Status:

RECRUITING

A Study of Medical Cannabis Aerosol Via the Fixed-dose Syqe Inhaler as an Add-on Treatment of Diabetic Peripheral Neuropathic Pain (DPNP)

Lead Sponsor:

Syqe Medical

Conditions:

Diabetic Peripheral Neuropathic Pain

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

The primary purpose of this study is to evaluate the efficacy of medical cannabis aerosol containing 0.25, 0.5, 1.0 milligrams (mg) delta (Δ)9-tetrahydrocannabinol (THC) inhaled three times a day (TID...

Detailed Description

This study will assess the efficacy, safety, tolerability, and pharmacokinetics (PK) of medical cannabis aerosol inhaled via the Syqe Inhaler at nominal doses of 0 (placebo), 0.25, 0.5, and 1.0 mg TID...

Eligibility Criteria

Inclusion

  • Able to comprehend and willing to sign the informed consent form (ICF), and willing to abide by the study restrictions.
  • Males and females aged between 18 (included) and 75 (included) years.
  • Agree to use only medical cannabis provided by study team until the end of study (EOS) and not to use any other cannabis or cannabis-containing products.
  • Agree not to participate in other interventional clinical studies during participation in this study.
  • Treated with standard of care for DPNP, either duloxetine or gabapentin or pregabalin as monotherapy or combination of 2.
  • Not current cannabis products users, that is, participants who were previous cannabis products users for any reason but have not used cannabis products within 3 months of the screening visit, or participants who have never used cannabis products, that is, cannabis naïve participants.
  • A diagnosis of DPNP (at screening).
  • Confirmed diagnosis of diabetes mellitus type I or type II with stable disease.
  • Glycated hemoglobin (HbA1c) less than (\<) 9% at screening.
  • Body mass index between 18 and 40 kilograms per square meter (kg/m\^2), inclusive.
  • Have at least 5 out of 7 records of daily average pain intensity recordings in the 7 days prior to randomization.
  • Agree not to drive or operate heavy machinery during the study treatment period.
  • Female participants must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to the administration of study treatment on Day 1or be of non-child-bearing potential as defined in the protocol.
  • Participants of reproductive potential who are sexually active must use effective birth control methods.

Exclusion

  • Evidence of significant uncontrolled concomitant disease that could affect compliance with the protocol at screening or randomization, ability to complete the study, or study assessments.
  • Presence of skin conditions in the affected dermatome at screening or randomization that could interfere with the evaluation of the neuropathic pain condition.
  • Presence of pain not associated with diabetic peripheral neuropathy (DPN) or other neuropathies that may interfere with study assessments.
  • Known history of significant hypersensitivity, intolerance, adverse reaction or allergy to cannabis products, cannabinoids, or acetaminophen/paracetamol.
  • Malignancies in the past 5 years prior to screening, except for cutaneous basal cell or squamous cell carcinoma resolved by excision.
  • Liver disease or liver injury as indicated by abnormal liver function tests at screening.
  • History or presence of impaired renal function at screening
  • Presence of significant pulmonary disease at screening
  • Ongoing respiratory infection at screening.
  • History of acute coronary syndrome; unstable angina; congestive heart failure; cardiogenic syncope; cardiomyopathy; or symptomatic arrhythmia, or current uncontrolled blood pressure.
  • Concomitant clinically significant cardiac arrhythmias, examples, sustained ventricular tachycardia, and second or third degree atrioventricular block without a pacemaker, or any other relevant cardiac disease in the judgment of the investigator.
  • History of clinically significant electrocardiograms (ECG) abnormalities, or any of the following ECG abnormalities at screening or baseline:
  • PR greater than (\>) 200 milliseconds (msec)
  • QRS complex \>120 msec
  • Fridericia QT correction formula (QTcF) greater than (\>) 450 msec
  • History of familial long QT syndrome or known family history of ventricular arrythmia.
  • Acute ischemic changes.
  • History or presence of mental illness evidenced as defined in the protocol.
  • Abnormal neurological condition or abnormal neurological examination at screening in judgment of investigator.

Key Trial Info

Start Date :

November 14 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 8 2025

Estimated Enrollment :

192 Patients enrolled

Trial Details

Trial ID

NCT06490445

Start Date

November 14 2024

End Date

November 8 2025

Last Update

April 18 2025

Active Locations (38)

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Page 1 of 10 (38 locations)

1

Innovate Clinical Research

Waitara, New South Wales, Australia, 2077

2

Western Sydney University NICM Health Research Institute (NICM HRI)

Westmead, New South Wales, Australia, 2145

3

Westmead Hospital

Westmead, New South Wales, Australia, 2145

4

Emeritus Research

Camberwell, Victoria, Australia, 3124