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Safety And Efficacy In Long Term Use Of Lyrica (Regulatory Post Marketing Commitment Plan)

SPECIAL INVESTIGATION OF LONG TERM USE OF LYRICA(REGULATORY POST MARKETING COMMITMENT PLAN)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01279850
Acronym
RAINBOW-L
Enrollment
891
Registered
2011-01-19
Start date
2011-08-31
Completion date
2017-07-31
Last updated
2023-10-10

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

Conditions

Neuropathic Pain

Keywords

Lyrica, Regulatory Post Marketing Commitment Plan, Safety, Neuropathic Pain, Post Marketing Surveillance

Brief summary

The objective of this investigation is to evaluate the safety and efficacy of long term use with Lyrica in medical practice. Also, occurrence of unknown and known adverse drug reactions (ADRs) in subjects treated with Lyrica will be monitored during the survey period, and whether an additional treatment outcome investigation and/or a post-marketing clinical study is required in the future will be determined.

Detailed description

Patients who fulfill criteria below: 1. Patients who have previously enrolled in A0081261. 2. Patients who have been administered Lyrica for more than 52 weeks.

Interventions

Lyrica® Capsules depending on the investigator prescription. Frequency and duration are according to Package Insert as follows. The usual adult dosage for oral use begins at 150 mg/day of pregabalin in twice daily, and should be gradually increased to 300 mg/day over 1 week or more and should be orally administered twice daily. Dosage should be adjusted, depending on age or symptoms. However, the daily maximum dose should not be beyond 600 mg, and should be orally administered twice daily.

Sponsors

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

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
0 Days to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients need to be administered by Lyrica for over 52 weeks in order to be enrolled in the surveillance.

Exclusion criteria

* Patients not administered Lyrica.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Adverse Drug ReactionFrom Week 1 to Week 104 at maximumAn adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician.

Secondary

MeasureTime frameDescription
Percentage of Participants With Serious Adverse Drug ReactionFrom Week 1 to Week 104 at maximumAn adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. A serious ADR was an ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to LYRICA Capsules was assessed by the physician.
Percentage of Participants With Adverse Drug Reaction Unexpected From Japanese Package InsertFrom Week 1 to Week 104 at maximumAn adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Expectedness of the adverse event was determined according to the Japanese package insert. Relatedness to LYRICA Capsules was assessed by the physician.
Number of Participants With Adverse Drug Reactions Related to Peripheral Edema or Other Edema-related EventsFrom Week 1 to Week 104 at maximumAn adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician. Occurrence of ADRs related to peripheral edema or other edema-related events was evaluated.
Number of Participants With Adverse Drug Reactions Related to Dizziness, Somnolence, Loss of Consciousness, Syncope, and Potential for Accidental InjuryFrom Week 1 to Week 104 at maximumAn adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician. Occurrence of ADRs related to dizziness, somnolence, loss of consciousness, syncope, and potential for accidental injury was evaluated.
Number of Participants With Adverse Drug Reactions Related to Vision-related EventsFrom Week 1 to Week 104 at maximumAn adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician. Occurrence of ADRs related to vision-related events was evaluated.
Clinical Effectiveness RateAt Week 104Clinical effectiveness of LYRICA Capsules was determined by the physician based on the following categories: (1) effective, (2) ineffective, or (3) impossible to judge at Week 104 of the treatment. Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of the analysis population, was presented along with the corresponding 2-sided 95% CI.
Change From Baseline in Participant-rated Pain Score at Week 104Baseline and at Week 104The pain experienced at Week 104 during the past 24 hours was rated by participants at the time of getting up in the morning on an 11-grade scale, ranging from 0 (no pain) to 10 (the most severe pain possible). Mean change from baseline in participant-rated pain score at Week 104 was presented along with standard deviation.
Change From Baseline in Participant-rated Sleep Interference Score at Week 104Baseline and at Week 104The sleep interference (inability to sleep because of pain) experienced at Week 104 during the past 24 hours was rated by participants at the time of getting up in the morning on an 11-grade scale, ranging from 0 (no disturbance) to 10 (totally unable to sleep because of pain). Mean change from baseline in participant-rated sleep interference score at Week 104 was presented along with standard deviation.
Patient's Impression (PGIC) at Week 104At Week 104The patient's impression (patient global impression of change \[PGIC\]) at Week 104, as compared to the baseline condition (including the first day of treatment), was rated by participants on a 7-grade scale.
Physician's Impression (CGIC) at Week 104At Week 104The physician's impression (clinical global impression of change \[CGIC\]) at Week 104, as compared to the baseline condition (including the first day of treatment), was rated by the physician on a 7-grade scale.

Participant flow

Participants by arm

ArmCount
LYRICA Capsules (Pregabalin)
Participants who received LYRICA Capsules as indicated in the approved local product document were observed from the start of the treatment to Week 104 at maximum. The dosage can be adjusted as per physician's discretion.
800
Total800

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyNo Drug Administration Information7
Overall StudyNo Visit After Treatment34
Overall StudyProtocol Violation50

Baseline characteristics

CharacteristicLYRICA Capsules (Pregabalin)
Age, Customized
≥15 and <65 years
267 Participants
Age, Customized
<15 years
0 Participants
Age, Customized
≥65 years
533 Participants
Race/Ethnicity, Customized
Race and Ethnicity Not Collected
800 Participants
Sex/Gender, Customized
Female
442 Participants
Sex/Gender, Customized
Male
358 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
7 / 800
other
Total, other adverse events
153 / 800
serious
Total, serious adverse events
22 / 800

Outcome results

Primary

Percentage of Participants With Adverse Drug Reaction

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician.

Time frame: From Week 1 to Week 104 at maximum

Population: The analysis population for this outcome measure was the baseline analysis population, which comprised of participants who satisfied the criteria of safety analysis population and had received LYRICA Capsules at least once.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Percentage of Participants With Adverse Drug Reaction12.75 Percentage of Participants
Secondary

Change From Baseline in Participant-rated Pain Score at Week 104

The pain experienced at Week 104 during the past 24 hours was rated by participants at the time of getting up in the morning on an 11-grade scale, ranging from 0 (no pain) to 10 (the most severe pain possible). Mean change from baseline in participant-rated pain score at Week 104 was presented along with standard deviation.

Time frame: Baseline and at Week 104

Population: The analysis population for this outcome measure comprised of participants for whom the evaluation outcome of participant-rated pain score was available and who satisfied the inclusion criteria among the baseline analysis population.

ArmMeasureValue (MEAN)Dispersion
LYRICA Capsules (Pregabalin)Change From Baseline in Participant-rated Pain Score at Week 104-4.4 Units on a scaleStandard Deviation 2.14
Secondary

Change From Baseline in Participant-rated Sleep Interference Score at Week 104

The sleep interference (inability to sleep because of pain) experienced at Week 104 during the past 24 hours was rated by participants at the time of getting up in the morning on an 11-grade scale, ranging from 0 (no disturbance) to 10 (totally unable to sleep because of pain). Mean change from baseline in participant-rated sleep interference score at Week 104 was presented along with standard deviation.

Time frame: Baseline and at Week 104

Population: The analysis population for this outcome measure comprised of participants for whom the evaluation outcome of participant-rated sleep interference score was available and who satisfied the inclusion criteria among the baseline analysis population.

ArmMeasureValue (MEAN)Dispersion
LYRICA Capsules (Pregabalin)Change From Baseline in Participant-rated Sleep Interference Score at Week 104-3.9 Units on a scaleStandard Deviation 2.54
Secondary

Clinical Effectiveness Rate

Clinical effectiveness of LYRICA Capsules was determined by the physician based on the following categories: (1) effective, (2) ineffective, or (3) impossible to judge at Week 104 of the treatment. Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of the analysis population, was presented along with the corresponding 2-sided 95% CI.

Time frame: At Week 104

Population: The analysis population for this outcome measure comprised of participants for whom the evaluation outcome of clinical effectiveness was available and who satisfied the inclusion criteria among the baseline analysis population. Of these, participants evaluated as impossible to judge were excluded from the analysis population.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Clinical Effectiveness Rate91.0 Percentage of Participants
Secondary

Number of Participants With Adverse Drug Reactions Related to Dizziness, Somnolence, Loss of Consciousness, Syncope, and Potential for Accidental Injury

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician. Occurrence of ADRs related to dizziness, somnolence, loss of consciousness, syncope, and potential for accidental injury was evaluated.

Time frame: From Week 1 to Week 104 at maximum

Population: The analysis population for this outcome measure was the baseline analysis population, which comprised of participants who satisfied the criteria of safety analysis population and had received LYRICA Capsules at least once.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Number of Participants With Adverse Drug Reactions Related to Dizziness, Somnolence, Loss of Consciousness, Syncope, and Potential for Accidental Injury65 Participants
Secondary

Number of Participants With Adverse Drug Reactions Related to Peripheral Edema or Other Edema-related Events

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician. Occurrence of ADRs related to peripheral edema or other edema-related events was evaluated.

Time frame: From Week 1 to Week 104 at maximum

Population: The analysis population for this outcome measure was the baseline analysis population, which comprised of participants who satisfied the criteria of safety analysis population and had received LYRICA Capsules at least once.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Number of Participants With Adverse Drug Reactions Related to Peripheral Edema or Other Edema-related Events14 Participants
Secondary

Number of Participants With Adverse Drug Reactions Related to Vision-related Events

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Relatedness to LYRICA Capsules was assessed by the physician. Occurrence of ADRs related to vision-related events was evaluated.

Time frame: From Week 1 to Week 104 at maximum

Population: The analysis population for this outcome measure was the baseline analysis population, which comprised of participants who satisfied the criteria of safety analysis population and had received LYRICA Capsules at least once.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Number of Participants With Adverse Drug Reactions Related to Vision-related Events4 Participants
Secondary

Patient's Impression (PGIC) at Week 104

The patient's impression (patient global impression of change \[PGIC\]) at Week 104, as compared to the baseline condition (including the first day of treatment), was rated by participants on a 7-grade scale.

Time frame: At Week 104

Population: The analysis population for this outcome measure comprised of participants for whom the evaluation outcome of PGIC was available and who satisfied the inclusion criteria among the baseline analysis population.

ArmMeasureGroupValue (NUMBER)
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Markedly improved95 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Improved223 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Slightly improved183 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Unchanged71 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Slightly worsened3 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Worsened2 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Markedly worsened0 Participants
LYRICA Capsules (Pregabalin)Patient's Impression (PGIC) at Week 104Not assessed214 Participants
Secondary

Percentage of Participants With Adverse Drug Reaction Unexpected From Japanese Package Insert

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. Expectedness of the adverse event was determined according to the Japanese package insert. Relatedness to LYRICA Capsules was assessed by the physician.

Time frame: From Week 1 to Week 104 at maximum

Population: The analysis population for this outcome measure was the baseline analysis population, which comprised of participants who satisfied the criteria of safety analysis population and had received LYRICA Capsules at least once.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Percentage of Participants With Adverse Drug Reaction Unexpected From Japanese Package Insert0.50 Percentage of Participants
Secondary

Percentage of Participants With Serious Adverse Drug Reaction

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to LYRICA Capsules in a participant who received LYRICA Capsules. A serious ADR was an ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to LYRICA Capsules was assessed by the physician.

Time frame: From Week 1 to Week 104 at maximum

Population: The analysis population for this outcome measure was the baseline analysis population, which comprised of participants who satisfied the criteria of safety analysis population and had received LYRICA Capsules at least once.

ArmMeasureValue (NUMBER)
LYRICA Capsules (Pregabalin)Percentage of Participants With Serious Adverse Drug Reaction0.25 Percentage of Participants
Secondary

Physician's Impression (CGIC) at Week 104

The physician's impression (clinical global impression of change \[CGIC\]) at Week 104, as compared to the baseline condition (including the first day of treatment), was rated by the physician on a 7-grade scale.

Time frame: At Week 104

Population: The analysis population for this outcome measure comprised of participants for whom the evaluation outcome of CGIC was available and who satisfied the inclusion criteria among the baseline analysis population.

ArmMeasureGroupValue (NUMBER)
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Markedly worsened0 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Worsened0 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Unchanged93 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Slightly worsened7 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Not assessed129 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Markedly improved108 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Improved275 Participants
LYRICA Capsules (Pregabalin)Physician's Impression (CGIC) at Week 104Slightly improved179 Participants

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