Neuropathic Pain
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Adverse Drug Reaction | From Week 1 to Week 104 at maximum | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Serious Adverse Drug Reaction | From Week 1 to Week 104 at maximum | 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. |
| Percentage of Participants With Adverse Drug Reaction Unexpected From Japanese Package Insert | From Week 1 to Week 104 at maximum | 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. |
| Number of Participants With Adverse Drug Reactions Related to Peripheral Edema or Other Edema-related Events | From Week 1 to Week 104 at maximum | 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. |
| Number of Participants With Adverse Drug Reactions Related to Dizziness, Somnolence, Loss of Consciousness, Syncope, and Potential for Accidental Injury | From Week 1 to Week 104 at maximum | 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. |
| Number of Participants With Adverse Drug Reactions Related to Vision-related Events | From Week 1 to Week 104 at maximum | 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. |
| Clinical Effectiveness Rate | At Week 104 | 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. |
| Change From Baseline in Participant-rated Pain Score at Week 104 | Baseline and 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. |
| Change From Baseline in Participant-rated Sleep Interference Score at Week 104 | Baseline and 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. |
| Patient's Impression (PGIC) at Week 104 | 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. |
| Physician's Impression (CGIC) at Week 104 | 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. |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 800 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | No Drug Administration Information | 7 |
| Overall Study | No Visit After Treatment | 34 |
| Overall Study | Protocol Violation | 50 |
Baseline characteristics
| Characteristic | LYRICA 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 type | EG000 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
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Percentage of Participants With Adverse Drug Reaction | 12.75 Percentage of Participants |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| LYRICA Capsules (Pregabalin) | Change From Baseline in Participant-rated Pain Score at Week 104 | -4.4 Units on a scale | Standard Deviation 2.14 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| LYRICA Capsules (Pregabalin) | Change From Baseline in Participant-rated Sleep Interference Score at Week 104 | -3.9 Units on a scale | Standard Deviation 2.54 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Clinical Effectiveness Rate | 91.0 Percentage of Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Number of Participants With Adverse Drug Reactions Related to Dizziness, Somnolence, Loss of Consciousness, Syncope, and Potential for Accidental Injury | 65 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Number of Participants With Adverse Drug Reactions Related to Peripheral Edema or Other Edema-related Events | 14 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Number of Participants With Adverse Drug Reactions Related to Vision-related Events | 4 Participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Markedly improved | 95 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Improved | 223 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Slightly improved | 183 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Unchanged | 71 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Slightly worsened | 3 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Worsened | 2 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Markedly worsened | 0 Participants |
| LYRICA Capsules (Pregabalin) | Patient's Impression (PGIC) at Week 104 | Not assessed | 214 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Percentage of Participants With Adverse Drug Reaction Unexpected From Japanese Package Insert | 0.50 Percentage of Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| LYRICA Capsules (Pregabalin) | Percentage of Participants With Serious Adverse Drug Reaction | 0.25 Percentage of Participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Markedly worsened | 0 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Worsened | 0 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Unchanged | 93 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Slightly worsened | 7 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Not assessed | 129 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Markedly improved | 108 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Improved | 275 Participants |
| LYRICA Capsules (Pregabalin) | Physician's Impression (CGIC) at Week 104 | Slightly improved | 179 Participants |