Efficacy Of Pregabalin In Subjects With Post-Stroke Central Neuropathic Pain
Study Details
Study Description
Brief Summary
Efficacy and Safety of flexibly dosed pregabalin compared to placebo among subjects with central post stroke pain (CPSP)
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Pregabalin The change from in pain scores from baseline to endpoint among stroke subjects receiving pregabalin will be compared to change in pain scores from baseline to endpoint among stroke subjects receiving matched placebo. |
Drug: Pregabalin
Eligible subjects with post-stroke central pain will be randomized to receive double blinded treatment using pregabalin or matched placebo. The effects of pregabalin as compared to placebo on pain pain symptoms will be compared over the 13 week clinical trial. At baseline following pain ratings and clinical measures, subjects randomized to pregabalin receive instructions to take 75mg twice a day for 7days. The dosing of pregabalin or matching placebo will be titrated over the first 4 weeks (based on tolerability and pain scores). (Range 150-600mg) After the 4th week, the dose of medication will be maintained until week 12 (when tapering of medication begins) Ratings of Pain severity, review of pain/sleep diaries as well as medication tolerance occur bi-weekly throughout the study. Tapering off med occurs from week 12-13.
|
Placebo Comparator: Placebo The change in pain scores from baseline to endpoint will be compared among the two treatment groups- ie subjects receiving 12 weeks of pregabalin treatment vs subjects receiving 12 weeks of placebo treatment. |
Drug: Placebo
Eligible subjects with post-stroke central pain will be randomized to receive double blinded treatment using pregabalin or matched placebo. The effects of pregabalin as compared to placebo on pain pain symptoms will be compared over the 13 week clinical trial. At baseline following pain ratings and clinical measures, subjects randomized to pregabalin receive instructions to take 75mg twice a day for 7days. The dosing of pregabalin or matching placebo will be titrated over the first 4 weeks (based on tolerability and pain scores). (Range 150-600mg) After the 4th week, the dose of medication will be maintained until week 12 (when tapering of medication begins) Ratings of Pain severity, review of pain/sleep diaries as well as medication tolerance occur bi-weekly throughout the study. Tapering off med occurs from week 12-13.
|
Outcome Measures
Primary Outcome Measures
- Mean Pain Score at Endpoint as Measured by Daily Pain Rating Scale (DPRS) [Up to Week 12]
Mean pain score obtained from last 7 available DPRS scores up to and including day of Week 12 visit or early termination (ET) equivalent. DPRS: subject rated 11-point numeric scale ranging from 0 (no pain) to 10 (worst possible pain) during past 24-hour period. Higher score indicates greater level of pain. Self-assessment performed daily on awakening prior to taking study medication.
Secondary Outcome Measures
- Pain Score as Measured by DPRS [Week 1, Week 2, Week 3, Week 6, Week 9, and Week 12]
Weekly mean pain score measured by DPRS: subject rated 11-point numeric scale ranging from 0 (no pain) to 10 (worst possible pain) during past 24-hour period. Higher score indicates greater level of pain. Self-assessment performed daily on awakening prior to taking study medication.
- Number of Subjects With at Least a 30% Reduction From Baseline in Mean Pain Score at Endpoint [Baseline, Week 12]
30% Responder Yes = number of subjects with 30% reduction in mean pain score from baseline to observation; 30% reduction calculated as [(T minus B) divided by B multiplied by 100] < = negative 30. T = endpoint mean pain score (obtained from last 7 available scores from DPRS); B = baseline mean pain score (obtained from average of last 7 daily scores from DPRS). 30% Responder No indicates number of subjects that did not reach 30% reduction in mean pain score.
- Number of Subjects With at Least a 50% Reduction From Baseline in Mean Pain Score at Endpoint [Baseline, Week 12]
50% Responder Yes = number of subjects with 50% reduction in mean pain score from baseline to observation; 50% reduction calculated as [(T minus B) divided by B multiplied by 100] < = negative 50. T = endpoint mean pain score (obtained from last 7 available scores from DPRS); B = baseline mean pain score (obtained from average of last 7 daily scores from DPRS). 50% Responder No indicates number of subjects that did not reach 50% reduction in mean pain score.
- Weekly Mean Sleep Interference Score From Daily Sleep Diary (Daily Sleep Interference Scale [DSIS]) [Week 1, Week 2, Week 3, Week 6, Week 9, and Week 12]
DSIS: subject rated 11-point numeric scale ranging from 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep) during past 24-hour period. Higher score indicates a greater level of sleep disturbance. Self-assessment performed daily on awakening prior to taking study medication. Endpoint calculated as mean of last 7 available scores.
- Short Form-McGill Pain Questionnaire (SF-MPQ Visual Analog Scale [VAS]) - Part B Only [Week 12]
SF-MPQ Part B VAS consists of a line 0 to 100 millimeters (mm) in length; range is (no pain) to 100 mm (worst possible pain). Subjects placed a mark indicating the intensity of their pain. Distance from left-hand end of line was measured and entered on Case Report Form (CRF) as score in mm. Higher score indicates greater level of pain.
- Neuropathic Pain Symptom Inventory (NPSI) [Week 12]
NPSI: subject rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning [superficial] spontaneous pain, pressing [deep] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia [P/D]). Includes 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. Questionnaire generates a score in each of the relevant dimensions and a total score (0 to 100). Higher score indicates a greater intensity of pain.
- Medical Outcome Study (MOS) Sleep Scale [Week 12]
MOS: subject rated questionnaire to assess sleep quality and quantity. Consists of a 9-item overall sleep problems index (length of time to fall asleep, how many hours of sleep each night during past 4 weeks); 7 subscales rated 1 (all the time) to 6 (none of the time): sleep disturbance, snoring, awaken short of breath (SOB) or with a headache, somnolence adequacy, and sleep quantity. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range multiplied by 100); total score range = 0 to 100; higher score indicates greater intensity of attribute.
- Number of Subjects With Yes or No Response for Medical Outcome Study (MOS) Sleep Scale - Optimal Sleep [Week 12]
MOS: subject rated questionnaire to assess sleep quality and quantity. Optimal sleep component is derived from Sleep Quantity average hours of sleep each night during the past 4 weeks. Number of subjects with response = YES if sleep quantity is 7 or 8 hours per night or response = NO if sleep quantity is < 7 hours per night.
- Hospital Anxiety and Depression Scale (HADS) - ITT Population [Week 12]
HADS is subject rated questionnaire with 2 subscales. HADS-A assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); HADS-D assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.
- Euro Quality of Life (EQ-5D)- Health State Profile Utility Score [Week 12]
EQ-5D: subject rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, "confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.
- EQ-5D - VAS [Week 12]
EQ-5D: subject rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state.
- Patient Global Impression of Change (PGIC) [Week 12]
PGIC: subject rated instrument to measure subject's change in overall status on a 7-point scale; range from 1 (very much improved) to 7 (very much worse).
- Clinical Global Impression of Change (CGIC) [Week 12]
CGIC: clinician rated instrument that measures change in a subject's ovall status on a 7-point scale; range from 1 (very much improved) to 7 (very much worse).
- Quantitative Assessment of Neuropathic Pain (QANeP) - Sensory Threshold [Baseline, Week 12]
QANeP: assessment of sensory threshold: subject responds "yes" when monofilament stimulus is felt on area of maximum pain: 1 (lowest/softest 0.07 gram [g]) to 6 (highest 300 g) or 7 (not perceived); rated by lowest/softest filament felt when in contact with the skin. Summarized as change from baseline (mean at observation minus mean at baseline).
- QANeP - Pain Rating Scales [Baseline, Week 12]
Subject rated pain scale: static mechanical allodynia (SMA) gentle constant mechanical pressure; dynamic mechanical allodynia (DMA) gentle stroking with foam brush; punctate hyperalgesia (PH) pinprick; cold allodynia (CA) touch with cool metal rod 13-17° celsius (C); cold hyperalgesia (CH) touch with cold metal rod 4° C; temporal summation to tactile stimuli (TSTS) repeated touching/tapping. 11-point numeric scale; range 0 (no pain) to 10 (worst possible pain). Reference area=mirror image of pain site (test area). Summarized as change from baseline (mean at observation minus mean at baseline).
Eligibility Criteria
Criteria
Inclusion Criteria:
- Positive history of clinical stroke at least 4 months prior to randomization CPSP--3 months prior to screening
Exclusion Criteria:
-
History of dementia or any other severe cognitive impairment
-
Diabetic Peripheral Neuropathy (DPN)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Pfizer Investigational Site | Darlinghurst | New South Wales | Australia | 2010 |
2 | Pfizer Investigational Site | East Gosford | New South Wales | Australia | 2250 |
3 | Pfizer Investigational Site | St Leonards | New South Wales | Australia | 2065 |
4 | Pfizer Investigational Site | Warrawong | New South Wales | Australia | 2502 |
5 | Pfizer Investigational Site | Herston | Queensland | Australia | |
6 | Pfizer Investigational Site | Footscray | Victoria | Australia | 3011 |
7 | Pfizer Investigational Site | Perth | Western Australia | Australia | 6000 |
8 | Pfizer Investigational Site | Beijing | China | 100083 | |
9 | Pfizer Investigational Site | Beijing | China | 100730 | |
10 | Pfizer Investigational Site | Guang Zhou | China | 510180 | |
11 | Pfizer Investigational Site | Shang Hai | China | 200003 | |
12 | Pfizer Investigational Site | Shang Hai | China | 200040 | |
13 | Pfizer Investigational Site | New Territories | Hong Kong | ||
14 | Pfizer Investigational Site | Bangalore | India | 560 034 | |
15 | Pfizer Investigational Site | Bangalore | India | 560 054 | |
16 | Pfizer Investigational Site | Chennai | India | 600 010 | |
17 | Pfizer Investigational Site | Lucknow | India | 226 014 | |
18 | Pfizer Investigational Site | New Delhi | India | 110 002 | |
19 | Pfizer Investigational Site | Jakarta | Indonesia | 10430 | |
20 | Pfizer Investigational Site | Surabaya | Indonesia | 60286 | |
21 | Pfizer Investigational Site | Seoul | Korea, Republic of | 138-736 | |
22 | Pfizer Investigational Site | Kuala Lumpur | Malaysia | 59100 | |
23 | Pfizer Investigational Site | Penang | Malaysia | 11600 | |
24 | Pfizer Investigational Site | Selangor | Malaysia | 68100 | |
25 | Pfizer Investigational Site | Karachi | Sindh | Pakistan | |
26 | Pfizer Investigational Site | Karachi | Pakistan | ||
27 | Pfizer Investigational Site | Manila | Philippines | 1000 | |
28 | Pfizer Investigational Site | Manila | Philippines | 1003 | |
29 | Pfizer Investigational Site | Gueishan Shiang | Taoyuan Hsien | Taiwan | |
30 | Pfizer Investigational Site | Taichung | Taiwan | 407 | |
31 | Pfizer Investigational Site | Taipei | Taiwan | 112 | |
32 | Pfizer Investigational Site | Ratchatewee | Bangkok | Thailand | 10400 |
33 | Pfizer Investigational Site | Bangkok | Thailand | 10400 |
Sponsors and Collaborators
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- A0081063
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | Two-week screening and washout phase prior to randomization. |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Period Title: Assigned to Treatment | ||
STARTED | 111 | 109 |
COMPLETED | 110 | 109 |
NOT COMPLETED | 1 | 0 |
Period Title: Assigned to Treatment | ||
STARTED | 110 | 109 |
COMPLETED | 93 | 90 |
NOT COMPLETED | 17 | 19 |
Baseline Characteristics
Arm/Group Title | Pregabalin | Placebo | Total |
---|---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | Total of all reporting groups |
Overall Participants | 110 | 109 | 219 |
Age (years) [Mean (Standard Deviation) ] | |||
Mean (Standard Deviation) [years] |
59.4
(9.8)
|
57.1
(10.2)
|
58.2
(10.0)
|
Sex: Female, Male (Count of Participants) | |||
Female |
43
39.1%
|
39
35.8%
|
82
37.4%
|
Male |
67
60.9%
|
70
64.2%
|
137
62.6%
|
Outcome Measures
Title | Mean Pain Score at Endpoint as Measured by Daily Pain Rating Scale (DPRS) |
---|---|
Description | Mean pain score obtained from last 7 available DPRS scores up to and including day of Week 12 visit or early termination (ET) equivalent. DPRS: subject rated 11-point numeric scale ranging from 0 (no pain) to 10 (worst possible pain) during past 24-hour period. Higher score indicates greater level of pain. Self-assessment performed daily on awakening prior to taking study medication. |
Time Frame | Up to Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
Intent to Treat (ITT): received at least 1 dose study medication and completed at least 1 post-baseline assessment. Endpoint = Week 12 or ET |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 108 | 108 |
Least Squares Mean (Standard Error) [scores on scale] |
4.8
(0.21)
|
5.0
(0.21)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results: Endpoint Mean Pain Score Pregabalin vs Placebo | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.578 |
Comments | ||
Method | ANCOVA | |
Comments | ANCOVA with treatment and country as factors and baseline pain score as covariate. | |
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.2 | |
Confidence Interval |
() 95% -0.7 to 0.4 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.29 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results: Treatment by country interaction | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.294 |
Comments | Interaction p-value based on adding interaction term to the main model. | |
Method | ANCOVA | |
Comments |
Title | Pain Score as Measured by DPRS |
---|---|
Description | Weekly mean pain score measured by DPRS: subject rated 11-point numeric scale ranging from 0 (no pain) to 10 (worst possible pain) during past 24-hour period. Higher score indicates greater level of pain. Self-assessment performed daily on awakening prior to taking study medication. |
Time Frame | Week 1, Week 2, Week 3, Week 6, Week 9, and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; (n) = number of participants with analyzable data at observation for pregabalin and placebo, respectively; weeks as specified in timeframe through Week 12 [ET] |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 110 | 109 |
Week 1 (n=108, 108) |
5.6
(0.18)
|
6.0
(0.18)
|
Week 2 (n=104, 106) |
5.3
(0.18)
|
5.8
(0.18)
|
Week 3 (n=102, 105) |
5.1
(0.18)
|
5.6
(0.18)
|
Week 6 (n=97, 102) |
4.9
(0.18)
|
5.4
(0.18)
|
Week 9 (n=98, 97) |
4.8
(0.18)
|
5.2
(0.18)
|
Week 12 [ET] (n=92, 92) |
4.7
(0.18)
|
4.9
(0.19)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 1 Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.161 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.3 | |
Confidence Interval |
() 95% -0.8 to 0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 2 Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.062 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.5 | |
Confidence Interval |
() 95% -1.0 to 0.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 3 Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.024 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.6 | |
Confidence Interval |
() 95% -1.1 to -0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 6 Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.026 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.6 | |
Confidence Interval |
() 95% -1.1 to -0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 9 Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.105 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.4 | |
Confidence Interval |
() 95% -0.9 to 0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 12 Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.592 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.1 | |
Confidence Interval |
() 95% -0.6 to 0.4 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Title | Number of Subjects With at Least a 30% Reduction From Baseline in Mean Pain Score at Endpoint |
---|---|
Description | 30% Responder Yes = number of subjects with 30% reduction in mean pain score from baseline to observation; 30% reduction calculated as [(T minus B) divided by B multiplied by 100] < = negative 30. T = endpoint mean pain score (obtained from last 7 available scores from DPRS); B = baseline mean pain score (obtained from average of last 7 daily scores from DPRS). 30% Responder No indicates number of subjects that did not reach 30% reduction in mean pain score. |
Time Frame | Baseline, Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; endpoint = Week 12 or ET |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 108 | 108 |
30% Responders Yes |
48
43.6%
|
35
32.1%
|
30% Responders No |
60
54.5%
|
73
67%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | 30% Responders | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.087 |
Comments | Cochran-Mantel-Haenszel (CMH) test comparing pregabalin to placebo adjusted for country under the null hypothesis of no treatment difference. | |
Method | Cochran-Mantel-Haenszel | |
Comments |
Title | Number of Subjects With at Least a 50% Reduction From Baseline in Mean Pain Score at Endpoint |
---|---|
Description | 50% Responder Yes = number of subjects with 50% reduction in mean pain score from baseline to observation; 50% reduction calculated as [(T minus B) divided by B multiplied by 100] < = negative 50. T = endpoint mean pain score (obtained from last 7 available scores from DPRS); B = baseline mean pain score (obtained from average of last 7 daily scores from DPRS). 50% Responder No indicates number of subjects that did not reach 50% reduction in mean pain score. |
Time Frame | Baseline, Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; endpoint = Week 12 or ET |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 108 | 108 |
50 % Responders Yes |
26
23.6%
|
22
20.2%
|
50 % Responders No |
82
74.5%
|
86
78.9%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | 50% Responders | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.622 |
Comments | Cochran-Mantel-Haenszel (CMH) test comparing pregabalin to placebo adjusted for country under the null hypothesis of no treatment difference. | |
Method | Cochran-Mantel-Haenszel | |
Comments |
Title | Weekly Mean Sleep Interference Score From Daily Sleep Diary (Daily Sleep Interference Scale [DSIS]) |
---|---|
Description | DSIS: subject rated 11-point numeric scale ranging from 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep) during past 24-hour period. Higher score indicates a greater level of sleep disturbance. Self-assessment performed daily on awakening prior to taking study medication. Endpoint calculated as mean of last 7 available scores. |
Time Frame | Week 1, Week 2, Week 3, Week 6, Week 9, and Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; (n) = number of subjects with analyzable data at observation for pregabalin and placebo, respectively; endpoint = Week 12 or ET. |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 110 | 109 |
Week 1 (n=108, 108) |
3.6
(0.17)
|
4.2
(0.17)
|
Week 2 (n=104, 106) |
3.5
(0.17)
|
4.0
(0.17)
|
Week 3 (n=102, 105) |
3.2
(0.17)
|
3.9
(0.17)
|
Week 6 (n=98, 102) |
3.0
(0.17)
|
3.7
(0.17)
|
Week 9 (n=98, 97) |
3.0
(0.17)
|
3.4
(0.17)
|
Week 12 (n=92, 92) |
3.1
(0.18)
|
3.2
(0.18)
|
Endpoint [Week 12 or ET] (n=108, 108) |
3.0
(0.19)
|
3.1
(0.19)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 1; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.027 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.5 | |
Confidence Interval |
() 95% -1.0 to -0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.23 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 2; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.038 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.5 | |
Confidence Interval |
() 95% -1.0 to -0.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.24 |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 3; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.004 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.7 | |
Confidence Interval |
() 95% -1.2 to -0.2 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.24 |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 6; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.005 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.7 | |
Confidence Interval |
() 95% -1.1 to -0.2 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.24 |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 9; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.078 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.4 | |
Confidence Interval |
() 95% -0.9 to 0.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.24 |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 12; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.663 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.1 | |
Confidence Interval |
() 95% -0.6 to 0.4 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.24 |
|
Estimation Comments |
Statistical Analysis 7
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Endpoint [Week 12 or ET]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.627 |
Comments | Estimated from a repeated measures linear mixed model with treatment, week, country and treatment by week interaction as factors and baseline value as a covariate. A compound symmetry covariance structure is specified. | |
Method | Mixed Models Analysis | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.1 | |
Confidence Interval |
() 95% -0.6 to 0.4 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.26 |
|
Estimation Comments |
Title | Short Form-McGill Pain Questionnaire (SF-MPQ Visual Analog Scale [VAS]) - Part B Only |
---|---|
Description | SF-MPQ Part B VAS consists of a line 0 to 100 millimeters (mm) in length; range is (no pain) to 100 mm (worst possible pain). Subjects placed a mark indicating the intensity of their pain. Distance from left-hand end of line was measured and entered on Case Report Form (CRF) as score in mm. Higher score indicates greater level of pain. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 100 | 97 |
Least Squares Mean (Standard Error) [millimeters] |
48.5
(2.19)
|
49.5
(2.23)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.741 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline value as a covariate | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -1.0 | |
Confidence Interval |
() 95% -7.0 to 5.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.05 |
|
Estimation Comments |
Title | Neuropathic Pain Symptom Inventory (NPSI) |
---|---|
Description | NPSI: subject rated questionnaire to evaluate different symptoms of neuropathic pain (dimensions: burning [superficial] spontaneous pain, pressing [deep] spontaneous pain, paroxysmal pain, evoked pain, and paresthesia/dyesthesia [P/D]). Includes 10 descriptors quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable) and 2 temporal items assessing duration of spontaneous ongoing and paroxysmal pain. Questionnaire generates a score in each of the relevant dimensions and a total score (0 to 100). Higher score indicates a greater intensity of pain. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; (N) = number of subjects with analyzable data at observation for pregabalin and placebo, respectively; Week 12/Last observation carried forward (LOCF). |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 110 | 109 |
Burning Pain (n=108, 108) |
2.6
(0.22)
|
2.9
(0.23)
|
Pressing Pain (n=108, 107) |
2.7
(0.18)
|
2.6
(0.19)
|
Paroxysmal Pain (n=108, 108) |
1.9
(0.18)
|
2.1
(0.18)
|
Evoked Pain (n=108, 108) |
2.8
(0.19)
|
3.2
(0.19)
|
P/D (n=108, 108) |
2.7
(0.20)
|
3.1
(0.20)
|
Total Score (n=108, 107) |
25.7
(1.36)
|
28.5
(1.40)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Burning Pain Week 12 [LOCF]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.216 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.4 | |
Confidence Interval |
() 95% -1.0 to 0.2 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.31 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Pressing Pain Week 12 [LOCF]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.760 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 0.1 | |
Confidence Interval |
() 95% -0.4 to 0.6 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.25 |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Paroxysmal Pain Week 12 [LOCF]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.360 |
Comments | Estimated from ANCOVA (general linear model) general linear model with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.2 | |
Confidence Interval |
() 95% -0.7 to 0.3 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.24 |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Evoked Pain Week 12 [LOCF]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.239 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.3 | |
Confidence Interval |
() 95% -0.8 to 0.2 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.26 |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | P/D Week 12 [LOCF]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.118 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.4 | |
Confidence Interval |
() 95% -1.0 to 0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.27 |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Total Score Week 12 [LOCF]; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.138 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -2.8 | |
Confidence Interval |
() 95% -6.5 to 0.9 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 1.87 |
|
Estimation Comments |
Title | Medical Outcome Study (MOS) Sleep Scale |
---|---|
Description | MOS: subject rated questionnaire to assess sleep quality and quantity. Consists of a 9-item overall sleep problems index (length of time to fall asleep, how many hours of sleep each night during past 4 weeks); 7 subscales rated 1 (all the time) to 6 (none of the time): sleep disturbance, snoring, awaken short of breath (SOB) or with a headache, somnolence adequacy, and sleep quantity. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range multiplied by 100); total score range = 0 to 100; higher score indicates greater intensity of attribute. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; (n) = number of subjects with analyzable data at observation for pregabalin and placebo, respectively. |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 110 | 109 |
Sleep disturbance (n=100, 97) |
27.1
(2.00)
|
31.9
(2.05)
|
Snoring score (n=98, 97) |
40.6
(2.68)
|
32.9
(2.75)
|
Awaken SOB or headache (n=99, 97) |
11.3
(1.95)
|
15.0
(1.99)
|
Sleep quantity (100, 97) |
7.0
(0.12)
|
6.6
(0.12)
|
Sleep adequacy (n=99, 97) |
67.5
(2.48)
|
58.9
(2.51)
|
Somnolence (n=99, 97) |
39.9
(1.81)
|
37.8
(1.84)
|
Overall sleep problems index (n=100, 97) |
28.2
(1.53)
|
32.4
(1.57)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Sleep disturbance; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.086 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -4.8 | |
Confidence Interval |
() 95% -10.3 to 0.7 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.79 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Snoring score; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.039 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 7.7 | |
Confidence Interval |
() 95% 0.4 to 15.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.72 |
|
Estimation Comments |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Awaken SOB or headache; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.169 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -3.7 | |
Confidence Interval |
() 95% -9.1 to 1.6 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.71 |
|
Estimation Comments |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Sleep quantity; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.030 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 0.4 | |
Confidence Interval |
() 95% 0.0 to 0.7 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.17 |
|
Estimation Comments |
Statistical Analysis 5
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Sleep adequacy; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.013 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 8.6 | |
Confidence Interval |
() 95% 1.8 to 15.4 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 3.44 |
|
Estimation Comments |
Statistical Analysis 6
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Somnolence; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.399 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 2.1 | |
Confidence Interval |
() 95% -2.8 to 7.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.51 |
|
Estimation Comments |
Statistical Analysis 7
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Overall sleep problems index; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.049 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and the baseline assessment as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -4.2 | |
Confidence Interval |
() 95% -8.4 to -0.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.13 |
|
Estimation Comments |
Title | Number of Subjects With Yes or No Response for Medical Outcome Study (MOS) Sleep Scale - Optimal Sleep |
---|---|
Description | MOS: subject rated questionnaire to assess sleep quality and quantity. Optimal sleep component is derived from Sleep Quantity average hours of sleep each night during the past 4 weeks. Number of subjects with response = YES if sleep quantity is 7 or 8 hours per night or response = NO if sleep quantity is < 7 hours per night. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 100 | 97 |
Optimal sleep = Yes |
51
46.4%
|
42
38.5%
|
Optimal sleep = No |
49
44.5%
|
55
50.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.201 |
Comments | Estimated from a logistic regression model with treatment and the baseline assessment as factors. | |
Method | Regression, Logistic | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 1.5 | |
Confidence Interval |
() 95% 0.8 to 2.9 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.50 |
|
Estimation Comments | Standard error of the mean = standard error of the odds ratio. |
Title | Hospital Anxiety and Depression Scale (HADS) - ITT Population |
---|---|
Description | HADS is subject rated questionnaire with 2 subscales. HADS-A assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); HADS-D assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; Week 12 [LOCF] |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 108 | 108 |
Week 12 [LOCF] Anxiety score |
5.5
(0.29)
|
6.5
(0.30)
|
Week 12 [LOCF] Depression score |
6.7
(0.30)
|
6.5
(0.30)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 12 [LOCF] Anxiety score; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.015 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -1.0 | |
Confidence Interval |
() 95% -1.8 to -0.2 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.40 |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Week 12 [LOCF] Depression score; Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.600 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 0.2 | |
Confidence Interval |
() 95% -0.6 to 1.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.41 |
|
Estimation Comments |
Title | Euro Quality of Life (EQ-5D)- Health State Profile Utility Score |
---|---|
Description | EQ-5D: subject rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, "confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 98 | 97 |
Least Squares Mean (Standard Error) [scores on scale] |
0.5
(0.03)
|
0.5
(0.03)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.566 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 0.0 | |
Confidence Interval |
() 95% -0.1 to 0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.04 |
|
Estimation Comments |
Title | EQ-5D - VAS |
---|---|
Description | EQ-5D: subject rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state. |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 99 | 97 |
Least Squares Mean (Standard Error) [scores on scale] |
65.7
(1.78)
|
62.7
(1.81)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.220 |
Comments | Estimated from ANCOVA (general linear model) with treatment and coutntry as factors and baseline score as a covariate. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | 3.0 | |
Confidence Interval |
() 95% -1.8 to 7.9 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 2.47 |
|
Estimation Comments |
Title | Patient Global Impression of Change (PGIC) |
---|---|
Description | PGIC: subject rated instrument to measure subject's change in overall status on a 7-point scale; range from 1 (very much improved) to 7 (very much worse). |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 99 | 97 |
Least Squares Mean (Standard Error) [scores on scale] |
2.9
(0.10)
|
3.1
(0.10)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.144 |
Comments | Estimated from ANCOVA (general linear model) with treament and country as factors. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.2 | |
Confidence Interval |
() 95% -0.5 to 0.1 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.14 |
|
Estimation Comments |
Title | Clinical Global Impression of Change (CGIC) |
---|---|
Description | CGIC: clinician rated instrument that measures change in a subject's ovall status on a 7-point scale; range from 1 (very much improved) to 7 (very much worse). |
Time Frame | Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 101 | 97 |
Least Squares Mean (Standard Error) [scores on scale] |
2.8
(0.10)
|
3.1
(0.11)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Pregabalin, Placebo |
---|---|---|
Comments | Modelled Results | |
Type of Statistical Test | Superiority or Other (legacy) | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.049 |
Comments | Estimated from ANCOVA (general linear model) with treatment and country as factors. | |
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Final Values) |
Estimated Value | -0.3 | |
Confidence Interval |
() 95% -0.6 to -0.0 |
|
Parameter Dispersion |
Type: Standard Error of the Mean Value: 0.14 |
|
Estimation Comments |
Title | Quantitative Assessment of Neuropathic Pain (QANeP) - Sensory Threshold |
---|---|
Description | QANeP: assessment of sensory threshold: subject responds "yes" when monofilament stimulus is felt on area of maximum pain: 1 (lowest/softest 0.07 gram [g]) to 6 (highest 300 g) or 7 (not perceived); rated by lowest/softest filament felt when in contact with the skin. Summarized as change from baseline (mean at observation minus mean at baseline). |
Time Frame | Baseline, Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; Week 12 [LOCF]. |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 106 | 107 |
Mean (Standard Deviation) [scores on scale] |
0.0
(0.89)
|
-0.1
(0.83)
|
Title | QANeP - Pain Rating Scales |
---|---|
Description | Subject rated pain scale: static mechanical allodynia (SMA) gentle constant mechanical pressure; dynamic mechanical allodynia (DMA) gentle stroking with foam brush; punctate hyperalgesia (PH) pinprick; cold allodynia (CA) touch with cool metal rod 13-17° celsius (C); cold hyperalgesia (CH) touch with cold metal rod 4° C; temporal summation to tactile stimuli (TSTS) repeated touching/tapping. 11-point numeric scale; range 0 (no pain) to 10 (worst possible pain). Reference area=mirror image of pain site (test area). Summarized as change from baseline (mean at observation minus mean at baseline). |
Time Frame | Baseline, Week 12 |
Outcome Measure Data
Analysis Population Description |
---|
ITT; (n) = number of subjects with analyzable data at observation for pregabalin and placebo, respectively; Week 12 [LOCF]. |
Arm/Group Title | Pregabalin | Placebo |
---|---|---|
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. |
Measure Participants | 110 | 109 |
SMA (n=108, 107) |
-0.7
(2.14)
|
-0.5
(1.93)
|
DMA (n=108, 107) |
-0.8
(1.96)
|
-0.6
(1.83)
|
PH reference area (n=108, 107) |
-0.2
(2.60)
|
-0.2
(2.41)
|
PH test area (n=108, 107) |
-0.7
(2.27)
|
-0.0
(2.37)
|
TSTS (n=108, 106) |
-1.0
(2.47)
|
-0.5
(2.25)
|
CA (n=108, 106) |
-1.1
(2.36)
|
-0.3
(1.95)
|
CH reference area (n=107, 107) |
0.0
(2.56)
|
-0.2
(1.74)
|
CH test area (n=107, 106) |
-0.9
(2.47)
|
-0.9
(2.14)
|
Adverse Events
Time Frame | ||||
---|---|---|---|---|
Adverse Event Reporting Description | ||||
Arm/Group Title | Pregabalin | Placebo | ||
Arm/Group Description | 75 milligram (mg) capsule by mouth (PO) twice a day (BID) for 7 days. Pregabalin was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | 75 milligram (mg) capsule PO BID for 7 days. Placebo was titrated over the first 4 weeks based on tolerability and pain scores. Range was 150 mg total daily dose to a maximum of 600 mg total daily dose. Week 1: 150 mg BID for 7 days; Weeks 2 through 4: maintained at previous dose level or dose increased or reduced based on tolerability and pain scores (150 mg or 300 mg or 600 mg total daily dose). After the fourth week, dose was maintained until week 12 when dose was tapered to 75 mg BID. | ||
All Cause Mortality |
||||
Pregabalin | Placebo | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | / (NaN) | / (NaN) | ||
Serious Adverse Events |
||||
Pregabalin | Placebo | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 6/110 (5.5%) | 2/109 (1.8%) | ||
Cardiac disorders | ||||
Acute myocardial infarction | 1/110 (0.9%) | 0/109 (0%) | ||
General disorders | ||||
Local swelling | 1/110 (0.9%) | 0/109 (0%) | ||
Edema peripheral | 1/110 (0.9%) | 0/109 (0%) | ||
Infections and infestations | ||||
Kidney infection | 1/110 (0.9%) | 0/109 (0%) | ||
Pneumonia | 1/110 (0.9%) | 0/109 (0%) | ||
Injury, poisoning and procedural complications | ||||
Fall | 0/110 (0%) | 1/109 (0.9%) | ||
Rib fracture | 0/110 (0%) | 1/109 (0.9%) | ||
Metabolism and nutrition disorders | ||||
Hypoglycemia | 1/110 (0.9%) | 0/109 (0%) | ||
Musculoskeletal and connective tissue disorders | ||||
Musculoskeletal stiffness | 1/110 (0.9%) | 0/109 (0%) | ||
Neck pain | 1/110 (0.9%) | 0/109 (0%) | ||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||
Metastases to spine | 1/110 (0.9%) | 0/109 (0%) | ||
Prostate cancer | 1/110 (0.9%) | 0/109 (0%) | ||
Nervous system disorders | ||||
Convulsion | 0/110 (0%) | 1/109 (0.9%) | ||
Dizziness | 1/110 (0.9%) | 0/109 (0%) | ||
Renal and urinary disorders | ||||
Hydronephrosis | 1/110 (0.9%) | 0/109 (0%) | ||
Other (Not Including Serious) Adverse Events |
||||
Pregabalin | Placebo | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 59/110 (53.6%) | 25/109 (22.9%) | ||
Gastrointestinal disorders | ||||
Diarrhoea | 6/110 (5.5%) | 2/109 (1.8%) | ||
General disorders | ||||
Oedema | 6/110 (5.5%) | 0/109 (0%) | ||
Oedema peripheral | 10/110 (9.1%) | 3/109 (2.8%) | ||
Infections and infestations | ||||
Upper respiratory tract infection | 3/110 (2.7%) | 6/109 (5.5%) | ||
Investigations | ||||
Weight increased | 6/110 (5.5%) | 2/109 (1.8%) | ||
Nervous system disorders | ||||
Dizziness | 31/110 (28.2%) | 8/109 (7.3%) | ||
Headache | 7/110 (6.4%) | 8/109 (7.3%) | ||
Somnolence | 24/110 (21.8%) | 5/109 (4.6%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
Pfizer has the right to review disclosures, requesting a delay of < 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), < 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title | Pfizer ClinicalTrials.gov Call Center |
---|---|
Organization | Pfizer, Inc. |
Phone | 1-800-718-1021 |
ClinicalTrials.govCallCenter@pfizer.com |
- A0081063