Diabetic Neuropathies, Neuralgia
Conditions
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
150-600mg/day, BID
Placebo
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Daily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population) | Endpoint- Week 8 or Early Discontinuation | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores) | Endpoint- Week 8 or Early Discontinuation | 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 |
| Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores) | Endpoint- Week 8 or Early Discontination | 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. |
| Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Weeks 1 to 8 | 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. |
| Duration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain Score | Weeks 1 to 8 | 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. |
| Mean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS). | Endpoint- Week 8 or Early Discontinuation | 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. |
| Mean Sleep Score as Computed by DSIS. | Weeks 1 to 8 | 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. |
| Medical Outcome Study (MOS) Sleep Disturbance | Week 8 | 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. |
| Medical Outcome Study (MOS) Snoring Score | Week 8 | 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. |
| Medical Outcome Study (MOS) Awaken Short of Breath or Headache | Week 8 | 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. |
| Medical Outcome Study (MOS) Sleep Quantity | Week 8 | 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). |
| Medical Outcome Study (MOS) Sleep Adequacy | Week 8 | 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. |
| Medical Outcome Study (MOS) Somnolence | Week 8 | 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. |
| Medical Outcome Study (MOS) Overall Sleep Problems Index | Week 8 | 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. |
| Euro Quality of Life (QOL) (EQ-5D) Utility Score | Week 8 | 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). |
| Euro Quality of Life (EQ-5D) Visual Analog Scale (VAS) | Week 8 | 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. |
| Hospital Anxiety and Depression Scale- Anxiety (HADS-A) Score | Week 8 | 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 |
| Hospital Anxiety and Depression Scale- Depression (HADS-D) Score | Week 8 | 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 |
| Patient Global Impression of Change (PGIC) | Week 8 | 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. |
| Clinical Global Impression of Change (CGIC) | Week 8 | 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. |
| Duration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain Score | Weeks 1 to 8 | 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. |
| Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal Sleep | Week 8 | 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Daily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population) | Endpoint- Week 8 or Early Discontinuation | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 240 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 8 | 6 |
| Overall Study | Lack of Efficacy | 5 | 4 |
| Overall Study | Protocol violations | 5 | 4 |
| Overall Study | Withdrawal by Subject | 6 | 2 |
Baseline characteristics
| Characteristic | Pregabalin | Placebo | Total |
|---|---|---|---|
| Age, Continuous | 59.7 years STANDARD_DEVIATION 10.8 | 61.3 years STANDARD_DEVIATION 12.9 | 60.2 years STANDARD_DEVIATION 11.5 |
| Sex: Female, Male Female | 83 Participants | 46 Participants | 129 Participants |
| Sex: Female, Male Male | 79 Participants | 32 Participants | 111 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 68 / 162 | 23 / 78 |
| serious Total, serious adverse events | 2 / 162 | 1 / 78 |
Outcome results
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Daily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population) | 4.63 score on scale | 95% Confidence Interval 0.15 |
| Placebo | Daily Pain Rating Scale (DPRS)- Mean Pain Score (ITT Population) | 5.13 score on scale | 95% Confidence Interval 0.21 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pregabalin | Clinical Global Impression of Change (CGIC) | Improved | 117 participants |
| Pregabalin | Clinical Global Impression of Change (CGIC) | No change | 37 participants |
| Pregabalin | Clinical Global Impression of Change (CGIC) | Worse | 6 participants |
| Placebo | Clinical Global Impression of Change (CGIC) | Improved | 51 participants |
| Placebo | Clinical Global Impression of Change (CGIC) | No change | 16 participants |
| Placebo | Clinical Global Impression of Change (CGIC) | Worse | 10 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pregabalin | Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores) | Yes | 68 participants |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores) | No | 93 participants |
| Placebo | Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores) | No | 50 participants |
| Placebo | Daily Pain Rating Scale (DPRS)- Number of 30% Responders (With Respect to Pain Scores) | Yes | 27 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pregabalin | Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores) | Yes | 42 participants |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores) | No | 119 participants |
| Placebo | Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores) | Yes | 11 participants |
| Placebo | Daily Pain Rating Scale (DPRS)- Number of 50% Responders (With Respect to Pain Scores) | No | 66 participants |
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).
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 8 (n=138, 62) | 4.47 score on scale | Standard Error 0.127 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Overall Comparison (weeks 1 to 8) | 4.91 score on scale | Standard Error 0.11 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 1 (n=161, 77) | 5.80 score on scale | Standard Error 0.124 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 2 (n=156, 75) | 5.30 score on scale | Standard Error 0.125 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 3 (n=154, 72) | 5.02 score on scale | Standard Error 0.125 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 4 (n=151, 68) | 4.84 score on scale | Standard Error 0.125 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 5 (n=146, 66) | 4.69 score on scale | Standard Error 0.126 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 6 (n=145, 65) | 4.64 score on scale | Standard Error 0.126 |
| Pregabalin | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 7 (n=142, 62) | 4.52 score on scale | Standard Error 0.126 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 6 (n=145, 65) | 4.93 score on scale | Standard Error 0.181 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 4 (n=151, 68) | 5.27 score on scale | Standard Error 0.18 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Overall Comparison (weeks 1 to 8) | 5.29 score on scale | Standard Error 0.156 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 8 (n=138, 62) | 4.92 score on scale | Standard Error 0.183 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 1 (n=161, 77) | 6.18 score on scale | Standard Error 0.176 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 5 (n=146, 66) | 5.11 score on scale | Standard Error 0.181 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 2 (n=156, 75) | 5.61 score on scale | Standard Error 0.177 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 7 (n=142, 62) | 4.87 score on scale | Standard Error 0.183 |
| Placebo | Daily Pain Rating Scale (DPRS)- Weekly Mean Pain Score | Week 3 (n=154, 72) | 5.42 score on scale | Standard Error 0.178 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Duration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain Score | -1.27 score on scale | 95% Confidence Interval 0.11 |
| Placebo | Duration Adjusted Average Change (DAAC) of (Adjusted) Mean Pain Score | -0.89 score on scale | 95% Confidence Interval 0.156 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Duration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain Score | -1.24 score on scale | Standard Deviation 1.32 |
| Placebo | Duration Adjusted Average Change (DAAC) of (Unadjusted) Mean Pain Score | -0.87 score on scale | Standard Deviation 1.488 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Euro Quality of Life (EQ-5D) Visual Analog Scale (VAS) | 61.53 score on scale | 95% Confidence Interval 1.406 |
| Placebo | Euro Quality of Life (EQ-5D) Visual Analog Scale (VAS) | 58.03 score on scale | 95% Confidence Interval 2.008 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Euro Quality of Life (QOL) (EQ-5D) Utility Score | 0.651 score on scale | 95% Confidence Interval 0.0192 |
| Placebo | Euro Quality of Life (QOL) (EQ-5D) Utility Score | 0.626 score on scale | 95% Confidence Interval 0.0274 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Hospital Anxiety and Depression Scale- Anxiety (HADS-A) Score | 6.01 score on scale | 95% Confidence Interval 0.242 |
| Placebo | Hospital Anxiety and Depression Scale- Anxiety (HADS-A) Score | 6.86 score on scale | 95% Confidence Interval 0.345 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Hospital Anxiety and Depression Scale- Depression (HADS-D) Score | 7.54 score on scale | 95% Confidence Interval 0.259 |
| Placebo | Hospital Anxiety and Depression Scale- Depression (HADS-D) Score | 7.73 score on scale | 95% Confidence Interval 0.369 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Mean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS). | 3.26 score on scale | 95% Confidence Interval 0.162 |
| Placebo | Mean Sleep Interference Score Based on Daily Sleep Interference Scale (DSIS). | 3.91 score on scale | 95% Confidence Interval 0.228 |
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).
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 1 (n= 161, 77) | 4.18 score on scale | Standard Error 0.145 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 5 (n=146, 66) | 3.29 score on scale | Standard Error 0.146 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 3 (n=154, 72) | 3.55 score on scale | Standard Error 0.146 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 6 (n=145, 65) | 3.22 score on scale | Standard Error 0.147 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 2 (n=156, 75) | 3.74 score on scale | Standard Error 0.145 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 7 (n=142, 62) | 3.19 score on scale | Standard Error 0.147 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 4 (n=151, 68) | 3.41 score on scale | Standard Error 0.146 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Week 8 (n=138, 62) | 3.10 score on scale | Standard Error 0.147 |
| Pregabalin | Mean Sleep Score as Computed by DSIS. | Overall Comparison (Weeks 1 to 8) | 3.46 score on scale | Standard Error 0.134 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 8 (n=138, 62) | 3.72 score on scale | Standard Error 0.211 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Overall Comparison (Weeks 1 to 8) | 3.97 score on scale | Standard Error 0.189 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 1 (n= 161, 77) | 4.56 score on scale | Standard Error 0.205 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 2 (n=156, 75) | 4.24 score on scale | Standard Error 0.206 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 3 (n=154, 72) | 4.13 score on scale | Standard Error 0.207 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 4 (n=151, 68) | 3.95 score on scale | Standard Error 0.208 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 5 (n=146, 66) | 3.73 score on scale | Standard Error 0.209 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 6 (n=145, 65) | 3.74 score on scale | Standard Error 0.21 |
| Placebo | Mean Sleep Score as Computed by DSIS. | Week 7 (n=142, 62) | 3.71 score on scale | Standard Error 0.211 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Awaken Short of Breath or Headache | 6.90 score on scale | 95% Confidence Interval 1.116 |
| Placebo | Medical Outcome Study (MOS) Awaken Short of Breath or Headache | 9.98 score on scale | 95% Confidence Interval 1.59 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal Sleep | No | 85 participants |
| Pregabalin | Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal Sleep | Yes | 73 participants |
| Placebo | Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal Sleep | No | 44 participants |
| Placebo | Medical Outcome Study (MOS) Optimal Sleep: Number of Participants With Optimal Sleep | Yes | 31 participants |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Overall Sleep Problems Index | 32.27 score on scale | 95% Confidence Interval 1.204 |
| Placebo | Medical Outcome Study (MOS) Overall Sleep Problems Index | 34.40 score on scale | 95% Confidence Interval 1.73 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Sleep Adequacy | 48.81 score on scale | 95% Confidence Interval 2.244 |
| Placebo | Medical Outcome Study (MOS) Sleep Adequacy | 46.65 score on scale | 95% Confidence Interval 3.194 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Sleep Disturbance | 28.96 score on scale | 95% Confidence Interval 1.55 |
| Placebo | Medical Outcome Study (MOS) Sleep Disturbance | 34.58 score on scale | 95% Confidence Interval 2.237 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Sleep Quantity | 6.46 score on scale | 95% Confidence Interval 0.108 |
| Placebo | Medical Outcome Study (MOS) Sleep Quantity | 6.02 score on scale | 95% Confidence Interval 0.154 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Snoring Score | 34.21 score on scale | 95% Confidence Interval 1.964 |
| Placebo | Medical Outcome Study (MOS) Snoring Score | 29.16 score on scale | 95% Confidence Interval 2.788 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Medical Outcome Study (MOS) Somnolence | 34.02 score on scale | 95% Confidence Interval 1.394 |
| Placebo | Medical Outcome Study (MOS) Somnolence | 29.31 score on scale | 95% Confidence Interval 1.977 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pregabalin | Patient Global Impression of Change (PGIC) | Improved | 118 participants |
| Pregabalin | Patient Global Impression of Change (PGIC) | No change | 29 participants |
| Pregabalin | Patient Global Impression of Change (PGIC) | Worse | 11 participants |
| Placebo | Patient Global Impression of Change (PGIC) | Improved | 54 participants |
| Placebo | Patient Global Impression of Change (PGIC) | No change | 12 participants |
| Placebo | Patient Global Impression of Change (PGIC) | Worse | 9 participants |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Daily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population) | 4.47 score on scale | 95% Confidence Interval 0.156 |
| Placebo | Daily Pain Rating Scale (DPRS)- Mean Pain Scores (Evaluable Population) | 4.94 score on scale | 95% Confidence Interval 0.225 |