Epilepsies, Partial
Conditions
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
Twice a day, oral administration
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 | Baseline, 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
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early Termination | Baseline, 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 Termination | Baseline, 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
| Arm | Count |
|---|---|
| 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 |
| Total | 187 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 11 | 3 |
| Overall Study | Death | 1 | 0 |
| Overall Study | Lost to Follow-up | 1 | 0 |
| Overall Study | No Longer Willing to Participate in Study | 0 | 5 |
| Overall Study | Other | 1 | 0 |
| Overall Study | Protocol Violation | 0 | 2 |
Baseline characteristics
| Characteristic | Placebo | Total | Pregabalin |
|---|---|---|---|
| Age, Continuous | 39.1 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 Participants | 74 Participants | 34 Participants |
| Race/Ethnicity, Customized Race Black | 5 Participants | 9 Participants | 4 Participants |
| Race/Ethnicity, Customized Race Others | 2 Participants | 6 Participants | 4 Participants |
| Race/Ethnicity, Customized Race White | 51 Participants | 98 Participants | 47 Participants |
| Sex: Female, Male Female | 46 Participants | 90 Participants | 44 Participants |
| Sex: Female, Male Male | 52 Participants | 97 Participants | 45 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 1 / 89 | 0 / 98 |
| other Total, other adverse events | 33 / 89 | 13 / 98 |
| serious Total, serious adverse events | 4 / 89 | 1 / 98 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Pregabalin | 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 | 3.8 Percentage of participants |
| Placebo | 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 | 5.6 Percentage of participants |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Change From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early Termination | -0.339 Decibels | Standard Error 0.1467 |
| Placebo | Change From Baseline in Mean Deviation Score From Humphrey Threshold Test at Week 12 or Early Termination | -0.214 Decibels | Standard Error 0.1321 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Pregabalin | Change From Baseline in Visual Acuity at Week 12 or Early Termination | -1.890 Letters identified correctly | Standard Error 0.5515 |
| Placebo | Change From Baseline in Visual Acuity at Week 12 or Early Termination | -0.990 Letters identified correctly | Standard Error 0.5057 |