Neuralgia, Postherpetic
Conditions
Brief summary
To evaluate the safety of the long-term use of pregabalin.
Interventions
Dosage: 150-600 mg/day (75-300 mg bid), oral administration, Treatment duration: 52 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who completed the 13-week treatment of postherpetic neuralgia in Study A0081120. * Patients must be able to understand and cooperate with study procedures and have signed a written informed consent prior to entering the study.
Exclusion criteria
* Patients who experienced serious adverse events in the preceding study (A0081120) that were determined by the investigator or the study sponsor to be causally related to the study medication. * Patients exhibiting treatment non-compliance in the preceding study (A0081120)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Summary of Adverse Events | 52 weeks | Number of subjects with all causality adverse events, serious adverse events, severe adverse events, adverse events resulted in discontinuation, dose reduced or temporary discontinuation. Subjects are counted only once per treatment in each row. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short-Form McGill Pain Questionnaire the Efficacy of Change: Sensory Score | 52 weeks | Score ranges: 0-33. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label. |
| Short-Form McGill Pain Questionnaire the Efficacy of Change: Affective Score | 52 weeks | Score ranges: 0-12. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label. |
| Short-Form McGill Pain Questionnaire the Efficacy of Change: Total Score | 52 weeks | Score ranges: 0-45. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label. |
| Short-Form McGill Pain Questionnaire the Efficacy of Change: Present Pain Intensity | 52 weeks | Score ranges: 0-5. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label. |
| Short-Form McGill Pain Questionnaire the Efficacy of Change: Visual Analog Scale | 52 weeks | Ranges: 0-100 mm. Larger scale indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label. |
Countries
Japan
Participant flow
Pre-assignment details
A total of 126 subjects who completed the 13-week treatment regimen in the preceding double-blind Study A0081120 and had no serious adverse events or issues with compliance were enrolled to this study.
Participants by arm
| Arm | Count |
|---|---|
| Pregabalin Subjects initiated study drug at 75 mg in the evening of Day 1, and then 75 mg BID (150 mg/day) for 1 week from Day 2. Subsequent dose modifications were based on subjects' safety and efficacy response and the maximum doses were 150 mg BID (300 mg/day) for subjects with low creatinine clearance (CLcr) (30 \< CLcr ≤ 60 mL/min) and 300 mg BID (600 mg/day) for subjects with normal CLcr (CLcr \> 60 mL/min). | 126 |
| Total | 126 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 18 |
| Overall Study | Death | 1 |
| Overall Study | Health deterioration | 1 |
| Overall Study | Lack of Efficacy | 6 |
| Overall Study | Protocol Violation | 1 |
| Overall Study | Withdrawal by Subject | 4 |
Baseline characteristics
| Characteristic | Pregabalin |
|---|---|
| Age, Customized >= 18 and < 45 years | 1 Subjects |
| Age, Customized >= 45 and < 65 years | 19 Subjects |
| Age, Customized >=65 years | 106 Subjects |
| Sex: Female, Male Female | 55 Participants |
| Sex: Female, Male Male | 71 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 98 / 126 |
| serious Total, serious adverse events | 15 / 126 |
Outcome results
Summary of Adverse Events
Number of subjects with all causality adverse events, serious adverse events, severe adverse events, adverse events resulted in discontinuation, dose reduced or temporary discontinuation. Subjects are counted only once per treatment in each row.
Time frame: 52 weeks
Population: Safety population: all subjects who took at least 1 dose of study medication.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pregabalin | Summary of Adverse Events | Subjects discontinued due to adverse events | 17 subjects |
| Pregabalin | Summary of Adverse Events | Subjects with severe adverse events | 5 subjects |
| Pregabalin | Summary of Adverse Events | Subjects with adverse events | 124 subjects |
| Pregabalin | Summary of Adverse Events | Subjects with serious adverse events | 14 subjects |
| Pregabalin | Summary of Adverse Events | Dose reduced or temporary discontinuation | 34 subjects |
Short-Form McGill Pain Questionnaire the Efficacy of Change: Affective Score
Score ranges: 0-12. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label.
Time frame: 52 weeks
Population: Full Analysis Set, N = Number of subjects assessed
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Affective Score | Baseline | 3.4 score on scale | Standard Deviation 3.1 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Affective Score | Week 52 | 1.0 score on scale | Standard Deviation 1.8 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Affective Score | Endpoint | 1.7 score on scale | Standard Deviation 2.7 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Affective Score | Change from Baseline to Endpoint | -1.8 score on scale | Standard Deviation 2.8 |
Short-Form McGill Pain Questionnaire the Efficacy of Change: Present Pain Intensity
Score ranges: 0-5. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label.
Time frame: 52 weeks
Population: Full Analysis Set, N = Number of subjects assessed
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Present Pain Intensity | Baseline | 2.8 score on scale | Standard Deviation 1 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Present Pain Intensity | Week 52 | 1.4 score on scale | Standard Deviation 0.9 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Present Pain Intensity | Endpoint | 1.7 score on scale | Standard Deviation 1.1 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Present Pain Intensity | Change from Baseline to Endpoint | -1.1 score on scale | Standard Deviation 1.1 |
Short-Form McGill Pain Questionnaire the Efficacy of Change: Sensory Score
Score ranges: 0-33. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label.
Time frame: 52 weeks
Population: Full Analysis Set, N = Number of subjects assessed
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Sensory Score | Baseline | 11.3 score on scale | Standard Deviation 7 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Sensory Score | Week 52 | 5.1 score on scale | Standard Deviation 5.6 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Sensory Score | Endpoint | 6.7 score on scale | Standard Deviation 7.1 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Sensory Score | Change from Baseline to Endpoint | -4.8 score on scale | Standard Deviation 5.9 |
Short-Form McGill Pain Questionnaire the Efficacy of Change: Total Score
Score ranges: 0-45. Higher scores indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label.
Time frame: 52 weeks
Population: Full Analysis Set, N = Number of subjects assessed
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Total Score | Baseline | 14.7 score on scale | Standard Deviation 9.7 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Total Score | Week 52 | 6.1 score on scale | Standard Deviation 7.2 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Total Score | Endpoint | 8.2 score on scale | Standard Deviation 9.6 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Total Score | Change from Baseline to Endpoint | -6.5 score on scale | Standard Deviation 8.4 |
Short-Form McGill Pain Questionnaire the Efficacy of Change: Visual Analog Scale
Ranges: 0-100 mm. Larger scale indicate more severe pain. Baseline: The last evaluation on or before Day 1 of double-blind for subjects that took pregabalin in double-blind and last visit \<= Day 1 of open-label for subjects that took placebo in double-blind. Endpoint: The last evaluation during dose adjustment/maintenance step of open-label.
Time frame: 52 weeks
Population: Full Analysis Set, N = Number of subjects assessed
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Visual Analog Scale | Baseline | 62.0 mm | Standard Deviation 19 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Visual Analog Scale | Week 52 | 28.3 mm | Standard Deviation 22.9 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Visual Analog Scale | Endpoint | 33.7 mm | Standard Deviation 25.6 |
| Pregabalin | Short-Form McGill Pain Questionnaire the Efficacy of Change: Visual Analog Scale | Change from Baseline to Endpoint | -28.3 mm | Standard Deviation 23.8 |