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LX9211

Phase 2

Diabetic Peripheral Neuropathic Pain | Small molecule | Neurology |Lexicon Pharmaceuticals, Inc.|Last Updated: Feb 13, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment496

FDA Designations

No designations recorded

Clinical trial landscape

LX9211 · 3 trials · 4 indications

Phase 2 3
NCT06203002A Dose-ranging Study in Patients With Diabetic Peripheral Neuropathic Pain (DPNP)Diabetic Peripheral Neuropathic Pain
COMPLETED496 Analytics
NCT04662281Efficacy and Safety of LX9211 in Participants With Postherpetic NeuralgiaPostherpetic Neuralgia
COMPLETED79 Analytics
NCT04455633Efficacy, Safety, and PK of LX9211 in Participants With Diabetic Peripheral Neuropathic PainDiabetic Peripheral Neuropathy
COMPLETED319 Analytics
PHASE2COMPLETED
A Dose-ranging Study in Patients With Diabetic Peripheral Neuropathic Pain (DPNP)
Diabetic Peripheral Neuropathic PainUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of LX9211 in Participants With Postherpetic Neuralgia
Postherpetic NeuralgiaUnlock trial analytics
PHASE2COMPLETED
Efficacy, Safety, and PK of LX9211 in Participants With Diabetic Peripheral Neuropathic Pain
Diabetic Peripheral NeuropathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline to Week 8 in Average Daily Pain Score (ADPS)
Baseline, Week 8

ADPS is based on the 11-point numerical rating scale (NRS) \[0 (no pain) to 10 (worst imaginable pain)\].

Change From Baseline (Week 2 of the Run-in Period) in Average Daily Pain Score (ADPS)
Baseline (Week 2 of the Run-in period) to Week 6

ADPS is based on question 5 of Zoster Brief Pain Inventory (ZBPI) and assessed on an 11-point numerical rating scale where, 0 = No Pain to 10 = pain as bad as you can imagine. Higher ADPS scores indicates a worse outcome. Negative change from baseline indicates no pain.

Change From Baseline to Week 6 in ADPS as Measured by the Numerical Rating Scale
Baseline (Week 2 of the Run-in period) to Week 6

ADPS is based on question 5 of Brief Pain Inventory (BPI)-short form for Diabetic Peripheral Neuropathy (BPI-DPN) and is assessed on an 11-point numerical rating scale. Participants were asked to rate their average pain over the past 24 hours, by answering the question 5 "Please rate your pain due to your diabetes by indicating the one number that best describes your pain on the average." on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Higher ADPS scores indicate higher pain intensity. Negative change from baseline indicates improvement.

Secondary Endpoints

Change from Baseline to Week 8 in Burning Pain
Baseline, Week 8
Change from Baseline to Week 8 in Pain Interference on Sleep
Baseline, Week 8
Patient Global Impression of Change (PGIC) Score at Week 8
Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LX9211 Low DoseEXPERIMENTALLX9211 low dose, orally, once daily during a blinded treatment period.
LX9211 High DoseEXPERIMENTALLX9211 high dose, orally, once daily during a blinded treatment period.
LX9211 High Dose Followed by Low DoseEXPERIMENTALLX9211 high dose followed by LX9211 low dose, orally, once daily during a blinded treatment period.
LX9211 PlaceboPLACEBO_COMPARATORLX9211 matching placebo, orally, once daily during a blinded treatment period.
PlaceboPLACEBO_COMPARATORFollowing a 2-week Single-blind Run-in period, participants will receive a single loading dose of matching-placebo to LX9211 tablet, orally, on Day 1 and maintenance doses, orally, once daily from Day 2 to Week 6.
LX9211EXPERIMENTALFollowing a 2-week Single-blind Run-in period, participants will receive a single loading dose of 200 milligrams (mg) tablet, orally, on Day 1 and maintenance doses of 20 mg, orally, once daily from Day 2 to Week 6.
LX9211 100 mg/10 mgEXPERIMENTALFollowing a 2-week run-in period, participants were randomized to receive a single loading dose of LX9211, 100 milligrams (mg), tablet, orally, on Day 1, followed by maintenance doses of LX9211 10 mg tablets, orally, QD from Day 2 up to Week 6. Following completion of the 6-week treatment, all participants were followed for safety and received single oral tablet of LX9211 matching placebo, QD, for 5 weeks during safety follow-up.
LX9211 200 mg/20 mgEXPERIMENTALFollowing a 2-week run-in period, participants were randomized to receive a single loading dose of LX9211, 200 mg orally on Day 1, followed by maintenance doses of LX9211, 20 mg, orally, QD from Day 2 up to Week 6. Following completion of the 6-week treatment, all participants were followed for safety and received single oral tablet of LX9211 matching placebo, QD, for 5 weeks during safety follow-up.

Interventions

NameTypeDescription
Placebo (blinded)DRUGLX9211 matching placebo tablets
LX9211 (blinded)DRUGLX9211 (blinded) tablets
PlaceboDRUGLX9211 matching-placebo, tablets will be administered orally.
LX9211DRUGLX9211 tablets will be administered orally.
LX9211 Matching PlaceboDRUGOral Tablets
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites108

Inclusion Criteria: 1. Participant has given written informed consent to participate in the study in accordance with local regulations 2. Adult male and female participants ≥18 years of age at the Screening Visit 3. Body mass index ≥18.0 to ≤40.0 kilogram per meter square (kg/m\^2) at Screening 4. ...

Countries:United StatesCzechiaPoland
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Frequently asked questions about LX9211

What is LX9211 used for?

LX9211 is an investigational small molecule being developed for diabetic peripheral neuropathic pain, diabetic peripheral neuropathy, and postherpetic neuralgia. It has been studied in Phase 2 clinical trials for these neuropathic pain conditions.

Who makes LX9211?

LX9211 is being developed by Lexicon Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol LXRX.

What phase is LX9211 in?

LX9211 is in Phase 2 clinical development. It has completed three Phase 2 trials, including studies in diabetic peripheral neuropathic pain and postherpetic neuralgia. It is not approved by the FDA and remains investigational.

What clinical trials is LX9211 in?

LX9211 has completed three Phase 2 trials: NCT04455633 in diabetic peripheral neuropathic pain with 319 participants, NCT04662281 in postherpetic neuralgia with 79 participants, and NCT06203002, a dose-ranging study in diabetic peripheral neuropathic pain with 496 participants.

Is LX9211 the same as any other drug?

No alternative names for LX9211 have been identified. It is known only by its developmental code name LX9211.