About this trial
This research is being done to study a possible treatment for refractory pain due to small fiber neuropathy (SFN).
ST-503 is intended to deliver a modified copy of the gene which will ideally repress Nav1.7 tissue-related pain signals reaching the brain, which should reduce the refractory pain due to small fiber neuropathy (SFN).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnostic characterization of Small Fiber Neuropathy (SFN) according to the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities and Networks (ACTTION) criteria.
Medical record documentation that pain is refractory to 2 of 3 categories of first line medical therapy for at ≥ 6 months prior to screening.
Serum sample negative for pre-existing anti-AAV9 antibodies determined by assay detection limit
Disqualifiers
Persons using opioid analgesics for under 3 months or persons who are not on a stable dose of opioids; if on a stable dose, the dose may decrease over the course of the study but should not be increased.
History of known alcohol abuse, opioid analgesic abuse, or illicit drug abuse within 2 years of Screening.
Positive urine test for drugs of abuse (including opiates, benzodiazepines, amphetamines, cocaine, barbiturates, and phencyclidine) without prescription and investigator approval, at Screening and Day -1.
Use of cannabinoids is not permitted.
Trial design
Parallel
Treatments tested in this trial
ST-503
GeneticGenomic Medicine
Sham (No Treatment)
Procedure/SurgerySham Procedure
Treatment groups
Trial outcomes
Primary outcomes
Incidence and severity of treatment emergent adverse events (TEAEs)
To assess safety and tolerability of ST-503 over a 12-week post-dosing observation period.
Secondary outcomes
Percentage of subjects with pain intensity reduction from baseline at Week 12
* 30% in the weekly average of daily pain intensity measurements performed using the PI-NRS * 50% in the weekly average of daily pain intensity measurements performed using the PI-NRS * Dose of rescue medication use * Frequency of rescue medication use
Percentage of subjects at Week 12
* Categorized as improved on the patient global impression of change (PGIC) assessment * With a ≥ 1-point improvement in suicidal ideation in Columbia Suicide Severity Rating Scale (C-SSRS) responses
Columbia Suicide Severity Rating Scale (CSSRS) Rating
With a ≥ 1-point decline in suicidal ideation in Columbia Suicide Severity Rating Scale (CSSRS) responses
Overall Pain Intensity Numerical Rating Scale (PI-NRS) score
Participants will rate their pain intensity using an 11-point Numerical Rating Scale (0=no pain and 10=worst possible pain) and record their score in an electronic diary.
Sponsors and contacts
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