours post dose

ArmMeasureValue (MEAN)Dispersion
AZD1386 95 mgDBP81.4 mmHgStandard Deviation 8.1
PlaceboDBP80.0 mmHgStandard Deviation 7.3
Secondary

Pulse

Supine Pulse at 1.5 hours post dose

Time frame: 1.5 hours post dose

ArmMeasureValue (MEAN)Dispersion
AZD1386 95 mgPulse67.8 beats/minStandard Deviation 12.9
PlaceboPulse62.2 beats/minStandard Deviation 9.4
Secondary

QTcF

QT interval corrected for heart rate using Fredericia formula(QTcF) at 1.5 hours post dose

Time frame: 1.5 hours post dose

ArmMeasureValue (MEAN)Dispersion
AZD1386 95 mgQTcF409.6 msStandard Deviation 19
PlaceboQTcF414.3 msStandard Deviation 17.3
Secondary

SBP

Supine Systolic Blood Pressure at 1.5 hours post dose

Time frame: 1.5 hours post dose

ArmMeasureValue (MEAN)Dispersion
AZD1386 95 mgSBP145.8 mmHgStandard Deviation 10.3
PlaceboSBP139.7 mmHgStandard Deviation 12.7
Secondary

Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 0.5 Hours Post Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 0.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgTime to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 0.5 Hours Post Dose86.0 seconds
PlaceboTime to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 0.5 Hours Post Dose87.8 seconds
Secondary

Time to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 2.5 Hours Post Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Heat stimuli were applied by recirculation of heated water in the bag. Prior to recirculation the bag is filled with 7mL to ensure adequate mucosal contact. Water was heated up to a maximum of 63° C and the stimulation was continued until VAS 7 was reached. The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 2.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgTime to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 2.5 Hours Post Dose85.5 seconds
PlaceboTime to Visual Analogue Scale 7 (VAS7) During Thermal Stimulation at 2.5 Hours Post Dose77.0 seconds
Secondary

Tmax

Time of maximum plasma concentration

Time frame: 0 to 4 hours post dose

ArmMeasureValue (MEDIAN)
AZD1386 95 mgTmax1.0 hours
Secondary

Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 0.5 Hours Post Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Volume change in the bag was recorded continuously at each level of the visual analogue scale (VAS) and up to VAS7 (Volume at Visual Analogue Scale 7). The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 0.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgVolume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 0.5 Hours Post Dose16.2 ml
PlaceboVolume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 0.5 Hours Post Dose15.1 ml
Secondary

Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 1.5 Hours Post-Dose

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Volume change in the bag was recorded continuously at each level of the visual analogue scale (VAS) and up to VAS7 (Volume at Visual Analogue Scale 7). The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 1.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgVolume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 1.5 Hours Post-Dose15.0 ml
PlaceboVolume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 1.5 Hours Post-Dose16.7 ml
Secondary

Volume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 2.5 Hours Post-Dose.

A probe (bag) was inserted 7cm above the lower esophageal sphincter (LES). Volume change in the bag was recorded continuously at each level of the visual analogue scale (VAS) and up to VAS7 (Volume at Visual Analogue Scale 7). The intensities of the non-painful sensations were scored with the following descriptors added to facilitate the scoring: 1. = vague perception of mild sensation 2. = definite perception of mild sensation 3. = vague perception of moderate sensation 4. = definite perception of moderate sensation For painful sensations the patients will use the scale from 5-10 anchored at: 5. = pain detection 6. = slight pain 7. = moderate pain 8. = medium pain intensity 9. = intense pain 10. = unbearable pain

Time frame: 2.5 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)
AZD1386 95 mgVolume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 2.5 Hours Post-Dose.15.4 ml
PlaceboVolume at Visual Analogue Scale 7 (VAS7) During Mechanical Stimulation at 2.5 Hours Post-Dose.15.2 ml

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026