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Efficacy and Safety of ETX-018810 in Subjects With Lumbosacral Radicular Pain

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

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04778592
Enrollment
149
Registered
2021-03-03
Start date
2021-01-19
Completion date
2022-05-25
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

Lumbosacral Radiculopathy

Brief summary

Efficacy and Safety of ETX 018810 in Subjects with Lumbosacral Radicular Pain

Detailed description

A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of ETX 018810 in Subjects with Lumbosacral Radicular Pain

Interventions

Study Drug

DRUGPlacebo

Placebo

Sponsors

Eliem Therapeutics (UK) Ltd.
Lead SponsorINDUSTRY

Study design

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

Intervention model description

Placebo Controlled

Eligibility

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

Inclusion criteria

* The subject has pain consistent with a diagnosis of chronic lumbosacral radiculopathy due to injury of the lumbosacral nerve root(s) * The subject reports at least moderate pain intensity at screening. * The subject's onset of leg pain due to LSRP is at least 3 months * The subject has a magnetic resonance imaging (MRI) scan that is normal or shows incidental lesions * The subject has a calculated creatinine clearance ≥30 mL/min * The subject has clinical laboratory values within normal limits or abnormal values that the investigator deems not clinically significant. * body mass index (BMI) \<40 kg/m2.

Exclusion criteria

* The subject has previously undergone back surgery * The subject is unable to reliably delineate or assess pain by anatomical location/distribution on a body map. * The subject has a history of peripheral neuropathy, evidence of peripheral neuropathy, or evidence of mononeuropathy in the same limb of LSRP. * The subject has pain due to infection/abscess, hematoma, or malignancy or other pain that may interfere with the assessment of LSRP in the legs. * The subject has clinically significant and/or unstable renal, hepatic, hematologic, endocrine, immunologic, inflammatory/rheumatologic, respiratory, or cardiovascular disease that would compromise participation in the study * The subject has any neurological disease that could interfere with participation in the study (e.g., Huntington's disease, Parkinson's disease, Alzheimer's disease, multiple sclerosis, seizures, epilepsy, stroke). * The subject has a history or current diagnosis of major psychiatric disorder(s) * The subject has a has a history of substance abuse or dependence * The subject has clinically significant abnormal electrocardiogram (ECG) findings * The subject has received nerve blocks and/or steroid injections for LSRP within the 3 months before screening * The subject is unwilling or unable to discontinue current medications for LSRP, including topical agents. * The subject is unable to refrain from using prohibited meds during the study, including: NSAID, antiepileptic drugs, steroids, cannabinoids, or major opioids, antidepressants, muscle relaxants, tramadol, or tapentadol. * The subject has used prohibited nonpharmacologic therapies, including acupuncture, transcutaneous electrical nerve stimulation, within 30 days the study. * The subject is currently participating in another or the same clinical study or participated in another clinical study within 3 months before screening * The subject is pregnant or lactating or not practicing adequate birth control

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).
Change From Baseline to Week 4 for Worst PainBaseline and Week 4The Brief Pain Inventory (BPI) includes a 'worst pain' severity scale. Subjects rate their worst pain in the last 24 hours on a scale from 0 (no pain) to 10 (pain as bad as you can imagine).
Number of Subjects With a PGI-C Response (Defined as Much Improved or Very Much Improved) at Week 4Week 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 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 ≥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 BPI - Interference Scale From Baseline to Week 4Baseline to Week 4The Brief Pain Inventory (BPI) interference score 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 Brief Pain Inventory (BPI) pain score is a composite of 4 items assessing pain severity (worst, least, average and right now). Subjects rate their pain in the 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 RMDQ From Baseline to Week 4Baseline to Week 4The modified Roland-Morris Disability Questionnaire (RMDQ) is a self-administered, 24-question physical disability measurement assessment that evaluates the effect of back pain on functioning. Each question requires a yes or no answer; 1 point is scored for each positive response. The total scores are determined on a scale of 0 (no disability) to 24 (severe disability).
Change in the Daily Amount of Acetaminophen Use From Baseline to Week 4Treatment period: 4 weeksThe daily amount of acetaminophen (rescue medication) 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 described 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). The subjects were to record the value that most closely corresponded to their sleep interference over the last 24 hours in the eDiary once daily, in the morning (when the first dose of investigational medication is taken), during the baseline and 4-week treatment periods.

Countries

United States

Participant flow

Participants by arm

ArmCount
ETX-018810
Drug: ETX-018810 bid ETX-018810: Study Drug
74
Placebo
Matching Placebo bid Placebo: Placebo
74
Total148

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event12
Overall StudyWithdrawal by Subject12

Baseline characteristics

CharacteristicPlaceboTotalETX-018810
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
13 Participants30 Participants17 Participants
Age, Categorical
Between 18 and 65 years
61 Participants118 Participants57 Participants
Age, Continuous53.8 years
STANDARD_DEVIATION 10.67
54.8 years
STANDARD_DEVIATION 11.51
55.8 years
STANDARD_DEVIATION 12.29
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Black or African American
14 Participants30 Participants16 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants3 Participants2 Participants
Race (NIH/OMB)
White
55 Participants111 Participants56 Participants
Region of Enrollment
United States
74 participants148 participants74 participants
Sex: Female, Male
Female
36 Participants82 Participants46 Participants
Sex: Female, Male
Male
38 Participants66 Participants28 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 740 / 74
other
Total, other adverse events
11 / 7415 / 74
serious
Total, serious adverse events
0 / 741 / 74

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; 73 subjects in both the ETX-018810 and Placebo groups. All subjects in this population were included in the statistical analysis comparing the groups. However, the descriptive statistics for Week 4 only include those subjects who had measurements at Baseline and Week 4 (72 and 70 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)-1.49 units on a scaleStandard Deviation 1.735
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)-1.65 units on a scaleStandard Deviation 1.76
p-value: 0.454995% CI: [-0.36, 0.79]Mixed Models Analysis
Secondary

Change From Baseline to Week 4 for Worst Pain

The Brief Pain Inventory (BPI) includes a 'worst pain' severity scale. Subjects rate their worst pain in the last 24 hours on a scale from 0 (no pain) to 10 (pain as bad as you can imagine).

Time frame: Baseline and Week 4

Population: The ITT population included all randomized subjects who received at least one dose of study treatment; 74 subjects in both the ETX-018810 and Placebo groups. Not all subjects had a BPI assessment at Week 4.

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change From Baseline to Week 4 for Worst Pain-1.73 score on a scaleStandard Deviation 2.206
PlaceboChange From Baseline to Week 4 for Worst Pain-1.74 score on a scaleStandard Deviation 1.861
Secondary

Change in BPI - Interference Scale From Baseline to Week 4

The Brief Pain Inventory (BPI) interference score 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; 74 subjects in both the ETX-018810 and Placebo groups. Not all subjects had a BPI assessment at Week 4.

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change in BPI - Interference Scale From Baseline to Week 4-1.68 score on a scaleStandard Deviation 1.967
PlaceboChange in BPI - Interference Scale From Baseline to Week 4-1.94 score on a scaleStandard Deviation 1.954
Secondary

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

The Brief Pain Inventory (BPI) pain score is a composite of 4 items assessing pain severity (worst, least, average and right now). Subjects rate their pain in the 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; 74 subjects in both the ETX-018810 and Placebo groups. Not all subjects had a BPI assessment at Week 4.

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change in the BPI - Pain Scale From Baseline to Week 4-1.70 score on a scaleStandard Deviation 1.974
PlaceboChange in the BPI - Pain Scale From Baseline to Week 4-1.57 score on a scaleStandard Deviation 1.588
Secondary

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

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

Time frame: Treatment period: 4 weeks

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; 73 subjects in both the ETX-018810 and Placebo groups. Three subjects were excluded due to implausible records in the subject's diary.

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 RMDQ From Baseline to Week 4

The modified Roland-Morris Disability Questionnaire (RMDQ) is a self-administered, 24-question physical disability measurement assessment that evaluates the effect of back pain on functioning. Each question requires a yes or no answer; 1 point is scored for each positive response. The total scores are determined on a scale of 0 (no disability) to 24 (severe disability).

Time frame: Baseline to Week 4

Population: The ITT population included all randomized subjects who received at least one dose of study treatment; 74 subjects in both the ETX-018810 and Placebo groups. Not all subjects had a RMDQ assessment at Week 4.

ArmMeasureValue (MEAN)Dispersion
ETX-018810Change in the RMDQ From Baseline to Week 4-2.10 score on a scaleStandard Deviation 3.637
PlaceboChange in the RMDQ From Baseline to Week 4-2.31 score on a scaleStandard Deviation 4.367
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; 73 subjects in both the ETX-018810 and Placebo groups. 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 1-0.66 score on a scaleStandard Deviation 1.079
ETX-018810Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 2-1.04 score on a scaleStandard Deviation 1.479
ETX-018810Change in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 3-1.28 score on a scaleStandard Deviation 1.575
PlaceboChange in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 1-0.85 score on a scaleStandard Deviation 0.994
PlaceboChange in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 2-1.15 score on a scaleStandard Deviation 1.429
PlaceboChange in the Weekly Average of the Daily Pain Score From Baseline to Weeks 1, 2, and 3Week 3-1.49 score on a scaleStandard Deviation 1.606
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 described 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). The subjects were to record the value that most closely corresponded to their sleep interference over the last 24 hours in the eDiary once daily, in the morning (when the first dose of investigational medication is taken), during the baseline and 4-week treatment periods.

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; 73 subjects in both the ETX-018810 and Placebo groups. 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 1-0.87 score on a scaleStandard Deviation 1.279
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 2-1.14 score on a scaleStandard Deviation 1.576
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 3-1.41 score on a scaleStandard Deviation 1.697
ETX-018810Change in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 4-1.59 score on a scaleStandard Deviation 1.676
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 4-1.53 score on a scaleStandard Deviation 1.706
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 1-0.81 score on a scaleStandard Deviation 1.114
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 3-1.51 score on a scaleStandard Deviation 1.52
PlaceboChange in the Weekly Average of the Daily Sleep Score on the DSIS From Baseline to Weeks 1, 2, 3, and 4Week 2-1.18 score on a scaleStandard Deviation 1.366
Secondary

Number of Subjects With ≥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; 73 subjects in both the ETX-018810 and Placebo groups. Not all subjects had assessments at each week.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ETX-018810Number of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 14 Participants
ETX-018810Number of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 29 Participants
ETX-018810Number of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 312 Participants
ETX-018810Number of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 414 Participants
PlaceboNumber of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 417 Participants
PlaceboNumber of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 13 Participants
PlaceboNumber of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 317 Participants
PlaceboNumber of Subjects With ≥50% Reduction From Baseline to Weeks 1, 2, 3,and 4 in the Weekly Average of the Daily Pain ScoreWeek 28 Participants
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; 73 subjects in both the ETX-018810 and Placebo groups. 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 19 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 218 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 322 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 428 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 429 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 117 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 328 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 219 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; 74 subjects in both the ETX-018810 and Placebo groups. 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 421 Participants
PlaceboNumber of Subjects With a CGI-C Response (Defined as Much Improved or Very Much Improved) at Week 424 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; 74 subjects in both the ETX-018810 and Placebo groups. Not all subjects 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 423 Participants
PlaceboNumber of Subjects With a PGI-C Response (Defined as Much Improved or Very Much Improved) at Week 425 Participants

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