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Vision Testing in Patients With Partial Seizures Receiving Either Lyrica or Placebo

PROSPECTIVE RANDOMIZED 12-WEEK CONTROLLED STUDY OF VISUAL FIELD CHANGE IN SUBJECTS WITH PARTIAL SEIZURES RECEIVING PREGABALIN OR PLACEBO

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00351611
Enrollment
187
Registered
2006-07-13
Start date
2006-07-26
Completion date
2020-02-04
Last updated
2021-04-13

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

Conditions

Epilepsies, Partial

Keywords

epilepsy partial seizure treatment with pregabalin or placebo, vision testing

Brief summary

Patients with partial seizures currently taking 1-3 antiepileptic medications will have a 50:50 chance to receive Lyrica 300 mg per day or placebo (no active ingredients) added on to their current medications for 3 months. Neither the study doctor nor the patient will know the medication assignment. Vision testing will be performed prior to receiving the study treatment and at the end of the study to see if there are any changes.

Interventions

150 mg twice a day, oral administration

DRUGplacebo

Twice a day, oral administration

Sponsors

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

Study design

Allocation
RANDOMIZED
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Epilepsy partial seizure subjects. * Currently taking 1 to 3 antiepileptic drugs.

Exclusion criteria

* Pre-existing eye diseases (glaucoma). * Insufficient response to pregabalin in the treatment of partial seizure, or patients currently receiving pregabalin treatment.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With a Decrease (p<0.05) From Baseline in Threshold Value in Any 5 or More Points in Humphrey 24-2 Swedish Interactive Threshold Algorithm (SITA) Standard Testing at Week 12 or Early TerminationBaseline, Week 12 or Early Termination (any time up to Week 12)In this primary outcome measure, percentage of participants is reported, with a decrease in the threshold value from baseline to Week 12 or termination in any 5 or more points (in either eye) at the p\<0.05 level repeated in the same 5 points on subsequent computerized automated perimetry testing (Humphrey 24-2 SITA standard). It was derived from the Humphrey 24-2 SITA standard visual field analyzer. For each eye there were 52 test points. For each test point, the Humphrey analyzer determined the threshold value for sensitivity to light by the participant. In addition, for each of the 52 points, the test provided probabilities (p\<0.05, p\<0.02, etc.) that a participant with normal vision of the same age would have the same result, i.e., that the measured value at that point was at or below the respective percentile of the age-specific empiric distribution at that position of the field for normal participants.

Secondary

MeasureTime frameDescription
Change From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early TerminationBaseline, Week 12 or Early Termination (any time up to Week 12)Mean deviation (MD) is a global index of visual field depression. The MD ranges from 0 decibels (no defect) to about -32 decibels (end-stage damage), higher scores indicate worse condition. It is derived from the Humphrey 24-2 SITA standard visual field analyzer. Change in mean deviation score from baseline to Week 12 or termination was computed for each participant. As planned, for each participant, the worst eye (eye with the greatest decrease in mean deviation) was used in the analysis and data is reported for same.
Change From Baseline in Visual Acuity at Week 12 or Early TerminationBaseline, Week 12 or Early Termination (any time up to Week 12)Visual acuity best-corrected (with glasses or best possible glasses prescription) was measured using early treatment diabetic retinopathy study (ETDRS) charts. There were 2 ETDRS charts. The letters on chart A were read using the right eye and on chart B using the left eye. The participants started from the top of the chart to down. The participants read down the chart until they reached a row where a minimum of 3 letters on a line could not be read. The participants were scored by number of letters identified correctly. Range was from 0 to 70, with higher scores indicate better visual acuity. As planned, for each participant, the worst eye (eye with the greatest decrease in visual acuity) was used in the analysis and data is reported for same.

Countries

Bulgaria, Czechia, Hungary, India, Mexico, Poland, South Korea, Thailand, United States

Participant flow

Participants by arm

ArmCount
Pregabalin
Participants were randomized to receive pregabalin. In Week 1 (titration), participants received pregabalin 150 mg/day as 75 mg oral capsules twice daily. From Week 2 to 12, participants received pregabalin 300 mg/day as 150 mg oral capsules twice daily. In Week 13 (tapering), participants received 150 mg/day as 75 mg oral capsules twice daily. Participants were followed up from Week 14 to 15. If participants not tolerated 300 mg/day dose, they were discontinued from the study.
89
Placebo
Participants were randomized to receive placebo matched to pregabalin from Week 1 to 13 and were followed up from Week 14 to 15.
98
Total187

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event113
Overall StudyDeath10
Overall StudyLost to Follow-up10
Overall StudyNo Longer Willing to Participate in Study05
Overall StudyOther10
Overall StudyProtocol Violation02

Baseline characteristics

CharacteristicPlaceboTotalPregabalin
Age, Continuous39.1 Years
STANDARD_DEVIATION 11.6
38.6 Years
STANDARD_DEVIATION 11.8
38.1 Years
STANDARD_DEVIATION 12.1
Race/Ethnicity, Customized
Race
Asian
40 Participants74 Participants34 Participants
Race/Ethnicity, Customized
Race
Black
5 Participants9 Participants4 Participants
Race/Ethnicity, Customized
Race
Others
2 Participants6 Participants4 Participants
Race/Ethnicity, Customized
Race
White
51 Participants98 Participants47 Participants
Sex: Female, Male
Female
46 Participants90 Participants44 Participants
Sex: Female, Male
Male
52 Participants97 Participants45 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 890 / 98
other
Total, other adverse events
33 / 8913 / 98
serious
Total, serious adverse events
4 / 891 / 98

Outcome results

Primary

Percentage of Participants With a Decrease (p<0.05) From Baseline in Threshold Value in Any 5 or More Points in Humphrey 24-2 Swedish Interactive Threshold Algorithm (SITA) Standard Testing at Week 12 or Early Termination

In this primary outcome measure, percentage of participants is reported, with a decrease in the threshold value from baseline to Week 12 or termination in any 5 or more points (in either eye) at the p\<0.05 level repeated in the same 5 points on subsequent computerized automated perimetry testing (Humphrey 24-2 SITA standard). It was derived from the Humphrey 24-2 SITA standard visual field analyzer. For each eye there were 52 test points. For each test point, the Humphrey analyzer determined the threshold value for sensitivity to light by the participant. In addition, for each of the 52 points, the test provided probabilities (p\<0.05, p\<0.02, etc.) that a participant with normal vision of the same age would have the same result, i.e., that the measured value at that point was at or below the respective percentile of the age-specific empiric distribution at that position of the field for normal participants.

Time frame: Baseline, Week 12 or Early Termination (any time up to Week 12)

Population: Per protocol population included all participants randomized to treatment who received at least 1 dose of study medication and excluded participants who had a decrease in at least 5 points at termination but did not return for a repeat test.

ArmMeasureValue (NUMBER)
PregabalinPercentage of Participants With a Decrease (p<0.05) From Baseline in Threshold Value in Any 5 or More Points in Humphrey 24-2 Swedish Interactive Threshold Algorithm (SITA) Standard Testing at Week 12 or Early Termination3.8 Percentage of participants
PlaceboPercentage of Participants With a Decrease (p<0.05) From Baseline in Threshold Value in Any 5 or More Points in Humphrey 24-2 Swedish Interactive Threshold Algorithm (SITA) Standard Testing at Week 12 or Early Termination5.6 Percentage of participants
Comparison: A 2-sided 95 percent (%) confidence interval (CI) on the difference in percentage of participants, between pregabalin and placebo was constructed using unconditional exact methods.95% CI: [-9.1751, 5.9784]
Secondary

Change From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early Termination

Mean deviation (MD) is a global index of visual field depression. The MD ranges from 0 decibels (no defect) to about -32 decibels (end-stage damage), higher scores indicate worse condition. It is derived from the Humphrey 24-2 SITA standard visual field analyzer. Change in mean deviation score from baseline to Week 12 or termination was computed for each participant. As planned, for each participant, the worst eye (eye with the greatest decrease in mean deviation) was used in the analysis and data is reported for same.

Time frame: Baseline, Week 12 or Early Termination (any time up to Week 12)

Population: ITT population included all participants randomized to treatment, who received at least 1 dose of study medication. Here, Overall Number of Participants Analyzed refers to those participants who were evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinChange From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early Termination-0.339 DecibelsStandard Error 0.1467
PlaceboChange From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early Termination-0.214 DecibelsStandard Error 0.1321
Comparison: Analysis of covariance (ANCOVA) with treatment and center in the model and the baseline mean deviation as the covariate was used to construct a 2-sided 95% CI on the difference in least squares (LS) mean between pregabalin and placebo.p-value: 0.441495% CI: [-0.443, 0.194]ANCOVA
Secondary

Change From Baseline in Visual Acuity at Week 12 or Early Termination

Visual acuity best-corrected (with glasses or best possible glasses prescription) was measured using early treatment diabetic retinopathy study (ETDRS) charts. There were 2 ETDRS charts. The letters on chart A were read using the right eye and on chart B using the left eye. The participants started from the top of the chart to down. The participants read down the chart until they reached a row where a minimum of 3 letters on a line could not be read. The participants were scored by number of letters identified correctly. Range was from 0 to 70, with higher scores indicate better visual acuity. As planned, for each participant, the worst eye (eye with the greatest decrease in visual acuity) was used in the analysis and data is reported for same.

Time frame: Baseline, Week 12 or Early Termination (any time up to Week 12)

Population: ITT population included all participants randomized to treatment, who received at least 1 dose of study medication. Here, Overall Number of Participants Analyzed refers to those participants who were evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PregabalinChange From Baseline in Visual Acuity at Week 12 or Early Termination-1.890 Letters identified correctlyStandard Error 0.5515
PlaceboChange From Baseline in Visual Acuity at Week 12 or Early Termination-0.990 Letters identified correctlyStandard Error 0.5057
Comparison: ANCOVA with treatment and center in the model and the baseline visual acuity as the covariate was used to construct a 2-sided 95% confidence interval on the difference in LS mean between pregabalin and placebo.p-value: 0.134695% CI: [-2.083, 0.283]ANCOVA

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