Skip to content

Efficacy and Safety of ETX-018810 for the Treatment of Diabetic Peripheral Neuropathic Pain

A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Parallel-Group Study to Evaluate the Efficacy and Safety of ETX 018810 in Subjects With Diabetic Peripheral Neuropathic Pain

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04688671
Enrollment
167
Registered
2020-12-30
Start date
2020-11-09
Completion date
2022-02-18
Last updated
2023-11-07

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

Conditions

Diabetic Peripheral Neuropathic Pain, Diabetic Peripheral Neuropathy

Brief summary

A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Parallel-Group Study to Evaluate the Efficacy and Safety of ETX 018810 in Subjects with Diabetic Peripheral Neuropathic Pain.

Detailed description

ETX-018810 is a new chemical entity that is under development as a non-opioid treatment for chronic pain syndromes. ETX-018810 is a prodrug of palmitoylethanolamide (PEA), an endogenous bioactive lipid that has shown efficacy in a broad range of nonclinical inflammatory and neuropathic pain models and in clinical trials in chronic pain indications, including diabetic peripheral neuropathic pain (DPNP).

Interventions

Study Drug

DRUGPlacebo

Matching Placebo

Sponsors

Eliem Therapeutics (UK) Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Masking description

Double-Blind

Intervention model description

Placebo-Controlled, Parallel-Group

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* The subject is ≥18 and ≤75 years of age at the time of signing ICF. * The subject has a diagnosis of type 1 or 2 diabetes mellitus. * The subject has diabetic neuropathy of a symmetrical nature in the lower extremities for ≥6 months to ≤10 years * The subject reports at least moderate pain intensity * The subject's onset of neuropathic pain is at least 3 months before the screening visit. * The subject has used a stable regimen of antidiabetic agents for at least 1 month before the baseline visit or has achieved adequate glycemic control through diet and exercise. * The subject has clinical laboratory values within normal limits or abnormal values that the investigator deems not clinically significant. * Sexually active male subjects with female partners of childbearing potential and sexually active female subjects of childbearing potential must agree to practice effective contraception or to remain abstinent during the study and for 4 weeks after the last dose of investigational product * The subject is capable of giving signed informed consent and agrees to provide authorization for use and release of health records.

Exclusion criteria

* The subject has pain that cannot be clearly differentiated from or that could interfere with the assessment of DPNP. * The subject has neurologic and/or circulatory disorders that are unrelated to diabetic neuropathy * The subject has a history of hypoglycemia that disturbed consciousness or ketoacidosis that required hospitalization within the 3 months before screening. * The subject has clinically significant and/or unstable renal, hepatic, hematologic, immunologic, inflammatory/rheumatologic, respiratory, or cardiovascular disease that would compromise participation in the study in the judgment of the investigator. * The subject has any neurological disease that could interfere with participation in the study (eg, Huntington's disease, Parkinson's disease, Alzheimer's disease, multiple sclerosis, seizures, epilepsy, stroke). * The subject has an amputation of a lower extremity. Toe amputation is allowed. * The subject has clinically significant abnormal electrocardiogram (ECG) findings at screening or baseline. * The subject is likely to require major surgery during the study. * The subject is pregnant or lactating. * The subject is unwilling or unable to discontinue current medications for neuropathic pain, including topical agents. * The subject is unable to refrain from using nonsteroidal anti-inflammatory drugs (NSAIDs); antiepileptic drugs, steroids, cannabinoids, or major opioids, muscle relaxants, tramadol, or tapentadol throughout the study. * The subject has used prohibited nonpharmacologic therapies, including acupuncture, transcutaneous electrical nerve stimulation, etc, within 30 days before baseline/Day 1 or anticipates use of such therapies during the study.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Week 4 in the Weekly Average of the Daily Pain Score as Derived From the Subject's Responses on the Pain Intensity Numerical Rating Scale (PI-NRS)baseline to Week 4Change from baseline in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).

Secondary

MeasureTime frameDescription
Number of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreBaseline to Weeks 1, 2, 3 and 4Change in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).
Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Baseline to Weeks 1, 2 and 3Change in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).
Number of Subjects With a CGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4Week 4The Clinical Global Impression - Change (CGI-C) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to the baseline state at the beginning of the intervention. The rater selects one response based on the following question, Compared to your patient's condition at the beginning of treatment, how much has your patient changed? Scores are as follows: 1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; and 7 = very much worse.
Number of Subjects With a PGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4.Week 4The Patient Global Impression - Change (PGI-C) is the patient-reported counterpoint to the CGI C (Guy, 1976). The qualitative assessment of meaningful change is determined by the patient in response to the question, Compared to your condition at the beginning of treatment, how much has your condition changed? Scores are as follows: 1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; and 7 = very much worse.
Number of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreBaseline to Weeks 1, 2, 3 and 4Change in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).
Change in the BPI - Interference Scale From Baseline to Week 4Baseline to Week 4The BPI Interference scale measures how much pain has interfered with seven daily activities scored on a scale from 0 (does not interfere) to 10 (completely interferes). It is scored as the mean of the seven interference items.
Change in the BPI-Pain Scale From Baseline to Week 4Baseline to Week 4The BPI pain scale is a composite of 4 items assessing pain severity (worst, least, average, and right now). Subjects rate their pain in last 24 hours on a scale from 0 (no pain) to 10 (pain as bad as you can imagine). It is scored as the mean of the four pain items.
Change in the Daily Amount of Acetaminophen Use From Baseline to Week 4Baseline to week 4The daily amount of acetaminophen (rescue medication) that was used (mg per day).
Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Baseline to Weeks 1, 2, 3 and 4The Daily Sleep Interference Scale (DSIS) is an 11-point response scale that quantifies sleep interference due to pain. It is a single-item measure that is completed once daily, upon awakening, to accurately capture variability in sleep interference due to pain on a daily basis, thus minimizing recall bias. Patients are asked to select the number that best describes how much their pain has interfered with their sleep during the last 24 hours on a scale from 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep).

Countries

United States

Participant flow

Participants by arm

ArmCount
ETX-018810
ETX-018810: Study Drug
83
Placebo
Placebo: Matching Placebo
84
Total167

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event31
Overall StudyLack of Efficacy11
Overall StudyLost to Follow-up01
Overall StudyProtocol Violation10
Overall StudyWithdrawal by Subject31

Baseline characteristics

CharacteristicETX-018810PlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
26 Participants29 Participants55 Participants
Age, Categorical
Between 18 and 65 years
57 Participants55 Participants112 Participants
Age, Continuous60.4 years
STANDARD_DEVIATION 9.33
60.3 years
STANDARD_DEVIATION 9.87
60.4 years
STANDARD_DEVIATION 9.57
Body Mass Index (BMI)31.9 kg/m^2
STANDARD_DEVIATION 4.33
30.9 kg/m^2
STANDARD_DEVIATION 4.77
31.4 kg/m^2
STANDARD_DEVIATION 4.57
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants4 Participants6 Participants
Race (NIH/OMB)
Black or African American
10 Participants13 Participants23 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants1 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Race (NIH/OMB)
White
70 Participants65 Participants135 Participants
Region of Enrollment
United States
83 participants84 participants167 participants
Sex: Female, Male
Female
25 Participants34 Participants59 Participants
Sex: Female, Male
Male
58 Participants50 Participants108 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 830 / 84
other
Total, other adverse events
22 / 8311 / 84
serious
Total, serious adverse events
1 / 830 / 84

Outcome results

Primary

Change From Baseline to Week 4 in the Weekly Average of the Daily Pain Score as Derived From the Subject's Responses on the Pain Intensity Numerical Rating Scale (PI-NRS)

Change from baseline in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).

Time frame: baseline to Week 4

Population: The modified ITT population included all randomized subjects who received at least one dose of study treatment and had at least four post-baseline PI-NRS measurements; 78 and 81 subjects for the ETX-018810 and Placebo groups, respectively. All subjects in this population were included in the statistical analysis comparing the groups. However, the descriptive summary for Week 4 only included those subjects who had measurements at Baseline and Week 4 (74 and 78 subjects, respectively).

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change From Baseline to Week 4 in the Weekly Average of the Daily Pain Score as Derived From the Subject's Responses on the Pain Intensity Numerical Rating Scale (PI-NRS)-1.79 score on a scaleStandard Deviation 2.099
PlaceboChange From Baseline to Week 4 in the Weekly Average of the Daily Pain Score as Derived From the Subject's Responses on the Pain Intensity Numerical Rating Scale (PI-NRS)-1.91 score on a scaleStandard Deviation 1.781
p-value: 0.560590% CI: [-0.32, 0.68]Mixed Models Analysis
Secondary

Change in the BPI - Interference Scale From Baseline to Week 4

The BPI Interference scale measures how much pain has interfered with seven daily activities scored on a scale from 0 (does not interfere) to 10 (completely interferes). It is scored as the mean of the seven interference items.

Time frame: Baseline to Week 4

Population: The ITT population included all randomized subjects who received at least one dose of study treatment; 83 and 84 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had a BPI assessment.

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change in the BPI - Interference Scale From Baseline to Week 4-1.60 score on a scaleStandard Deviation 2.142
PlaceboChange in the BPI - Interference Scale From Baseline to Week 4-1.78 score on a scaleStandard Deviation 2.202
Secondary

Change in the BPI-Pain Scale From Baseline to Week 4

The BPI pain scale is a composite of 4 items assessing pain severity (worst, least, average, and right now). Subjects rate their pain in last 24 hours on a scale from 0 (no pain) to 10 (pain as bad as you can imagine). It is scored as the mean of the four pain items.

Time frame: Baseline to Week 4

Population: The ITT population included all randomized subjects who received at least one dose of study treatment; 83 and 84 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had a BPI assessment.

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change in the BPI-Pain Scale From Baseline to Week 4-1.39 score on a scaleStandard Deviation 1.833
PlaceboChange in the BPI-Pain Scale From Baseline to Week 4-1.78 score on a scaleStandard Deviation 1.809
Secondary

Change in the Daily Amount of Acetaminophen Use From Baseline to Week 4

The daily amount of acetaminophen (rescue medication) that was used (mg per day).

Time frame: Baseline to week 4

Population: The modified ITT population included all randomized subjects who received at least one dose of study treatment and had at least four post-baseline PI-NRS measurements; 78 and 81 subjects for the ETX-018810 and Placebo groups, respectively.

ArmMeasureValue (MEDIAN)
ETX-018810Change in the Daily Amount of Acetaminophen Use From Baseline to Week 40 mg per day
PlaceboChange in the Daily Amount of Acetaminophen Use From Baseline to Week 40 mg per day
Secondary

Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3

Change in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).

Time frame: Baseline to Weeks 1, 2 and 3

Population: The modified ITT population included all randomized subjects who received at least one dose of study treatment and had at least four post-baseline PI-NRS measurements; 78 and 81 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had assessments at each week.

ArmMeasureGroupValue (MEAN)Dispersion
ETX-018810Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 1-0.67 score on a scaleStandard Deviation 1.294
ETX-018810Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 3-1.60 score on a scaleStandard Deviation 1.945
ETX-018810Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 2-1.39 score on a scaleStandard Deviation 1.879
PlaceboChange in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 1-0.51 score on a scaleStandard Deviation 1.009
PlaceboChange in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 2-1.16 score on a scaleStandard Deviation 1.42
PlaceboChange in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 3-1.56 score on a scaleStandard Deviation 1.682
Secondary

Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4

The Daily Sleep Interference Scale (DSIS) is an 11-point response scale that quantifies sleep interference due to pain. It is a single-item measure that is completed once daily, upon awakening, to accurately capture variability in sleep interference due to pain on a daily basis, thus minimizing recall bias. Patients are asked to select the number that best describes how much their pain has interfered with their sleep during the last 24 hours on a scale from 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep).

Time frame: Baseline to Weeks 1, 2, 3 and 4

Population: The modified ITT population included all randomized subjects who received at least one dose of study treatment and had at least four post-baseline PI-NRS measurements; 78 and 81 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had assessments at each week.

ArmMeasureGroupValue (MEAN)Dispersion
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 2-1.36 score on a scaleStandard Deviation 1.967
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 4-1.70 score on a scaleStandard Deviation 2.144
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 3-1.65 score on a scaleStandard Deviation 2.087
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 1-0.86 score on a scaleStandard Deviation 1.554
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 3-1.73 score on a scaleStandard Deviation 1.72
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 1-0.67 score on a scaleStandard Deviation 1.133
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 4-1.95 score on a scaleStandard Deviation 1.9
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 2-1.34 score on a scaleStandard Deviation 1.48
Secondary

Number of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain Score

Change in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).

Time frame: Baseline to Weeks 1, 2, 3 and 4

Population: The modified ITT population included all randomized subjects who received at least one dose of study treatment and had at least four post-baseline PI-NRS measurements; 78 and 81 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had assessments at each week.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ETX-018810Number of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 111 Participants
ETX-018810Number of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 221 Participants
ETX-018810Number of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 426 Participants
ETX-018810Number of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 325 Participants
PlaceboNumber of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 442 Participants
PlaceboNumber of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 19 Participants
PlaceboNumber of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 226 Participants
PlaceboNumber of Subjects With a ≥30% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 338 Participants
Secondary

Number of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain Score

Change in the weekly average of the daily pain score as derived from the subject's responses on the Pain Intensity Numerical Rating Scale (PI-NRS) a 10 point scale from 0 being the least (No Pain) to 10 being the most (Worst Possible Pain).

Time frame: Baseline to Weeks 1, 2, 3 and 4

Population: The modified ITT population included all randomized subjects who received at least one dose of study treatment and had at least four post-baseline PI-NRS measurements; 78 and 81 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had assessments at each week.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ETX-018810Number of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 15 Participants
ETX-018810Number of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 416 Participants
ETX-018810Number of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 316 Participants
ETX-018810Number of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 215 Participants
PlaceboNumber of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 318 Participants
PlaceboNumber of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 425 Participants
PlaceboNumber of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 27 Participants
PlaceboNumber of Subjects With a ≥50% Reduction From Baseline to Weeks 1, 2, 3, and 4 in the Weekly Average of the Daily Pain ScoreWeek 11 Participants
Secondary

Number of Subjects With a CGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4

The Clinical Global Impression - Change (CGI-C) is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to the baseline state at the beginning of the intervention. The rater selects one response based on the following question, Compared to your patient's condition at the beginning of treatment, how much has your patient changed? Scores are as follows: 1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; and 7 = very much worse.

Time frame: Week 4

Population: The ITT population included all randomized subjects who received at least one dose of study treatment; 83 and 84 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects had a CGI-C assessment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETX-018810Number of Subjects With a CGI-C Response (Defined as Much Improved or Very Much Improved) at Week 426 Participants
PlaceboNumber of Subjects With a CGI-C Response (Defined as Much Improved or Very Much Improved) at Week 434 Participants
Secondary

Number of Subjects With a PGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4.

The Patient Global Impression - Change (PGI-C) is the patient-reported counterpoint to the CGI C (Guy, 1976). The qualitative assessment of meaningful change is determined by the patient in response to the question, Compared to your condition at the beginning of treatment, how much has your condition changed? Scores are as follows: 1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; and 7 = very much worse.

Time frame: Week 4

Population: The ITT population included all randomized subjects who received at least one dose of study treatment; 83 and 84 subjects for the ETX-018810 and Placebo groups, respectively. Not all subjects in the population had a PGI-C assessment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ETX-018810Number of Subjects With a PGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4.27 Participants
PlaceboNumber of Subjects With a PGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4.37 Participants

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