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Polysomnography Study Of Pregabalin And Pramipexole Versus Placebo In Patients With Restless Legs Syndrome And Associated Sleep Disturbance

A Randomized, Double-Blind, Placebo-Controlled, 3-Way Crossover, Multicenter Polysomnography Study Of Pregabalin And Pramipexole In Adults With Restless Legs Syndrome

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00991276
Enrollment
85
Registered
2009-10-07
Start date
2009-12-31
Completion date
2011-06-30
Last updated
2021-02-15

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

Conditions

Restless Legs Syndrome

Keywords

restless legs syndrome RLS polysomnography PSG sleep disturbance patient reported outcome

Brief summary

The purpose of this study is to assess the efficacy and safety of pregabalin and pramipexole versus placebo in the treatment of restless legs syndrome and associated sleep disturbance.

Interventions

DRUGpregabalin

capsules; 300 mg once-per-day; 4 weeks of treatment

DRUGplacebo

capsules; 0 mg once-per-day; 4 weeks of treatment

DRUGpramipexole

capsules; 0.5 mg once-per-day; 4 weeks of treatment

Sponsors

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

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Diagnosis of restless legs syndrome with a total score of 15 or more points on the International RLS rating scale (IRLS). * RLS symptoms interfering with sleep on 3 or more nights per week for at least 6 months. * PSG confirmation of WASO of at least 60 min, PLMI of 10 or more, and total sleep time of at least 3 hrs and less than 6.5 hrs.

Exclusion criteria

* Secondary RLS. * Daytime RLS symptoms requiring treatment. * Primary sleep disorder. * Sleep apnea. * Night or shift work. * Concurrent medical disorder that could interfere with efficacy assessment or present a safety concern. * Pregnant or lactating women. * Women of child-bearing potential not using acceptable method of birth control. * Use of prohibited medication.

Design outcomes

Primary

MeasureTime frameDescription
Wake After Sleep Onset (WASO)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or Early Termination (ET)WASO as determined by Polysomnography (PSG) was time spent awake from sleep onset to final awakening. WASO= Wake Time During Sleep \[WTDS\] epochs + Wake Time After Sleep \[WTAS\] epochs)/2. WTDS: number of wake epochs (30 seconds of PSG recording) after onset of persistent sleep and prior to final awakening or end of 8-hour recording/2 and WTAS: number of wake epochs after final awakening until end of the 8-hour recording/2. WASO was measured on 2 consecutive days within a period. Arithmetic mean of WASO of each participant for all periods was taken prior to employing linear mixed model.

Secondary

MeasureTime frameDescription
Periodic Limb Movement Arousal Index (PLMAI)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETPLMAI, as determined by PSG was number of periodic limb movements leading to arousal per hour (per hour of Total Sleep Time \[TST\]). Arithmetic mean of PLMAI of each participant for all periods was taken prior to employing linear mixed model.
Subjective Total Sleep Time (sTST)Week 3 and Week 5 of Each Intervention Period or ETsTST as derived from Subjective Sleep Questionnaire (SSQ), a participant reported subjective estimate of the total amount of time the participant was asleep after lights out until final awakening. Completed by the participant 30 minutes after waking; recall period is the night before. Arithmetic mean of sTST of each participant for all periods was taken prior to employing linear mixed model.
Minutes of Stage N1, N2, N3 and R SleepWeek 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETMinutes of Stage 1 Non-Rapid Eye Movement (Non-REM) sleep (Stage N1), Stage 2 Non-REM sleep (Stage N2), Stage 3 Non-REM sleep (Stage N3) or Slow Wave Sleep (SWS) and Stage REM (Stage R) sleep, as determined by PSG were calculated as total number of Stage N1 30-second (30-sec) epochs divided by 2, total number of Stage N2 30-sec epochs divided by 2, total number of Stage N3 30-sec epochs divided by 2 and total number of Stage R 30-sec epochs divided by 2 respectively. Arithmetic mean of minutes of stage N1, N2, N3 and R sleep of each participant for all periods was taken prior to employing linear mixed model.
Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETNAASO1, as determined by PSG, was the number of times there was a wake period of at least 1 epoch from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage 2 Non-REM \[Stage N2\] 30-second (30-sec) epoch, Stage 3 Non-REM \[Stage N3\] 30-sec epoch, or stage rapid eye movement \[stage R\] 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period. Arithmetic mean of NAASO1 of each participant for all periods was taken prior to employing linear mixed model.
Restless Legs Syndrome-Next Day Impact (RLS-NDI)Week 3 and Week 5 of Each Intervention Period or ETRLS-NDI:participant-rated instrument to assess daytime performance and participant's previous night's sleep, consists of 14 items encompassing 5 domains:tiredness;emotional functioning;social functioning;cognitive functioning;activities of daily living and 1 global item for overall well-being. Each item: 0-10 scale; 0=Not at all; 10=Extremely. Total score: sum of scores from question 1-14 (question 10, 11: scores reversed). Total score range: 0-140; higher scores: more severe impact. Arithmetic mean of RLS-NDI of each participant for all periods was taken prior to employing linear mixed model.
Periodic Limb Movement Index (PLMI)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETPLMI, as determined by PSG was number of periodic limb movements per hour based on time in bed (TIB). Arithmetic mean of PLMI of each participant for all periods was taken prior to employing linear mixed model.
Periodic Limb Movement in Sleep Index (PLMSI)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETPLMSI, as determined by PSG was number of periodic limb movements in sleep per hour based on TST. Arithmetic mean of PLMSI of each participant for all periods was taken prior to employing linear mixed model.
Number of Awakenings of at Least 2 Epochs After Sleep Onset (NAASO2)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETNAASO2, as determined by PSG, was the number of times there was a wake period of at least 2 30-sec epochs from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage N2 30-sec epoch, Stage N3 30-sec epoch, or Stage R 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period. Arithmetic mean of NAASO2 of each participant for all periods was taken prior to employing linear mixed model.
Number of Arousals (NASO)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETNASO, as determined by PSG, was calculated as number of times there is a shift from a stage N2 to N3 or R 30-sec epoch to a stage N1 30-sec epoch from the onset of persistent sleep to light on. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period. Arithmetic mean of NASO of each participant for all periods was taken prior to employing linear mixed model.
International Restless Legs Syndrome Study Group Rating Scale (IRLS)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETIRLS: psychometrically; clinically valid; clinician-administered instrument assesses severity of RLS. RLS symptom severity and impact on daily living comprise of 10 items giving 2 subscale scores and 1 global score. Subscale scores: symptom severity(6 items) and impact on daily living(3 items), item 3 loaded equally on both subscales. Global score calculated from 10 items. Score of all items range from 0-4, total score range:0-40. Lower scores: lower severity and better quality of life. Arithmetic mean of IRLS of each participant for all periods was taken prior to employing linear mixed model.
Percentage of Participants With Response to Clinical Global Impression - Improvement (CGI-I) ScaleBaseline, Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETCGI-I: 7-point clinician rated scale to assess improvement in disease condition as compared to the start of the study medication (baseline), ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved). Higher score = more affected.
Latency to Stage R Sleep (LREM)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETLREM, as determined by PSG, was number of non-wake epochs from the beginning of the recording to the first occurrence of Stage R sleep divided by 2. Arithmetic mean of LREM of each participant for all periods was taken prior to employing linear mixed model.
Latency to Persistent Sleep (LPS)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETLPS, as determined by PSG, was number of epochs from the beginning of the recording (lights-out) to the start of the first 20 consecutive non-wake epochs (10 minutes of persistent sleep) divided by 2. Arithmetic mean of LPS of each participant for all periods was taken prior to employing linear mixed model.
Wake Time During Sleep (WTDS)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETWTDS, as determined by PSG, was the number of wake (30-sec) epochs after the onset of persistent sleep and prior to the final awakening or at the end of 8-hour recording. WTDS was the sum of 2 consecutive days of recordings divided by 2 at the end of each intervention period. Arithmetic mean of WTDS of each participant for all periods was taken prior to employing linear mixed model.
Arousal Index (NASOI)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETArousal index, as determined by PSG, was NASO per hours of sleep from the onset of persistent sleep to light on. Arithmetic mean of NASOI of each participant for all periods was taken prior to employing linear mixed model.
Total Sleep Time (TST)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETTST, as determined by PSG, was the number of non-wake (30-sec) epochs from the beginning of recording to the end of the recording. TST was the sum of 2 consecutive days of recording divided by 2 at the end of each intervention period. Arithmetic mean of TST of each participant for all periods was taken prior to employing linear mixed model.
Sleep Efficiency (SE)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETSE, as determined by PSG, was the TST divided by the time in bed (TIB)(both in minutes), multiplied by 100. Sum of 2 consecutive days of recording divided by 2 at the end of each intervention period. Arithmetic mean of SE of each participant for all periods was taken prior to employing linear mixed model.
Hourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETWASO, as determined by PSG was time spent awake from sleep onset to final awakening. WASO = (sum of WTDS 30-sec epochs and WTAS 30-sec epochs)/2, measured on 2 consecutive days at end of each intervention period by each individual hour (8 hours total) and each individual quarter of night (eight hours in 2 hour increments). Arithmetic mean of WASO of each participant for all periods was taken prior to employing linear mixed model.
Hourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETNAASO1, as determined by PSG, was the number of times there was a wake period of at least 1 30-sec epoch from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage N2 30-sec epoch, Stage N3 30-sec epoch, or Stage R 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of NAASO1 of each participant for all periods was taken prior to employing linear mixed model.
Hourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETNAASO2, as determined by PSG, was the number of times there was a wake period of at least 2 30-sec epochs from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage N2 30-sec epoch, Stage N3 30-sec epoch, or Stage R 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of NAASO2 of each participant for all periods was taken prior to employing linear mixed model.
Hourly and Quarterly Assessment of Number of Arousals (NASO)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETNASO, as determined by PSG was the number of times there is a shift from a stage N2 to N3 or R 30-sec epoch to a stage N1 30-sec epoch from the onset of persistent sleep to light on. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of NASO for each participant at each period was taken prior to employing linear mixed model.
Hourly and Quarterly Assessment of Periodic Limb Movement (PLM)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETPLM, as determined by PSG was number of periodic limb movements based on time in bed (TIB). Calculated at each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of PLM of each participant for all periods was taken prior to employing linear mixed model.
Hourly and Quarterly Assessment of Sleep Efficiency (SE)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETSE, as determined by PSG, was the TST divided by the time in bed (TIB)(both in minutes), multiplied by 100. Sum of 2 consecutive days of recording divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean for SE of each participant for all periods was taken prior to employing linear mixed model.
Subjective Sleep Questionnaire (SSQ): Number of Awakenings SubscaleWeek 3 and Week 5 of Each Intervention Period or ETSSQ: participant-rated instrument to assess sleep behavior; measures sleep quantity, quality. Comprised of 5 items giving 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. This (1 item) subscale: numerical rating completed by participant 30 minutes after waking; recall period: night before. Range: 0 awakenings to 30 awakenings. Lower value indicates better quality of sleep. Arithmetic mean of this subscale score of each participant for all periods was taken prior to employing linear mixed model. Results of hours of sleep subscale reported as sTST.
Subjective Sleep Questionnaire (SSQ): Total Wake Time After Sleep Onset SubscaleWeek 3 and Week 5 of each intervention period or ETSSQ: participant-rated instrument to assess sleep behavior; measures sleep quantity, quality. Comprised of 5 items yielding 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. This 1 item subscale (in minutes): numerical rating completed by participant 30 minutes after waking; recall period: night before. Range: 0-1440 minutes. Lower value: better sleep. Arithmetic mean of this subscale score of each participant for all periods was taken prior to employing linear mixed model. Results of hours of sleep subscale reported as sTST.
Subjective Sleep Questionnaire (SSQ): Quality of Sleep SubscaleWeek 3 and Week 5 of each intervention period or ETSSQ: participant-rated instrument to assess sleep behavior; measures sleep quantity, quality. Comprised of 5 items yielding 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. This 1 item subscale: numerical rating completed by participant 30 minutes after waking; recall period: night before, Range: 0 to 100, higher score: better quality of sleep. Arithmetic mean of this subscale score of each participant for all periods was taken prior to employing linear mixed model. Results of hours of sleep subscale reported as sTST.
Subjective Sleep Questionnaire (SSQ): Latency SubscaleWeek 3 and Week 5 of each intervention period or ETSSQ: participant-rated instrument assesses sleep behavior; measures sleep quantity, quality. Comprised of 5 items giving 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. Latency (time to fall asleep \[in minutes\]): numerical rating completed by participant 30 minutes after waking; recall period: night before. Range: 0 - 840 minutes, lower value: better sleep. Arithmetic mean of subscale score of each participant for all periods was taken prior to employing linear mixed model. Hours of sleep subscale results reported as sTST.
Medical Outcomes Study - Sleep Scale (MOS-SS)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETMOS-SS:Participant rated instrument, assesses sleep quantity, quality;with 12 items(7 subscale scores:sleep disturbance, snoring, awakening short of breath/with headache, sleep adequacy, somnolence, sleep quantity, optimal sleep;2 composite index scores:sleep problems Index I, II). Subscale scores total range:0-100(except sleep quantity\[range 0-24 hours\], optimal sleep\[range 0-1: 0= \<7 or \>8 hours;1=7/8 hours\]). Higher scores=poorer sleep outcomes(except sleep quantity, adequacy). Arithmetic mean of MOS-SS scores of each participant for all periods was taken before linear mixed model analysis.
Restless Leg Syndrome - Quality of Life Scale (RLS-QoL)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETRLS-QoL: psychometrically and clinically valid and reliable participant-rated instrument, assesses impact of RLS on participant quality of life. Specifically, it assessed effects of RLS on health status function (symptom severity, daily activity, social functioning, sleep, concentrating and decision making, travelling, sexual activity, and work) giving a summary score ranging from 0-100. Higher scores reflect better quality of life. Recall period: 1 week prior to assessment. Arithmetic mean of RLS-QoL score of each participant for all periods was taken prior to employing linear mixed model.
Wake Time After Sleep (WTAS)Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ETWTAS, as determined by PSG, was the number of wake (30-sec) epochs after the final awakening until the end of the 8-hour recording. WTAS was the sum of 2 consecutive days of recordings divided by 2 at the end of each intervention period. Arithmetic mean of WTAS of each participant for all periods was taken prior to employing linear mixed model.

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo Then Pramipexole 0.5 mg Then Pregabalin 300 mg
Placebo (PBO) capsule matched to pramipexole (PPX) 0.5 milligram (mg) once daily or pregabalin (PGB) 300 mg once daily (matching placebo escalation and tapering scheme was followed) in first intervention period then PPX capsule 0.5 mg once daily following a 2 week up escalation, Day 1-5: 0.125 mg; Day 6-10: 0.25 mg and Day 11 onwards: 0.5 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 0.25 mg and Day 4-6: 0.125 mg) in second intervention period and PGB capsule 300 mg once daily following a 2 week up escalation, Day 1-5: 75 mg; Day 6-10: 150 mg and Day 11 onwards: 300 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 150 mg and Day 4-6: 75 mg) in third intervention period. A PBO wash-out period of 7 days was maintained between each period.
15
Pramipexole 0.5 mg Then Pregabalin 300 mg Then Placebo
PPX capsule 0.5 mg once daily following a 2 week up escalation, Day 1-5: 0.125 mg; Day 6-10: 0.25 mg and Day 11 onwards: 0.5 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 0.25 mg and Day 4-6: 0.125 mg) in first intervention period then PGB capsule 300 mg once daily following a 2 week up escalation, Day 1-5: 75 mg; Day 6-10: 150 mg and Day 11 onwards: 300 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 150 mg and Day 4-6: 75 mg) in second intervention period and PBO capsule matched to PPX 0.5 mg once daily or PGB 300 mg once daily (matching placebo escalation and tapering scheme was followed) in third intervention period. A PBO wash-out period of 7 days was maintained between each period.
13
Pregabalin 300 mg Then Placebo Then Pramipexole 0.5 mg
PGB capsule 300 mg once daily following a 2 week up escalation, Day 1-5: 75 mg; Day 6-10: 150 mg and Day 11 onwards: 300 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 150 mg and Day 4-6: 75 mg) in first intervention period then PBO capsule matched to PPX 0.5 mg once daily or PGB 300 mg once daily (matching placebo escalation and tapering scheme was followed) in second intervention period and PPX capsule 0.5 mg once daily following a 2 week up escalation, Day 1-5: 0.125 mg; Day 6-10: 0.25 mg and Day 11 onwards: 0.5 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 0.25 mg and Day 4-6: 0.125 mg) in third intervention period. A PBO wash-out period of 7 days was maintained between each period.
14
Pregabalin 300 mg Then Pramipexole 0.5 mg Then Placebo
PGB capsule 300 mg once daily following a 2 week up escalation, Day 1-5: 75 mg; Day 6-10: 150 mg and Day 11 onwards: 300 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 150 mg and Day 4-6: 75 mg) in first intervention period then PPX capsule 0.5 mg once daily following a 2 week up escalation, Day 1-5: 0.125 mg; Day 6-10: 0.25 mg and Day 11 onwards: 0.5 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 0.25 mg and Day 4-6: 0.125 mg) in second intervention period and PBO capsule matched to PPX 0.5 mg once daily or PGB 300 mg once daily (matching placebo escalation and tapering scheme was followed) in third intervention period. A PBO wash-out period of 7 days was maintained between each period.
15
Placebo Then Pregabalin 300 mg Then Pramipexole 0.5 mg
PBO capsule matched to PPX 0.5 mg once daily or PGB 300 mg once daily (matching placebo escalation and tapering scheme was followed) in first intervention period then PGB capsule 300 mg once daily following a 2 week up escalation, Day 1-5: 75 mg; Day 6-10: 150 mg and Day 11 onwards: 300 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 150 mg and Day 4-6: 75 mg) in second intervention period and PPX capsule 0.5 mg once daily following a 2 week up escalation, Day 1-5: 0.125 mg; Day 6-10: 0.25 mg and Day 11 onwards: 0.5 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 0.25 mg and Day 4-6: 0.125 mg) in third intervention period. A PBO wash-out period of 7 days was maintained between each period.
15
Pramipexole 0.5 mg Then Placebo Then Pregabalin 300 mg
PPX capsule 0.5 mg once daily following a 2 week up escalation, Day 1-5: 0.125 mg; Day 6-10: 0.25 mg and Day 11 onwards: 0.5 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 0.25 mg and Day 4-6: 0.125 mg) in first intervention period then PBO capsule matched to PPX 0.5 mg once daily or PGB 300 mg once daily (matching placebo escalation and tapering scheme was followed) in second intervention period and PGB capsule 300 mg once daily following a 2 week up escalation, Day 1-5: 75 mg; Day 6-10: 150 mg and Day 11 onwards: 300 mg fixed dose for 19 days followed by tapering schedule (Day 1-3: 150 mg and Day 4-6: 75 mg) in third intervention period. A PBO wash-out period of 7 days was maintained between each period.
13
Total85

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
First Intervention PeriodAdverse Event010100
First Intervention PeriodInsufficient clinical response000010
First Intervention PeriodLost to Follow-up010100
First Intervention PeriodOther000110
First Intervention PeriodProtocol Violation000020
First Intervention PeriodWithdrawal by Subject010101
Second Intervention PeriodAdverse Event020110
Second Intervention PeriodOther000101
Second Intervention PeriodProtocol Violation100000
Third Intervention PeriodAdverse Event001000
Third Intervention PeriodOther000001
Third Intervention PeriodProtocol Violation100000
Third Intervention PeriodWithdrawal by Subject000100

Baseline characteristics

CharacteristicPregabalin 300 mg Then Placebo Then Pramipexole 0.5 mgPramipexole 0.5 mg Then Pregabalin 300 mg Then PlaceboPlacebo Then Pramipexole 0.5 mg Then Pregabalin 300 mgTotalPramipexole 0.5 mg Then Placebo Then Pregabalin 300 mgPlacebo Then Pregabalin 300 mg Then Pramipexole 0.5 mgPregabalin 300 mg Then Pramipexole 0.5 mg Then Placebo
Age, Customized
18 to 44 years
1 participants4 participants3 participants18 participants3 participants5 participants2 participants
Age, Customized
45 to 64 years
11 participants7 participants8 participants52 participants8 participants8 participants10 participants
Age, Customized
Greater than or equal to 65 years
2 participants2 participants4 participants15 participants2 participants2 participants3 participants
Age, Customized
Less than 18 years
0 participants0 participants0 participants0 participants0 participants0 participants0 participants
Sex: Female, Male
Female
8 Participants7 Participants11 Participants54 Participants7 Participants12 Participants9 Participants
Sex: Female, Male
Male
6 Participants6 Participants4 Participants31 Participants6 Participants3 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
46 / 7540 / 7627 / 73
serious
Total, serious adverse events
2 / 751 / 763 / 73

Outcome results

Primary

Wake After Sleep Onset (WASO)

WASO as determined by Polysomnography (PSG) was time spent awake from sleep onset to final awakening. WASO= Wake Time During Sleep \[WTDS\] epochs + Wake Time After Sleep \[WTAS\] epochs)/2. WTDS: number of wake epochs (30 seconds of PSG recording) after onset of persistent sleep and prior to final awakening or end of 8-hour recording/2 and WTAS: number of wake epochs after final awakening until end of the 8-hour recording/2. WASO was measured on 2 consecutive days within a period. Arithmetic mean of WASO of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or Early Termination (ET)

Population: Intent to Treat (ITT) population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgWake After Sleep Onset (WASO)51.50 minutes
Pramipexole 0.5 mgWake After Sleep Onset (WASO)78.42 minutes
PlaceboWake After Sleep Onset (WASO)78.60 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The least squares (LS) means and standard errors (SE) were used to test for a treatment difference and construct 2-sided 95% confidence intervals (CIs). The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-35.78, -18.42]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-35.54, -18.32]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.968495% CI: [-8.72, 8.38]Mixed Models Analysis
Secondary

Arousal Index (NASOI)

Arousal index, as determined by PSG, was NASO per hours of sleep from the onset of persistent sleep to light on. Arithmetic mean of NASOI of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgArousal Index (NASOI)2.75 arousals/hour
Pramipexole 0.5 mgArousal Index (NASOI)4.18 arousals/hour
PlaceboArousal Index (NASOI)3.44 arousals/hour
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.005695% CI: [-1.17, -0.21]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-1.9, -0.95]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.002695% CI: [0.26, 1.21]Mixed Models Analysis
Secondary

Hourly and Quarterly Assessment of Number of Arousals (NASO)

NASO, as determined by PSG was the number of times there is a shift from a stage N2 to N3 or R 30-sec epoch to a stage N1 30-sec epoch from the onset of persistent sleep to light on. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of NASO for each participant at each period was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. Here n signifies number of participants analyzed at that particular time point for each arm group respectively.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 8 (n= 67, 71, 68)2.07 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 1 (n= 66, 67, 66)1.48 arousals95% Confidence Interval 1.65
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 3 (n= 67, 70, 67)2.31 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 7 (n= 67, 71, 68)2.15 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 2 (n= 67, 70, 68)5.25 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 6 (n= 67, 71, 68)2.39 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 2 (n= 67, 70, 66)2.36 arousals95% Confidence Interval 2.03
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 5 (n= 67, 70, 68)2.33 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 3 (n= 67, 71, 68)4.75 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 1 (n= 67, 70, 66)3.75 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 4 (n= 67, 71, 68)4.23 arousals
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 4 (n= 67, 70, 68)2.94 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 5 (n= 67, 70, 68)3.20 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 3 (n= 67, 70, 67)3.23 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 4 (n= 67, 70, 68)3.41 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 6 (n= 67, 71, 68)3.30 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 4 (n= 67, 71, 68)6.24 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 1 (n= 66, 67, 66)2.06 arousals95% Confidence Interval 2.22
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 2 (n= 67, 70, 66)3.23 arousals95% Confidence Interval 2.15
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 7 (n= 67, 71, 68)3.28 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 8 (n= 67, 71, 68)2.98 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 1 (n= 67, 70, 66)5.09 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 2 (n= 67, 70, 68)6.67 arousals
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 3 (n= 67, 71, 68)6.44 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 4 (n= 67, 71, 68)5.13 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 2 (n= 67, 70, 68)5.55 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 8 (n= 67, 71, 68)2.46 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 6 (n= 67, 71, 68)2.70 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 3 (n= 67, 70, 67)2.80 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 1 (n= 67, 70, 66)4.26 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 4 (n= 67, 70, 68)2.76 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 5 (n= 67, 70, 68)2.89 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 2 (n= 67, 70, 66)2.68 arousals95% Confidence Interval 1.99
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 1 (n= 66, 67, 66)1.79 arousals95% Confidence Interval 1.78
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Quarter 3 (n= 67, 71, 68)5.61 arousals
PlaceboHourly and Quarterly Assessment of Number of Arousals (NASO)Hour 7 (n= 67, 71, 68)2.66 arousals
Secondary

Hourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)

NAASO1, as determined by PSG, was the number of times there was a wake period of at least 1 30-sec epoch from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage N2 30-sec epoch, Stage N3 30-sec epoch, or Stage R 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of NAASO1 of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. Here n signifies number of participants analyzed at that particular time point for each arm group respectively.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 1 (n= 67, 70, 66)2.71 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 4 (n= 67, 70, 68)2.44 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 1 (n= 66, 67, 66)0.70 awakenings95% Confidence Interval 0.9
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 7 (n= 67, 71, 68)3.07 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 5 (n= 67, 70, 68)2.47 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 6 (n= 67, 71, 68)2.91 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 8 (n= 67, 71, 68)2.76 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 3 (n= 67, 71, 68)5.39 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 2 (n= 67, 70, 66)2.06 awakenings95% Confidence Interval 1.41
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 2 (n= 67, 70, 68)4.53 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 3 (n= 67, 70, 67)2.09 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 4 (n= 67, 71, 68)5.87 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 2 (n= 67, 70, 66)3.32 awakenings95% Confidence Interval 1.74
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 5 (n= 67, 70, 68)3.76 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 8 (n= 67, 71, 68)3.46 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 1 (n= 66, 67, 66)1.39 awakenings95% Confidence Interval 1.12
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 3 (n= 67, 70, 67)3.42 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 4 (n= 67, 70, 68)3.83 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 6 (n= 67, 71, 68)3.68 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 7 (n= 67, 71, 68)4.04 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 1 (n= 67, 70, 66)4.61 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 2 (n= 67, 70, 68)7.27 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 3 (n= 67, 71, 68)7.37 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 4 (n= 67, 71, 68)7.36 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 3 (n= 67, 70, 67)2.66 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 3 (n= 67, 71, 68)6.04 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 1 (n= 67, 70, 66)3.49 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 2 (n= 67, 70, 66)2.47 awakenings95% Confidence Interval 1.44
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 5 (n= 67, 70, 68)2.87 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 2 (n= 67, 70, 68)5.32 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 1 (n= 66, 67, 66)1.10 awakenings95% Confidence Interval 0.76
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 6 (n= 67, 71, 68)3.16 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 4 (n= 67, 70, 68)2.71 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Quarter 4 (n= 67, 71, 68)6.44 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 7 (n= 67, 71, 68)3.32 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)Hour 8 (n= 67, 71, 68)3.11 awakenings
Secondary

Hourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)

NAASO2, as determined by PSG, was the number of times there was a wake period of at least 2 30-sec epochs from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage N2 30-sec epoch, Stage N3 30-sec epoch, or Stage R 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of NAASO2 of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. Here n signifies number of participants analyzed at that particular time point for each arm group respectively.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 8 (n= 67, 71, 68)1.00 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 5 (n= 67, 70, 68)1.06 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 1 (n= 66, 67, 66)0.42 awakenings95% Confidence Interval 0.6
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 1 (n= 67, 70, 66)1.43 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 4 (n= 67, 71, 68)2.25 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 3 (n= 67, 71, 68)2.10 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 2 (n= 67, 70, 68)1.99 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 6 (n= 67, 71, 68)1.02 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 3 (n= 67, 70, 67)0.99 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 7 (n= 67, 71, 68)1.24 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 4 (n= 67, 70, 68)1.01 awakenings
Pregabalin 300 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 2 (n= 67, 70, 66)1.04 awakenings95% Confidence Interval 0.83
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 2 (n= 67, 70, 66)1.72 awakenings95% Confidence Interval 1.13
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 5 (n= 67, 70, 68)1.76 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 6 (n= 67, 71, 68)1.57 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 7 (n= 67, 71, 68)1.94 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 8 (n= 67, 71, 68)1.56 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 1 (n= 67, 70, 66)2.27 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 2 (n= 67, 70, 68)3.56 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 1 (n= 66, 67, 66)0.61 awakenings95% Confidence Interval 0.71
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 3 (n= 67, 70, 67)1.71 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 4 (n= 67, 70, 68)1.84 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 3 (n= 67, 71, 68)3.30 awakenings
Pramipexole 0.5 mgHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 4 (n= 67, 71, 68)3.44 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 7 (n= 67, 71, 68)1.57 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 6 (n= 67, 71, 68)1.44 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 3 (n= 67, 71, 68)2.92 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 3 (n= 67, 70, 67)1.41 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 2 (n= 67, 70, 66)1.37 awakenings95% Confidence Interval 1.06
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 4 (n= 67, 70, 68)1.48 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 5 (n= 67, 70, 68)1.48 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 2 (n= 67, 70, 68)2.85 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 1 (n= 67, 70, 66)2.06 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 8 (n= 67, 71, 68)1.28 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Quarter 4 (n= 67, 71, 68)2.86 awakenings
PlaceboHourly and Quarterly Assessment of Number of Awakenings of at Least 2 Epoch After Sleep Onset (NAASO2)Hour 1 (n= 66, 67, 66)0.73 awakenings95% Confidence Interval 0.59
Secondary

Hourly and Quarterly Assessment of Periodic Limb Movement (PLM)

PLM, as determined by PSG was number of periodic limb movements based on time in bed (TIB). Calculated at each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean of PLM of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least one dose of study medication and had at least one post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 813.37 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 430.35 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 157.82 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 346.77 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 525.70 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 271.29 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 427.60 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 621.02 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 340.93 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 131.45 movement/hour95% Confidence Interval 29.7
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 714.22 movement/hour
Pregabalin 300 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 226.38 movement/hour95% Confidence Interval 29.2
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 711.11 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 816.55 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 212.49 movement/hour95% Confidence Interval 14.51
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 228.55 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 134.02 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 322.49 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 314.05 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 414.50 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 121.57 movement/hour95% Confidence Interval 27.03
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 511.93 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 610.57 movement/hour
Pramipexole 0.5 mgHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 427.64 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 448.01 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 154.67 movement/hour95% Confidence Interval 39.98
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 348.76 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 1107.56 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 252.93 movement/hour95% Confidence Interval 40.92
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 446.58 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 536.17 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 632.47 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 727.04 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Hour 820.97 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 295.31 movement/hour
PlaceboHourly and Quarterly Assessment of Periodic Limb Movement (PLM)Quarter 368.66 movement/hour
Secondary

Hourly and Quarterly Assessment of Sleep Efficiency (SE)

SE, as determined by PSG, was the TST divided by the time in bed (TIB)(both in minutes), multiplied by 100. Sum of 2 consecutive days of recording divided by 2 at the end of each intervention period by each individual hour (8 hours total) and each individual quarter of the night (eight hours in 2 hour increments). Arithmetic mean for SE of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least one dose of study medication and had at least one post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 286.13 percentage of time asleep95% Confidence Interval 16.94
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 390.22 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 489.41 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 784.70 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 289.84 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 481.37 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 162.31 percentage of time asleep95% Confidence Interval 24.14
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 590.00 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 690.33 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 878.07 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 174.21 percentage of time asleep
Pregabalin 300 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 390.09 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 175.15 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 283.43 percentage of time asleep95% Confidence Interval 16.03
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 166.88 percentage of time asleep95% Confidence Interval 24.3
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 475.16 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 384.86 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 381.74 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 681.64 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 479.84 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 869.51 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 282.37 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 581.85 percentage of time asleep
Pramipexole 0.5 mgHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 780.90 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 582.92 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 167.62 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 382.75 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 474.84 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 157.80 percentage of time asleep95% Confidence Interval 22.9
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 482.61 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 869.75 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 277.31 percentage of time asleep95% Confidence Interval 20.49
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Quarter 282.30 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 381.86 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 682.49 percentage of time asleep
PlaceboHourly and Quarterly Assessment of Sleep Efficiency (SE)Hour 779.86 percentage of time asleep
Secondary

Hourly and Quarterly Assessment of Wake After Sleep Onset (WASO)

WASO, as determined by PSG was time spent awake from sleep onset to final awakening. WASO = (sum of WTDS 30-sec epochs and WTAS 30-sec epochs)/2, measured on 2 consecutive days at end of each intervention period by each individual hour (8 hours total) and each individual quarter of night (eight hours in 2 hour increments). Arithmetic mean of WASO of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. Here n signifies number of participants analyzed at that particular time point for each arm group respectively.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 4 (n= 67, 70, 68)6.21 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 1 (n= 67, 70, 66)6.42 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 6 (n= 67, 71, 68)5.78 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 5 (n= 67, 70, 68)5.93 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 3 (n= 67, 71, 68)11.81 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 1 (n= 66, 67, 66)1.62 minutes95% Confidence Interval 4.12
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 4 (n= 67, 71, 68)22.37 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 8 (n= 67, 71, 68)13.16 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 2 (n= 67, 70, 66)5.04 minutes95% Confidence Interval 6.15
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 2 (n= 67, 70, 68)11.08 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 7 (n= 67, 71, 68)9.18 minutes
Pregabalin 300 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 3 (n= 67, 70, 67)4.89 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 3 (n= 67, 70, 67)8.23 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 1 (n= 66, 67, 66)2.26 minutes95% Confidence Interval 2.69
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 2 (n= 67, 70, 66)7.07 minutes95% Confidence Interval 5.48
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 4 (n= 67, 70, 68)11.54 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 5 (n= 67, 70, 68)10.39 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 6 (n= 67, 71, 68)10.54 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 7 (n= 67, 71, 68)11.44 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 8 (n= 67, 71, 68)18.27 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 1 (n= 67, 70, 66)8.99 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 2 (n= 67, 70, 68)19.77 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 3 (n= 67, 71, 68)20.77 minutes
Pramipexole 0.5 mgHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 4 (n= 67, 71, 68)29.55 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 1 (n= 66, 67, 66)3.35 minutes95% Confidence Interval 3.84
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 4 (n= 67, 71, 68)30.21 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 3 (n= 67, 71, 68)20.55 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 1 (n= 67, 70, 66)10.35 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 8 (n= 67, 71, 68)18.15 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 5 (n= 67, 70, 68)10.04 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 4 (n= 67, 70, 68)9.52 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 3 (n= 67, 70, 67)8.90 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 6 (n= 67, 71, 68)10.52 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 2 (n= 67, 70, 66)7.39 minutes95% Confidence Interval 6.85
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Quarter 2 (n= 67, 70, 68)18.18 minutes
PlaceboHourly and Quarterly Assessment of Wake After Sleep Onset (WASO)Hour 7 (n= 67, 71, 68)12.09 minutes
Secondary

International Restless Legs Syndrome Study Group Rating Scale (IRLS)

IRLS: psychometrically; clinically valid; clinician-administered instrument assesses severity of RLS. RLS symptom severity and impact on daily living comprise of 10 items giving 2 subscale scores and 1 global score. Subscale scores: symptom severity(6 items) and impact on daily living(3 items), item 3 loaded equally on both subscales. Global score calculated from 10 items. Score of all items range from 0-4, total score range:0-40. Lower scores: lower severity and better quality of life. Arithmetic mean of IRLS of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgInternational Restless Legs Syndrome Study Group Rating Scale (IRLS)12.28 units on a scale
Pramipexole 0.5 mgInternational Restless Legs Syndrome Study Group Rating Scale (IRLS)15.35 units on a scale
PlaceboInternational Restless Legs Syndrome Study Group Rating Scale (IRLS)18.38 units on a scale
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-8.1, -4.09]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.002995% CI: [-5.07, -1.07]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.003295% CI: [-5.02, -1.04]Mixed Models Analysis
Secondary

Latency to Persistent Sleep (LPS)

LPS, as determined by PSG, was number of epochs from the beginning of the recording (lights-out) to the start of the first 20 consecutive non-wake epochs (10 minutes of persistent sleep) divided by 2. Arithmetic mean of LPS of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgLatency to Persistent Sleep (LPS)31.13 minutes
Pramipexole 0.5 mgLatency to Persistent Sleep (LPS)31.52 minutes
PlaceboLatency to Persistent Sleep (LPS)38.86 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.10495% CI: [-17.07, 1.61]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.932595% CI: [-9.67, 8.87]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.117595% CI: [-16.54, 1.87]Mixed Models Analysis
Secondary

Latency to Stage R Sleep (LREM)

LREM, as determined by PSG, was number of non-wake epochs from the beginning of the recording to the first occurrence of Stage R sleep divided by 2. Arithmetic mean of LREM of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgLatency to Stage R Sleep (LREM)95.22 minutes
Pramipexole 0.5 mgLatency to Stage R Sleep (LREM)130.99 minutes
PlaceboLatency to Stage R Sleep (LREM)84.52 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.167795% CI: [-4.56, 25.95]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-50.88, -20.66]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [31.45, 61.48]Mixed Models Analysis
Secondary

Medical Outcomes Study - Sleep Scale (MOS-SS)

MOS-SS:Participant rated instrument, assesses sleep quantity, quality;with 12 items(7 subscale scores:sleep disturbance, snoring, awakening short of breath/with headache, sleep adequacy, somnolence, sleep quantity, optimal sleep;2 composite index scores:sleep problems Index I, II). Subscale scores total range:0-100(except sleep quantity\[range 0-24 hours\], optimal sleep\[range 0-1: 0= \<7 or \>8 hours;1=7/8 hours\]). Higher scores=poorer sleep outcomes(except sleep quantity, adequacy). Arithmetic mean of MOS-SS scores of each participant for all periods was taken before linear mixed model analysis.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. Here n signifies number of participants analyzed for particular subscale for each arm group respectively.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Awaken Short of Breath/with Headache (n= 68,71,69)11.59 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Adequacy (n= 68,71,69)54.96 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Sleep Quantity (n= 68,71,69)6.43 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)9-Item Sleep Problems Index (n= 68,71,69)32.75 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Somnolence (n= 68,71,69)21.28 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)6-Item Sleep Problems Index (n= 68,71,69)30.69 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Optimal Sleep (n= 68,71,69)0.43 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Sleep Disturbance (n= 68,71,69)34.08 units on a scale
Pregabalin 300 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Snoring (n= 67,71,68)15.27 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Optimal Sleep (n= 68,71,69)0.35 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Snoring (n= 67,71,68)15.97 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Awaken Short of Breath/with Headache (n= 68,71,69)13.10 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Adequacy (n= 68,71,69)43.90 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Sleep Quantity (n= 68,71,69)6.50 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Somnolence (n= 68,71,69)21.32 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)6-Item Sleep Problems Index (n= 68,71,69)37.24 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)Sleep Disturbance (n= 68,71,69)40.19 units on a scale
Pramipexole 0.5 mgMedical Outcomes Study - Sleep Scale (MOS-SS)9-Item Sleep Problems Index (n= 68,71,69)37.88 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)9-Item Sleep Problems Index (n= 68,71,69)42.89 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Sleep Quantity (n= 68,71,69)5.97 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Snoring (n= 67,71,68)17.96 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)6-Item Sleep Problems Index (n= 68,71,69)40.59 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Awaken Short of Breath/with Headache (n= 68,71,69)10.88 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Sleep Disturbance (n= 68,71,69)48.65 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Adequacy (n= 68,71,69)40.79 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Optimal Sleep (n= 68,71,69)0.29 units on a scale
PlaceboMedical Outcomes Study - Sleep Scale (MOS-SS)Somnolence (n= 68,71,69)23.71 units on a scale
Comparison: Awaken Short of Breath/with Headache: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.694795% CI: [-2.85, 4.27]Mixed Models Analysis
Comparison: Awaken Short of Breath/with Headache: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.39895% CI: [-5.06, 2.02]Mixed Models Analysis
Comparison: Awaken Short of Breath/with Headache: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.214495% CI: [-1.3, 5.76]Mixed Models Analysis
Comparison: Adequacy: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.000695% CI: [6.25, 22.08]Mixed Models Analysis
Comparison: Adequacy: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.006195% CI: [3.22, 18.92]Mixed Models Analysis
Comparison: Adequacy: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.434295% CI: [-4.72, 10.93]Mixed Models Analysis
Comparison: Somnolence: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.24295% CI: [-6.53, 1.66]Mixed Models Analysis
Comparison: Somnolence: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.98195% CI: [-4.12, 4.02]Mixed Models Analysis
Comparison: Somnolence: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.246895% CI: [-6.44, 1.67]Mixed Models Analysis
Comparison: Sleep Quantity: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.149695% CI: [-0.17, 1.09]Mixed Models Analysis
Comparison: Sleep Quantity: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.818495% CI: [-0.69, 0.55]Mixed Models Analysis
Comparison: Sleep Quantity: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.091895% CI: [-0.09, 1.15]Mixed Models Analysis
Comparison: 6-Item Sleep Problems Index: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.000195% CI: [-14.8, -4.99]Mixed Models Analysis
Comparison: 6-Item Sleep Problems Index: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.008995% CI: [-11.42, -1.67]Mixed Models Analysis
Comparison: 6-Item Sleep Problems Index: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.174695% CI: [-8.21, 1.51]Mixed Models Analysis
Comparison: 9-Item Sleep Problems Index: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-14.96, -5.32]Mixed Models Analysis
Comparison: 9-Item Sleep Problems Index: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.035995% CI: [-9.91, -0.34]Mixed Models Analysis
Comparison: 9-Item Sleep Problems Index: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.039595% CI: [-9.78, -0.24]Mixed Models Analysis
Comparison: Optimal Sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.027895% CI: [0.02, 0.27]Mixed Models Analysis
Comparison: Optimal Sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.295% CI: [-0.04, 0.2]Mixed Models Analysis
Comparison: Optimal Sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.339695% CI: [-0.06, 0.18]Mixed Models Analysis
Comparison: Sleep Disturbance: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-20.93, -8.19]Mixed Models Analysis
Comparison: Sleep Disturbance: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.058495% CI: [-12.43, 0.22]Mixed Models Analysis
Comparison: Sleep Disturbance: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.00995% CI: [-14.76, -2.15]Mixed Models Analysis
Comparison: Snoring: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.240595% CI: [-7.2, 1.82]Mixed Models Analysis
Comparison: Snoring: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.756595% CI: [-5.18, 3.77]Mixed Models Analysis
Comparison: Snoring: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.379295% CI: [-6.43, 2.47]Mixed Models Analysis
Secondary

Minutes of Stage N1, N2, N3 and R Sleep

Minutes of Stage 1 Non-Rapid Eye Movement (Non-REM) sleep (Stage N1), Stage 2 Non-REM sleep (Stage N2), Stage 3 Non-REM sleep (Stage N3) or Slow Wave Sleep (SWS) and Stage REM (Stage R) sleep, as determined by PSG were calculated as total number of Stage N1 30-second (30-sec) epochs divided by 2, total number of Stage N2 30-sec epochs divided by 2, total number of Stage N3 30-sec epochs divided by 2 and total number of Stage R 30-sec epochs divided by 2 respectively. Arithmetic mean of minutes of stage N1, N2, N3 and R sleep of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgMinutes of Stage N1, N2, N3 and R SleepStage N1 Sleep38.06 minutes
Pregabalin 300 mgMinutes of Stage N1, N2, N3 and R SleepStage R Sleep70.40 minutes
Pregabalin 300 mgMinutes of Stage N1, N2, N3 and R SleepStage N3 Sleep/SWS66.88 minutes
Pregabalin 300 mgMinutes of Stage N1, N2, N3 and R SleepStage N2 Sleep227.05 minutes
Pramipexole 0.5 mgMinutes of Stage N1, N2, N3 and R SleepStage N2 Sleep241.52 minutes
Pramipexole 0.5 mgMinutes of Stage N1, N2, N3 and R SleepStage N3 Sleep/SWS34.78 minutes
Pramipexole 0.5 mgMinutes of Stage N1, N2, N3 and R SleepStage N1 Sleep48.38 minutes
Pramipexole 0.5 mgMinutes of Stage N1, N2, N3 and R SleepStage R Sleep51.80 minutes
PlaceboMinutes of Stage N1, N2, N3 and R SleepStage N2 Sleep204.35 minutes
PlaceboMinutes of Stage N1, N2, N3 and R SleepStage N1 Sleep43.72 minutes
PlaceboMinutes of Stage N1, N2, N3 and R SleepStage R Sleep75.37 minutes
PlaceboMinutes of Stage N1, N2, N3 and R SleepStage N3 Sleep/SWS45.95 minutes
Comparison: Stage N1 sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.007695% CI: [-9.8, -1.54]Mixed Models Analysis
Comparison: Stage N1 sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-14.43, -6.21]Mixed Models Analysis
Comparison: Stage N1 sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.025795% CI: [0.58, 8.73]Mixed Models Analysis
Comparison: Stage N2 sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.000395% CI: [10.74, 34.67]Mixed Models Analysis
Comparison: Stage N2 sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.017495% CI: [-26.35, -2.59]Mixed Models Analysis
Comparison: Stage N2 sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [25.38, 48.96]Mixed Models Analysis
Comparison: Stage N3 sleep/SWS: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [12.61, 29.25]Mixed Models Analysis
Comparison: Stage N3 sleep/SWS: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [23.83, 40.36]Mixed Models Analysis
Comparison: Stage N3 sleep/SWS: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.00895% CI: [-19.37, -2.97]Mixed Models Analysis
Comparison: Stage R sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.083495% CI: [-10.61, 0.67]Mixed Models Analysis
Comparison: Stage R sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [12.99, 24.19]Mixed Models Analysis
Comparison: Stage R sleep: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-29.12, -18.01]Mixed Models Analysis
Secondary

Number of Arousals (NASO)

NASO, as determined by PSG, was calculated as number of times there is a shift from a stage N2 to N3 or R 30-sec epoch to a stage N1 30-sec epoch from the onset of persistent sleep to light on. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period. Arithmetic mean of NASO of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgNumber of Arousals (NASO)17.84 arousals
Pramipexole 0.5 mgNumber of Arousals (NASO)24.19 arousals
PlaceboNumber of Arousals (NASO)20.29 arousals
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.061795% CI: [-5.02, 0.12]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-8.91, -3.8]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.002895% CI: [1.37, 6.44]Mixed Models Analysis
Secondary

Number of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)

NAASO1, as determined by PSG, was the number of times there was a wake period of at least 1 epoch from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage 2 Non-REM \[Stage N2\] 30-second (30-sec) epoch, Stage 3 Non-REM \[Stage N3\] 30-sec epoch, or stage rapid eye movement \[stage R\] 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period. Arithmetic mean of NAASO1 of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgNumber of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)18.43 awakenings
Pramipexole 0.5 mgNumber of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)26.30 awakenings
PlaceboNumber of Awakenings of at Least 1 Epoch After Sleep Onset (NAASO1)21.10 awakenings
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.007795% CI: [-4.63, -0.72]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-9.81, -5.93]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [3.27, 7.12]Mixed Models Analysis
Secondary

Number of Awakenings of at Least 2 Epochs After Sleep Onset (NAASO2)

NAASO2, as determined by PSG, was the number of times there was a wake period of at least 2 30-sec epochs from the onset of persistent sleep to light on. Each entry to be counted must be separated by a Stage N2 30-sec epoch, Stage N3 30-sec epoch, or Stage R 30-sec epoch. The sum of 2 consecutive days of recording was divided by 2 at the end of each intervention period. Arithmetic mean of NAASO2 of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgNumber of Awakenings of at Least 2 Epochs After Sleep Onset (NAASO2)7.68 awakenings
Pramipexole 0.5 mgNumber of Awakenings of at Least 2 Epochs After Sleep Onset (NAASO2)12.39 awakenings
PlaceboNumber of Awakenings of at Least 2 Epochs After Sleep Onset (NAASO2)10.55 awakenings
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-3.93, -1.8]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-5.76, -3.65]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.000795% CI: [0.79, 2.89]Mixed Models Analysis
Secondary

Percentage of Participants With Response to Clinical Global Impression - Improvement (CGI-I) Scale

CGI-I: 7-point clinician rated scale to assess improvement in disease condition as compared to the start of the study medication (baseline), ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved). Higher score = more affected.

Time frame: Baseline, Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (NUMBER)
Pregabalin 300 mgPercentage of Participants With Response to Clinical Global Impression - Improvement (CGI-I) Scale61.2 percentage of participants
Pramipexole 0.5 mgPercentage of Participants With Response to Clinical Global Impression - Improvement (CGI-I) Scale50.0 percentage of participants
PlaceboPercentage of Participants With Response to Clinical Global Impression - Improvement (CGI-I) Scale33.3 percentage of participants
Secondary

Periodic Limb Movement Arousal Index (PLMAI)

PLMAI, as determined by PSG was number of periodic limb movements leading to arousal per hour (per hour of Total Sleep Time \[TST\]). Arithmetic mean of PLMAI of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least one post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgPeriodic Limb Movement Arousal Index (PLMAI)3.93 movement/hour
Pramipexole 0.5 mgPeriodic Limb Movement Arousal Index (PLMAI)2.66 movement/hour
PlaceboPeriodic Limb Movement Arousal Index (PLMAI)7.61 movement/hour
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-5.44, -1.92]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.154195% CI: [-0.48, 3.01]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-6.68, -3.21]Mixed Models Analysis
Secondary

Periodic Limb Movement Index (PLMI)

PLMI, as determined by PSG was number of periodic limb movements per hour based on time in bed (TIB). Arithmetic mean of PLMI of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgPeriodic Limb Movement Index (PLMI)25.45 movement/hour
Pramipexole 0.5 mgPeriodic Limb Movement Index (PLMI)14.11 movement/hour
PlaceboPeriodic Limb Movement Index (PLMI)39.95 movement/hour
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-20.26, -8.74]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.000195% CI: [5.65, 17.04]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-31.51, -20.17]Mixed Models Analysis
Secondary

Periodic Limb Movement in Sleep Index (PLMSI)

PLMSI, as determined by PSG was number of periodic limb movements in sleep per hour based on TST. Arithmetic mean of PLMSI of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgPeriodic Limb Movement in Sleep Index (PLMSI)22.42 movement/hour
Pramipexole 0.5 mgPeriodic Limb Movement in Sleep Index (PLMSI)8.00 movement/hour
PlaceboPeriodic Limb Movement in Sleep Index (PLMSI)36.95 movement/hour
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-20.84, -8.22]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [8.18, 20.67]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-35.16, -22.74]Mixed Models Analysis
Secondary

Restless Legs Syndrome-Next Day Impact (RLS-NDI)

RLS-NDI:participant-rated instrument to assess daytime performance and participant's previous night's sleep, consists of 14 items encompassing 5 domains:tiredness;emotional functioning;social functioning;cognitive functioning;activities of daily living and 1 global item for overall well-being. Each item: 0-10 scale; 0=Not at all; 10=Extremely. Total score: sum of scores from question 1-14 (question 10, 11: scores reversed). Total score range: 0-140; higher scores: more severe impact. Arithmetic mean of RLS-NDI of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 3 and Week 5 of Each Intervention Period or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgRestless Legs Syndrome-Next Day Impact (RLS-NDI)41.43 units on a scale
Pramipexole 0.5 mgRestless Legs Syndrome-Next Day Impact (RLS-NDI)46.33 units on a scale
PlaceboRestless Legs Syndrome-Next Day Impact (RLS-NDI)46.78 units on a scale
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.039695% CI: [-10.44, -0.26]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.056895% CI: [-9.95, 0.14]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.858995% CI: [-5.44, 4.54]Mixed Models Analysis
Secondary

Restless Leg Syndrome - Quality of Life Scale (RLS-QoL)

RLS-QoL: psychometrically and clinically valid and reliable participant-rated instrument, assesses impact of RLS on participant quality of life. Specifically, it assessed effects of RLS on health status function (symptom severity, daily activity, social functioning, sleep, concentrating and decision making, travelling, sexual activity, and work) giving a summary score ranging from 0-100. Higher scores reflect better quality of life. Recall period: 1 week prior to assessment. Arithmetic mean of RLS-QoL score of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgRestless Leg Syndrome - Quality of Life Scale (RLS-QoL)73.30 units on a scale
Pramipexole 0.5 mgRestless Leg Syndrome - Quality of Life Scale (RLS-QoL)70.05 units on a scale
PlaceboRestless Leg Syndrome - Quality of Life Scale (RLS-QoL)68.03 units on a scale
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.001995% CI: [1.98, 8.55]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.050695% CI: [-0.01, 6.51]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.222295% CI: [-1.24, 5.26]Mixed Models Analysis
Secondary

Sleep Efficiency (SE)

SE, as determined by PSG, was the TST divided by the time in bed (TIB)(both in minutes), multiplied by 100. Sum of 2 consecutive days of recording divided by 2 at the end of each intervention period. Arithmetic mean of SE of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgSleep Efficiency (SE)83.81 Percentage of time asleep
Pramipexole 0.5 mgSleep Efficiency (SE)78.58 Percentage of time asleep
PlaceboSleep Efficiency (SE)77.02 Percentage of time asleep
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [4.57, 9.02]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [3.02, 7.45]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.162295% CI: [-0.64, 3.75]Mixed Models Analysis
Secondary

Subjective Sleep Questionnaire (SSQ): Latency Subscale

SSQ: participant-rated instrument assesses sleep behavior; measures sleep quantity, quality. Comprised of 5 items giving 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. Latency (time to fall asleep \[in minutes\]): numerical rating completed by participant 30 minutes after waking; recall period: night before. Range: 0 - 840 minutes, lower value: better sleep. Arithmetic mean of subscale score of each participant for all periods was taken prior to employing linear mixed model. Hours of sleep subscale results reported as sTST.

Time frame: Week 3 and Week 5 of each intervention period or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgSubjective Sleep Questionnaire (SSQ): Latency Subscale42.49 minutes
Pramipexole 0.5 mgSubjective Sleep Questionnaire (SSQ): Latency Subscale40.59 minutes
PlaceboSubjective Sleep Questionnaire (SSQ): Latency Subscale50.07 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.021595% CI: [-14.03, -1.14]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.556995% CI: [-4.49, 8.29]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.003695% CI: [-15.81, -3.16]Mixed Models Analysis
Secondary

Subjective Sleep Questionnaire (SSQ): Number of Awakenings Subscale

SSQ: participant-rated instrument to assess sleep behavior; measures sleep quantity, quality. Comprised of 5 items giving 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. This (1 item) subscale: numerical rating completed by participant 30 minutes after waking; recall period: night before. Range: 0 awakenings to 30 awakenings. Lower value indicates better quality of sleep. Arithmetic mean of this subscale score of each participant for all periods was taken prior to employing linear mixed model. Results of hours of sleep subscale reported as sTST.

Time frame: Week 3 and Week 5 of Each Intervention Period or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgSubjective Sleep Questionnaire (SSQ): Number of Awakenings Subscale1.69 awakenings
Pramipexole 0.5 mgSubjective Sleep Questionnaire (SSQ): Number of Awakenings Subscale2.64 awakenings
PlaceboSubjective Sleep Questionnaire (SSQ): Number of Awakenings Subscale2.51 awakenings
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-1.18, -0.47]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-1.31, -0.6]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.467795% CI: [-0.22, 0.48]Mixed Models Analysis
Secondary

Subjective Sleep Questionnaire (SSQ): Quality of Sleep Subscale

SSQ: participant-rated instrument to assess sleep behavior; measures sleep quantity, quality. Comprised of 5 items yielding 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. This 1 item subscale: numerical rating completed by participant 30 minutes after waking; recall period: night before, Range: 0 to 100, higher score: better quality of sleep. Arithmetic mean of this subscale score of each participant for all periods was taken prior to employing linear mixed model. Results of hours of sleep subscale reported as sTST.

Time frame: Week 3 and Week 5 of each intervention period or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgSubjective Sleep Questionnaire (SSQ): Quality of Sleep Subscale6.74 units on a scale
Pramipexole 0.5 mgSubjective Sleep Questionnaire (SSQ): Quality of Sleep Subscale5.69 units on a scale
PlaceboSubjective Sleep Questionnaire (SSQ): Quality of Sleep Subscale5.70 units on a scale
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [0.63, 1.45]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [0.65, 1.46]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.940395% CI: [-0.42, 0.39]Mixed Models Analysis
Secondary

Subjective Sleep Questionnaire (SSQ): Total Wake Time After Sleep Onset Subscale

SSQ: participant-rated instrument to assess sleep behavior; measures sleep quantity, quality. Comprised of 5 items yielding 5 subscale scores: latency, hours of sleep, number of awakenings, total wake time after sleep onset, quality of sleep. This 1 item subscale (in minutes): numerical rating completed by participant 30 minutes after waking; recall period: night before. Range: 0-1440 minutes. Lower value: better sleep. Arithmetic mean of this subscale score of each participant for all periods was taken prior to employing linear mixed model. Results of hours of sleep subscale reported as sTST.

Time frame: Week 3 and Week 5 of each intervention period or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgSubjective Sleep Questionnaire (SSQ): Total Wake Time After Sleep Onset Subscale53.78 minutes
Pramipexole 0.5 mgSubjective Sleep Questionnaire (SSQ): Total Wake Time After Sleep Onset Subscale82.23 minutes
PlaceboSubjective Sleep Questionnaire (SSQ): Total Wake Time After Sleep Onset Subscale79.09 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-35.83, -14.8]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-38.89, -18.02]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.546195% CI: [-7.13, 13.4]Mixed Models Analysis
Secondary

Subjective Total Sleep Time (sTST)

sTST as derived from Subjective Sleep Questionnaire (SSQ), a participant reported subjective estimate of the total amount of time the participant was asleep after lights out until final awakening. Completed by the participant 30 minutes after waking; recall period is the night before. Arithmetic mean of sTST of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 3 and Week 5 of Each Intervention Period or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgSubjective Total Sleep Time (sTST)400.97 minutes
Pramipexole 0.5 mgSubjective Total Sleep Time (sTST)374.19 minutes
PlaceboSubjective Total Sleep Time (sTST)370.16 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [16.14, 45.49]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.000495% CI: [12.26, 41.32]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.580795% CI: [-10.36, 18.41]Mixed Models Analysis
Secondary

Total Sleep Time (TST)

TST, as determined by PSG, was the number of non-wake (30-sec) epochs from the beginning of recording to the end of the recording. TST was the sum of 2 consecutive days of recording divided by 2 at the end of each intervention period. Arithmetic mean of TST of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgTotal Sleep Time (TST)402.38 minutes
Pramipexole 0.5 mgTotal Sleep Time (TST)376.52 minutes
PlaceboTotal Sleep Time (TST)369.66 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [22.02, 43.42]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [15.22, 36.49]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.200595% CI: [-3.69, 17.42]Mixed Models Analysis
Secondary

Wake Time After Sleep (WTAS)

WTAS, as determined by PSG, was the number of wake (30-sec) epochs after the final awakening until the end of the 8-hour recording. WTAS was the sum of 2 consecutive days of recordings divided by 2 at the end of each intervention period. Arithmetic mean of WTAS of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgWake Time After Sleep (WTAS)5.58 minutes
Pramipexole 0.5 mgWake Time After Sleep (WTAS)7.86 minutes
PlaceboWake Time After Sleep (WTAS)8.88 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.0895% CI: [-7, 0.4]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.220995% CI: [-5.95, 1.39]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.581595% CI: [-4.66, 2.63]Mixed Models Analysis
Secondary

Wake Time During Sleep (WTDS)

WTDS, as determined by PSG, was the number of wake (30-sec) epochs after the onset of persistent sleep and prior to the final awakening or at the end of 8-hour recording. WTDS was the sum of 2 consecutive days of recordings divided by 2 at the end of each intervention period. Arithmetic mean of WTDS of each participant for all periods was taken prior to employing linear mixed model.

Time frame: Week 5 (End of Intervention Period 1), Week 11 (End of Intervention Period 2) and Week 17 (End of Intervention Period 3) or ET

Population: ITT population included set of randomized participants who had at least 1 dose of study medication and had at least 1 post-randomization efficacy assessment. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Pregabalin 300 mgWake Time During Sleep (WTDS)45.77 minutes
Pramipexole 0.5 mgWake Time During Sleep (WTDS)70.51 minutes
PlaceboWake Time During Sleep (WTDS)69.75 minutes
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-32.78, -15.18]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: <0.000195% CI: [-33.46, -16.02]Mixed Models Analysis
Comparison: P-value was calculated using linear mixed model analysis with treatment, period and sequence as fixed effects. Random effects were participant within sequence and residual error. The LS means and SE were used to test for a treatment difference and construct 2-sided 95% CIs. The hypothesis test was 2-sided and conducted at the 5% level of significance.p-value: 0.862295% CI: [-7.9, 9.43]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026