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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02504008
Registration number
NCT02504008
Ethics application status
Date submitted
20/07/2015
Date registered
21/07/2015
Date last updated
23/03/2018
Titles & IDs
Public title
CREATE-1: A Study to Assess the Efficacy and Safety of AXS-02 in Patients With CRPS-1
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Scientific title
CREATE-1 Study: CRPS Treatment Evaluation 1 Study. A Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy and Safety of AXS-02 (Oral Zoledronate) Administered Orally to Subjects With Complex Regional Pain Syndrome Type I (CRPS-I)
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Secondary ID [1]
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AXS02-301
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Universal Trial Number (UTN)
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Trial acronym
CREATE-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Complex Regional Pain Syndrome
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Reflex Sympathetic Dystrophy
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Condition category
Condition code
Neurological
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Other neurological disorders
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AXS-02 (oral zoledronate)
Treatment: Drugs - Placebo
Experimental: AXS-02 (oral zoledronate) - Administered orally in the morning on Days 1, 8, 15, 22, 29, and 36
Placebo comparator: Placebo - Administered orally in the morning on Day 1, 8, 15, 22, 29, and 36
Treatment: Drugs: AXS-02 (oral zoledronate)
Once weekly for 6 weeks
Treatment: Drugs: Placebo
Once weekly for 6 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in patient reported pain intensity
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Assessment method [1]
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Patient reported pain intensity is recorded as an average daily pain intensity using an 11-point scale (0 = no pain to 10 = worst pain possible).
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Timepoint [1]
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Baseline to Week 12
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Secondary outcome [1]
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Change in Brief Pain Inventory (BPI) Pain Score
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Assessment method [1]
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The BPI is a nine-question survey completed by the patient that assesses quality of life and health status. BPI scores range from 0 to 10, with higher values indicating greater pain.
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Timepoint [1]
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Baseline to Week 12
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Secondary outcome [2]
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Patients' Global Impression of Change (PGI-C)
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Assessment method [2]
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The PGI-C is a patient/patient's caregiver rated scale to assess the patients overall treatment response. PGI-C is a 7-point (1-7) scale rated as; very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse.
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Timepoint [2]
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Baseline to Week 12
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Secondary outcome [3]
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Clinicians' Global Impression of Change (CGI-C)
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Assessment method [3]
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The CGI-C is an investigator-rated scale to assess the overall treatment response. CGI-C is a 7-point (1-7) scale rated as; very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse.
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Timepoint [3]
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Baseline to Week 12
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Secondary outcome [4]
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Change in EuroQOL 5-dimensions questionnaire (EQ-5D)
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Assessment method [4]
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The EQ-5D descriptive system comprised the following 5 dimensions: mobility, self care, usual activities, pain/discomfort, and anxiety/depression. Each dimension is rated by the patient at one of 5 levels, with level 1 indicating the best health state (no problems) and level 5 indicating worst health state (e.g., unable to walk about).
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Timepoint [4]
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Baseline to Week 12
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Secondary outcome [5]
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Change in Short-Form McGill Pain Questionnaire (SF-MPQ-2)
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Assessment method [5]
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The SF-MPQ-2 measures both neuropathic and nonneuropathic pain. It contains a total of 22 descriptors, which are rated on an intensity scale of 0 = None, to 10 = Worst Possible.
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Timepoint [5]
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Baseline to Week 12
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Secondary outcome [6]
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Change in bone turnover markers
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Assessment method [6]
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Bone turnover is measured from 2 biomarkers collected from peripheral blood samples: serum carboxy terminal telopeptide of collagen type I (CTX) and serum procollagen type I N terminal propeptide (s-P1NP).
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Timepoint [6]
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Baseline to Week 52
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Eligibility
Key inclusion criteria
Key
* Male or female of at least 18 years of age
* Recently confirmed diagnosis of CRPS-1 (Budapest criteria)
* Average pain intensity score of = 5 (based on an 11-point scale [0 - 10])
* Willing and able to provide written informed consent
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Received chronic opioid therapy within 4 weeks
* Received a sympathetic nerve block within 3 weeks
* Active litigation or a pending workers' compensation decision
* Any other clinically significant medical or pain condition (eg, Parkinson's disease, cognitive impairment, or fibromyalgia) or clinical laboratory abnormality that would in the investigator's judgment interfere with the subject's ability to participate in the study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/01/2019
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Actual
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Sample size
Target
190
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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- Broadmeadow
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Recruitment hospital [2]
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- Hurstville
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Recruitment hospital [3]
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- Noosa Heads
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Recruitment hospital [4]
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- Welland
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Recruitment hospital [5]
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- Clayton
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Recruitment hospital [6]
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- Nedlands
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Recruitment postcode(s) [1]
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- Broadmeadow
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Recruitment postcode(s) [2]
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- Hurstville
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Recruitment postcode(s) [3]
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- Noosa Heads
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Recruitment postcode(s) [4]
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- Welland
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Recruitment postcode(s) [5]
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- Clayton
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Recruitment postcode(s) [6]
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- Nedlands
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Recruitment outside Australia
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United States of America
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Arizona
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Arkansas
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California
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Colorado
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Illinois
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Quebec
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Cheshire
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County Durham
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London
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Norfolk
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Tyne And Wear
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United Kingdom
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Glasgow
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Axsome Therapeutics, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a randomized, double-blind, placebo-controlled, 24-week study to evaluate the efficacy and safety of AXS-02 in patients with CRPS-I.
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Trial website
https://clinicaltrials.gov/study/NCT02504008
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02504008
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