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Trial · NCT04508621

A Phase 3 Study To Evaluate The Efficacy And Safety Of TNX-102 SL In Patients With Fibromyalgia

NCT04508621, Phase 3, Completed, Tonix Pharmaceuticals, Inc.; results first posted 2022-12-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 3 Study To Evaluate The Efficacy And Safety Of TNX-102 SL In Patients With Fibromyalgia. Trials, record NCT04508621. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04508621

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase 3 Study To Evaluate The Efficacy And Safety Of TNX-102 SL In Patients With Fibromyalgia
NCT number
NCT04508621
Status
Completed
Phases
Phase 3
Enrollment
514 participants, actual
Lead sponsor
Tonix Pharmaceuticals, Inc.
Conditions
Fibromyalgia
Interventions
TNX-102 SL, Placebo SL Tablet
First posted
2020-08-11
Last updated
2023-12-18
Results first posted
2022-12-02
Limitations and caveats
Recruitment during COVID-19 pandemic

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline to Week 14 in the Numerical Rating Scale (NRS) Weekly Average of Daily Self-reported Average Pain Severity Scores.14 weeksPatients provide a daily numeric assessment of their average pain (24-hour recall), via an electronic diary, using an 11-point NRS. Scores range from 0 (no pain) to 10 (worst possible pain).
SecondaryNumber of Patients With a Patient's Global Impression of Change (PGIC) Rating of "Very Much Improved" or "Much Improved"14 weeksThe PGIC is a fibromyalgia specific validated instrument on a scale of 1 to 7, where a score of 1 indicates the highest level of improvement and a score of 7 indicates a much worse outcome.
SecondaryChange From Baseline to Week 14 in the Fibromyalgia Impact Questionnaire - Revised (FIQ-R) Symptoms Domain Score.14 weeksThe FIQ-R is a validated questionnaire. Scores on the symptoms domain range from 0 to 100 where a higher score means worse outcome.
SecondaryChange From Baseline to Week 14 in the FIQ-R Function Domain Score14 weeksThe FIQ-R is a validated questionnaire. Score on the function domain range from 0 to 90 where a higher score means worse outcome.
SecondaryChange From Baseline to Week 14 in the Patient Reported Outcomes Measurement Information System (PROMIS) Score for Sleep Disturbance14 weeksThe PROMIS Sleep disturbance short form 8a consists of 8 questions on a 5-point scale (1 to 5) where a higher score indicates a worse outcome. The total score is reported on a range of 8 to 40.
SecondaryChange From Baseline to Week 14 in the PROMIS Score for Fatigue14 weeksThe PROMIS fatigue short form 8a consist of 8 questions on a 5-point scale (1 to 5) where a higher score indicates a worse outcome. The total score is reported on a range of 8 to 40.
SecondaryChange From Baseline to Week 14 in the Weekly Average of the Daily Diary Assessment of Sleep Quality14 weeks
Patients provide a daily numeric assessment of their sleep quality for the previous night, via an electronic diary, using an 11-point NRS. Scores range from 0 (best possible sleep) to 10 (worst possible sleep).

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline to Week 14 in the Numerical Rating Scale (NRS) Weekly Average of Daily Self-reported Average Pain Severity Scores.14 weeksIntent to treat population (all patients who were randomized). Multiple imputation for missing data.score on a scaleLEAST_SQUARES_MEAN
SECONDARYNumber of Patients With a Patient's Global Impression of Change (PGIC) Rating of Very Much Improved or Much Improved14 weeksIntent to Treat population (all patients who were randomized). Patients with missing data as non-responders.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline to Week 14 in the Fibromyalgia Impact Questionnaire - Revised (FIQ-R) Symptoms Domain Score.14 weeksIntent to Treat population (all patients who were randomized). Multiple imputation for missing data.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 14 in the FIQ-R Function Domain Score14 weeksIntent to Treat population (all patients who were randomized). Multiple imputation for missing data.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 14 in the Patient Reported Outcomes Measurement Information System (PROMIS) Score for Sleep Disturbance14 weeksIntent to Treat population (all patients who were randomized). Multiple imputation for missing data.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 14 in the PROMIS Score for Fatigue14 weeksIntent to Treat population (all patients who were randomized). Multiple imputation for missing data.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 14 in the Weekly Average of the Daily Diary Assessment of Sleep Quality14 weeksIntent to Treat population (all patients who were randomized). Multiple imputation for missing data.score on a scaleLEAST_SQUARES_MEAN

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline to Week 14 in the Numerical Rating Scale (NRS) Weekly Average of Daily Self-reported Average Pain Severity Scores.TNX-102 SL Tablet, 5.6 mg-1.695% Confidence Interval -1.8 to -1.3score on a scale
Change From Baseline to Week 14 in the Numerical Rating Scale (NRS) Weekly Average of Daily Self-reported Average Pain Severity Scores.Placebo SL Tablet-1.395% Confidence Interval -1.5 to -1.1score on a scale
Number of Patients With a Patient's Global Impression of Change (PGIC) Rating of Very Much Improved or Much ImprovedTNX-102 SL Tablet, 5.6 mg76Participants
Number of Patients With a Patient's Global Impression of Change (PGIC) Rating of Very Much Improved or Much ImprovedPlacebo SL Tablet56Participants
Change From Baseline to Week 14 in the Fibromyalgia Impact Questionnaire - Revised (FIQ-R) Symptoms Domain Score.TNX-102 SL Tablet, 5.6 mg-15.395% Confidence Interval -17.6 to -13.1score on a scale
Change From Baseline to Week 14 in the Fibromyalgia Impact Questionnaire - Revised (FIQ-R) Symptoms Domain Score.Placebo SL Tablet-12.095% Confidence Interval -14.2 to -9.8score on a scale
Change From Baseline to Week 14 in the FIQ-R Function Domain ScoreTNX-102 SL Tablet, 5.6 mg-8.895% Confidence Interval -10.9 to -6.7score on a scale
Change From Baseline to Week 14 in the FIQ-R Function Domain ScorePlacebo SL Tablet-8.495% Confidence Interval -10.5 to -6.4score on a scale
Change From Baseline to Week 14 in the Patient Reported Outcomes Measurement Information System (PROMIS) Score for Sleep DisturbanceTNX-102 SL Tablet, 5.6 mg-7.495% Confidence Interval -8.6 to -6.2score on a scale
Change From Baseline to Week 14 in the Patient Reported Outcomes Measurement Information System (PROMIS) Score for Sleep DisturbancePlacebo SL Tablet-5.195% Confidence Interval -6.2 to -4.0score on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTNX-102 SL Tablet, 5.6 mg256
Overall StudySTARTEDPlacebo SL Tablet258
Overall StudyCOMPLETEDTNX-102 SL Tablet, 5.6 mg189
Overall StudyCOMPLETEDPlacebo SL Tablet210
Overall StudyNOT COMPLETEDTNX-102 SL Tablet, 5.6 mg67
Overall StudyNOT COMPLETEDPlacebo SL Tablet48

Adverse events22

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHypoaesthesia oralGastrointestinal disordersTNX-102 SL Tablet, 5.6 mg72256
otherHypoaesthesia oralGastrointestinal disordersPlacebo SL Tablet2258
otherOral discomfortGastrointestinal disordersTNX-102 SL Tablet, 5.6 mg23256
otherOral discomfortGastrointestinal disordersPlacebo SL Tablet2258
otherTongue discomfortGastrointestinal disordersTNX-102 SL Tablet, 5.6 mg16256
otherTongue discomfortGastrointestinal disordersPlacebo SL Tablet2258
otherProduct taste abnormalProduct IssuesTNX-102 SL Tablet, 5.6 mg26256
otherProduct taste abnormalProduct IssuesPlacebo SL Tablet2258
seriousCOVID-19 pneumoniaInfections and infestationsTNX-102 SL Tablet, 5.6 mg1256
seriousCOVID-19 pneumoniaInfections and infestationsPlacebo SL Tablet0258

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTNX-102 SL Tablet, 5.6 mg0256
Total, all-cause mortalityPlacebo SL Tablet0258
Total, other adverse eventsTNX-102 SL Tablet, 5.6 mg80256
Total, other adverse eventsPlacebo SL Tablet5258
Total, serious adverse eventsTNX-102 SL Tablet, 5.6 mg6256
Total, serious adverse eventsPlacebo SL Tablet0258

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
TNX-102 SL Tablet, 5.6 mg vs Placebo SL Tablet: deaths from any causeTrial comparisons
TNX-102 SL Tablet, 5.6 mg vs Placebo SL Tablet: Number of Patients With a Patient's Global Impression of Change (PGIC) Rating of Very Much Improved or Much ImprovedTrial comparisons
TNX-102 SL Tablet, 5.6 mg vs Placebo SL Tablet: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04508621

GET https://conductscience.org/api/trials/v1/NCT04508621/events?page=2