Simulated Driving Performance, Daytime Sedation and Cognition in Healthy Volunteers Taking Gralise, Neurontin or Lyrica

Sponsor
Depomed (Industry)
Overall Status
Completed
CT.gov ID
NCT03179345
Collaborator
(none)
32
4
1.9

Study Details

Study Description

Brief Summary

Phase 4, double-blind, placebo-controlled, four treatment, four sequence crossover study comparing simulated driving performance, daytime sedation and cognition in healthy volunteers administered therapeutic doses of Gralise® (Treatment A), Neurontin® (Treatment B), Lyrica® (Treatment C) and placebo (Treatment D). All doses were administered under fed conditions.

Condition or Disease Intervention/Treatment Phase
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
32 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Primary Purpose:
Other
Official Title:
A Phase 4, Double-Blind, Placebo-Controlled, Crossover Study Comparing Simulated Driving Performance, Daytime Sedation, and Cognition in Healthy Volunteers Taking Therapeutic Doses of Gralise®, Neurontin®, or Lyrica®
Actual Study Start Date :
Sep 24, 2015
Actual Primary Completion Date :
Nov 20, 2015
Actual Study Completion Date :
Nov 20, 2015

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Gralise® (gabapentin)

Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule.

Drug: Gabapentin
Other Names:
  • Gralise®, Neurontin®
  • Active Comparator: Neurontin® (gabapentin)

    Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®.

    Drug: Gabapentin
    Other Names:
  • Gralise®, Neurontin®
  • Active Comparator: Lyrica® (pregabalin)

    Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®.

    Drug: Pregabalin
    Other Names:
  • Lyrica®
  • Placebo Comparator: Placebo (sugar pill)

    Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®.

    Other: Placebo
    Other Names:
  • Sugar Pill
  • Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline in the "Standard Deviation of the Lateral Position" (SDLP) Measured on the Driving Simulator Between Gralise® and Neurontin® [Baseline and Hour 3 on Day 3]

      SDLP (feet): This is a measurement of change from maintaining the normal driving position in the lane over time and / or distance.

    Secondary Outcome Measures

    1. Change From Baseline in the "Standard Deviation of the Lateral Position" (SDLP) Measured on the Driving Simulator Between Gralise® and Lyrica® [Baseline and Hour 3 on Day 3]

      SDLP (feet): This is a measurement of change from maintaining the normal driving position in the lane over time and / or distance.

    2. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - Detection Task (DET) [Baseline and Hour 3 on Day 3]

      Cogstate - Detection Task (DET) is a simple reaction time test of Psychomotor Function. Higher change from baseline means better performance.

    3. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - Groton Maze Learning Test (GMLT). [Baseline and Hour 3 on Day 3]

      Cogstate - The Groton Maze Learning test is a measure Executive Function. Total number of errors made while attempting to learn the same hidden pathway across the consecutive learning trials performed at a single assessment. Lower score means better performance. Higher change from baseline means better performance.

    4. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - Identification Task (IDN). [Baseline and Hour 3 on Day 3]

      Cogstate - Identification Task (IDN) assesses Attention. Score is speed of performance (mean of the log10 transformed reaction times for correct responses). Lower score (quicker speed) is better performance. Higher change from baseline means better performance.

    5. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - International Shopping List Test (ISL) [Baseline and Hour 3 on Day 3]

      Cogstate - International Shopping List (ISL) test is a measure of verbal learning and uses a well-validated list-learning paradigm. Total number of correct responses remembering the word list on three consecutive trials at a single assessment. Higher score is better performance. Higher change from baseline means better performance.

    6. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - One Card Learning (OCLT). [Baseline and Hour 3 on Day 3]

      Cogstate - The One Card Learning Test (OCLT) is a measure of visual learning and uses a well-validated pattern separation paradigm with playing card stimuli. Higher Score is better performance. Higher change from baseline means better performance.

    7. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Sedation Evaluation - Karolinska Sleepiness Scale (KSS). [Baseline and Hour 3 on Day 3]

      Scale: 1-9, 1=extremely alert, 9 = very sleepy, great effort to keep awake, fighting sleep

    8. Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Sedation Evaluation - Portland Neurotoxicity Scale (PNS). [Baseline and Hour 3 on Day 3]

      Portland Neurotoxicity Scale (PNS) comprises 15 questions measured on a 10-point scale. [1=No problem, 2, 3, 4, 5=Often a problem, 6, 7, 8, 9, 10=Severe problem] in 16 categories. Each question was analyzed and is presented in the same way as the primary endpoints.

    9. Change From Baseline Between Gralise® and Neurontin® in the Driving Simulator - Standard Deviation of Vehicle Speed (SDVS). [Baseline and Hour 3 on Day 3]

      Miles per Hour (mph)

    10. Change From Baseline Between Gralise® and Lyrica® in the Driving Simulator - Standard Deviation of Vehicle Speed (SDVS). [Baseline and Hour 3 on Day 3]

      Miles per Hour (mph)

    11. To Compare the Relative Safety and Tolerability of Gralise®, Neurontin®, and Lyrica®. [Screening to 1 week after Period 4 discharge]

      Number of subjects with Treatment-Emergent Adverse Events (TEAE) Number of subjects with Serious Adverse Event (SAE) Number of subjects discontinued due to Adverse Event (AE)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    40 Years to 80 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Between 40 and 80 years of age, inclusive.

    • Body weight > 50 kg and BMI between 18 and 32 kg/m2, inclusive.

    • Able to give informed consent.

    • Licensed, experienced driver who had driven at least 3 times a week for the past 3 years and had visual acuity adequate for driving, as assessed by the investigator or designee.

    • Able to complete a 1 hour simulated driving test and demonstrate satisfactory driving skills, as determined by the investigator or designee.

    • Karolinska Sleep Scale (KSS) score of <=5.

    • Other criteria apply.

    Exclusion Criteria:
    • Known history of allergic reaction, hypersensitivity or clinically significant intolerance to gabapentin, pregabalin or any pharmaceutical materials, or any of the ingredients in the protocol-specified meals.

    • Pregnant or lactating or considered at risk of pregnancy.

    • Any medical condition or any laboratory abnormality or ECG abnormality that would, in the opinion of the investigator, contraindicate study participation.

    • Impaired liver function (e.g., alanine aminotransferase [ALT] ≥2 times the upper limit of normal [ULN] or bilirubin ≥2 times ULN), known active hepatic disease (e.g., hepatitis), or evidence of clinically significant liver disease or other condition affecting the liver that may suggest the potential for an increased susceptibility to hepatic toxicity with oral gabapentin or pregabalin exposure.

    • Any history of renal disease that, in the opinion of the investigator, would contraindicate study participation; or subject had significantly impaired renal function as evidenced by an estimated GFR of ≤ 80 ml/min/1.73m2.

    • History or evidence of a sleep disorder, including sleep apnea (obstructive, central or mixed), narcolepsy or primary insomnia.

    • Other criteria apply.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Depomed

    Investigators

    • Study Director: Head of R&D, Depomed

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Depomed
    ClinicalTrials.gov Identifier:
    NCT03179345
    Other Study ID Numbers:
    • GRAL-PX-8401
    First Posted:
    Jun 7, 2017
    Last Update Posted:
    Jun 1, 2020
    Last Verified:
    Apr 1, 2020
    Keywords provided by Depomed
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail A total of 32 healthy subjects enrolled in this crossover study. Each subject was randomly assigned to 1 out of 4 treatment sequences. Abbreviations: Gral = Gralise®; Neur = Neurontin®; Lyr = Lyrica®; Plbo = Placebo.
    Arm/Group Title Gral First, Then Neur, Lyr, and Plbo Neur First, Then Plbo, Gral, and Lyr Lyr First, Then Gral, Plbo, and Neur Plbo First, Then Lyr, Neur, and Gral
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval.
    Period Title: Overall Study
    STARTED 8 8 8 8
    Received Gralise® 8 7 7 6
    Received Neurontin® 8 8 7 8
    Received Lyrica® 8 7 8 8
    Received Placebo 8 7 7 8
    COMPLETED 8 7 7 6
    NOT COMPLETED 0 1 1 2

    Baseline Characteristics

    Arm/Group Title Gral First, Then Neur, Lyr, and Plbo Neur First, Then Plbo, Gral, and Lyr Lyr First, Then Gral, Plbo, and Neur Plbo First, Then Lyr, Neur, and Gral Total
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. All treatments were administered following a meal. Each treatment period was separated by a 7-day washout interval. Total of all reporting groups
    Overall Participants 8 8 8 8 32
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    49.0
    (5.32)
    47.6
    (5.29)
    51.0
    (9.35)
    46.8
    (4.06)
    48.6
    (6.23)
    Sex: Female, Male (Count of Participants)
    Female
    1
    12.5%
    3
    37.5%
    3
    37.5%
    1
    12.5%
    8
    25%
    Male
    7
    87.5%
    5
    62.5%
    5
    62.5%
    7
    87.5%
    24
    75%

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline in the "Standard Deviation of the Lateral Position" (SDLP) Measured on the Driving Simulator Between Gralise® and Neurontin®
    Description SDLP (feet): This is a measurement of change from maintaining the normal driving position in the lane over time and / or distance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    The above is the only Primary Outcome Measure (comparing the SDLP between Gralise® and Neurontin®).
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Placebo
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3.
    Measure Participants 28 31 30
    Least Squares Mean (Standard Error) [feet]
    0.255
    (0.0781)
    0.395
    (0.0763)
    0.135
    (0.0770)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0275
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within Sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.141
    Confidence Interval (2-Sided) 95%
    -0.266 to -0.016
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0611
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.120
    Confidence Interval (2-Sided) 95%
    -0.006 to 0.245
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    2. Secondary Outcome
    Title Change From Baseline in the "Standard Deviation of the Lateral Position" (SDLP) Measured on the Driving Simulator Between Gralise® and Lyrica®
    Description SDLP (feet): This is a measurement of change from maintaining the normal driving position in the lane over time and / or distance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    The above is a Secondary Outcome Measure (comparing the SDLP between Gralise® and Lyrica®).
    Arm/Group Title Gralise® (Gabapentin) Lyrica® (Pregabalin) Placebo
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3.
    Measure Participants 28 30 30
    Least Squares Mean (Standard Error) [feet]
    0.255
    (0.0781)
    0.356
    (0.0770)
    0.135
    (0.0770)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1103
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.102
    Confidence Interval (2-Sided) 95%
    -0.227 to 0.024
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0611
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.120
    Confidence Interval (2-Sided) 95%
    -0.006 to 0.245
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    3. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - Detection Task (DET)
    Description Cogstate - Detection Task (DET) is a simple reaction time test of Psychomotor Function. Higher change from baseline means better performance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 28 31 30 30
    Least Squares Mean (Standard Error) [msec]
    0.00
    (0.013)
    0.00
    (0.012)
    -0.01
    (0.012)
    -0.00
    (0.012)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9946
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.02 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.01
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1673
    Comments
    Method ANCOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.0125
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6208
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.02 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.0125
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    4. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - Groton Maze Learning Test (GMLT).
    Description Cogstate - The Groton Maze Learning test is a measure Executive Function. Total number of errors made while attempting to learn the same hidden pathway across the consecutive learning trials performed at a single assessment. Lower score means better performance. Higher change from baseline means better performance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 28 31 30 30
    Least Squares Mean (Standard Error) [Number of errors on test]
    -0.40
    (2.484)
    -0.01
    (2.385)
    -0.64
    (2.419)
    3.32
    (2.420)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8799
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.40
    Confidence Interval (2-Sided) 95%
    -5.59 to 4.80
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.60
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9277
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.24
    Confidence Interval (2-Sided) 95%
    -4.97 to 5.45
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.61
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1587
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -3.73
    Confidence Interval (2-Sided) 95%
    -8.94 to 1.49
    Parameter Dispersion Type:
    Value:
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    5. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - Identification Task (IDN).
    Description Cogstate - Identification Task (IDN) assesses Attention. Score is speed of performance (mean of the log10 transformed reaction times for correct responses). Lower score (quicker speed) is better performance. Higher change from baseline means better performance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 28 31 30 30
    Least Squares Mean (Standard Error) [Score on Scale]
    -0.00
    (0.000)
    0.00
    (0.000)
    -0.00
    (0.000)
    0.01
    (0.000)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7111
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.03 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.0125
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9048
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.02 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.01
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3262
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.01
    Confidence Interval (2-Sided) 95%
    -0.03 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.01
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    6. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - International Shopping List Test (ISL)
    Description Cogstate - International Shopping List (ISL) test is a measure of verbal learning and uses a well-validated list-learning paradigm. Total number of correct responses remembering the word list on three consecutive trials at a single assessment. Higher score is better performance. Higher change from baseline means better performance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 28 31 30 30
    Least Squares Mean (Standard Error) [Score on Scale]
    0.36
    (0.684)
    0.82
    (0.648)
    0.03
    (0.660)
    -0.01
    (0.660)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5950
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.46
    Confidence Interval (2-Sided) 95%
    -2.18 to 1.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.860
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7057
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.33
    Confidence Interval (2-Sided) 95%
    -1.40 to 2.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.865
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6741
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.37
    Confidence Interval (2-Sided) 95%
    -1.36 to 2.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.865
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    7. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Cognitive Evaluation of Cogstate - One Card Learning (OCLT).
    Description Cogstate - The One Card Learning Test (OCLT) is a measure of visual learning and uses a well-validated pattern separation paradigm with playing card stimuli. Higher Score is better performance. Higher change from baseline means better performance.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 28 31 30 30
    Least Squares Mean (Standard Error) [Score on Scale]
    0.02
    (0.021)
    0.06
    (0.020)
    0.00
    (0.020)
    0.03
    (0.020)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0070
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.08 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.0175
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5183
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.02 to 0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.0175
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5084
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.01
    Confidence Interval (2-Sided) 95%
    -0.05 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.0175
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    8. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Sedation Evaluation - Karolinska Sleepiness Scale (KSS).
    Description Scale: 1-9, 1=extremely alert, 9 = very sleepy, great effort to keep awake, fighting sleep
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 28 31 30 30
    Least Squares Mean (Standard Error) [units on a scale]
    .774
    (.2985)
    .264
    (.2876)
    .868
    (.2913)
    .264
    (.2914)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1026
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.510
    Confidence Interval (2-Sided) 95%
    -0.104 to 1.124
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.307
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7634
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.094
    Confidence Interval (2-Sided) 95%
    -0.711 to 0.523
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.309
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1041
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.510
    Confidence Interval (2-Sided) 95%
    -0.107 to 1.127
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.309
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    9. Secondary Outcome
    Title Change From Baseline Between, Gralise® and Neurontin®, Gralise® and Lyrica® for Sedation Evaluation - Portland Neurotoxicity Scale (PNS).
    Description Portland Neurotoxicity Scale (PNS) comprises 15 questions measured on a 10-point scale. [1=No problem, 2, 3, 4, 5=Often a problem, 6, 7, 8, 9, 10=Severe problem] in 16 categories. Each question was analyzed and is presented in the same way as the primary endpoints.
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® 3 x 600 mg tablets (1800 mg total dose) administered once daily at 7:00 pm on Day 1 and Day 2 with one placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. At other dosing times, treatment consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule. Gabapentin Neurontin® 1 x 600 mg film-coated tablet administered 3 times daily at 7:00 pm on Day 1, at 8:00 am, 2:00 pm and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Neurontin® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Gabapentin Lyrica® 1 x 150 mg capsule administered 2 times daily at 7:00 pm on Day 1, at 8:00 am and 8:00 pm on Day 2 and at 8:00 a.m. on Day 3. Each dose of Lyrica® was over-encapsulated and administered with 3 placebo tablets matching the appearance of Gralise®. Pregabalin Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®. Placebo
    Measure Participants 31 31 31 31
    Vision (blurring, double vision)
    0.036
    (0.1274)
    0.322
    (0.1235)
    0.249
    (0.1249)
    0.115
    (0.1249)
    Energy Level (get up and go)
    0.099
    (0.1811)
    0.256
    (0.1743)
    0.315
    (0.1766)
    0.331
    (0.1766)
    Memory (ability to remember people, places, or thi
    0.077
    (0.1498)
    0.123
    (0.1441)
    0.125
    (0.1460)
    -0.041
    (0.1460)
    Walking (balance)
    0.206
    (0.1245)
    0.327
    (0.1187)
    0.405
    (0.1206)
    0.107
    (0.1206)
    Interest (in activities)
    0.046
    (0.1174)
    0.030
    (0.1130)
    0.096
    (0.1145)
    0.070
    (0.1145)
    Coordination
    0.180
    (0.1338)
    0.392
    (0.1289)
    0.350
    (0.1306)
    0.218
    (0.1306)
    Tremor (shakiness)
    -0.103
    (0.0571)
    0.037
    (0.0555)
    -0.031
    (0.0556)
    0.068
    (0.0556)
    Concentration (ability to concentrate on a task)
    0.080
    (0.1205)
    0.164
    (0.1148)
    0.137
    (0.1166)
    0.182
    (0.1166)
    Speech (slurring words)
    0.035
    (0.0516)
    0.133
    (0.0493)
    0.065
    (0.0501)
    0.103
    (0.0501)
    Forgetfulness
    0.118
    (0.1128)
    0.227
    (0.1083)
    0.175
    (0.1098)
    0.079
    (0.1099)
    Sleepiness (fatigue, sedation, tiredness)
    0.693
    (0.2928)
    0.635
    (0.2802)
    1.176
    (0.2843)
    0.541
    (0.2844)
    Moodiness
    0.181
    (0.1174)
    0.163
    (0.1144)
    0.098
    (0.1155)
    0.100
    (0.1155)
    Alertness
    0.297
    (0.1854)
    0.451
    (0.1786)
    0.607
    (0.1809)
    0.353
    (0.1809)
    Attention Span
    0.020
    (0.1115)
    0.133
    (0.1070)
    0.146
    (0.1085)
    0.015
    (0.1085)
    Motivation
    0.185
    (0.1338)
    0.232
    (0.1294)
    0.368
    (0.1309)
    0.271
    (0.1309)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Vision
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0177
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.286
    Confidence Interval (2-Sided) 95%
    -0.521 to -0.051
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Energy Level
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4120
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.157
    Confidence Interval (2-Sided) 95%
    -0.536 to 0.222
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.19
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Memory
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7724
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.046
    Confidence Interval (2-Sided) 95%
    -0.362 to 0.270
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.16
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Walking Balance
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4255
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.121
    Confidence Interval (2-Sided) 95%
    -0.423 to 0.180
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Interest in activities
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8925
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.017
    Confidence Interval (2-Sided) 95%
    -0.229 to 0.262
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Coordination
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1293
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.212
    Confidence Interval (2-Sided) 95%
    -0.487 to 0.063
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.14
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Tremor
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0304
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.140
    Confidence Interval (2-Sided) 95%
    -0.266 to -0.014
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Concentration
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5811
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.084
    Confidence Interval (2-Sided) 95%
    -0.384 to 0.217
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Speech
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1144
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.098
    Confidence Interval (2-Sided) 95%
    -0.220 to 0.024
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Forgetfulness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3774
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.109
    Confidence Interval (2-Sided) 95%
    -0.352 to 0.135
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Sleepiness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8658
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.057
    Confidence Interval (2-Sided) 95%
    -0.613 to 0.727
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.34
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Moodiness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8543
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.018
    Confidence Interval (2-Sided) 95%
    -0.179 to 0.216
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.10
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Alertness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4294
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.153
    Confidence Interval (2-Sided) 95%
    -0.537 to 0.231
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.19
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Attention Span
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3613
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.113
    Confidence Interval (2-Sided) 95%
    -0.357 to 0.132
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments Motivation
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7201
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.047
    Confidence Interval (2-Sided) 95%
    -0.305 to 0.212
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Vision
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0767
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.213
    Confidence Interval (2-Sided) 95%
    -0.448 to 0.023
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Energy Level
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2618
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.216
    Confidence Interval (2-Sided) 95%
    -0.597 to 0.165
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.19
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Memory
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7633
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.048
    Confidence Interval (2-Sided) 95%
    -0.366 to 0.269
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.16
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Walking Balance
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1968
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.198
    Confidence Interval (2-Sided) 95%
    -0.502 to 0.105
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Interest in Activities
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6891
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.050
    Confidence Interval (2-Sided) 95%
    -0.296 to 0.197
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Coordination
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2229
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.171
    Confidence Interval (2-Sided) 95%
    -0.447 to 0.106
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.14
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Tremor
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2591
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.072
    Confidence Interval (2-Sided) 95%
    -0.197 to 0.054
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Concentration
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7099
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.057
    Confidence Interval (2-Sided) 95%
    -0.359 to 0.246
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Speech
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6215
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.031
    Confidence Interval (2-Sided) 95%
    -0.154 to 0.092
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 25
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Forgetfulness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6422
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.057
    Confidence Interval (2-Sided) 95%
    -0.302 to 0.187
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 26
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Sleepiness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1574
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.483
    Confidence Interval (2-Sided) 95%
    -1.157 to 0.190
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.34
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 27
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Moodiness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4039
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.084
    Confidence Interval (2-Sided) 95%
    -0.115 to 0.282
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.10
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 28
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Alertness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1145
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.309
    Confidence Interval (2-Sided) 95%
    -0.695 to 0.076
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.19
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 29
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Attention Span
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3083
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.127
    Confidence Interval (2-Sided) 95%
    -0.372 to 0.119
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 30
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments Motivation
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1638
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.183
    Confidence Interval (2-Sided) 95%
    -0.443 to 0.0776
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 31
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Vision
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5101
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.078
    Confidence Interval (2-Sided) 95%
    -0.314 to 0.157
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 32
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Energy Level
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2285
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.233
    Confidence Interval (2-Sided) 95%
    -0.614 to 0.149
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.19
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 33
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Memory
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4612
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.118
    Confidence Interval (2-Sided) 95%
    -0.200 to 0.436
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.16
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 34
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Walking Balance
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5190
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.099
    Confidence Interval (2-Sided) 95%
    -0.205 to 0.402
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 35
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Interest in Activities
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8479
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.024
    Confidence Interval (2-Sided) 95%
    -0.271 to 0.223
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 36
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Coordination
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7808
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.039
    Confidence Interval (2-Sided) 95%
    -0.316 to 0.238
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.14
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 37
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Tremor
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0083
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.171
    Confidence Interval (2-Sided) 95%
    -0.296 to -0.045
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 38
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Concentration
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5068
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.101
    Confidence Interval (2-Sided) 95%
    -0.404 to 0.201
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.15
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 39
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Speech
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2725
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.068
    Confidence Interval (2-Sided) 95%
    -0.191 to 0.055
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.06
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 40
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Forgetfulness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7498
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.039
    Confidence Interval (2-Sided) 95%
    -0.206 to 0.284
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 41
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Sleepiness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6554
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.152
    Confidence Interval (2-Sided) 95%
    -0.522 to 0.826
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.34
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 42
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Moodiness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4143
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.082
    Confidence Interval (2-Sided) 95%
    -0.116 to 0.280
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.10
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 43
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Alertness
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7761
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.055
    Confidence Interval (2-Sided) 95%
    -0.441 to 0.330
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.19
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 44
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Attention Span
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9697
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value 0.005
    Confidence Interval (2-Sided) 95%
    -0.241 to 0.251
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 45
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo (Sugar Pill)
    Comments Motivation
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5118
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.086
    Confidence Interval (2-Sided) 95%
    -0.346 to 0.174
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments
    Other Statistical Analysis SE of difference estimated by dividing width of 95% CI by 4.
    10. Secondary Outcome
    Title Change From Baseline Between Gralise® and Neurontin® in the Driving Simulator - Standard Deviation of Vehicle Speed (SDVS).
    Description Miles per Hour (mph)
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Placebo
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3.
    Measure Participants 28 31 30
    Least Squares Mean (Standard Error) [mph]
    0.831
    (0.4844)
    0.947
    (0.4648)
    0.851
    (0.4715)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8293
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.116
    Confidence Interval (2-Sided) 95%
    -1.178 to 0.947
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.53
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9705
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.020
    Confidence Interval (2-Sided) 95%
    -1.089 to 1.049
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.53
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    11. Secondary Outcome
    Title Change From Baseline Between Gralise® and Lyrica® in the Driving Simulator - Standard Deviation of Vehicle Speed (SDVS).
    Description Miles per Hour (mph)
    Time Frame Baseline and Hour 3 on Day 3

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set
    Arm/Group Title Gralise® (Gabapentin) Lyrica® (Pregabalin) Placebo
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Each dose consisted of 3 placebo tablets matching the appearance of Gralise® and 1 placebo capsule matching the over-encapsulation of doses of Neurontin® and Lyrica®: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3.
    Measure Participants 28 30 30
    Least Squares Mean (Standard Error) [mph]
    0.831
    (0.4844)
    1.319
    (0.4713)
    0.851
    (0.4715)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Neurontin® (Gabapentin)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3666
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.488
    Confidence Interval (2-Sided) 95%
    -1.556 to 0.581
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.53
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Gralise® (Gabapentin), Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9705
    Comments
    Method ANOVA
    Comments Mixed model including terms for sequence, study treatment, and period as fixed effects and subject nested within sequence as a random effect.
    Method of Estimation Estimation Parameter Mean Difference (Net)
    Estimated Value -0.020
    Confidence Interval (2-Sided) 95%
    -1.089 to 1.049
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.53
    Estimation Comments SE of difference estimated by dividing width of 95% CI by 4.
    12. Secondary Outcome
    Title To Compare the Relative Safety and Tolerability of Gralise®, Neurontin®, and Lyrica®.
    Description Number of subjects with Treatment-Emergent Adverse Events (TEAE) Number of subjects with Serious Adverse Event (SAE) Number of subjects discontinued due to Adverse Event (AE)
    Time Frame Screening to 1 week after Period 4 discharge

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®.
    Measure Participants 28 31 31 30
    Subjects with TEAE
    6
    75%
    13
    162.5%
    16
    200%
    5
    62.5%
    Subjects with SAE
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Subjects Discontinued due to AE
    0
    0%
    1
    12.5%
    1
    12.5%
    0
    0%

    Adverse Events

    Time Frame 7 weeks
    Adverse Event Reporting Description Adverse Events were reported from the signed informed consent to 30 days after the last dose of study drug.
    Arm/Group Title Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Arm/Group Description Gralise® (gabapentin) 3 x 600 mg tablets (1800 mg total): Dosed once daily in the evening on Day 1 and Day 2. Neurontin® (gabapentin) 1 x 600 mg film-coated tablet: Dosed 3 times daily starting in the evening on Day 1, in the morning, afternoon, and evening on Day 2, and in the morning on Day 3. Lyrica® (pregabalin) 1 x 150 mg capsule: Dosed 2 times daily starting in the evening on Day 1, in the morning and evening on Day 2, and in the morning on Day 3. Placebo (sugar pill): Three (3) placebo tablets matching the appearance of Gralise® & 1 placebo capsule matching the over-encapsulation of doses of Neurontin® & Lyrica®.
    All Cause Mortality
    Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/28 (0%) 0/31 (0%) 0/31 (0%) 0/30 (0%)
    Other (Not Including Serious) Adverse Events
    Gralise® (Gabapentin) Neurontin® (Gabapentin) Lyrica® (Pregabalin) Placebo (Sugar Pill)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 6/28 (21.4%) 11/31 (35.5%) 14/31 (45.2%) 2/30 (6.7%)
    Nervous system disorders
    Somnolence 3/28 (10.7%) 7/31 (22.6%) 4/31 (12.9%) 1/30 (3.3%)
    Dizziness 3/28 (10.7%) 4/31 (12.9%) 6/31 (19.4%) 0/30 (0%)
    Headache 1/28 (3.6%) 0/31 (0%) 5/31 (16.1%) 1/30 (3.3%)
    Psychiatric disorders
    Euphoric mood 1/28 (3.6%) 2/31 (6.5%) 3/31 (9.7%) 0/30 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The PI agrees that sponsor shall have the right to the first publication of the study results which is intended to be a joint, multi-center publication. Following the first publication, the PI may publish study data or results, provided however PI submits the proposed publication to sponsor for review at least 60 days prior to the date of the proposed publication. Sponsor may remove any information that is considered confidential and / or proprietary other than study data.

    Results Point of Contact

    Name/Title Clinical Operations
    Organization Depomed
    Phone 510-744-8000
    Email clinicaltrials@depomed.com
    Responsible Party:
    Depomed
    ClinicalTrials.gov Identifier:
    NCT03179345
    Other Study ID Numbers:
    • GRAL-PX-8401
    First Posted:
    Jun 7, 2017
    Last Update Posted:
    Jun 1, 2020
    Last Verified:
    Apr 1, 2020