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Pregabalin Peripheral Neuropathic Pain Study

A 10-Week, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Pregabalin (150 mg - 600 mg/Day) Using a Flexible, Optimized Dose Schedule in Subjects With Peripheral Neuropathic Pain

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00141219
Enrollment
241
Registered
2005-09-01
Start date
2005-12-31
Completion date
2007-12-31
Last updated
2021-02-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic Neuropathies, Neuralgia

Brief summary

To evaluate the efficacy of pregabalin, using a flexible, optimized dose schedule with dose adjustment based on Daily Pain Rating Scale (DPRS), compared to placebo in subjects with peripheral neuropathic pain.

Interventions

DRUGpregabalin

150-600mg/day, BID

DRUGPlacebo

Placebo

Sponsors

Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Diagnosis of peripheral neuropathic pain syndrome, including diabetic peripheral neuropathy (DPN), postherpetic neuralgia (PHN), or post-traumatic neuropathic pain (including post-surgical), confirmed by a qualified pain specialist. * Subjects must have completed at least 4 daily pain diaries during the 7 days prior to Visit 2 and have an average pain score of ≥4 over the 7 days prior to Visit 2 (randomization).

Exclusion criteria

* Neurologic disorders unrelated to DPN, PHN, or post-traumatic neuropathic pain (including post-surgical), that may confuse or confound the assessment of neuropathic pain. * Presence of any severe pain associated with conditions other than DPN, PHN, or post-traumatic neuropathic pain (including post-surgical) that may confound the assessment or self evaluation of the pain due to DPN, PHN, or post-traumatic neuropathic pain (including post-surgical). * Creatinine clearance \< 30 mL/min (estimated from serum creatinine, body weight, age, and sex using the Cockcroft and Gault equation in Appendix E). Maximum dose for subjects with creatinine clearance of 30 to 60 mL/min is 300 mg/day

Design outcomes

Primary

MeasureTime frameDescription
Daily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population)Endpoint- Week 8 or Early DiscontinuationDPRS is 11-point rating scale from 0 (no pain) to 10 (worst possible pain). Subjects instructed to describe their pain (daily upon awakening) during preceding 24 hrs by choosing the appropriate number between 0-10. Mean endpoint pain score was obtained from the last 7 available DPRS scores of the daily pain diary while subject on study medication.

Secondary

MeasureTime frameDescription
Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores)Endpoint- Week 8 or Early DiscontinuationDPRS consists of an 11-point rating scale ranging from 0 (no pain) to 10 (worst possible pain). A 30% responder at endpoint is a subject who has a 30% or more reduction in mean pain score at endpoint compared to baseline
Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores)Endpoint- Week 8 or Early DiscontinationDPRS consists of an 11-point rating scale ranging from 0 (no pain) to 10 (worst possible pain). A 50% responder at endpoint is a subject who has a 50% or more reduction in mean pain score at endpoint compared to baseline.
Daily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeeks 1 to 8DPRS is 11-point rating scale (0=no pain to 10=worst possible pain). Subjects instructed to describe pain (upon awakening) during preceding 24 hrs by choosing appropriate number between 0-10. Mean endpoint pain score obtained from last 7 available DPRS scores of daily pain diary while subject on study medication. Overall Comparison=8-week average.
Duration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain ScoreWeeks 1 to 8DAAC is a score used to assess treatment effects averaged over the entire length of the study. DAAC from baseline to weekly mean pain score was derived by calculating the mean of all post-baseline scores minus baseline mean pain score, and then weighing this according to the proportion of the planned study duration the subject actually completed.
Mean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS).Endpoint- Week 8 or Early DiscontinuationDSIS consists of an 11-point rating scale (0 = pain did not interfere with sleep to 10 = completely interfered with sleep). Higher score indicating greater level of sleep disturbance.
Mean Sleep Score as Computed by DSIS.Weeks 1 to 8DSIS consists of an 11-point rating scale ranging from 0 = pain did not interfere with sleep to 10 = pain completely interfered with sleep. Overall Comparison= 8-week average.
Medical Outcome Study (MOS) Sleep DisturbanceWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Sleep Disturbance sub-scale scores range from 0 to 100, lower scores indicate less disturbance.
Medical Outcome Study (MOS) Snoring ScoreWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Snoring sub-scale scores range from 0 to 100, lower scores indicate less snoring.
Medical Outcome Study (MOS) Awaken Short of Breath or HeadacheWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Awaken Short of Breath or with a Headache sub-scale scores range from 0 to 100, lower scores indicate less difficulty.
Medical Outcome Study (MOS) Sleep QuantityWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Sleep Quantity sub-scale scores range from 0 to 24 (number of hours slept).
Medical Outcome Study (MOS) Sleep AdequacyWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Sleep Adequacy sub-scale scores range from 0 to 100, higher scores indicate greater sleep adequacy.
Medical Outcome Study (MOS) SomnolenceWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Somnolence sub-scale scores range from 0 to 100, lower scores indicate less somnolence.
Medical Outcome Study (MOS) Overall Sleep Problems IndexWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Overall Sleep Problems Index is a 9-item sub-scale; scores range from 0 to 100, lower scores indicate fewer sleep problems.
Euro Quality of Life (QOL) (EQ-5D) Utility ScoreWeek 8EQ-5D, a subject-completed questionnaire, assesses health-related QOL. QOL Health State Profile (HSP) is designed to record subject's level of current health across 5 domains (mobility, self-care, usual activities, pain/discomfort & anxiety/depression); scores are used to calculate EQ-5D Utility Score; range: -0.594 to 1.000 (from worst to best).
Euro Quality of Life (EQ-5D) Visual Analog Scale (VAS)Week 8EQ-5D is a subject-completed questionnaire to assess health-related QOL (Health State Profile (HSP) & Visual Analog Scale (VAS)). The VAS is designed to rate the subject's current health state on a scale from 0 to 100 where 0 represents the worst imaginable health state and 100 represents the best imaginable health state.
Hospital Anxiety and Depression Scale- Anxiety (HADS-A) ScoreWeek 8HADS-A consists of 7 items that are assessed by a score of 0 = no anxiety to 3 = severe feeling of anxiety. The anxiety subscale determines a state of generalized anxiety (including anxious mood, restlessness, anxious thoughts, panic attacks). Score range = 0 to 21; higher scores indicate a greater intensity of anxiety
Hospital Anxiety and Depression Scale- Depression (HADS-D) ScoreWeek 8HADS-D consists of 7 items that are assessed by a score of 0 = no depression to 3 = severe feeling of depression. The depression subscale focuses on the state of lost interest and diminished pleasure response (lowering of hedonic tone). Score range = 0 to 21; higher scores indicate a greater intensity of depression
Patient Global Impression of Change (PGIC)Week 8PGIC is a subject-rated instrument that measured change in subject's overall status on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improved = minimally improved, much improved, and very much improved; Worse = minimally worse, much worse, and very much worse.
Clinical Global Impression of Change (CGIC)Week 8CGIC is a clinician-rated instrument that assesses the subject's overall global improvement on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improved = minimally improved, much improved, and very much improved; Worse = minimally worse, much worse, and very much worse.
Duration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain ScoreWeeks 1 to 8DAAC is a score used to assess treatment effects averaged over the entire length of the study. DAAC from baseline to weekly mean pain score was derived by calculating the mean of all post-baseline scores minus baseline mean pain score, and then weighing this according to the proportion of the planned study duration the subject actually completed.
Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal SleepWeek 8MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Optimal Sleep sub-scale score is a binary outcome derived from Sleep Quantity (SQ): the response is YES (or 1) if SQ = 7 or 8 hours per night.

Other

MeasureTime frameDescription
Daily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population)Endpoint- Week 8 or Early DiscontinuationDPRS is 11-point rating scale from 0 (no pain) to 10 (worst possible pain). Subjects instructed to describe their pain (daily upon awakening) during preceding 24 hrs by choosing the appropriate number between 0-10. Mean endpoint pain score was obtained from the last 7 available DPRS scores of the daily pain diary while subject on study medication.

Countries

South Korea

Participant flow

Recruitment details

Study Initiation and Completion Dates: 27 December 2005 to 28 December 2007; 10 study centers in Korea

Pre-assignment details

241 subjects were assigned to study treatment; one subject was randomized but did not receive any study treatment with the reason 'Did not meet entrance criteria'.

Participants by arm

ArmCount
Pregabalin
Dose levels of pregabalin were 150 mg/day, 300 mg/day, 450 mg/day, and 600 mg/day which were achieved by taking 75 mg, 150 mg, 225 mg (which was the combination of 75 mg + 150 mg) or 300 mg of pregabalin twice daily (BID), with or without food, once in the morning and once in the evening.
162
Placebo
Subjects who were randomized to placebo remained on placebo throughout the remainder of the study.
78
Total240

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event86
Overall StudyLack of Efficacy54
Overall StudyProtocol violations54
Overall StudyWithdrawal by Subject62

Baseline characteristics

CharacteristicPregabalinPlaceboTotal
Age, Continuous59.7 years
STANDARD_DEVIATION 10.8
61.3 years
STANDARD_DEVIATION 12.9
60.2 years
STANDARD_DEVIATION 11.5
Sex: Female, Male
Female
83 Participants46 Participants129 Participants
Sex: Female, Male
Male
79 Participants32 Participants111 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
68 / 16223 / 78
serious
Total, serious adverse events
2 / 1621 / 78

Outcome results

Primary

Daily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population)

DPRS is 11-point rating scale from 0 (no pain) to 10 (worst possible pain). Subjects instructed to describe their pain (daily upon awakening) during preceding 24 hrs by choosing the appropriate number between 0-10. Mean endpoint pain score was obtained from the last 7 available DPRS scores of the daily pain diary while subject on study medication.

Time frame: Endpoint- Week 8 or Early Discontinuation

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. For subjects who did not complete the study, the last 7 available daily pain scores while on study medication were carried forward (LOCF) to calculate the endpoint mean score.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinDaily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population)4.63 score on scale95% Confidence Interval 0.15
PlaceboDaily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population)5.13 score on scale95% Confidence Interval 0.21
Comparison: Null hypotheses stated there was no difference in pregabalin and placebo in the primary endpoint versus the alternative that there was. The target sample size was 234 subjects (156 and 78 respectively pregabalin vs placebo using a 2:1 ratio). The calculations assumed a 2-sided comparison at 0.05 alpha, 80% power and 3% dropout. Also, a treatment difference of 1 point and a standard deviation for endpoint mean pain scores of 2.5 were assumed based on previous studies.p-value: 0.04995% CI: [-1, 0]General Linear Model
Comparison: This was a supportive analysis of the primary endpoint to determine if the main results were generalizable across centers.p-value: 0.729General Linear Model
Comparison: This was a supportive analysis of the primary endpoint to determine if the main results were generalizable across different baseline values.p-value: 0.979General Linear Model
Secondary

Clinical Global Impression of Change (CGIC)

CGIC is a clinician-rated instrument that assesses the subject's overall global improvement on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improved = minimally improved, much improved, and very much improved; Worse = minimally worse, much worse, and very much worse.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. CGIC was measured at Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureGroupValue (NUMBER)
PregabalinClinical Global Impression of Change (CGIC)Improved117 participants
PregabalinClinical Global Impression of Change (CGIC)No change37 participants
PregabalinClinical Global Impression of Change (CGIC)Worse6 participants
PlaceboClinical Global Impression of Change (CGIC)Improved51 participants
PlaceboClinical Global Impression of Change (CGIC)No change16 participants
PlaceboClinical Global Impression of Change (CGIC)Worse10 participants
Comparison: Cochran-Mantel-Haenszel (CMH) test on the null hypothesis of no treatment difference in all centers. CMH test comparing Pregabalin to Placebo adjusted for center.p-value: 0.119Cochran-Mantel-Haenszel
Secondary

Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores)

DPRS consists of an 11-point rating scale ranging from 0 (no pain) to 10 (worst possible pain). A 30% responder at endpoint is a subject who has a 30% or more reduction in mean pain score at endpoint compared to baseline

Time frame: Endpoint- Week 8 or Early Discontinuation

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. For subjects who did not complete the study, the last 7 available daily pain scores while on study medication were carried forward (LOCF) to calculate the endpoint mean score.

ArmMeasureGroupValue (NUMBER)
PregabalinDaily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores)Yes68 participants
PregabalinDaily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores)No93 participants
PlaceboDaily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores)No50 participants
PlaceboDaily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores)Yes27 participants
Comparison: Null hypothesis of no treatment difference in each of the centers.p-value: 0.28995% CI: [0.785, 1.583]Cochran-Mantel-Haenszel
Secondary

Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores)

DPRS consists of an 11-point rating scale ranging from 0 (no pain) to 10 (worst possible pain). A 50% responder at endpoint is a subject who has a 50% or more reduction in mean pain score at endpoint compared to baseline.

Time frame: Endpoint- Week 8 or Early Discontination

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. For subjects who did not complete the study, the last 7 available daily pain scores while on study medication were carried forward (LOCF) to calculate the endpoint mean score.

ArmMeasureGroupValue (NUMBER)
PregabalinDaily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores)Yes42 participants
PregabalinDaily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores)No119 participants
PlaceboDaily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores)Yes11 participants
PlaceboDaily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores)No66 participants
Comparison: Null hypothesis of no treatment difference in each of the centers.p-value: 0.04195% CI: [0.915, 2.954]Cochran-Mantel-Haenszel
Secondary

Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score

DPRS is 11-point rating scale (0=no pain to 10=worst possible pain). Subjects instructed to describe pain (upon awakening) during preceding 24 hrs by choosing appropriate number between 0-10. Mean endpoint pain score obtained from last 7 available DPRS scores of daily pain diary while subject on study medication. Overall Comparison=8-week average.

Time frame: Weeks 1 to 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. Missing Weekly mean scores were not imputed. Number of subjects analyzed differed by week; noted as n= (pregabalin, placebo).

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 8 (n=138, 62)4.47 score on scaleStandard Error 0.127
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreOverall Comparison (weeks 1 to 8)4.91 score on scaleStandard Error 0.11
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 1 (n=161, 77)5.80 score on scaleStandard Error 0.124
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 2 (n=156, 75)5.30 score on scaleStandard Error 0.125
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 3 (n=154, 72)5.02 score on scaleStandard Error 0.125
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 4 (n=151, 68)4.84 score on scaleStandard Error 0.125
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 5 (n=146, 66)4.69 score on scaleStandard Error 0.126
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 6 (n=145, 65)4.64 score on scaleStandard Error 0.126
PregabalinDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 7 (n=142, 62)4.52 score on scaleStandard Error 0.126
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 6 (n=145, 65)4.93 score on scaleStandard Error 0.181
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 4 (n=151, 68)5.27 score on scaleStandard Error 0.18
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreOverall Comparison (weeks 1 to 8)5.29 score on scaleStandard Error 0.156
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 8 (n=138, 62)4.92 score on scaleStandard Error 0.183
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 1 (n=161, 77)6.18 score on scaleStandard Error 0.176
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 5 (n=146, 66)5.11 score on scaleStandard Error 0.181
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 2 (n=156, 75)5.61 score on scaleStandard Error 0.177
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 7 (n=142, 62)4.87 score on scaleStandard Error 0.183
PlaceboDaily Pain Rating Scale (DPRS)- Weekly Mean Pain ScoreWeek 3 (n=154, 72)5.42 score on scaleStandard Error 0.178
Comparison: Mean Pain Score Weeks 1 to 8~Overall Comparison (8-week average)~Pregabalin minus Placebop-value: 0.04295% CI: [-0.75, -0.01]Linear Mixed Model
Comparison: Week 1 Mean Pain Score~Pregabalin minus Placebop-value: 0.07195% CI: [-0.79, 0.03]Linear Mixed Model
Comparison: Week 2 Mean Pain Score~Pregabalin minus Placebop-value: 0.14995% CI: [-0.72, 0.11]Linear Mixed Model
Comparison: Week 3 Mean Pain Score~Pregabalin minus Placebop-value: 0.05795% CI: [-0.82, 0.01]Linear Mixed Model
Comparison: Week 4 Mean Pain Score~Pregabalin minus Placebop-value: 0.04495% CI: [-0.85, -0.01]Linear Mixed Model
Comparison: Week 5 Mean Pain Score~Pregabalin minus Placebop-value: 0.05195% CI: [-0.85, 0]Linear Mixed Model
Comparison: Week 6 Mean Pain Score~Pregabalin minus Placebop-value: 0.17895% CI: [-0.72, 0.13]Linear Mixed Model
Comparison: Week 7 Mean Pain Score~Pregabalin minus Placebop-value: 0.10495% CI: [-0.78, 0.07]Linear Mixed Model
Comparison: Week 8 Mean Pain Score~Pregabalin minus Placebop-value: 0.03995% CI: [-0.88, -0.02]Linear Mixed Model
Secondary

Duration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain Score

DAAC is a score used to assess treatment effects averaged over the entire length of the study. DAAC from baseline to weekly mean pain score was derived by calculating the mean of all post-baseline scores minus baseline mean pain score, and then weighing this according to the proportion of the planned study duration the subject actually completed.

Time frame: Weeks 1 to 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. Subjects without any post-baseline daily pain scores would have no DAAC; missing DAACs were not imputed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinDuration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain Score-1.27 score on scale95% Confidence Interval 0.11
PlaceboDuration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain Score-0.89 score on scale95% Confidence Interval 0.156
Comparison: Duration Adjusted Average Change (DAAC)~Pregabalin minus Placebop-value: 0.04495% CI: [-0.74, -0.01]General Linear Model
Secondary

Duration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain Score

DAAC is a score used to assess treatment effects averaged over the entire length of the study. DAAC from baseline to weekly mean pain score was derived by calculating the mean of all post-baseline scores minus baseline mean pain score, and then weighing this according to the proportion of the planned study duration the subject actually completed.

Time frame: Weeks 1 to 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. For subjects who did not complete the study, the last 7 observations while on study medication were carried forward (LOCF).

ArmMeasureValue (MEAN)Dispersion
PregabalinDuration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain Score-1.24 score on scaleStandard Deviation 1.32
PlaceboDuration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain Score-0.87 score on scaleStandard Deviation 1.488
Secondary

Euro Quality of Life (EQ-5D) Visual Analog Scale (VAS)

EQ-5D is a subject-completed questionnaire to assess health-related QOL (Health State Profile (HSP) & Visual Analog Scale (VAS)). The VAS is designed to rate the subject's current health state on a scale from 0 to 100 where 0 represents the worst imaginable health state and 100 represents the best imaginable health state.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. EQ-5D was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinEuro Quality of Life (EQ-5D) Visual Analog Scale (VAS)61.53 score on scale95% Confidence Interval 1.406
PlaceboEuro Quality of Life (EQ-5D) Visual Analog Scale (VAS)58.03 score on scale95% Confidence Interval 2.008
Comparison: Endpoint VAS Score~Pregabalin minus Placebop-value: 0.14295% CI: [-1.18, 8.18]General Linear Model
Secondary

Euro Quality of Life (QOL) (EQ-5D) Utility Score

EQ-5D, a subject-completed questionnaire, assesses health-related QOL. QOL Health State Profile (HSP) is designed to record subject's level of current health across 5 domains (mobility, self-care, usual activities, pain/discomfort & anxiety/depression); scores are used to calculate EQ-5D Utility Score; range: -0.594 to 1.000 (from worst to best).

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. EQ-5D was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinEuro Quality of Life (QOL) (EQ-5D) Utility Score0.651 score on scale95% Confidence Interval 0.0192
PlaceboEuro Quality of Life (QOL) (EQ-5D) Utility Score0.626 score on scale95% Confidence Interval 0.0274
Comparison: Endpoint Utility Score~Pregabalin minus Placebop-value: 0.42995% CI: [-0.038, 0.09]General Linear Model
Secondary

Hospital Anxiety and Depression Scale- Anxiety (HADS-A) Score

HADS-A consists of 7 items that are assessed by a score of 0 = no anxiety to 3 = severe feeling of anxiety. The anxiety subscale determines a state of generalized anxiety (including anxious mood, restlessness, anxious thoughts, panic attacks). Score range = 0 to 21; higher scores indicate a greater intensity of anxiety

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. HADS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinHospital Anxiety and Depression Scale- Anxiety (HADS-A) Score6.01 score on scale95% Confidence Interval 0.242
PlaceboHospital Anxiety and Depression Scale- Anxiety (HADS-A) Score6.86 score on scale95% Confidence Interval 0.345
Comparison: Endpoint Anxiety Score~Pregabalin minus Placebop-value: 0.03895% CI: [-1.66, -0.05]General Linear Model
Secondary

Hospital Anxiety and Depression Scale- Depression (HADS-D) Score

HADS-D consists of 7 items that are assessed by a score of 0 = no depression to 3 = severe feeling of depression. The depression subscale focuses on the state of lost interest and diminished pleasure response (lowering of hedonic tone). Score range = 0 to 21; higher scores indicate a greater intensity of depression

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. HADS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinHospital Anxiety and Depression Scale- Depression (HADS-D) Score7.54 score on scale95% Confidence Interval 0.259
PlaceboHospital Anxiety and Depression Scale- Depression (HADS-D) Score7.73 score on scale95% Confidence Interval 0.369
Comparison: Endpoint Depression Score~Pregabalin minus Placebop-value: 0.66495% CI: [-1.05, 0.67]General Linear Model
Secondary

Mean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS).

DSIS consists of an 11-point rating scale (0 = pain did not interfere with sleep to 10 = completely interfered with sleep). Higher score indicating greater level of sleep disturbance.

Time frame: Endpoint- Week 8 or Early Discontinuation

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. For subjects who did not complete the study, the last 7 available daily sleep interference scores while on study medication were carried forward (LOCF) to calculate the endpoint mean score.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS).3.26 score on scale95% Confidence Interval 0.162
PlaceboMean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS).3.91 score on scale95% Confidence Interval 0.228
Comparison: Endpoint Sleep Interference Score~Pregabalin minus Placebop-value: 0.01895% CI: [-1.19, -0.11]General Linear Model
Secondary

Mean Sleep Score as Computed by DSIS.

DSIS consists of an 11-point rating scale ranging from 0 = pain did not interfere with sleep to 10 = pain completely interfered with sleep. Overall Comparison= 8-week average.

Time frame: Weeks 1 to 8

Population: ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. Missing Weekly mean scores were not imputed. Number of subjects analyzed differed by week; noted as n = (pregabalin, placebo).

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMean Sleep Score as Computed by DSIS.Week 1 (n= 161, 77)4.18 score on scaleStandard Error 0.145
PregabalinMean Sleep Score as Computed by DSIS.Week 5 (n=146, 66)3.29 score on scaleStandard Error 0.146
PregabalinMean Sleep Score as Computed by DSIS.Week 3 (n=154, 72)3.55 score on scaleStandard Error 0.146
PregabalinMean Sleep Score as Computed by DSIS.Week 6 (n=145, 65)3.22 score on scaleStandard Error 0.147
PregabalinMean Sleep Score as Computed by DSIS.Week 2 (n=156, 75)3.74 score on scaleStandard Error 0.145
PregabalinMean Sleep Score as Computed by DSIS.Week 7 (n=142, 62)3.19 score on scaleStandard Error 0.147
PregabalinMean Sleep Score as Computed by DSIS.Week 4 (n=151, 68)3.41 score on scaleStandard Error 0.146
PregabalinMean Sleep Score as Computed by DSIS.Week 8 (n=138, 62)3.10 score on scaleStandard Error 0.147
PregabalinMean Sleep Score as Computed by DSIS.Overall Comparison (Weeks 1 to 8)3.46 score on scaleStandard Error 0.134
PlaceboMean Sleep Score as Computed by DSIS.Week 8 (n=138, 62)3.72 score on scaleStandard Error 0.211
PlaceboMean Sleep Score as Computed by DSIS.Overall Comparison (Weeks 1 to 8)3.97 score on scaleStandard Error 0.189
PlaceboMean Sleep Score as Computed by DSIS.Week 1 (n= 161, 77)4.56 score on scaleStandard Error 0.205
PlaceboMean Sleep Score as Computed by DSIS.Week 2 (n=156, 75)4.24 score on scaleStandard Error 0.206
PlaceboMean Sleep Score as Computed by DSIS.Week 3 (n=154, 72)4.13 score on scaleStandard Error 0.207
PlaceboMean Sleep Score as Computed by DSIS.Week 4 (n=151, 68)3.95 score on scaleStandard Error 0.208
PlaceboMean Sleep Score as Computed by DSIS.Week 5 (n=146, 66)3.73 score on scaleStandard Error 0.209
PlaceboMean Sleep Score as Computed by DSIS.Week 6 (n=145, 65)3.74 score on scaleStandard Error 0.21
PlaceboMean Sleep Score as Computed by DSIS.Week 7 (n=142, 62)3.71 score on scaleStandard Error 0.211
Comparison: Weeks 1 to 8 Mean Sleep Score~Overall Comparison (8-week average)~Pregabalin minus Placebop-value: 0.02495% CI: [-0.96, -0.07]Linear Mixed Model
Comparison: Week 1 Sleep Interference Score~Pregabalin minus Placebop-value: 0.1295% CI: [-0.86, 0.1]Linear Mixed Model
Comparison: Week 2 Sleep Interference Score~Pregabalin minus Placebop-value: 0.04195% CI: [-0.99, -0.02]Linear Mixed Model
Comparison: Week 3 Sleep Interference Score~Pregabalin minus Placebop-value: 0.01795% CI: [-1.07, -0.1]Linear Mixed Model
Comparison: Week 4 Sleep Interference Score~Pregabalin minus Placebop-value: 0.03395% CI: [-1.02, -0.04]Linear Mixed Model
Comparison: Week 5 Sleep Interference Score~Pregabalin minus Placebop-value: 0.07895% CI: [-0.93, 0.05]Linear Mixed Model
Comparison: Week 6 Sleep Interference Score~Pregabalin minus Placebop-value: 0.03895% CI: [-1.01, -0.03]Linear Mixed Model
Comparison: Week 7 Sleep Interference Score~Pregabalin minus Placebop-value: 0.03795% CI: [-1.02, -0.03]Linear Mixed Model
Comparison: Week 8 Sleep Interference Score~Pregabalin minus Placebop-value: 0.01595% CI: [-1.11, -0.12]Linear Mixed Model
Secondary

Medical Outcome Study (MOS) Awaken Short of Breath or Headache

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Awaken Short of Breath or with a Headache sub-scale scores range from 0 to 100, lower scores indicate less difficulty.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Awaken Short of Breath or Headache6.90 score on scale95% Confidence Interval 1.116
PlaceboMedical Outcome Study (MOS) Awaken Short of Breath or Headache9.98 score on scale95% Confidence Interval 1.59
Comparison: Week 8 Awaken Short of Breath or Headache~Pregabalin minus Placebop-value: 0.10395% CI: [-6.81, 0.63]General Linear Model
Secondary

Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal Sleep

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Optimal Sleep sub-scale score is a binary outcome derived from Sleep Quantity (SQ): the response is YES (or 1) if SQ = 7 or 8 hours per night.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from the analysis.

ArmMeasureGroupValue (NUMBER)
PregabalinMedical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal SleepNo85 participants
PregabalinMedical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal SleepYes73 participants
PlaceboMedical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal SleepNo44 participants
PlaceboMedical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal SleepYes31 participants
Comparison: Week 8 Optimal Sleep~Optimal Sleep is a binary outcome derived from Sleep Quantity (SQ): the response is YES (or 1) if SQ = 7 or 8 hours per night.~Odds ratio measured the odds of optimal sleep in pregabalin to that in placebo.~Standard Error of the Mean equals Standard Error of the Odds Ratio (OR).p-value: 0.50495% CI: [0.67, 2.24]Regression, Logistic
Secondary

Medical Outcome Study (MOS) Overall Sleep Problems Index

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Overall Sleep Problems Index is a 9-item sub-scale; scores range from 0 to 100, lower scores indicate fewer sleep problems.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Overall Sleep Problems Index32.27 score on scale95% Confidence Interval 1.204
PlaceboMedical Outcome Study (MOS) Overall Sleep Problems Index34.40 score on scale95% Confidence Interval 1.73
Comparison: Week 8 Overall Sleep Problem~Pregabalin minus Placebop-value: 0.395% CI: [-6.15, 1.91]General Linear Model
Secondary

Medical Outcome Study (MOS) Sleep Adequacy

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Sleep Adequacy sub-scale scores range from 0 to 100, higher scores indicate greater sleep adequacy.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Sleep Adequacy48.81 score on scale95% Confidence Interval 2.244
PlaceboMedical Outcome Study (MOS) Sleep Adequacy46.65 score on scale95% Confidence Interval 3.194
Comparison: Week 8 Sleep Adequacy~Pregabalin minus Placebop-value: 0.57195% CI: [-5.33, 9.63]General Linear model
Secondary

Medical Outcome Study (MOS) Sleep Disturbance

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Sleep Disturbance sub-scale scores range from 0 to 100, lower scores indicate less disturbance.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Sleep Disturbance28.96 score on scale95% Confidence Interval 1.55
PlaceboMedical Outcome Study (MOS) Sleep Disturbance34.58 score on scale95% Confidence Interval 2.237
Comparison: Week 8 Sleep Disturbance~Pregabalin minus Placebop-value: 0.03495% CI: [-10.82, -0.42]General Linear Model
Secondary

Medical Outcome Study (MOS) Sleep Quantity

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Sleep Quantity sub-scale scores range from 0 to 24 (number of hours slept).

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Sleep Quantity6.46 score on scale95% Confidence Interval 0.108
PlaceboMedical Outcome Study (MOS) Sleep Quantity6.02 score on scale95% Confidence Interval 0.154
Comparison: Week 8 Sleep Quantity~Pregabalin minus Placebop-value: 0.01895% CI: [0.08, 0.8]General Linear Model
Secondary

Medical Outcome Study (MOS) Snoring Score

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Snoring sub-scale scores range from 0 to 100, lower scores indicate less snoring.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Snoring Score34.21 score on scale95% Confidence Interval 1.964
PlaceboMedical Outcome Study (MOS) Snoring Score29.16 score on scale95% Confidence Interval 2.788
Comparison: Week 8 Snoring Score~Pregabalin minus Placebop-value: 0.12895% CI: [-1.47, 11.58]General Linear Model
Secondary

Medical Outcome Study (MOS) Somnolence

MOS Sleep Scale is a subject-rated questionnaire consisting of 12 items that assess the key constructs of sleep; assesses sleep for the 4 weeks prior to evaluation. The MOS Somnolence sub-scale scores range from 0 to 100, lower scores indicate less somnolence.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. MOS was measured at baseline and Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinMedical Outcome Study (MOS) Somnolence34.02 score on scale95% Confidence Interval 1.394
PlaceboMedical Outcome Study (MOS) Somnolence29.31 score on scale95% Confidence Interval 1.977
Comparison: Week 8 Somnolence~Pregabalin minus Placebop-value: 0.04695% CI: [0.08, 9.34]General Linear Model
Secondary

Patient Global Impression of Change (PGIC)

PGIC is a subject-rated instrument that measured change in subject's overall status on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improved = minimally improved, much improved, and very much improved; Worse = minimally worse, much worse, and very much worse.

Time frame: Week 8

Population: The ITT population consisted of subjects who received ≥1 dose of study medication and had contributed to the analysis of any efficacy parameter. PGIC was measured at Week 8. For subjects not completing the study, their final data were considered Week 8 data; those without final data were excluded from analysis.

ArmMeasureGroupValue (NUMBER)
PregabalinPatient Global Impression of Change (PGIC)Improved118 participants
PregabalinPatient Global Impression of Change (PGIC)No change29 participants
PregabalinPatient Global Impression of Change (PGIC)Worse11 participants
PlaceboPatient Global Impression of Change (PGIC)Improved54 participants
PlaceboPatient Global Impression of Change (PGIC)No change12 participants
PlaceboPatient Global Impression of Change (PGIC)Worse9 participants
Comparison: Cochran-Mantel-Haenszel (CMH) test on the null hypothesis of no treatment difference in all centers. CMH test comparing Pregabalin to Placebo adjusted for center.p-value: 0.473Cochran-Mantel-Haenszel
Other Pre-specified

Daily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population)

DPRS is 11-point rating scale from 0 (no pain) to 10 (worst possible pain). Subjects instructed to describe their pain (daily upon awakening) during preceding 24 hrs by choosing the appropriate number between 0-10. Mean endpoint pain score was obtained from the last 7 available DPRS scores of the daily pain diary while subject on study medication.

Time frame: Endpoint- Week 8 or Early Discontinuation

Population: Evaluable (EVAL) Population: Subset of ITT subjects with ≥4 daily pain diaries in the 7 days before Visit 2 (randomization) with average score ≥4; ≥14 days of treatment; ≥14 days of DB daily pain diaries; not withdrawn due to Protocol violation or Did not meet entrance criteria; not previously participated in the study.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinDaily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population)4.47 score on scale95% Confidence Interval 0.156
PlaceboDaily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population)4.94 score on scale95% Confidence Interval 0.225
Comparison: Endpoint Mean Pain Score~Pregabalin minus Placebop-value: 0.07795% CI: [-1, 0.05]General Linear Model

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026