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Pregabalin Trial In HIV Neuropathic Pain

An Open-Label, Extension Safety Trial Of Pregabalin In Subjects With Neuropathic Pain Associated With HIV Neuropathy (Pregabalin A0081251)

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01145417
Enrollment
217
Registered
2010-06-16
Start date
2010-07-31
Completion date
2012-05-31
Last updated
2021-01-28

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

Conditions

HIV-1 Infection, Neuropathic Pain

Keywords

peripheral neuropathic pain, pregabalin, safety

Brief summary

This study examines the safety of pregabalin over a 6 month period in patients with neuropathic pain associated with HIV infection as an extension of another trial that tests the efficacy of pregabalin.

Detailed description

The parent double blind study was stopped at interim analysis due to lack of efficacy and therefore this open label extension study was also terminated simultaneously on April 2, 2012; the termination was unrelated to any safety findings that could impact patient health.

Interventions

150 mg-600 mg/day (twice daily)

Sponsors

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

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Subjects who participated in the preceding A0081244 double-blind trial and completed at least through Visit 9 of that trial. Subjects with painful distal sensory polyneuropathy (DSP) interested in treatment based on investigator's clinical judgment. Subjects who had acceptable tolerability of study drug in A0081244.

Exclusion criteria

* Clinically significant or unstable conditions that, in the opinion of the investigator, would compromise participation in the study. This includes, for example, medical conditions such as, but not limited to: hepatic, renal, respiratory, hematological, immunological, cardiovascular diseases, arrhythmia, inflammatory or rheumatologic disease, active infections, symptomatic peripheral vascular disease, psychiatric illness, and untreated endocrine disorders. * Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study. * Active Acquired Immune Deficiency Syndrome (AIDS)- defining Opportunistic Infection (OI) that requires hospitalization.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment Emergent (TE) Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to 30 days after last dose of study treatmentAn AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Secondary

MeasureTime frameDescription
Absenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, Week 24WPAI: 6-question participant rated questionnaire to determine the degree to which SHP affected work productivity while at work and affected activities outside of work. It assesses amount of absenteeism, presenteeism and daily activity impairment attributable to a HIV neuropathy pain. Question 2 and 3 assesses absenteeism as: Hours of work missed in past 7 days due to leg/foot pain or other reason, respectively. Question 4 assesses presenteeism as: Hours of work performed in past 7 days.
Productivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, Week 24WPAI: 6-question participant rated questionnaire to determine the degree to which SHP affected work productivity while at work and affected activities outside of work. It assesses amount of absenteeism, presenteeism and daily activity impairment attributable to a HIV neuropathy pain. Question 5 and 6 assesses: How much leg/foot pain affect productivity and daily activity, respectively in past 7 days? on 11-point scale, where 0 (not affected/no impairment) to 10 (completely affected/impaired).
36-Item Short-Form Health Survey (SF-36)Baseline, Week 24SF-36 is a standardized survey evaluating 8 domains of functional health and well being: physical and social (So) functioning (Fn), physical and emotional role (role-physical \[R-P\], role-emotional \[R-E\]) limitations, bodily pain (BP), general health (GH), vitality (Vit), mental health (MnH). Two summary scores include Physical Component (Ph C) and Mental Component (Mn C). The score for a section is an average of the individual question scores. Score range for domain scores and summary scores: 0-100 (100=highest level of functioning).
Number of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, Week 24WPAI: 6-question participant rated questionnaire to determine the degree to which SHP affected work productivity while at work and affected activities outside of work. It assesses amount of absenteeism, presenteeism and daily activity impairment attributable to a Human Immunodeficiency Virus (HIV) neuropathy pain. Number of participants who responded Yes/No to Question 1: Are you currently employed (working for pay)? are reported.
Number of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Week 24PGI-C: participant rated instrument to measure participant's change in overall status since the start of the study, on a 7-point scale; range from 1 (very much improved) to 7 (very much worse). Number of participants in each category are reported.
Number of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesBaseline up to Week 25S-STS:8-item clinician/participant administered prospective rating scale to assess TE suicidal(Su) ideation(ID),behavior(BHV).Items 1a,2-6,7a,8 scored on 5-point Likert scale 0(not at all) to 4(extremely). Items 1,1b,7 require yes/no response. S-STS total score range 0-30. Lower score=reduced Su tendency. Responses on S-STS were mapped to Columbia Classification Algorithm of Suicide Assessment(C-CASA) as 1:Completed Su; 2: Su attempt; 3: Preparatory acts; 4: Su ID; 5: Self-injurious (SI) BHV, intent unknown; 6: Not enough information; 7: SI BHV, no Su intent; 8: Other, no deliberate self harm.
Number of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)BaselinePHQ-8: 8-item self-administered validated subset of PHQ-9, which comprises first 8 items of measure. Participant rated Over past 2 weeks, how often bothered by any of following problems?: little interest in doing things(1); feeling down(2); trouble falling or staying asleep/sleeping too much(3); feeling tired(4); poor appetite/overeating(5); feeling bad about self(6); trouble concentrating(7); moving or speaking slowly or being so fidgety/moving around more than usual(8). Each item scored on scale of 0(not at all)-3(nearly every day). Total score range: 0-24, higher score=greater severity.
Visual Analogue Scale for Pain (VAS-pain)Baseline, Week 4, 8, 12, 16, 20, 24Participants rated the severity of HIV neuropathy pain on a 0 to 100 millimeter (mm) Visual Analog Scale (VAS), where 0 mm = no pain and 100 mm = most severe pain.

Countries

Colombia, India, Peru, Puerto Rico, South Africa, Thailand, United States

Participant flow

Recruitment details

Following completion of Visit 9 (Day 57) of double-blind trial A0081244 (NCT01049217), participants who met eligibility criteria initiated open-label treatment in the current trial A0081251 (NCT01145417).

Participants by arm

ArmCount
Pregabalin-Pregabalin
Participants who received pregabalin during double-blind trial A0081244 (NCT01049217), received pregabalin capsule at a starting dose of 75 milligram (mg) orally twice daily, dose adjusted for optimizing pain control based on investigators discretion to allow maximum total dose of 300 mg twice daily for 6 months. Participants underwent an end-of-study medication taper over a 1-week period.
108
Placebo-Pregabalin
Participants who received placebo matched to pregabalin during double-blind trial A0081244 (NCT01049217), received pregabalin capsule at a starting dose of 75 mg orally twice daily, dose adjusted for optimizing pain control based on investigators discretion to allow maximum total dose of 300 mg twice daily for 6 months. Participants underwent an end-of-study medication taper over a 1-week period.
109
Total217

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event01
Overall StudyDeath10
Overall StudyLost to Follow-up21
Overall StudyOther10
Overall StudyPregnancy10
Overall StudyStudy terminated by sponsor3543
Overall StudyWithdrawal by Subject12

Baseline characteristics

CharacteristicPregabalin-PregabalinPlacebo-PregabalinTotal
Age, Continuous42.4 years
STANDARD_DEVIATION 8.8
43.5 years
STANDARD_DEVIATION 7.9
42.9 years
STANDARD_DEVIATION 8.4
Sex: Female, Male
Female
71 Participants68 Participants139 Participants
Sex: Female, Male
Male
37 Participants41 Participants78 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
35 / 10850 / 109
serious
Total, serious adverse events
4 / 1083 / 109

Outcome results

Primary

Number of Participants With Treatment Emergent (TE) Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Time frame: Baseline up to 30 days after last dose of study treatment

Population: Safety population (SAF) included all participants who signed the informed consent, had exposure to open label study drug and had at least one safety assessment.

ArmMeasureGroupValue (NUMBER)
Pregabalin-PregabalinNumber of Participants With Treatment Emergent (TE) Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs67 participants
Pregabalin-PregabalinNumber of Participants With Treatment Emergent (TE) Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs4 participants
Placebo-PregabalinNumber of Participants With Treatment Emergent (TE) Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs70 participants
Placebo-PregabalinNumber of Participants With Treatment Emergent (TE) Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs3 participants
Secondary

36-Item Short-Form Health Survey (SF-36)

SF-36 is a standardized survey evaluating 8 domains of functional health and well being: physical and social (So) functioning (Fn), physical and emotional role (role-physical \[R-P\], role-emotional \[R-E\]) limitations, bodily pain (BP), general health (GH), vitality (Vit), mental health (MnH). Two summary scores include Physical Component (Ph C) and Mental Component (Mn C). The score for a section is an average of the individual question scores. Score range for domain scores and summary scores: 0-100 (100=highest level of functioning).

Time frame: Baseline, Week 24

Population: ITT population included all enrolled participants who took at least one dose of open label study drug. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. Here 'n' signifies participants evaluable at given time point for specific parameter for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: BP (n=51,53)68.86 Units on a scaleStandard Deviation 20.43
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: GH (n=51,53)72.25 Units on a scaleStandard Deviation 20.369
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Ph C (n=51,53)47.68 Units on a scaleStandard Deviation 7.268
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: BP (n=102,104)69.57 Units on a scaleStandard Deviation 22.55
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: GH (n=103,104)73.14 Units on a scaleStandard Deviation 19.933
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Ph C (n=102,104)47.28 Units on a scaleStandard Deviation 8.77
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Vit (n=103,104)68.51 Units on a scaleStandard Deviation 18.502
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: So Fn (n=103,104)79.98 Units on a scaleStandard Deviation 20.883
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: R-E (n=103,104)74.19 Units on a scaleStandard Deviation 27.029
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: MnH (n=103,104)76.21 Units on a scaleStandard Deviation 18.196
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Ph Fn (n=51,53)73.14 Units on a scaleStandard Deviation 22.671
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: R-P (n=51,53)75.49 Units on a scaleStandard Deviation 22.873
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: R-E (n=51,53)81.05 Units on a scaleStandard Deviation 20.075
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: MnH (n=51,53)76.27 Units on a scaleStandard Deviation 18.079
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Mn C (n=51,53)51.41 Units on a scaleStandard Deviation 8.915
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Ph Fn (n=103,104)70.34 Units on a scaleStandard Deviation 27.594
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: R-P (n=103,104)71.18 Units on a scaleStandard Deviation 24.927
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Mn C (n=102,104)50.15 Units on a scaleStandard Deviation 10.394
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Vit (n=51,53)71.57 Units on a scaleStandard Deviation 19.418
Pregabalin-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: So Fn (n=51,53)78.92 Units on a scaleStandard Deviation 18.113
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: MnH (n=103,104)75.77 Units on a scaleStandard Deviation 18.588
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: BP (n=51,53)68.87 Units on a scaleStandard Deviation 26.01
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Mn C (n=51,53)52.71 Units on a scaleStandard Deviation 7.763
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: GH (n=51,53)68.79 Units on a scaleStandard Deviation 20.411
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Ph Fn (n=51,53)75.47 Units on a scaleStandard Deviation 22.729
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Ph C (n=51,53)46.85 Units on a scaleStandard Deviation 9.578
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: Vit (n=51,53)73.11 Units on a scaleStandard Deviation 17.66
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: R-P (n=103,104)72.96 Units on a scaleStandard Deviation 26.68
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: So Fn (n=51,53)82.08 Units on a scaleStandard Deviation 18.911
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: BP (n=102,104)72.19 Units on a scaleStandard Deviation 23.033
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: R-P (n=51,53)71.93 Units on a scaleStandard Deviation 27.616
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: GH (n=103,104)71.31 Units on a scaleStandard Deviation 19.879
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Ph Fn (n=103,104)75.24 Units on a scaleStandard Deviation 25.086
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Ph C (n=102,104)48.48 Units on a scaleStandard Deviation 8.634
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: R-E (n=51,53)79.87 Units on a scaleStandard Deviation 23.367
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Vit (n=103,104)66.29 Units on a scaleStandard Deviation 20.039
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: Mn C (n=102,104)49.72 Units on a scaleStandard Deviation 9.884
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: So Fn (n=103,104)81.85 Units on a scaleStandard Deviation 20.304
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Baseline: MnH (n=51,53)80.00 Units on a scaleStandard Deviation 15.411
Placebo-Pregabalin36-Item Short-Form Health Survey (SF-36)Week 24: R-E (n=103,104)75.80 Units on a scaleStandard Deviation 25.64
Secondary

Absenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) Questionnaire

WPAI: 6-question participant rated questionnaire to determine the degree to which SHP affected work productivity while at work and affected activities outside of work. It assesses amount of absenteeism, presenteeism and daily activity impairment attributable to a HIV neuropathy pain. Question 2 and 3 assesses absenteeism as: Hours of work missed in past 7 days due to leg/foot pain or other reason, respectively. Question 4 assesses presenteeism as: Hours of work performed in past 7 days.

Time frame: Baseline, Week 24

Population: ITT population: all enrolled participants who had at least one dose of open label study drug. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. Here 'n' signifies participants evaluable at given time point for specific question for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Pregabalin-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, hours missed,leg/foot pain (n=12,11)2.25 hoursStandard Deviation 6.877
Pregabalin-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, hours missed,other reason (n=12,11)3.42 hoursStandard Deviation 6.501
Pregabalin-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, hours worked (n=12,11)35.58 hoursStandard Deviation 15.163
Pregabalin-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, hours missed,leg/foot pain (n=35,28)2.17 hoursStandard Deviation 4.956
Pregabalin-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, hours missed,other reason (n=35,28)9.20 hoursStandard Deviation 21.604
Pregabalin-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, hours worked (n=35,28)41.51 hoursStandard Deviation 20.034
Placebo-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, hours missed,other reason (n=35,28)7.71 hoursStandard Deviation 14.976
Placebo-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, hours missed,leg/foot pain (n=12,11)0.82 hoursStandard Deviation 2.401
Placebo-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, hours missed,leg/foot pain (n=35,28)2.32 hoursStandard Deviation 8.533
Placebo-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, hours missed,other reason (n=12,11)0.91 hoursStandard Deviation 1.7
Placebo-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, hours worked (n=35,28)34.86 hoursStandard Deviation 21.329
Placebo-PregabalinAbsenteeism and Presenteeism Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, hours worked (n=12,11)30.36 hoursStandard Deviation 18.112
Secondary

Number of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) Questionnaire

WPAI: 6-question participant rated questionnaire to determine the degree to which SHP affected work productivity while at work and affected activities outside of work. It assesses amount of absenteeism, presenteeism and daily activity impairment attributable to a Human Immunodeficiency Virus (HIV) neuropathy pain. Number of participants who responded Yes/No to Question 1: Are you currently employed (working for pay)? are reported.

Time frame: Baseline, Week 24

Population: Intent to Treat (ITT) population: all enrolled participants who had at least one dose of open label study drug. 'N' (number of participants analyzed) signifies participants evaluable for this measure. Here 'n' signifies participants evaluable at given time point for each arm group, respectively.

ArmMeasureGroupValue (NUMBER)
Pregabalin-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, employed (n=52,51)12 participants
Pregabalin-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, unemployed (n=52,51)40 participants
Pregabalin-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, employed (n=103,104)35 participants
Pregabalin-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, unemployed (n=103,104)68 participants
Placebo-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, unemployed (n=103,104)77 participants
Placebo-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, employed (n=52,51)11 participants
Placebo-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, employed (n=103,104)27 participants
Placebo-PregabalinNumber of Participants Who Were Employed or Unemployed Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, unemployed (n=52,51)40 participants
Secondary

Number of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)

PGI-C: participant rated instrument to measure participant's change in overall status since the start of the study, on a 7-point scale; range from 1 (very much improved) to 7 (very much worse). Number of participants in each category are reported.

Time frame: Week 24

Population: ITT population: all enrolled participants who had at least one dose of open label study drug. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)No Change2 participants
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Very Much Improved41 participants
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Minimally Worse1 participants
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Much Worse0 participants
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Minimally Improved16 participants
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Very Much Worse0 participants
Pregabalin-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Much Improved43 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Very Much Worse0 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Very Much Improved37 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Much Improved47 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Minimally Improved16 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)No Change3 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Much Worse1 participants
Placebo-PregabalinNumber of Participants With Categorical Scores on Patient Global Impression of Change (PGI-C)Minimally Worse0 participants
Secondary

Number of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)

PHQ-8: 8-item self-administered validated subset of PHQ-9, which comprises first 8 items of measure. Participant rated Over past 2 weeks, how often bothered by any of following problems?: little interest in doing things(1); feeling down(2); trouble falling or staying asleep/sleeping too much(3); feeling tired(4); poor appetite/overeating(5); feeling bad about self(6); trouble concentrating(7); moving or speaking slowly or being so fidgety/moving around more than usual(8). Each item scored on scale of 0(not at all)-3(nearly every day). Total score range: 0-24, higher score=greater severity.

Time frame: Baseline

Population: SAF population included all participants who signed the informed consent, had exposure to open label study drug and had at least one safety assessment. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: Not at All57 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: Several Days31 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: More Than Half the Days14 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: Nearly Every Day3 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: Not at All84 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: Several Days18 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: More Than Half the Days5 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: Nearly Every Day0 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: Not at All59 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: Several Days33 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: More Than Half the Days14 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: Nearly Every Day3 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: Not at All52 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: Several Days43 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: More Than Half the Days12 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: Nearly Every Day0 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: Not at All75 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: Several Days24 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: More Than Half the Days5 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: Nearly Every Day3 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: Not at All92 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: Several Days12 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: More Than Half the Days2 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: Nearly Every Day1 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: Not at All79 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: Several Days23 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: More Than Half the Days2 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: Nearly Every Day3 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidgety: Not at All87 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidgety: Several Days18 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidget: More Than Half the Days0 participants
Pregabalin-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidgety: Nearly Every Day2 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidgety: Nearly Every Day3 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: Not at All67 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: Not at All71 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: Several Days25 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: Not at All84 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: More Than Half the Days9 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: Several Days26 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Little interest in things: Nearly Every Day7 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidgety: Not at All86 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: Not at All79 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: More Than Half the Days5 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: Several Days21 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: Several Days20 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: More Than Half the Days6 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Poor appetite/overeating: Nearly Every Day6 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling down: Nearly Every Day2 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidget: More Than Half the Days3 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: Not at All59 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: Not at All88 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: Several Days40 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: More Than Half the Days3 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: More Than Half the Days4 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: Several Days13 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble with sleep: Nearly Every Day5 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Move or speak slow/fidgety: Several Days16 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: Not at All53 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: More Than Half the Days3 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: Several Days40 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Trouble concentrating: Nearly Every Day1 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: More Than Half the Days14 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling bad about self: Nearly Every Day4 participants
Placebo-PregabalinNumber of Participants With Response to Patient Health Questionnaire-8 (PHQ-8)Feeling tired: Nearly Every Day1 participants
Secondary

Number of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) Categories

S-STS:8-item clinician/participant administered prospective rating scale to assess TE suicidal(Su) ideation(ID),behavior(BHV).Items 1a,2-6,7a,8 scored on 5-point Likert scale 0(not at all) to 4(extremely). Items 1,1b,7 require yes/no response. S-STS total score range 0-30. Lower score=reduced Su tendency. Responses on S-STS were mapped to Columbia Classification Algorithm of Suicide Assessment(C-CASA) as 1:Completed Su; 2: Su attempt; 3: Preparatory acts; 4: Su ID; 5: Self-injurious (SI) BHV, intent unknown; 6: Not enough information; 7: SI BHV, no Su intent; 8: Other, no deliberate self harm.

Time frame: Baseline up to Week 25

Population: SAF included all participants who signed the informed consent, had exposure to open label study drug and had at least one safety assessment.

ArmMeasureGroupValue (NUMBER)
Pregabalin-PregabalinNumber of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesPreparatory acts toward suicidal behavior: 30 participants
Pregabalin-PregabalinNumber of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesSuicidal ideation: 44 participants
Pregabalin-PregabalinNumber of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesSuicide attempt: 20 participants
Placebo-PregabalinNumber of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesSuicide attempt: 21 participants
Placebo-PregabalinNumber of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesPreparatory acts toward suicidal behavior: 31 participants
Placebo-PregabalinNumber of Participants With Response to Sheehan-Suicidality Tracking Scale (S-STS) Mapped to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoriesSuicidal ideation: 49 participants
Secondary

Productivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) Questionnaire

WPAI: 6-question participant rated questionnaire to determine the degree to which SHP affected work productivity while at work and affected activities outside of work. It assesses amount of absenteeism, presenteeism and daily activity impairment attributable to a HIV neuropathy pain. Question 5 and 6 assesses: How much leg/foot pain affect productivity and daily activity, respectively in past 7 days? on 11-point scale, where 0 (not affected/no impairment) to 10 (completely affected/impaired).

Time frame: Baseline, Week 24

Population: ITT population: all enrolled participants who had at least one dose of open label study drug. 'N' (number of participants analyzed) signifies participants evaluable for this measure. Here 'n' signifies participants evaluable at given time point for specific question for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Pregabalin-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, daily activity affected (n=103,104)2.51 Units on a scaleStandard Deviation 2.33
Pregabalin-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, daily activity affected (n=52,51)3.48 Units on a scaleStandard Deviation 2.846
Pregabalin-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, productivity affected (n=35,29)2.17 Units on a scaleStandard Deviation 1.917
Pregabalin-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, productivity affected (n=12,10)4.42 Units on a scaleStandard Deviation 2.843
Placebo-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, daily activity affected (n=103,104)2.72 Units on a scaleStandard Deviation 2.653
Placebo-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, productivity affected (n=12,10)2.40 Units on a scaleStandard Deviation 2.716
Placebo-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireWeek 24, productivity affected (n=35,29)2.24 Units on a scaleStandard Deviation 2.415
Placebo-PregabalinProductivity and Activity Impairment Assessed by Work Productivity and Activity Impairment: Specific Health Problem (WPAI: SHP) QuestionnaireBaseline, daily activity affected (n=52,51)3.47 Units on a scaleStandard Deviation 2.935
Secondary

Visual Analogue Scale for Pain (VAS-pain)

Participants rated the severity of HIV neuropathy pain on a 0 to 100 millimeter (mm) Visual Analog Scale (VAS), where 0 mm = no pain and 100 mm = most severe pain.

Time frame: Baseline, Week 4, 8, 12, 16, 20, 24

Population: ITT population: all enrolled participants who had at least one dose of open label study drug. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure. Here 'n' signifies participants who were evaluable at specific time points for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 8 (n=100,101)27.4 millimeter (mm)Standard Deviation 21.01
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 16 (n=85,81)22.6 millimeter (mm)Standard Deviation 20.82
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Baseline (n=107,108)40.6 millimeter (mm)Standard Deviation 26.55
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 20 (n=72,67)17.2 millimeter (mm)Standard Deviation 19.18
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 12 (n=89,88)24.1 millimeter (mm)Standard Deviation 22.41
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 24 (n=103,104)22.2 millimeter (mm)Standard Deviation 22.54
Pregabalin-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 4 (n=106,106)33.1 millimeter (mm)Standard Deviation 25.14
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 24 (n=103,104)23.7 millimeter (mm)Standard Deviation 23.94
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 4 (n=106,106)33.1 millimeter (mm)Standard Deviation 27.11
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Baseline (n=107,108)40.7 millimeter (mm)Standard Deviation 26.57
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 8 (n=100,101)27.8 millimeter (mm)Standard Deviation 24.25
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 12 (n=89,88)23.8 millimeter (mm)Standard Deviation 23.45
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 16 (n=85,81)22.6 millimeter (mm)Standard Deviation 25.32
Placebo-PregabalinVisual Analogue Scale for Pain (VAS-pain)Week 20 (n=72,67)17.7 millimeter (mm)Standard Deviation 22.78

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026