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Assessing Efficacy and Safety of Lacosamide Compared to Placebo in Reducing Signs and Symptoms of Fibromyalgia Syndrome.

A Parallel, Randomized, Double-Blind, Placebo-Controlled, Multicenter Proof of Concept Trial to Assess the Efficacy and Safety of 400 mg/Day Lacosamide Tablets in Subjects With Signs and Symptoms Associated With Fibromyalgia Syndrome

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00401830
Enrollment
159
Registered
2006-11-22
Start date
2006-10-31
Completion date
2008-02-29
Last updated
2018-07-18

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

Conditions

Fibromyalgia Syndrome

Keywords

Fibromyalgia Syndrome, Lacosamide, Vimpat, Harkoseride

Brief summary

This trial investigated the efficacy and safety of 400mg/day of lacosamide as compared to placebo in reducing the signs and symptoms of fibromyalgia syndrome.

Detailed description

This was a proof-of-concept study and not powered for statistical comparisons. The trial consisted of a 4-week Titration Phase, an 8-week Maintenance Phase, a 1-week Taper Phase, and a 2-week Safety Follow-Up Phase. If subjects met the eligibility criteria, they were randomized to receive either lacosamide 400mg/day or placebo during the Maintenance Phase. Subjects assigned to lacosamide were titrated from 100mg/day to 400mg/day at weekly intervals of 100mg. All subjects who completed the 4-week Titration Phase entered an 8-week Maintenance Phase. No dose adjustment was allowed during the Maintenance Phase. The Treatment Phase was defined as the combined Titration and Maintenance Phases.

Interventions

DRUGLacosamide

Tablet 400mg daily (200mg twice daily) during 8-week maintenance phase following 4-week titration phase starting at 100mg/day and increasing to 400mg/day at weekly intervals of 100mg

OTHERPlacebo

Matching placebo tablet administered twice daily

Sponsors

UCB Pharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Males or females, 18 to 65 years old * Fulfills all 3 points of American College of Rheumatology (ACR) definition for diagnosis of fibromyalgia * At least moderate pain (pain intensity ≥ 5 on Likert pain scale (0-10) during the 7 days prior to Baseline) * Fibromyalgia Impact Questionnaire (FIQ) total score ≥ 50 * Completed an adequate washout period for excluded medications prior to beginning the Baseline Diary Phase

Exclusion criteria

* Symptomatic regional or structural rheumatic disease * Diagnosed neuropathic pain syndrome * Receiving treatment with neurostimulating devices * Significant psychopathology * History of chronic alcohol or drug abuse within 6 months prior to Screening * Been hospitalized for psychiatric or behavioral reasons within 6 months prior to Screening * Clinically significant abnormal vitals, cardiac dysfunction and /or arrhythmias * Taken neuroleptics, serotonin and norepinephrine reuptake inhibitors (SNRIs) or tricyclic antidepressants (TCAs) * Other medical conditions that could compromise the subject's ability to participate in the study

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Full Analysis Set)Baseline, Last 2 weeks of the 12-week Treatment PhaseThe average daily pain score is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst pain ever experienced).
Change From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Per Protocol Set)Baseline, Last 2 weeks of the 12-week Treatment PhaseThe average daily pain score is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst pain ever experienced).

Secondary

MeasureTime frameDescription
Change From Baseline in Evening Pain Score to the Last 2 Weeks of the 12-week Treatment PhaseBaseline, Last 2 weeks of the 12 week Treatment PhaseAn 11-point Likert scale was used for subjects to assess pain, from 0 (no pain) to 10 (worst pain ever experienced).
Patient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseBaseline, Last assessment in the 12-week Treatment PhaseThe PGIC is a 7-point self-administered categorical rating scale in which the subject rated the change in pain since starting trial medication (from much worse \[score of 1\] to much better \[score of 7\]).
Change From Baseline in Fibromyalgia Impact Questionnaire (FIQ) Total Score to the Last Assessment in the 12-week Treatment PhaseBaseline, Last assessment in the 12-week Treatment PhaseThe Fibromyalgia Impact Questionnaire (FIQ) Total Score ranges from 0 to 100 with higher scores corresponding to a greater impact of fibromyalgia
Change From Baseline in Total Myalgic Score to the Last Assessment in the 12-week Treatment PhaseBaseline, Last assessment in the 12-week Treatment PhaseTotal Myalgic Score ranges from 0 to 54 with higher scores corresponding to a greater level of pain.
Change From Baseline in Average Daily Interference With Sleep to the Last 2 Weeks of the 12-week Treatment PhaseBaseline, Last 2 weeks of the 12-week Treatment PhaseSleep scale - the subject rated quality of sleep, from 0 (very good sleep) to 10 (very poor sleep)
Change From Baseline in Daily Interference With General Activity to the Last 2 Weeks of the 12-week Treatment PhaseBaseline, Last 2 weeks of the 12-week Treatment PhaseGeneral activity scale - the subject rated how the pain had interfered with general activity, from 0 (did not interfere) to 10 (completely interfered)
Percentage of Patients Using Rescue Medication During the 12-week Treatment Phase12-week Treatment PhaseSubjects recorded use of rescue medication for pain in the diary daily in the evening with a Yes/No response.
Percentage of Patients Using Alcohol for Pain During the 12-week Treatment Phase12-week Treatment PhaseUse of alcohol to treat pain in the past 24 hours was recorded (Yes/No response).
Change From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseBaseline, Last assessment in the 12-week Treatment PhaseAll scores range from 0 to 10 with higher scores corresponding to a greater level of symptom severity.
Lacosamide Plasma Concentration at the End of the Maintenance Phase/ Week 12End of the Maintenance Phase/Week 12
Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Scores to the Last Assessment in the 12-week Treatment PhaseBaseline, Last assessment in the 12-week Treatment PhaseThe Hospital Anxiety and Depression Scale (HADS) is a self-administered instrument for detecting anxiety and depression in medical outpatients. Scores range from 0 to 21 for each subscale with higher scores reflecting a greater level of anxiety or depression.
Change From Baseline in Morning Pain Score to the Last 2 Weeks of the 12-week Treatment PhaseBaseline, Last 2 weeks of the 12 week Treatment PhaseAn 11-point Likert scale was used for subjects to assess pain, from 0 (no pain) to 10 (worst pain ever experienced).

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo
Matching placebo tablet (administered twice daily)
81
Lacosamide
Lacosamide Tablet 400mg daily (administered twice daily)
78
Total159

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event1018
Overall StudyLack of Efficacy115
Overall StudyLost to Follow-up13
Overall StudyNon-compliance with drug study10
Overall StudyOther: Personal / Family problems10
Overall StudyProtocol Violation33
Overall StudyWithdrawal by Subject43

Baseline characteristics

CharacteristicLacosamidePlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
2 Participants2 Participants4 Participants
Age, Categorical
Between 18 and 65 years
76 Participants79 Participants155 Participants
Age, Continuous48.9 years
STANDARD_DEVIATION 11.1
50.4 years
STANDARD_DEVIATION 10.5
49.7 years
STANDARD_DEVIATION 10.8
Region of Enrollment
United States
78 participants81 participants159 participants
Sex: Female, Male
Female
71 Participants77 Participants148 Participants
Sex: Female, Male
Male
7 Participants4 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
37 / 8153 / 78
serious
Total, serious adverse events
3 / 810 / 78

Outcome results

Primary

Change From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Full Analysis Set)

The average daily pain score is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst pain ever experienced).

Time frame: Baseline, Last 2 weeks of the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the summary of the last 2 weeks of the 12-week Treatment Phase, based on the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Full Analysis Set)-1.30 Score on a scaleStandard Deviation 1.92
LacosamideChange From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Full Analysis Set)-1.80 Score on a scaleStandard Deviation 2.13
Primary

Change From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Per Protocol Set)

The average daily pain score is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst pain ever experienced).

Time frame: Baseline, Last 2 weeks of the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 36 and 41 patients respectively are included in the summary of the last 2 weeks of the 12-week Treatment Phase, based on the Per Protocol Set.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Per Protocol Set)-2.11 Score on a scaleStandard Deviation 1.98
LacosamideChange From Baseline in Average Daily Pain Score to the Last 2 Weeks of the 12-week Treatment Phase (Based on the Per Protocol Set)-2.40 Score on a scaleStandard Deviation 2.08
Secondary

Change From Baseline in Average Daily Interference With Sleep to the Last 2 Weeks of the 12-week Treatment Phase

Sleep scale - the subject rated quality of sleep, from 0 (very good sleep) to 10 (very poor sleep)

Time frame: Baseline, Last 2 weeks of the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the summary of the last 2 weeks of the 12-week Treatment Phase, based on the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Average Daily Interference With Sleep to the Last 2 Weeks of the 12-week Treatment Phase-1.24 Score on a scaleStandard Deviation 1.94
LacosamideChange From Baseline in Average Daily Interference With Sleep to the Last 2 Weeks of the 12-week Treatment Phase-1.64 Score on a scaleStandard Deviation 2.16
Secondary

Change From Baseline in Daily Interference With General Activity to the Last 2 Weeks of the 12-week Treatment Phase

General activity scale - the subject rated how the pain had interfered with general activity, from 0 (did not interfere) to 10 (completely interfered)

Time frame: Baseline, Last 2 weeks of the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the summary of the last 2 weeks of the 12-week Treatment Phase, based on the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Daily Interference With General Activity to the Last 2 Weeks of the 12-week Treatment Phase-1.27 Score on a scaleStandard Deviation 1.93
LacosamideChange From Baseline in Daily Interference With General Activity to the Last 2 Weeks of the 12-week Treatment Phase-1.44 Score on a scaleStandard Deviation 2.3
Secondary

Change From Baseline in Evening Pain Score to the Last 2 Weeks of the 12-week Treatment Phase

An 11-point Likert scale was used for subjects to assess pain, from 0 (no pain) to 10 (worst pain ever experienced).

Time frame: Baseline, Last 2 weeks of the 12 week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the summary of the last 2 weeks of the 12-week Treatment Phase, based on the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Evening Pain Score to the Last 2 Weeks of the 12-week Treatment Phase-1.32 Score on a scaleStandard Deviation 1.94
LacosamideChange From Baseline in Evening Pain Score to the Last 2 Weeks of the 12-week Treatment Phase-1.84 Score on a scaleStandard Deviation 2.15
Secondary

Change From Baseline in Fibromyalgia Impact Questionnaire (FIQ) Total Score to the Last Assessment in the 12-week Treatment Phase

The Fibromyalgia Impact Questionnaire (FIQ) Total Score ranges from 0 to 100 with higher scores corresponding to a greater impact of fibromyalgia

Time frame: Baseline, Last assessment in the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 79 and 78 patients respectively are included in this summary based on the Full Analysis Set and have the Last Assessment in the 12-week Treatment Phase.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Fibromyalgia Impact Questionnaire (FIQ) Total Score to the Last Assessment in the 12-week Treatment Phase-14.7 Score on a scaleStandard Deviation 16.9
LacosamideChange From Baseline in Fibromyalgia Impact Questionnaire (FIQ) Total Score to the Last Assessment in the 12-week Treatment Phase-17.5 Score on a scaleStandard Deviation 19.3
Secondary

Change From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment Phase

All scores range from 0 to 10 with higher scores corresponding to a greater level of symptom severity.

Time frame: Baseline, Last assessment in the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 61 and 60 patients respectively are included in this summary based on the Full Analysis Set and have the Last Assessment in the 12-week Treatment Phase.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseJoint pains-1.9 Score on a scaleStandard Deviation 2.8
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseParesthesias-1.6 Score on a scaleStandard Deviation 2.6
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseInsomnia-1.9 Score on a scaleStandard Deviation 2.7
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseImpaired memory-1.3 Score on a scaleStandard Deviation 2.7
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseHeadaches-0.7 Score on a scaleStandard Deviation 3.2
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseLeg cramps-1.5 Score on a scaleStandard Deviation 2.8
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseFatigue-1.7 Score on a scaleStandard Deviation 2.4
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseImpaired concentration-1.2 Score on a scaleStandard Deviation 3.1
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseRestless legs-1.5 Score on a scaleStandard Deviation 2.9
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseAbdominal pain, alternating diarrhea/constipation-1.7 Score on a scaleStandard Deviation 3.4
PlaceboChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseMuscular Pain-1.9 Score on a scaleStandard Deviation 2.4
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseAbdominal pain, alternating diarrhea/constipation-1.2 Score on a scaleStandard Deviation 3.5
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseMuscular Pain-2.4 Score on a scaleStandard Deviation 2.9
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseFatigue-1.9 Score on a scaleStandard Deviation 2.9
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseInsomnia-2.4 Score on a scaleStandard Deviation 3.2
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseJoint pains-1.9 Score on a scaleStandard Deviation 3.3
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseHeadaches-1.2 Score on a scaleStandard Deviation 3.5
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseRestless legs-1.2 Score on a scaleStandard Deviation 3.3
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseParesthesias-1.3 Score on a scaleStandard Deviation 3.1
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseImpaired memory0.0 Score on a scaleStandard Deviation 3.1
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseLeg cramps-1.4 Score on a scaleStandard Deviation 2.8
LacosamideChange From Baseline in Fibromyalgia Symptom Scores to the Last Assessment in the 12-week Treatment PhaseImpaired concentration-0.5 Score on a scaleStandard Deviation 3.1
Secondary

Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Scores to the Last Assessment in the 12-week Treatment Phase

The Hospital Anxiety and Depression Scale (HADS) is a self-administered instrument for detecting anxiety and depression in medical outpatients. Scores range from 0 to 21 for each subscale with higher scores reflecting a greater level of anxiety or depression.

Time frame: Baseline, Last assessment in the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the Full Analysis Set (FAS). A total of 67 subjects in each treatment group in the FAS have change from Baseline data for depression. One subject in the Lacosamide group had a missing anxiety score.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Scores to the Last Assessment in the 12-week Treatment PhaseDepression score (Placebo n=67, Lacosamide n=67)-1.1 Score on a scaleStandard Deviation 2.8
PlaceboChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Scores to the Last Assessment in the 12-week Treatment PhaseAnxiety Score (Placebo n=67, Lacosamide n=66)-1.2 Score on a scaleStandard Deviation 3.2
LacosamideChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Scores to the Last Assessment in the 12-week Treatment PhaseDepression score (Placebo n=67, Lacosamide n=67)-0.8 Score on a scaleStandard Deviation 2.8
LacosamideChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Scores to the Last Assessment in the 12-week Treatment PhaseAnxiety Score (Placebo n=67, Lacosamide n=66)-1.2 Score on a scaleStandard Deviation 3.2
Secondary

Change From Baseline in Morning Pain Score to the Last 2 Weeks of the 12-week Treatment Phase

An 11-point Likert scale was used for subjects to assess pain, from 0 (no pain) to 10 (worst pain ever experienced).

Time frame: Baseline, Last 2 weeks of the 12 week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the summary of the last 2 weeks of the 12-week Treatment Phase, based on the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Morning Pain Score to the Last 2 Weeks of the 12-week Treatment Phase-1.29 Score on a scaleStandard Deviation 1.97
LacosamideChange From Baseline in Morning Pain Score to the Last 2 Weeks of the 12-week Treatment Phase-1.77 Score on a scaleStandard Deviation 2.18
Secondary

Change From Baseline in Total Myalgic Score to the Last Assessment in the 12-week Treatment Phase

Total Myalgic Score ranges from 0 to 54 with higher scores corresponding to a greater level of pain.

Time frame: Baseline, Last assessment in the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 79 and 78 patients respectively are included in this summary based on the Full Analysis Set and have the Last Assessment in the 12-week Treatment Phase.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Total Myalgic Score to the Last Assessment in the 12-week Treatment Phase-6.7 Score on a scaleStandard Deviation 13.6
LacosamideChange From Baseline in Total Myalgic Score to the Last Assessment in the 12-week Treatment Phase-9.7 Score on a scaleStandard Deviation 13
Secondary

Lacosamide Plasma Concentration at the End of the Maintenance Phase/ Week 12

Time frame: End of the Maintenance Phase/Week 12

Population: The number of patients in the Placebo treatment group has been presented as 0 as this outcome measure is not applicable for this treatment group. Of the 78 patients in the Lacosamide treatment group (Safety Set) data were available at the end of Maintenance Phase/Week 12 for the 45 patients remaining in the study.

ArmMeasureValue (MEAN)Dispersion
LacosamideLacosamide Plasma Concentration at the End of the Maintenance Phase/ Week 129.44 ug/MLStandard Deviation 5.24
Secondary

Patient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment Phase

The PGIC is a 7-point self-administered categorical rating scale in which the subject rated the change in pain since starting trial medication (from much worse \[score of 1\] to much better \[score of 7\]).

Time frame: Baseline, Last assessment in the 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in the Full Analysis Set (FAS). A total of 67 subjects in each treatment group in the FAS have this assessment.

ArmMeasureGroupValue (NUMBER)
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMildly better18 Patients
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMildly worse5 Patients
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseModerately better14 Patients
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseModerately worse2 Patients
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseNo change17 Patients
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMuch worse3 Patients
PlaceboPatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMuch better8 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMuch worse3 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMuch better17 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseModerately better12 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMildly better13 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseNo change13 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseMildly worse3 Patients
LacosamidePatient Global Impression of Change (PGIC) Assessment From Baseline to the Last Assessment in the 12-week Treatment PhaseModerately worse6 Patients
Secondary

Percentage of Patients Using Alcohol for Pain During the 12-week Treatment Phase

Use of alcohol to treat pain in the past 24 hours was recorded (Yes/No response).

Time frame: 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in this summary based on the Full Analysis Set.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Patients Using Alcohol for Pain During the 12-week Treatment Phase17.5 Percentage of patients
LacosamidePercentage of Patients Using Alcohol for Pain During the 12-week Treatment Phase15.4 Percentage of patients
Secondary

Percentage of Patients Using Rescue Medication During the 12-week Treatment Phase

Subjects recorded use of rescue medication for pain in the diary daily in the evening with a Yes/No response.

Time frame: 12-week Treatment Phase

Population: Of the 81 (Placebo) and 78 (Lacosamide) patients randomized, 80 and 78 patients respectively are included in this summary based on the Full Analysis Set.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Patients Using Rescue Medication During the 12-week Treatment Phase83.8 Percentage of patients
LacosamidePercentage of Patients Using Rescue Medication During the 12-week Treatment Phase83.3 Percentage of patients

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