Rapid Onset of Pain Relief with Crisugabalin in Patients with Diabetic Peripheral Neuropathic Pain: Findings from a Multicenter, Randomized, Double-Blind, Controlled Study

Abstract Introduction This study aims to evaluate the efficacy and safety of Crisugabalin in patients with diabetic peripheral neuropathic pain (DPNP), with a focus on its rapid onset of action. Methods All the analyses in this study were based on data from a phase 2/3 adaptive randomized clinical t...

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Main Authors: Tianrong Pan, Jianhua Ma, Yukun Li, Kailiang Wang, Chengxia Jiang, Yawei Zhang, Jie Liu, Ruiqin Du, Wei Zhang, Fang Bian, Fang Zhang, Lijun Wang, Shuguang Pang, Tao Ning, Bangqiong Wang, Ya Li, Xiaohong Wu, Keqin Zhang, Xulei Tang, Honglin Hu, Xin Sun, Ping Li, Zhifeng Cheng, Jia Sun, Jing Yang, Yanjun Wang, Jialin Gao, Hong Mao, Fangqiong Li, Qin Huang, Yaming Li, Zhixin Peng, Xiaohui Guo
Format: Article
Language:English
Published: Adis, Springer Healthcare 2025-05-01
Series:Pain and Therapy
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Online Access:https://doi.org/10.1007/s40122-025-00745-3
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Summary:Abstract Introduction This study aims to evaluate the efficacy and safety of Crisugabalin in patients with diabetic peripheral neuropathic pain (DPNP), with a focus on its rapid onset of action. Methods All the analyses in this study were based on data from a phase 2/3 adaptive randomized clinical trial that enrolled 596 patients. Participants were categorized into four treatment groups according to the intervention received: Crisugabalin 40 mg/day, Crisugabalin 80 mg/day, placebo, and Pregabalin 300 mg/day. The primary endpoint was the change in the average daily pain score (ADPS) over a 13-week treatment period. Secondary endpoints included changes in the Numeric Rating Scale (NRS) and the daily sleep interference score (DSIS) during the first two weeks of treatment. Results Both Crisugabalin treatment groups (40 mg/day and 80 mg/day) demonstrated statistically significant reductions in ADPS compared to the placebo group starting from week 1 and continuing through week 13 (P < 0.05). Significant differences in pain relief for the Pregabalin group were observed only from week 6. Improvements in NRS and DSIS scores were also noted in both Crisugabalin groups, with statistically significant enhancements evident as early as day 2 of administration. Safety assessments indicated that Crisugabalin was well-tolerated, with a low incidence of serious adverse events and no significant increase in dropout rates among participants. Conclusion The findings suggest that Crisugabalin offers effective pain relief with an acceptable safety profile, highlighting its rapid onset in patients with DPNP. Clinical Trial Registration Clinical trial registration number derived from our parent project, we have retained the original registration identifier: NCT04647773.
ISSN:2193-8237
2193-651X