An innovative phase 2 chronic pain master protocol design to assess novel mechanisms in multiple pain types.
Kelly L Knopp, AnnCatherine M Downing, Leslie Anthony...
https://pubmed.ncbi.nlm.nih.gov/39430683/Actively Recruiting
Led by Eli Lilly and Company · Updated on 2026-06-23
10000
Participants Needed
64
Research Sites
N/A
Total Duration
Researchers are conducting a master protocol study to evaluate multiple pain treatments for people experiencing chronic pain conditions such as osteoarthritis of the knee, diabetic neuropathic pain, and chronic low back pain. This study aims to compare different pain interventions by using a flexible design where specific intervention appendices ISAs can begin independently as new treatments become available. The study is sponsored by Eli Lilly and Company and is designed as a phase 2 randomized, placebo-controlled trial. Participants may receive one of several study drugs administered either intravenously or orally, including LY3016859 given through IV and LY3556050, LY3526318, and LY3857210 given orally. Each treatment group is compared to a matching placebo group. The study uses a parallel design where participants are assigned randomly to one of the intervention groups or placebo. The protocol includes disease-state addenda to define target populations and assessment scales for each pain condition. During the trial, participants undergo screening to confirm eligibility based on pain levels, history, and health status. They are monitored for outcomes such as the number of participants allocated to each intervention up to week 8. Researchers assess pain and other health measures while participants maintain consistent use of any ongoing non-drug pain therapies and discontinue other chronic pain medications except for rescue use. The study includes safety monitoring and will continue through April 2027, with results posted for each intervention.
CONDITIONS
A Master Protocol Study (LY900028) of Multiple Intervention-Specific-Appendices (ISAs) in Participants With Chronic Pain
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Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
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Eli Lilly and Company
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational Analgesic ISA | Placebo (Matched) | Guideline-Based Standard Therapy |
|---|---|---|---|
| What it is | Each investigational ISA is a novel analgesic candidate developed by Eli Lilly, administered as an intravenous or oral formulation, studied for chronic pain in knee osteoarthritis, diabetic neuropathic pain, or chronic low-back pain. | The placebo comparator matched the route of the assigned ISA (oral or intravenous) and contained no active analgesic ingredient. | Current guidelines recommend established pharmacologic therapies for chronic pain. These include acetaminophen or NSAIDs for knee osteoarthritis, duloxetine or pregabalin for diabetic neuropathic pain, and NSAIDs or certain antidepressants for chronic low-back pain. |
| Role in trial | Randomized treatment group receiving one of the Eli Lilly investigational analgesics for the target pain condition. | Randomized comparator group receiving an inactive placebo matching administration route. | Not part of the trial randomization; represents current standard pharmacologic treatment for similar patients in routine clinical practice. |
| Primary use | Being studied for pain alleviation in adults with chronic pain due to knee osteoarthritis, diabetic neuropathy, or chronic low-back pain. | Used as a control to compare effects of the new analgesic treatments on pain outcomes. | Used to manage chronic pain symptoms and improve function in patients with knee osteoarthritis, diabetic neuropathic pain, or chronic low-back pain. |
| How it is given or performed | LY3016859 is administered intravenously; LY3556050, LY3526318, and LY3857210 are oral agents. Dosing and frequency are defined per protocol ISA assignment. | Inactive placebo administered via the same route (oral or IV) as the matched investigational ISA. | Standard analgesics typically taken orally. Patients may adjust dosing and frequency according to guideline recommendations and prescriber direction. |
| Evidence status / evidence maturity | Efficacy and safety are under clinical investigation in this phase 2 master protocol study. No published results are available yet for these ISAs. | Outcomes in the placebo group will serve as the comparator for the study's primary efficacy analysis, but published results are not yet available. | Efficacy and safety of first-line pharmacologic therapies (acetaminophen, NSAIDs, duloxetine, pregabalin) are well established through multiple randomized controlled trials and decades of clinical experience. |
| Important limitations | The investigational drugs’ true benefit, risk profile, and long-term safety remain unknown until results from large trials are reported. Parallel ISAs address specific indications, but comparative efficacy between ISAs is not established by this platform. | Placebo does not represent real-world treatment and may fail to capture effects seen with standard pharmacologic management. | Standard pharmacologic treatments may be limited by partial response, adverse effects, or contraindications, and not all patients achieve adequate pain control. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SCREENING
Number of Arms
12
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Kelly L Knopp, AnnCatherine M Downing, Leslie Anthony...
https://pubmed.ncbi.nlm.nih.gov/39430683/Eli Lilly and Company
Lead Sponsor