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Spinal Cord DiseasesPhase 3NCT01202227

An Open-Label Long-Term Study Of Pregabalin For The Treatment Of Central Neuropathic Pain

A Phase 3 study testing pregabalin in people with Spinal Cord Diseases and Spinal Cord Injuries, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 26 sites in Japan.

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

The purpose of this study is to assess the safety of the long-term use of pregabalin at doses up to 600 mg/day in patients with central neuropathic pain (post spinal cord injury pain, post stroke pain, and multiple sclerosis pain). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
pregabalin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
104 participants
Where
26 sitesJapan
Study dates
Sep 2010to Mar 2012
Phase
Phase 3
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

  • Inclusion criteria for subjects to be shifted from Study A0081107
  • Subjects who completed the 18-week study period in Study A0081107 conducted for chronic neuropathic pain after spinal cord injury;
  • Subjects who completed assessments of all efficacy endpoints until the end of the treatment phase of the preceding Study A0081107 (V7);
  • Inclusion criteria for subjects to be new participants in this study
  • Subjects with central neuropathic pain after stroke or multiple sclerosis;
  • At least 6 months have passed after the onset of central neuropathic pain;
  • Pain VAS at least 40mm in Visit 1 and Visit 2;

Who cannot join

  • Creatinine clearance < 60 mL/min;
  • Platelet count < 100 × 103/mm3 ; White blood cell (WBC) count < 2500 / mm3; Neutrophil count < 1500/ mm3;
  • Subjects who are expected to require surgery during the trial;

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

Japan26 sites
  • Nakamura Hospital

    Beppu, Oita Prefecture

  • Hokkaido Chuo Rosai Hospital Sekison Center

    Bibai, Hokkaido

  • Juntendo University Hospital

    Bunkyo-ku, Tokyo

  • Go neurosurgical clinic

    Chikushi-gun, Fukuoka

  • Senboku Kumiai General Hospital

    Daisen, Akita

  • Brain Attack Center Ota Memorial Hospital

    Fukuyama, Hiroshima

  • Hakodate Central General Hospital

    Hakodate, Hokkaido

  • General Hanamaki Hospital

    Hanamaki, Iwate

  • Okitama Public General Hospital

    Higashiokitama-gun, Yamagata

  • Spinal Injuries Center

    Iizuka, Fukuoka

  • Kamitsuga General Hospital

    Kanuma, Tochigi

  • National Hospital Organization Niigata National Hospital

    Kashiwazaki, Niigata

  • Uchida Rehabilitation Orthopedic Clinic

    Kawasaki, Kanagawa

  • Kumamoto Rehabilitation Hospital

    Kikuchi-gun, Kumamoto

  • Kitasato University Kitasato Institute Medical Center Hospital

    Kitamoto, Saitama

  • Kobe Tokushukai Hospital

    Kobe, Hyōgo

  • Jukoukai hospital

    Koto-ku, Tokyo

  • Aida Kinen Rehabilitation Hospital

    Moriya, Ibaraki

  • National Hospital Organization, Murayama Medical Center

    Musashimurayama-shi, Tokyo

  • Chubu Rosai Hospital

    Nagoya, Aichi-ken

  • Kimura Clinic

    Nagoya, Aichi-ken

  • Nagoya Kyoritsu Clinic

    Nagoya, Aichi-ken

  • Kohnan Hospital

    Sendai, Miyagi

  • Sendai Pain Clinic

    Sendai, Miyagi

  • Tokushima University Hospital

    Tokushima

  • National Hospital Organization Yamagata Hospital

    Yamagata

Other trials in Japan

About this study

Official title: An Open-Label Long-Term Study Of Pregabalin For The Treatment Of Central Neuropathic Pain (Post Spinal Cord Injury Pain, Post Stroke Pain, And Multiple Sclerosis Pain)

The purpose of this study is to assess the safety of the long-term use of pregabalin at doses up to 600 mg/day in patients with central neuropathic pain (post spinal cord injury pain, post stroke pain, and multiple sclerosis pain).

Being tested
pregabalin
Keywords
Central Nervous System Diseases, Therapeutic Uses, Wounds and Injuries, Trauma, Nervous System, pregabalin
Medical subject headings
Spinal Cord Diseases, Spinal Cord Injuries, Neuralgia, Pain, Central Nervous System Diseases, Wounds and Injuries, Neurologic Manifestations

What participants receive

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

  • pregabalinDrug

    Pregabalin capsules taken twice a daily (150-600mg/day)

Study groups in NCT01202227
Study groupRoleWhat they receive
PregabalinExperimentalFlexible dosing in 4 weeks followed by 48 weeks maintenance and one week taper period
Receives: Drug: pregabalin

What is being measured

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

  1. Number of Participants With Peripheral Edema

    Number of participants who had peripheral edema in lower extremities. Edema was categorized as follows: trace, pitting 1 (lower leg), 2 (lower leg to knee), and 3 (above knee and /or presacral edema).

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  2. Number of Participants With Facial/Periorbital Edema

    Number of participants who had facial or periorbital edema.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  3. Number of Participants With Generalized or Abdominal Edema

    Number of participants who had generalized or abdominal edema.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  4. Number of Participants With Localized Pain Related to Deep Vein Thrombosis (DVT)

    DVT was defined if a segment of the deep vein of the lower limb was not compressible or a previous compressive vein became non compressive or there was no flow in the underlying vessel. Symptoms of DVT included pain in the lower limb, localized tenderness, swelling, pitting edema, collateral superficial veins (non-varicose), and skin redness. The symptom was assessed as mild, moderate or severe.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  5. Number of Participants With Localized Tenderness Related to Deep Vein Thrombosis (DVT)

    DVT was defined if a segment of the deep vein of the lower limb was not compressible or a previous compressive vein became non compressive or there was no flow in the underlying vessel. Symptoms of DVT included pain in the lower limb, localized tenderness, swelling, pitting edema, collateral superficial veins (non-varicose), and skin redness. The symptom was assessed as mild, moderate or severe.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  6. Number of Participants With Swelling Related to Deep Vein Thrombosis (DVT)

    DVT was defined if a segment of the deep vein of the lower limb was not compressible or a previous compressive vein became non compressive or there was no flow in the underlying vessel. Symptoms of DVT included pain in the lower limb, localized tenderness, swelling, pitting edema, collateral superficial veins (non-varicose), and skin redness. The symptom was assessed as mild, moderate or severe.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  7. Number of Participants With Pitting Edema Related to Deep Vein Thrombosis (DVT)

    DVT was defined if a segment of the deep vein of the lower limb was not compressible or a previous compressive vein became non compressive or there was no flow in the underlying vessel. Symptoms of DVT included pain in the lower limb, localized tenderness, swelling, pitting edema, collateral superficial veins (non-varicose), and skin redness. The symptom was assessed as mild, moderate or severe.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  8. Number of Participants With Collateral Superficial Veins (Non-varicose) Related to Deep Vein Thrombosis (DVT)

    DVT was defined if a segment of the deep vein of the lower limb was not compressible or a previous compressive vein became non compressive or there was no flow in the underlying vessel. Symptoms of DVT included pain in the lower limb, localized tenderness, swelling, pitting edema, collateral superficial veins (non-varicose), and skin redness. The symptom was assessed as mild, moderate or severe.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  9. Number of Participants With Skin Redness Related to Deep Vein Thrombosis (DVT)

    DVT was defined if a segment of the deep vein of the lower limb was not compressible or a previous compressive vein became non compressive or there was no flow in the underlying vessel. Symptoms of DVT included pain in the lower limb, localized tenderness, swelling, pitting edema, collateral superficial veins (non-varicose), and skin redness. The symptom was assessed as mild, moderate or severe.

    Measured: Baseline, Weeks 4, 20, 36, 52, and 53

  10. Number of Participants With Visual Field Deteriorated

    Number of participants who had normal visual field at baseline and showed abnormal result after the study treatment, assessed by confrontational visual field test (neurological examination).

    Measured: 53 weeks

  11. Number of Participants With Deterioration in Neurological Examination Findings

    Worsening of the condition relative to baseline was reported as deteriorated. Assessment categories are as follows: normal or abnormal for Cranial Nerve Function, Mental State, and Coordination; normal, mild, moderate, or severe ataxia for Gait; none/absent, normal, or hyper-reflexic for Deep Tendon Reflexes; absent or present for Abnormal Reflexes; normal, mild, moderate, or severe weakness for Muscle Strength; slight, more marked, or considerable increase, or affected parts rigid in flexion or extension for Muscle Tone; absent or present for Sensory Function.

    Measured: 53 weeks

  12. Number of Participants With Suicidal Ideation According to Sheehan Suicidality Tracking Scale (Sheehan-STS)

    The Sheehan-STS is an 8-item prospective rating scale that tracks treatment-emergent suicidal ideation and behaviors. Participants who reported a score of ≥1 (5-point scale ranging from 0: not at all to 4: extremely) for Item 2, 3, 4 or 5 of the Sheehan-STS prognostic scale is considered to have suicidal ideation as the scores are mapped to Category 4 (suicide ideation) of the Columbia Classification Algorithm of Suicide Assessment.

    Measured: Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52

Secondary outcomes (4)
  1. Change From Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ) at Each Time Point: Total Scores

    The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.

    Range: 0 to 45 for total score. Change = observation mean minus baseline mean. Negative change indicated improvement.

    Measured: Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52

  2. Change From Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ) at Each Time Point: Sensory Scores

    The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.

    Range: 0 to 33 for sensory score. Change = observation mean minus baseline mean. Negative change indicated improvement.

    Measured: Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52

  3. Change From Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ) at Each Time Point: Affective Scores

    The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.

    Range: 0 to 12 for affective score. Change = observation mean minus baseline mean. Negative change indicated improvement.

    Measured: Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52

  4. Change From Baseline in the Modified Brief Pain Inventory (10 Item) (mBPI-10)Total Scores at Last Evaluation Score

    The mBPI-10 is a self administered questionnaire that assesses pain interference with functional activities over the past week. These items are measured on an 11 point scale, ranging from "does not interfere" (0) to "completely interferes" (10). A composite score, the Pain Interference Index, will be calculated by averaging the 10 items that comprise the scale.

    Change = observation mean at Week 52 minus baseline mean.

    Measured: Baseline, Week 52

Timeline

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

  1. First posted15 Sep 2010 (estimated)
  2. Study startSep 2010
  3. Primary completionMar 2012
  4. Study completionMar 2012

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 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
104 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01202227
Sponsor's protocol ID
A0081252
Status last verified
Apr 2013
First submitted
31 Aug 2010
Last updated
28 Jan 2021
Data monitoring committee
No

Publications

  • Ogawa S, Arakawa A, Hayakawa K, Yoshiyama T. Pregabalin for Neuropathic Pain: Why Benefits Could Be Expected for Multiple Pain Conditions. Clin Drug Investig. 2016 Nov;36(11):877-888. doi: 10.1007/s40261-016-0423-x.

    PubMed 27448285
  • Onouchi K, Koga H, Yokoyama K, Yoshiyama T. An open-label, long-term study examining the safety and tolerability of pregabalin in Japanese patients with central neuropathic pain. J Pain Res. 2014 Jul 28;7:439-47. doi: 10.2147/JPR.S63028. eCollection 2014.

    PubMed 25114584

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing pregabalin in people with Spinal Cord Diseases and Spinal Cord Injuries, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 26 sites in Japan.

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 7 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 28 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Japan. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 17 May 2013). 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?

Number of Participants With Peripheral Edema (time frame: Baseline, Weeks 4, 20, 36, 52, and 53). The study lists 12 primary outcomes in all. 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 NCT01202227, which also lists 2 linked publications.

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 28 Jan 2021.

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