Postherpetic NeuralgiaPhase 2NCT00599638
A Study To Compare Pregabalin/PF-00489791 Combination Versus Pregabalin Alone In Post-Herpetic Neuralgia
A Phase 2 study testing pregabalin and pregabalin/PF-00489791 in people with Postherpetic Neuralgia, run by Pfizer at 39 sites in United States.
Trial summary
Pregabalin is an alpha-2 delta ligand approved for the treatment of neuropathic pain, however, not all patients will respond to this drug. This study will compare the efficacy of pregabalin when administered with an experimental drug PF-00489791, in patients with post-herpetic neuralgia. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Postherpetic Neuralgia
- What is being tested?
- pregabalin and pregabalin/PF-00489791
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 72 participants
- Where
- 39 sitesUnited States
- Study dates
- 9 Apr 2008to 23 Dec 2008
- Phase
- Phase 2
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female of non-childbearing potential
- Pain present for more than 3 months after healing of herpes zoster skin rash
- VAS score of >=40mm at screening and baseline visits
Who cannot join
- Patients with pain conditions which might impair the assessment of postherpetic neuralgia
- Skin conditions in the affected dermatome that could alter sensation other than postherpetic neuralgia
- History or diagnosis of DSM IV major depressive disorder
Trial locations and contacts
39 sites in 1 country.
39 sites in 1 country
United States39 sites
Medical Clinic of North Texas
Arlington, Texas, 76012
FutureSearch Trials of Neurology
Austin, Texas, 78756
Futuresearch Trials
Austin, Texas, 78756
Legacy Pharma Research
Bismarck, North Dakota, 58501
Parkinson's Disease and Movement Disorders Center of Boca Raton
Boca Raton, Florida, 33486
Bradenton Research Center
Bradenton, Florida, 34205
Beacon Clinical Research
Brockton, Massachusetts, 02301
Radiant Research
Chandler, Arizona, 85225
Patient Priority Clinical Sites, LLC
Cincinnati, Ohio, 45242
Community Medical Providers
Clovis, California, 93611
Absolute Primary Care, P.C.
Cranberry Twp., Pennsylvania, 16066
New England Center for Clinical Research
Cranston, Rhode Island, 02920
Pinnacle Pain Medicine
Dallas, Texas, 75231
Arthritis Associates of South Florida
Delray Beach, Florida, 33484
Delray Research Associates
Delray Beach, Florida, 33484
The Medical Group Of Texas
Fort Worth, Texas, 76104
Sierra Medical Research (Administrative only site)
Fresno, California, 93710
Neurological Research Center at Hattiesburg Clinic
Hattiesburg, Mississippi, 39401-7246
North Alabama RadioPharmacy
Huntsville, Alabama, 35801
Tennessee Valley Pain Consultants
Huntsville, Alabama, 35801
Medical and Surgical Clinic of Irving
Irving, Texas, 75061
CRC of Jackson
Jackson, Mississippi, 39202
Physician's Surgery Center
Jackson, Mississippi, 39202
John P. Murtha Neuroscience and Pain Institute
Johnstown, Pennsylvania, 15904
Memorial Medical Center
Johnstown, Pennsylvania, 15905
North State Clinical Research, PLLC
Lenoir, North Carolina, 28645
Novara Clinical Research
Mesa, Arizona, 85206
Prime-Care Clinical Research
Mission Viejo, California, 92691
Centennial Park Medical Building
North Platte, Nebraska, 69101
Neurology Associates of Great Plains
North Platte, Nebraska, 69101
ICPS Group
Norwood, Massachusetts, 02062
American Medical Research, Inc.
Oak Brook, Illinois, 60523
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
Mark A. Fisher, MD-Private Practice
Oklahoma City, Oklahoma, 73112
Finger Lakes Clinical Research
Rochester, New York, 14618
Clinvest
Springfield, Missouri, 65807
River Region Research, LLC
Tallassee, Alabama, 36078
Office of Laszlo J Mate, M.D.
West Palm Beach, Florida, 33407
The Center for Clinical Research
Winston-Salem, North Carolina, 27103
About this study
Official title: A TWO WEEK DOUBLE-BLIND PLACEBO-CONTROLLED CROSSOVER STUDY TO COMPARE THE EFFICACY AND SAFETY OF A PREGABALIN/PF-00489791 COMBINATION VERSUS PREGABALIN ALONE IN PATIENTS WITH POST-HERPETIC NEURALGIA
Pregabalin is an alpha-2 delta ligand approved for the treatment of neuropathic pain, however, not all patients will respond to this drug. This study will compare the efficacy of pregabalin when administered with an experimental drug PF-00489791, in patients with post-herpetic neuralgia. The efficacy of this combination will be compared to pregabalin alone.
- Conditions
- Postherpetic Neuralgia
- Being tested
- pregabalin, pregabalin/PF-00489791, Placebo
- Medical subject headings
- Neuralgia, Postherpetic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
pregabalinDrug
75mg bid titrating to 150mg bid on day 4
pregabalin/PF-00489791Drug
Pregabalin 75mg bid titrating to 150mg bid on day 4; PF-00489791: 4mg od titrating to 10mg od on day 4
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| 1 | Active comparator | Not described Receives: Drug: pregabalin |
| 2 | Experimental | Not described Receives: Drug: pregabalin/PF-00489791 |
| 3 | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Pain Score on Daily Pain Rating Scale (DPRS)
Pain was assessed by using a daily pain rating scale that consisted of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"), higher scores indicate more pain intensity. Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. Self-assessment was performed daily. The mean pain score was defined as the mean of the last 7 daily pain ratings scale scores while taking study medication, at end of each treatment period: Period 1 (Week 2) and Period 2 (Week 6), respectively. Mean pain score had a score range of 0 (no pain) to 10 (worst possible pain), higher scores indicate more pain. Cumulative data of mean pain scores at end of treatment for both the periods was calculated and reported in terms of adjusted mean and standard error.
Measured: End of treatment period (included both Week 2 and Week 6)
Secondary outcomes (8)
Percentage of Participants With Patient Global Impression of Change (PGIC) Score
The PGIC is a participant-rated instrument that measures change in the participants' overall status on a 7-point scale. Scores range from 1 (very much improved) to 7 (very much worse), lower scores indicated more improvement. PGIC was evaluated using 3 categories: improvement (scores 1-3), no change (score 4), and worsening (scores 5-7). In this outcome measure percentage of participants with categories: improved, no change and worsening, based on PGIC score were reported. Cumulative data at end of treatment for both the periods (Period 1 [Week 2] and Period 2 [Week6]) was calculated and reported.
Measured: End of treatment period (included both Week 2 and Week 6)
Pain Visual Analogue Scale (VAS) at Baseline and Week 4
Participants marked intensity of the pain on a scale, ranging from 0 millimeters (mm) = no pain to 100 mm = worst possible pain, where higher scores indicate more pain.
Measured: Baseline, Week 4
Neuropathic Pain Symptom Inventory (NPSI)
Participant rated 10-item questionnaire to evaluate different symptoms of neuropathic pain (spontaneous pain like [item 1 to 3]: burning, squeezing, pressure; painful attack like [item 4 to 5]: electric shock, stabbing; pain provoked on [item 6 to 8]: light touching, pressure, contact with something cold; abnormal sensations like [item 9 to 10]: pins and needles, tingling). Each item was rated on an 11-point numerical scale range: 0 (absence of pain) to 10 (maximum intensity of pain). Total NPSI scale ranged from 0 (no pain) to 100 (maximum pain). Higher scores indicate a greater intensity of pain. Cumulative data of NPSI scale at end of treatment for both the periods (Period 1 [Week 2] and Period 2 [Week 6]) was calculated and reported in terms of adjusted mean and standard error.
Measured: End of treatment period (included both Week 2 and Week 6)
Number of Participants With Clinically Significant Vital Signs Abnormalities
Vital signs abnormalities included sitting, standing: systolic, diastolic blood pressure and heart rate. Clinical significance was judged by investigator.
Measured: Baseline up to Week 7
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Criteria for ECG abnormalities: Maximum QTc (corrected QT) interval, QTcB (Bazett's correction formula) and QTcF (Fridericia's correction formula): 450 to less than (<) 480 milliseconds (msec), 480 to <500 msec and greater than equal to (>=) 500 msec; Maximum QTc interval increase from baseline: >=30 to <60 and >=60 (msec); PR interval: >=300 msec and percent change >=25 or 50 percent; QRS complex: percent change >=25 or 50 percent. Clinical significance was judged by investigator.
Measured: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Hematology
Criteria for hematology abnormalities included Hemoglobin: <0.8*lower limit of normal (LLN) and hematocrit: <0.8*LLN. Clinical significance was judged by investigator.
Measured: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Clinical Chemistry
Criteria for clinical chemistry abnormalities included total bilirubin: greater than (>) 1.5*upper limit of normal (ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase: >3.0*ULN; total protein, albumin: <0.8*LLN or >1.2*ULN; blood urea nitrogen, creatinine: >1.3*ULN; uric acid: >1.2*ULN; sodium: <0.95*LLN or >1.05*ULN; potassium, chloride, calcium: <0.9*LLN or >1.1*ULN; creatine kinase: >2.0*ULN. Clinical significance was judged by investigator.
Measured: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Urinalysis
Urinalysis abnormalities criteria included: urine specific gravity: <1.003 to >1.030; urine pH: <4.5 to >8; urine glucose, urine ketones, urine proteins, urine blood/hemoglobin: >=1. Clinical significance was judged by investigator.
Measured: Baseline up to Week 7
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2008 (estimated)
- Study start9 Apr 2008
- Primary completion16 Dec 2008
- Study completion23 Dec 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Postherpetic NeuralgiaStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 72 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00599638
- Sponsor's protocol ID
- B0261002
- Status last verified
- Aug 2021
- First submitted
- 4 Jan 2008
- Last updated
- 5 Aug 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A TWO WEEK DOUBLE-BLIND PLACEBO-CONTROLLED CROSSOVER STUDY TO COMPARE THE EFFICACY AND SAFETY OF A PREGABALIN/PF-00489791 COMBINATION VERSUS PREGABALIN ALONE IN PATIENTS WITH POST-HERPETIC NEURALGIA
- ClinicalTrials.gov ID
- NCT00599638
- Acronym / sponsor ID
- B0261002
- Conditions
- Postherpetic Neuralgia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 72 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 9 Apr 2008 (actual)
- Primary completion
- 16 Dec 2008 (actual)
- Study completion
- 23 Dec 2008 (actual)
- First posted
- 24 Jan 2008 (estimated)
- Results
- Posted 5 Aug 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Pregabalin is an alpha-2 delta ligand approved for the treatment of neuropathic pain, however, not all patients will respond to this drug. This study will compare the efficacy of pregabalin when administered with an experimental drug PF-00489791, in patients with post-herpetic neuralgia. The efficacy of this combination will be compared to pregabalin alone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 1 | Active comparator | Drug: pregabalin |
| 2 | Experimental | Drug: pregabalin/PF-00489791 |
| 3 | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female of non-childbearing potential
- Pain present for more than 3 months after healing of herpes zoster skin rash
- VAS score of >=40mm at screening and baseline visits
Key exclusion criteria (3 listed)
- Patients with pain conditions which might impair the assessment of postherpetic neuralgia
- Skin conditions in the affected dermatome that could alter sensation other than postherpetic neuralgia
- History or diagnosis of DSM IV major depressive disorder
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| pregabalin75mg bid titrating to 150mg bid on day 4 | Drug | 1 |
| pregabalin/PF-00489791Pregabalin 75mg bid titrating to 150mg bid on day 4; PF-00489791: 4mg od titrating to 10mg od on day 4 | Drug | 2 |
| PlaceboPlacebo | Drug | 3 |
Primary outcome
Mean Pain Score on Daily Pain Rating Scale (DPRS)
Time frame: End of treatment period (included both Week 2 and Week 6)
Pain was assessed by using a daily pain rating scale that consisted of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"), higher scores indicate more pain intensity. Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. Self-assessment was performed daily. The mean pain score was defined as the mean of the last 7 daily pain ratings scale scores while taking study medication, at end of each treatment period: Period 1 (Week 2) and Period 2 (Week 6), respectively. Mean pain score had a score range of 0 (no pain) to 10 (worst possible pain), higher scores indicate more pain. Cumulative data of mean pain scores at end of treatment for both the periods was calculated and reported in terms of adjusted mean and standard error.
8 secondary outcomes
Percentage of Participants With Patient Global Impression of Change (PGIC) Score
Time frame: End of treatment period (included both Week 2 and Week 6)
Pain Visual Analogue Scale (VAS) at Baseline and Week 4
Time frame: Baseline, Week 4
Neuropathic Pain Symptom Inventory (NPSI)
Time frame: End of treatment period (included both Week 2 and Week 6)
Number of Participants With Clinically Significant Vital Signs Abnormalities
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Hematology
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Clinical Chemistry
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Urinalysis
Time frame: Baseline up to Week 7
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Aug 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
39 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing pregabalin and pregabalin/PF-00489791 in people with Postherpetic Neuralgia, run by Pfizer at 39 sites in United States.
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 3 inclusion and 3 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 5 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 39 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 Aug 2021). 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?
Mean Pain Score on Daily Pain Rating Scale (DPRS) (time frame: End of treatment period (included both Week 2 and Week 6)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 5 Aug 2021.