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NeuralgiaPhase 4P4NCT00292188

P4 (Pregabalin for Peripheral Posttraumatic Pain)

A Phase 4 study testing pregabalin in people with Neuralgia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 44 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To evaluate the efficacy of pregabalin compared to placebo in the treatment of posttraumatic peripheral neuropathic pain Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Neuralgia
What is being tested?
pregabalin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
255 participants
Where
44 sitesin 11 countries
Study dates
Jan 2006to May 2008
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of Posttraumatic Peripheral Neuropathic Pain (NeP) syndrome, including post-surgical NeP, NeP due to peripheral nerve injury, and phantom limb pain, confirmed by a qualified pain specialist and persisting for a minimum of 3 months following the traumatic event

Who cannot join

  • Subjects whose posttraumatic neuropathic pain is due to Complex Regional Pain Syndrome (CRPS, Type I or Type II)
  • NeP not due to trauma, and not peripheral pain

Trial locations and contacts

44 sites in 11 countries.

44 sites in 11 countries

Portugal8 sites
  • Pfizer Investigational Site

    Almada, 2801-951

  • Pfizer Investigational Site

    Amadora, 2720-276

  • Pfizer Investigational Site

    Coimbra, 3000-075

  • Pfizer Investigational Site

    Funchal, 9004-514

  • Pfizer Investigational Site

    Guimarães, 4800-055

  • Pfizer Investigational Site

    Lisbon, 1169-050

  • Pfizer Investigational Site

    Lisbon, 1649-035

  • Pfizer Investigational Site

    Porto, 4099-001

Other trials in Portugal

Belgium6 sites
  • Pfizer Investigational Site

    Brussels, 1070

  • Pfizer Investigational Site

    Genk, B-3600

  • Pfizer Investigational Site

    Liège, 4020

  • Pfizer Investigational Site

    Liège, B-4000

  • Pfizer Investigational Site

    Pellenberg, B-3212

  • Pfizer Investigational Site

    Wilrijk, B-2610

Other trials in Belgium

Netherlands6 sites
  • Pfizer Investigational Site

    Alkmaar, 1815 JD

  • Pfizer Investigational Site

    Amsterdam, North Holland, 1105 AZ

  • Pfizer Investigational Site

    Breda, 4819 EV

  • Pfizer Investigational Site

    Kampen, 8266 AB

  • Pfizer Investigational Site

    Roosendaal, 4708 AE

  • Pfizer Investigational Site

    Tilburg, North Brabant, 5022 GC

Other trials in Netherlands

Canada4 sites
  • Pfizer Investigational Site

    Calgary, Alberta, T2N 4N1

  • Pfizer Investigational Site

    Sarnia, Ontario, N7T 4X3

  • Pfizer Investigational Site

    Toronto, Ontario, M5G 1X5

  • Pfizer Investigational Site

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

Romania4 sites
  • Pfizer Investigational Site

    Bucharest, 021155

  • Pfizer Investigational Site

    Bucharest, 050098

  • Pfizer Investigational Site

    Bucharest, 76251

  • Pfizer Investigational Site

    Iași, 700661

Other trials in Romania

United Kingdom4 sites
  • Pfizer Investigational Site

    Birmingham, B29 6JD

  • Pfizer Investigational Site

    Glasgow, G12 0YN

  • Pfizer Investigational Site

    Leeds, LS14 6UH

  • Pfizer Investigational Site

    Plymouth, PL6 8DH

Other trials in United Kingdom

Italy3 sites
  • Pfizer Investigational Site

    Milan, 20127

  • Pfizer Investigational Site

    Montescano (PV), 27040

  • Pfizer Investigational Site

    Roma, 00133

Other trials in Italy

Sweden3 sites
  • Pfizer Investigational Site

    Linköping, 581 85

  • Pfizer Investigational Site

    Lund, SE-22185

  • Pfizer Investigational Site

    Stockholm, 171 76

Other trials in Sweden

Denmark2 sites
  • Pfizer Investigational Site

    Aarhus C, 8000

  • Pfizer Investigational Site

    Hvidovre, 2650

Other trials in Denmark

Finland2 sites
  • Pfizer Investigational Site

    HUS, 00029

  • Pfizer Investigational Site

    Tampere, 33520

Other trials in Finland

Switzerland2 sites
  • Pfizer Investigational Site

    Bern, CH-3010

  • Pfizer Investigational Site

    Geneva, CH-1211

Other trials in Switzerland

About this study

Official title: A 9 Week, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Study Of Pregabalin (BID) In Subject With Posttraumatic Peripheral Neuropathic Pain

To evaluate the efficacy of pregabalin compared to placebo in the treatment of posttraumatic peripheral neuropathic pain

Conditions
Neuralgia
Being tested
pregabalin, Placebo
Keywords
Phase 4, post-traumatic neuropathic pain, neuropathic pain, Nep, post surgical pain, nerve injury, phantom limb pain, international
Medical subject headings
Neuralgia, Pain, Postoperative, Phantom Limb

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00292188
Study groupRoleWhat they receive
ActiveExperimentalNot described
Receives: Drug: pregabalin
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Weekly Mean Pain Score at End of Treatment (Week 8) From Daily Pain Diary

    Daily Pain Diary scale : mean score from 11-point numerical scale of pain; range: 0 (no pain) to 10 (worst possible pain). Endpoint weekly mean pain score: mean of the last 7 available pain scores from a daily pain diary during double blind treatment.

    Measured: each day of Week 8

Secondary outcomes (26)
  1. Hospital Anxiety and Depression Scale (HADS) Anxiety Score

    Hospital Anxiety and Depression Scale Anxiety Score (HADS-A) consists of 7 items that are assessed by a score of 0 = no anxiety to 3 = severe feeling of anxiety. The anxiety subscale determines a state of generalized anxiety (including anxious mood, restlessness, anxious thoughts, panic attacks). Score range = 0 to 21; higher scores indicate a greater intensity of anxiety

    Measured: Week 8

  2. Hospital Anxiety and Depression Scale (HADS) Depression Score

    Hospital Anxiety and Depression Scale Depression Score (HADS-D) consists of 7 items that are assessed by a score of 0 = no depression to 3 = severe feeling of depression. The depression subscale focuses on the state of lost interest and diminished pleasure response ("lowering of hedonic tone"). Score range = 0 to 21; higher scores indicate a greater intensity of depression

    Measured: Week 8

  3. Hospital Anxiety and Depression Scale (HADS) Anxiety Score - FAS Subset With Moderate/Severe Baseline Scores

    Hospital Anxiety and Depression Scale Anxiety Score (HADS-A) consists of 7 items that are assessed by a score of 0 = no anxiety to 3 = severe feeling of anxiety. The anxiety subscale determines a state of generalized anxiety (including anxious mood, restlessness, anxious thoughts, panic attacks). Score range = 0 to 21; higher scores indicate a greater intensity of anxiety.

    Measured: Week 8

  4. Hospital Anxiety and Depression Scale (HADS) Depression Score - FAS Subset With Moderate/Severe Baseline Scores

    Hospital Anxiety and Depression Scale (HADS-D) consists of 7 items that are assessed by a score of 0 = no depression to 3 = severe feeling of depression. The depression subscale focuses on the state of lost interest and diminished pleasure response (lowering of hedonic tone). Score range = 0 to 21; higher scores indicate a greater intensity of depression

    Measured: Week 8

  5. Weekly Mean Pain Score From Daily Pain Diary

    Daily Pain Diary scale : mean score from 11-point numerical scale of pain; range:0 (no pain) to 10 (worst possible pain). Mean of scores available for each week.

    Measured: Baseline through Week 8

  6. Number of Subjects With 30% and 50% Response in Weekly Mean Daily Pain Rating Score (DPRS) From Baseline Until Endpoint (Week 8)

    Based on weekly mean daily pain rating score (DPRS), responders were defined as subjects with a >= 30% and >=50% reduction in weekly mean scores from baseline until endpoint (Week 8). Endpoint was calculated as the mean of the last 7 available pain scores from the daily pain diary while in the double-blind treatment phase.

    Measured: Baseline, Week 8

  7. Weekly Mean Sleep Interference Score

    11-point numerical scale with which the patient describes pain interference with sleep over past 24 hours; range: 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep). Endpoint weekly mean score: mean of last 7 available scores from daily sleep interference diary during double-blind treatment.

    Measured: Week 8

  8. Medical Outcome Study (MOS) Sleep Subscales

    Medical Outcome Study (MOS) is a patient-rated questionnaire consisting of 12 items that assess key constructs of sleep (7 subscales as well as a 9-item overall sleep problems index. MOS-Sleep Scale is scored from 0 to 100. A higher score indicates more disturbance.

    Measured: Week 8

  9. Medical Outcome Study (MOS) Optimal Sleep

    Number of subjects responding to have had optimal sleep. Optimal sleep is 1 item in the Medical Outcome Study (MOS)sleep scale, a patient-reported measure consisting of twelve items that assess the key constructs of sleep. Subjects were asked to recall sleep-related activities over the past week.

    Measured: Week 8

  10. Patient Global Impression of Change (PGIC)

    Patient Global Impression of Change (PGIC): a patient-rated instrument that measures change in patient's overall status on a 7-point scale; range: 1 Very Much Improved to 7 Very Much Worse.

    Measured: Week 8

  11. Clinical Global Impression of Change (CGIC)

    Clinical Global Impression of Change (CGIC): clinician's judgment of overall change in the patient's condition over a defined period on a 7-point scale; range: 1 Very Much Improved to 7 Very Much Worse.

    Measured: Week 8

  12. Pain Treatment Satisfaction Scale (PTSS): Impact of Current Pain Medication

    Pain Treatment Satisfaction Scale (PTSS); Impact of Current Pain Medication: measure of patient satisfaction with treatment for acute or chronic pain. Response range: 1 (strongly agree) to 5 (strongly disagree). Mean scores were calculated and transformed onto a scale of 0-100, range: 0 = worst possible satisfaction to 100 = best possible satisfaction with pain treatment.

    Measured: Screening, Week 8

  13. Pain Treatment Satisfaction Scale (PTSS): Satisfaction With Current Pain Medication

    Pain Treatment Satisfaction Scale (PTSS); Satisfaction with Current Pain Medication: measure of patient satisfaction with treatment for acute or chronic pain. Response range:1 (strongly agree) to 5 (strongly disagree). Mean scores were calculated and transformed onto a scale of 0-100, range: 0 = worst possible satisfaction to 100 = best possible satisfaction with pain treatment.

    Measured: Screening, Week 8

  14. Pain Treatment Satisfaction Scale (PTSS): Medication Characteristics

    Pain Treatment Satisfaction Scale (PTSS); Medication Characteristics: measure of patient satisfaction with treatment for acute or chronic pain. Response range: 1 (strongly agree) to 5 (strongly disagree). Mean scores were calculated and transformed onto a scale of 0-100, range: 0 = worst possible satisfaction to 100 = best possible satisfaction with pain treatment.

    Measured: Screening, Week 8

  15. Pain Treatment Satisfaction Scale (PTSS): Efficacy

    Pain Treatment Satisfaction Scale (PTSS); Efficacy: measure of patient satisfaction with treatment for acute or chronic pain. Response range: 1 (strongly agree) to 5 (strongly disagree). Mean scores were calculated and transformed onto a scale of 0-100, range: 0 = worst possible satisfaction to 100 = best possible satisfaction with pain treatment.

    Measured: Screening, Week 8

  16. Modified Brief Pain Inventory Short Form (m-BPI-sf)

    Modified Brief Pain Inventory Short Form (m-BPI-sf): self-administered questionnaire to assess severity of pain (measured by 4 items)and impact of pain on daily functions (measured by 7 items)in past 24 hours. Items are rated on an 11-point scale ranging from 0 to 10, with higher scores indicating greater pain and/or interference due to pain.

    Measured: Baseline, Week 8

  17. Neuropathic Pain Symptom Inventory (NPSI) Total Intensity Score

    Neuropathic Pain Symptom Inventory (NPSI) includes 10 descriptors (scale 0-10) of different pain symptoms \& 2 temporal items assessing the duration of spontaneous ongoing and paroxysmal pain. A total intensity score is calculated by sub grouping the questions into five pain dimensions, summing the five sub groups, and converting into a percentage.

    Measured: Week 8

  18. Medical Outcome Study Cognitive Subscale (MOS-Cog); Reasoning

    The number of subjects' responses to each of the 6 questions on the Medical Outcome Study Cognitive (MOS-Cog) subscale were summarized at baseline and Week 8. Category range: all of the time to none of the time. No formal statistical modeling was used.

    Measured: Baseline, Week 8

  19. Medical Outcome Study Cognitive Subscale (MOS-Cog); Concentration

    The number of subjects' responses to each of the 6 questions on the Medical Outcome Study Cognitive (MOS-Cog) subscale were summarized at baseline and Week 8. Category range: all of the time to none of the time. No formal statistical modeling was used.

    Measured: Baseline, Week 8

  20. Medical Outcome Study Cognitive Subscale (MOS-Cog); Confusion

    The number of subjects' responses to each of the 6 questions on the Medical Outcome Study Cognitive (MOS-Cog) subscale were summarized at baseline and Week 8. Category range: all of the time to none of the time. No formal statistical modeling was used.

    Measured: Baseline, Week 8

  21. Medical Outcome Study Cognitive Subscale (MOS-Cog); Memory

    The number of subjects' responses to each of the 6 questions on the Medical Outcome Study Cognitive (MOS-Cog) subscale were summarized at baseline and Week 8. Category range: all of the time to none of the time. No formal statistical modeling was used.

    Measured: Baseline, Week 8

  22. Medical Outcome Study Cognitive Subscale (MOS-Cog); Attention

    The number of subjects' responses to each of the 6 questions on the Medical Outcome Study Cognitive (MOS-Cog) subscale were summarized at baseline and Week 8. Category range: all of the time to none of the time. No formal statistical modeling was used.

    Measured: Baseline, Week 8

  23. Medical Outcome Study Cognitive Subscale (MOS-Cog); Thinking

    The number of subjects' responses to each of the 6 questions on the Medical Outcome Study Cognitive (MOS-Cog) subscale were summarized at baseline and Week 8. Category range: all of the time to none of the time. No formal statistical modeling was used.

    Measured: Baseline, Week 8

  24. Davidson Trauma Scale (DTS): Severity

    Self-rated instrument to measure symptom severity and treatment outcome in post traumatic stress disorder (PTSD). Scale of 17 PTSD symptoms over previous week; frequency scale: 0 (not at all) to 4 (every day), and severity 0 (not at all distressing) to 4(extremely distressing). The total Davidson Trauma Scale score ranges from 0 to 136.

    Measured: Baseline, Week 8

  25. Davidson Trauma Scale (DTS): Frequency

    Self-rated instrument to measure symptom severity and treatment outcome in post traumatic stress disorder (PTSD). Scale of 17 PTSD symptoms over previous week; frequency scale: 0 (not at all) to 4 (every day), and severity 0 (not at all distressing) to 4(extremely distressing). The total Davidson Trauma Scale score ranges from 0 to 136.

    Measured: Baseline, Week 8

  26. Davidson Trauma Scale (DTS): Total Score

    Self-rated instrument to measure symptom severity and treatment outcome in post traumatic stress disorder (PTSD). Scale of 17 PTSD symptoms over previous week; frequency scale: 0 (not at all) to 4 (every day), and severity 0 (not at all distressing) to 4(extremely distressing). The total Davidson Trauma Scale score ranges from 0 to 136.

    Measured: Baseline, Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Feb 2006 (estimated)
  2. Study startJan 2006
  3. Primary completionMay 2008
  4. Study completionMay 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00292188
Sponsor's protocol ID
A0081064
Acronym
P4
Status last verified
Apr 2011
First submitted
13 Feb 2006
Last updated
9 Feb 2021
Data monitoring committee
No

Publications

  • van Seventer R, Serpell M, Bach FW, Morlion B, Zlateva G, Bushmakin AG, Cappelleri JC, Nimour M. Relationships between changes in pain severity and other patient-reported outcomes: an analysis in patients with posttraumatic peripheral neuropathic pain. Health Qual Life Outcomes. 2011 Mar 25;9:17. doi: 10.1186/1477-7525-9-17.

    PubMed 21439051

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing pregabalin in people with Neuralgia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 44 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in Portugal, Belgium, Netherlands, Canada, Romania and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Oct 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Weekly Mean Pain Score at End of Treatment (Week 8) From Daily Pain Diary (time frame: each day of Week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00292188, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Feb 2021.

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