| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT03497975 | PRISM Study-Pruritus Relief Through Itch Scratch Modulation | PHASE2 | COMPLETED | 353 | — | — | Aug 7, 2018 | Feb 24, 2023 | Jun 24, 2025 | 70 | United States, Austria +3 |
| NCT02174432 | Open Label Extension Study of Nalbuphine HCl ER in Patients With Prurigo Nodularis | PHASE2 | COMPLETED | 36 | — | — | Aug 15, 2015 | Sep 3, 2017 | May 21, 2025 | 1 | Germany |
| NCT02174419 | Study of Nalbuphine HCl ER Tablets in Patients With Prurigo Nodularis | PHASE2 | COMPLETED | 62 | — | — | Mar 1, 2015 | Aug 1, 2016 | May 21, 2025 | 4 | United States, Germany +1 |
The NRS is a patient related outcome (PRO) instrument, designed to quantify the intensity of worst itching experienced during a 24-hour period, and can be applied and validated either with reference to the average itch or to the absolute worst itch (WI-NRS) over that 24-hour period. WI-NRS is a set of boxes, one for each number, from 0 (no itching) to 10 (worst possible itching). Higher scores indicate worst itching experience. Responder was defined as a participant with a ≥4-point decrease in the 7-day average WI-NRS from baseline to Week 14.
Incidence of adverse events is calculated based on events observed on or after the date of first dose, where incidence is defined as the number of subjects who reported one or more events of a particular adverse event divided by the number of subjects who received at least one dose of investigational product. Overall incidence is the proportion of subjects who had one or more adverse events of any type and nature pertains to the incidence of individual events coded by MedDRA nomenclature. An additional consideration was to evaluate incidence of adverse events by dose achieved but this was not done as subjects achieved a maximum dose during the study that varied and, per protocol, dosing could be modified per the investigator, during the course of this extension to TR03. In addition, TR03EXT involved a dose titration whereas events could have been reported well before a subject achieved some partciular dose level. Consequently, such a presentation would have been impossible to discern.
The number of subjects who reported at least a 30% reduction from baseline to Week 10, expressed as a percentage of subjects in the particular arm/group who were evaluated,
| Arm | Type | Description |
|---|---|---|
| NAL ER | EXPERIMENTAL | During the double-blind (DB) period, participants were titrated over 2 weeks to NAL ER 162 mg, orally, twice daily (BID), followed by 162 mg, orally, BID, for 12 weeks. During the open label extension (OLE) period, participants perceived a titration period of 2 weeks, and continued to receive NAL ER 162 mg, orally, BID, for 38 weeks in total. |
| Placebo | PLACEBO_COMPARATOR | During the DB period, participants perceived a titration period of 2 weeks during which they received placebo to match the active titration period, followed by placebo, orally, BID, for 12 weeks. During the OLE period, participants were titrated over 2 weeks to NAL ER 162 mg, orally, BID, which they received for 38 weeks (including titration). |
| nalbuphine HCl ER | EXPERIMENTAL | nalbuphine HCl ER |
| nalbuphine HCl ER 90mg | EXPERIMENTAL | nalbuphine HCl ER tablets 90 mg BID |
| nalbuphine HCl ER 180 mg | EXPERIMENTAL | nalbuphine HCl ER tablets 180 mg BID |
| Sugar pill | PLACEBO_COMPARATOR | Placebo tablets BID |
| Name | Type | Description |
|---|---|---|
| Nalbuphine ER Tablets | DRUG | Active Nalbuphine ER Tablets |
| Placebo Tablets | DRUG | Placebo matching NAL ER with no active substance |
| nalbuphine HCl ER | DRUG | nalbuphine HCl ER BID for up to 50 weeks |
| nalbuphine HCl ER tablets 90 mg BID | DRUG | nalbuphine HCl ER tablets 90 mg BID administered for 8 weeks |
| nalbuphine HCl ER tablets 180 mg BID | DRUG | nalbuphine HCl ER tablets 180 mg BID administered for 8 weeks |
| Placebo tablets BID | DRUG | Placebo tablets BID administered for 10 weeks |
Inclusion Criteria: * Individuals diagnosed with generalized nodular PN, covering 2 separate body parts, and 10 or more pruriginous nodules * Severe itch due to PN * Age 18 years and older at the time of consent, and a life expectancy of at least 18 months. * Individuals using antidepressants must ...