Safety and Efficacy Study on AFA-281 for the Treatment of Low Back Pain

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-70
SponsorAfasci Inc

About this trial

The goal of this clinical trial is to evaluate if the drug candidate AFA-281 works to treat chronic low back and leg pain caused by painful lumbosacral radiculopathy (PLSR) in adults. This trial will also evaluate the safety of AFA-281. The main questions it aims to answer are:

* Does AFA-281 mitigate pain? * What are the side effects (if any)? Researchers will compare AFA-281 to a placebo (a look-alike substance that contains no drug) to see if AFA-281 works to treat chronic low back and leg pain.

Participants will:

* Take drug AFA-281 or a placebo three times every day for 4 weeks * Visit the clinic once every 2 weeks for checkups and tests * Keep a diary of their pain scores and about mood and sleep questionnaires, and the number of times they use a rescue pain medicines.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signed informed consent form (ICF) indicating that the subject has been informed of the procedures to be followed, the experimental nature of the therapy, potential benefits, side effects, risks, and discomforts

Men or nonpregnant, non-breastfeeding women 18 to 65 years of age who can read and understand written and spoken local language

Clinical diagnosis of CLBP due to LSR in a dermatomal pattern (L4, L5, or S1) that has been present for at least 3 months at the time of screening.

MRI imaging is done within 12 months before screening that does not provide evidence of exclusionary pathology (see

Disqualifiers

Willing to discontinue current pain medications from 2 weeks before randomization until the end of the clinical study (treatment).

Numeric rating scale (NRS) ≥4 and ≤9 at screening based on the Patient's Global Impression of Severity (PGI-S)

Neuropathic pain due to other causes rather than LSR (e.g. painful diabetic neuropathy, other neuropathy, spinal abscess, infection, hematoma or malignancy; phantom limb pain)

Has a history of peripheral neuropathy (e.g., due to diabetes, alcohol consumption, other causes, or idiopathic) or evidence of peripheral neuropathy upon neurological examination

Trial design

Design model

Parallel

Treatments tested in this trial

  • AFA-281

    Drug

    A small molecule, orally available

Treatment groups

408 Participants
are divided into 4 treatment groups
Group A: Low doseActive comparator 1 intervention
Group B: Mid DoseActive comparator 1 intervention
Group C: High DoseActive comparator 1 intervention
Group D: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Numeric Pain Rating Scale

On a scale of 0 to 10, with 0 being no pain at all and 10 being the worst pain imaginable

Time frame
2 weeks baseline and 4 weeks of treatment, and 2 weeks after the end of treatment
2

Safety- Number of Participants with Treatment-Related Adverse Events (AEs)

AEs will be assessed by CTCAE v5.0.

Time frame
Baseline (2 weeks) and 4 weeks of the treatment, and 4 weeks of followup

Secondary outcomes

1

Tmax

Blood samples collected and analyzed for Tmax

Time frame
Predose and Day 28
2

Cmax

Blood samples collected and analyzed for Cmax

Time frame
Predose and Day 28
3

Half life

Blood samples collected and analyzed for half life

Time frame
Predose and Day 28
4

AUC

Blood samples collected and analyzed for AUC

Time frame
Predose and Day 28

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

This trial is not recruiting at the moment. You can still explore other options: