Post Herpetic NeuralgiaPhase 3NCT01270828
Safety And Efficacy Study Of Once Daily Controlled Release Pregabalin In The Treatment Of Patients With Postherpetic Neuralgia
A Phase 3 study testing Pregabalin in people with Post Herpetic Neuralgia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 146 sites in 17 countries.
Trial summary
The purpose of the study is to explore the safety and efficacy of a new once a day pregabalin formulation versus placebo for patients with post herpetic neuralgia (Shingles) Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Post Herpetic Neuralgia
- What is being tested?
- Pregabalin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 806 participants
- Where
- 146 sitesin 17 countries
- Study dates
- Mar 2011to Nov 2014
- 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
- Patients must have pain present for more than 3 months after the healing of the herpes zoster skin rash.
- At screening (V1) and enrollment (V2), patients must have a score of greater than or equal to 4 on the Pain Numeric Rating Scale (1 week recall period).
- At enrollment (V2), at least 4 pain diaries must be completed satisfactorily within the last 7 days and the average pain score must be greater than or equal to 4.
- Male or female of any race, at least 18 years of age, and using appropriate methods of contraception
Who cannot join
- Creatinine clearance <30 mL/min (estimated from serum creatinine).
- Skin conditions in the affected dermatome that could alter sensation
- Pregabalin use in the last 30 days. Subjects taking pregabalin in the last 30 days should be washed out of pregabalin for at least 30 days prior to screening visit. Patients who had not responded to pregabalin
Trial locations and contacts
146 sites in 17 countries.
146 sites in 17 countries
United States82 sites
Radiant Research
Akron, Ohio, 44311
Albuquerque Clinical Trials, Inc.
Albuquerque, New Mexico, 87102
Dent Neurological Institute
Amherst, New York, 14226
Michigan Head Pain & Neurological Institute
Ann Arbor, Michigan, 48104
Arlington Research Center, Inc.
Arlington, Texas, 76011
Asheville Neurology Specialists, PA
Asheville, North Carolina, 28806
JEM Research Institute
Atlantis, Florida, 33462
Lovelace Scientific Resources, Inc.
Austin, Texas, 78758
QUEST Research Institute
Bingham Farms, Michigan, 48025
Millennium Pain Center, LLC
Bloomington, Illinois, 61701
Injury Care Medical Center
Boise, Idaho, 83713
Boston Clinical Trials
Boston, Massachusetts, 02135
Orthopedic Research Institute
Boynton Beach, Florida, 33472
Beacon Clinical Research
Brockton, Massachusetts, 02301
SPRI Clinical Trials LLC
Brooklyn, New York, 11235
Center for Clinical Research, Inc
Carmichael, California, 95608
Radiant Research, Inc.
Chandler, Arizona, 85224
Pharmacorp Clinical Trials, Inc.
Charleston, South Carolina, 29412
(IP Shipping Address) Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657
Chicago Anesthesia Pain Specialists
Chicago, Illinois, 60657
Innovative Research of West Florida, Inc.
Clearwater, Florida, 33756
Clinical Research of West Florida, Inc.
Clearwater, Florida, 33765
Community Medical Providers
Clovis, California, 93611
Sierra Medical Research
Clovis, California, 93612
Inland Pain Medicine
Colton, California, 92324
Radiant Research
Dallas, Texas, 75231
Providence Health Partners-Center for Clinical Research
Dayton, Ohio, 45439
Advanced Pain Care Clinic
Evansville, Indiana, 47714
Clinical Research Advantage
Evansville, Indiana, 47714
Global Scientific Innovations
Evansville, Indiana, 47714
Clinical Physiology Associates
Fort Myers, Florida, 33916
Fundamental Research
Gulf Shores, Alabama, 36542
Health Care Family Rehab & Research Center
Hialeah, Florida, 33012
The Center for Pharmaceutical Research, PC
Kansas City, Missouri, 64114
Clinical Investigation Specialists, Inc.
Kenosha, Wisconsin, 53142
Wells Institute for Health Awareness
Kettering, Ohio, 45429
The Helm Center
Laguna Hills, California, 92637
The Office of Dr. Stephen H. Miller, MD
Las Vegas, Nevada, 89144
Lincoln Internal Medicine Associates
Lincoln, Nebraska, 68516
Larry Watkins, M.D. (Private Practice)
Little Rock, Arkansas, 72205
Lynn Institute of the Ozarks
Little Rock, Arkansas, 72205
Hearne Family Practice Clinic
Little Rock, Arkansas, 72206
University of Southern California
Los Angeles, California, 90033
USC IDS Pharmacy
Los Angeles, California, 90089
Montana Medical Research Inc
Missoula, Montana, 59808
Clinical Trials of America, Inc.
Monroe, Louisiana, 71201
Medex Healthcare Research, Inc - Saint Louis
New York, New York, 10036
North American Partners In Pain Management
New York, New York, 11580
Clinical Research Associates of Tidewater
Norfolk, Virginia, 23507
Infinity Medical Research, Inc.
North Dartmouth, Massachusetts, 02747
Translational Research Group, Inc
North Hollywood, California, 91606
Laszlo Jozsef Mate, MD
North Palm Beach, Florida, 33408
Family Care Specialists
Ocala, Florida, 34471
Renstar Medical Research
Ocala, Florida, 34471
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
Mark A Fisher
Oklahoma City, Oklahoma, 73112
Drug Shipment Only: Heartland Clinical Research, Inc.
Omaha, Nebraska, 68134
Heartland Clinical Research, Inc.
Omaha, Nebraska, 68134
Compass Research, LLC
Orlando, Florida, 32806
Elite Clinical Studies, LLC
Phoenix, Arizona, 85018
HOPE Research Institute
Phoenix, Arizona, 85018
The Pain Center of Arizona
Phoenix, Arizona, 85018
The Pain Center of Arizona
Phoenix, Arizona, 85027
Raleigh Neurology Associates, P.A.
Raleigh, North Carolina, 27607
George J. Rederich, M.D., Incorporated
Redondo Beach, California, 90277
ClinRx Research, LLC
Richardson, Texas, 75080
Integrated Research Group, Inc.
Riverside, California, 92506
Comprehensive Pain care of South Florida
Royal Palm Beach, Florida, 33411
Drug Shipmnent Only Aristotelis T. Laliotis, M.D. Integrated Research Center, Inc.
San Diego, California, 92117
Integrated Research Center, Inc.
San Diego, California, 92117
Center For Clinical Research, Inc.
San Francisco, California, 94115
Neurological Research Institute
Santa Monica, California, 90404
Clinvest, A Division of Banyan Group, Inc
Springfield, Missouri, 65807
Medex Healthcare Research, Inc.
St Louis, Missouri, 63117
Comprehensive Clinical Development Inc.
St. Petersburg, Florida, 33716
Neurology Clinical Research, Inc.
Sunrise, Florida, 33351
Clinical Research of West Florida, Inc.
Tampa, Florida, 33603
Meridien Research
Tampa, Florida, 33606
Genova Clinical Research
Tucson, Arizona, 85704
Hillcrest Family Health Centers, Division of Clinical Research
Waco, Texas, 76710
Foothills Pain Management Clinic, PS
West Covina, California, 91790
The Center for Clinical Research
Winston-Salem, North Carolina, 27103
Russia8 sites
State Budgetary Educational Institution for higher Professional Training "Kazan State Medical Univer
Kazan', Tatarstan, Respublika, 119992
Kazan State Medical University
Kazan', Tatarstan, Respublika, 420064
GBUZ Nizhny Novgorod Regional Clinical Hospital N.A. Semashko
Nizhny Novgorod, 603126
Clinic of Nervous Diseases M.I. Astvatsaturov
Saint Petersburg, 194175
St. Petersburg State Healthcare Institution City Hospital # 40 Kurortnogo Administrativnogo Rajona
Saint Petersburg, 197706
State Budgetary Educational Institution for Higher Professional Education
Smolensk, 214018
State Budgetary Educational Institution for Higher Professional Education
Smolensk, 214019
State Budgetary Health Institution of Yaroslavl region "Clinical hospital #10"
Yaroslavl, Russian Federation, 150023
Ukraine7 sites
Public Institution "Institute of Neurology, Psychiatry and Narcology of AMS of Ukraine"
Kharkiv, 61068
Kyiv City Clinical Hospital #4
Kyiv, 03110
Lviv NMU n.a. Danylo Galytskyy
Lviv, 79013
Regional Municipal Dermatovenerologic Dispensary
Lviv, 79013
Crimean Republican Institution "Clinical Dermatovenerologic Dispensary"
Simferopol, 95006
Municipal Establishment "Vinnitsa Regional Psychoneurological Hospital n.a. O.I. Yushchenko"
Vinnitsa, 21005
Municipal Establishment "City Clinical Hospital #2", Neurology Department
Zaporizhzhya, 69068
Bulgaria6 sites
DCC "St. Pantaleimon" OOD
Pleven, 5800
MHAT-Pleven
Pleven, 5800
MBALNP "Sveti Naum" EAD, Klinika po nervni bolesti za dvigatelni narushenia
Sofia, 1113
Vtora Mnogoprofilna Bolnitsa za Aktivno Lechenie ¿ Sofia, AD, Sofia, Nevrologichno otdelenie
Sofia, 1202
MBAL "Tokuda Bolnitsa", Otdelenie po nevrologiya
Sofia, 1407
Universitetska mnogoprofilna bolnitsa za aktivno lechenie Aleksandrovska, Klinika po Nevrologia
Sofia, 1431
Poland6 sites
Niepubliczny Zaklad Opieki Zdrowotnej "Przychodnia Morena" Sp. z o.o.
Gdansk, Pomeranian Voivodeship, 80286
"SYNEXUS POLSKA" Sp. z o.o. Oddzial w Gdyni
Gdynia, Pomeranian Voivodeship, 81384
"SYNEXUS POLSKA" Sp. z o.o. Oddzial w Katowicach
Katowice, Silesian Voivodeship, 40040
Prof. dr hab. med. Leszek Szepanski Prywatna Praktyka Lekarska Gabinet Reumatologiczny
Lublin, Lublin Voivodeship, 20022
"SYNEXUS POLSKA" Sp. z o.o. Oddzial w Warszawie
Warsaw, Masovian Voivodeship, 01192
"SYNEXUS POLSKA" Sp. z o.o.
Wroclaw, Lower Silesian Voivodeship, 50088
India5 sites
Manipal Hospital
Bangalore, Karnataka, 560 017
M. S. Ramaiah Medical College and Hospitals
Bangalore, Karnataka, 560 054
Medanta Institute of Neurosciences
Gurgaon, Haryana, 122 001
Mallikatta Neuro Centre
Mangalore, Karnataka, 575002
Indraprastha Apollo Hospitals
New Delhi, 110 076
South Africa5 sites
Iatros International
Bloemfontein, 9301
Synapta Clinical Research Centre
Durban, 4001
Mzansi Ethical Research Centre
Middelburg, 1050
Nelson Mandela Academic Hospital Research Unit
Mthatha, Eastern Cape, 5099
Jakaranda Pain Clinic
Pretoria, 0014
Sweden5 sites
Me3plus Clinical Trials
Gothenburg, 412 63
CTC, Sahlgrenska sjukhuset/SU
Gothenburg, 413 45
Probare
Lund, Skåne County, 222 22
Center for Lakemedelsstudier
Malmö, 211 52
Bragee Medect AB
Stockholm, 115 22
Slovakia4 sites
Euro-Neuro s.r.o., Neurologicka ambulancia
Bratislava, 831 03
Univerzitna nemocnica Bratislava, Nemocnica sv. Cyrila a Metoda, Neurologicke oddelenie
Bratislava, 851 07
MUDr. Eva Gasparova - neurologicka ambulancia
Hlohovec, 920 01
Neurologicka ambulancia, Neuron-DT,s.r.o.
Žilina, 01001
Colombia3 sites
Centro de Investigacion y Atencion Para la Salud Mental S.A. - CESAME
Bogota, Cundinamarca, 0
Fundacion Cardiovascular de Colombia
Floridablanca, Santander Department, 0
Reumalab S.A.S
Medellín, Antioquia
Croatia3 sites
Opca bolnica Karlovac
Karlovac, Karlovacka Županija, 47000
Klinicki Bolnicki Centar Osijek
Osijek, Osjecko-baranjska Županija, 31000
Opca bolnica "Dr. Ivo Pedisic"
Sisak, Sisacko-moslavacka Županija, 44000
Germany3 sites
DGS-Schmerzzentrum Eichstätt
Eichstätt, 85072
Schmerzzentrum Frankfurt
Frankfurt am Main, Hesse, 60311
pro scientia med im MARE Klinikum
Kiel-Kronshagen, Schleswig-Holstein, 24119
Denmark2 sites
Aalborg Sygehus Nord
Aalborg, North Denmark, DK-900
Glostrup Hospital
Glostrup Municipality, DK-2066
Serbia2 sites
Clinic for Neurology
Belgrade, 11000
Clinic for Neurology
Niš, 18000
Taiwan2 sites
Chang Gung Medical Foundation-Linkou Branch
Kwei Shan Town, Taoyuan County, 333
National Taiwan University Hospital (Neurology)
Taipei, 100
About this study
Official title: A Phase 3 Double-blind, Randomized, Placebo-controlled, Safety And Efficacy Study Of Once Daily Controlled Release Pregabalin In The Treatment Of Patients With Postherpetic Neuralgia (Protocol A0081224)
The purpose of the study is to explore the safety and efficacy of a new once a day pregabalin formulation versus placebo for patients with post herpetic neuralgia (Shingles)
- Conditions
- Post Herpetic Neuralgia
- Being tested
- Pregabalin, placebo
- Keywords
- Control Release Pregabalin in Post Herpetic Neuralgia
- 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
Tablets, 82.5 to 660mg, once per day. Duration: 19 weeks
placeboDrug
Placebo, 82.5 to 660mg, once per day. Duration: 13 weeks
| Study group | Role | What they receive |
|---|---|---|
| Pregablain CR tablet 82.5 to 660mg | Experimental | Not described Receives: Drug: Pregabalin |
| Placebo | Placebo comparator | Not described Receives: Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Loss of Therapeutic Response.
Loss of Therapeutic Response (LTR) is defined as <30% pain response relative to the single blind phase baseline or patient discontinuation due to lack of efficacy or adverse events in the double blind phase of the study. For the calculation of <30% pain response relative to baseline, baseline will be defined as the mean of the last 7 observations prior to the start of SB treatment, which will be compared with the 7 days rolling average of pain response in DB phase. Participants may be discontinued due to lack of efficacy in this study at the discretion of the study physician.
Measured: 13 Weeks
Secondary outcomes (16)
Participants With Secondary LTR Based on 5 Day Rolling Average Diary Results
A secondary LTR endpoint (S-LTR) was defined as the 5 day rolling average pain score during DB, compared to the 5 day randomization baseline pain score. As a secondary endpoint, S-LTR was defined as:
- At least a 30% increase in the 5 days rolling average pain score during DB relative to the 5 Day randomization baseline pain score
- A 5 days rolling average pain score ≥4. Participants who discontinue due to lack of efficacy or adverse events in the DB phase of the study will also be counted as an LTR.
Measured: 13 Weeks
Percentage of Participants With 30% Reduction in the Mean Pain Score.
The 30% pain responders were defined as participants with at least a 30% reduction in the mean pain score from SB baseline to DB endpoint.
Measured: 13 Weeks
Percentage of Participants With 50% Reduction in the Mean Pain Score.
The 50% pain responders were defined as participants with at least a 50% reduction in the mean pain score from SB baseline to DB endpoint.
Measured: 13 Weeks
Change From Baseline to Endpoint in Weekly Mean Pain Score.
The pain numeric rating scale (NRS Pain) consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain). A rating of 1-3 is considered mild pain; 4-6, moderate pain; and 7-10, severe pain
Measured: SB Baseline (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
Change in the Weekly NRS-Pain (1-Week Recall).
The pain numeric rating scale (NRS Pain) consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain). A rating of 1-3 is considered mild pain; 4-6, moderate pain; and 7-10, severe pain. Participants were asked to rate their pain over the past week.
Measured: SB Baseline (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
Change in the Medical Outcomes Study-Sleep Scale (MOS-SS).
The MOS-SS is a validated self administered questionnaire consisting of 12 items that assess key constructs of sleep. The scale has been found reliable and valid with good overall measurement properties. Instrument scoring yields 7 subscales (sleep disturbance, snoring, awaken short of breath or with a headache, quantity of sleep, optimal sleep, sleep adequacy, and somnolence) as well as a 9 item overall sleep problems index assessing sleep over the past week. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range multiplied by 100); total score range = 0 to 100; higher score indicates greater intensity of attribute.
Measured: SB Baseline (BL) (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
Change in the MOS-SS-Quantity of Sleep.
The MOS-SS is a validated self administered questionnaire consisting of 12 items that assess key constructs of sleep. The scale has been found reliable and valid with good overall measurement properties. Instrument scoring yields 7 subscales (sleep disturbance, snoring, awaken short of breath or with a headache, quantity of sleep, optimal sleep, sleep adequacy, and somnolence) as well as a 9 item overall sleep problems index assessing sleep over the past week.
The item "Quantity of sleep" of MOS-SS is presented here.
Measured: SB Baseline (BL) (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
The MOS-SS-Optimal Sleep.
The MOS-SS is a validated self administered questionnaire consisting of 12 items that assess key constructs of sleep. The scale has been found reliable and valid with good overall measurement properties. Instrument scoring yields 7 subscales (sleep disturbance, snoring, awaken short of breath or with a headache, quantity of sleep, optimal sleep, sleep adequacy, and somnolence) as well as a 9 item overall sleep problems index assessing sleep over the past week.
The optimal sleep score is a dichotomous 'Yes' or 'No' rating, where 'Yes' indicates optimal sleep (average 7-8 hours per night) and 'No' indicates not optimal sleep. The "percentage of participants with optimal sleep" is presented here.
Measured: Week 6 and Week 19
Percentage of Participants With Change in the Patient Global Impression of Change (PGIC) Score
The PGIC is a participant-rated instrument that has been used in chronic pain and fibromyalgia studies to rate change in a patient's overall status. This single item instrument uses a 7 point Likert scale, anchored by (1) very much improved, to (7) very much worse.
Measured: Week 19
Change in the Short Form 36 Health Survey (SF-36)
The SF 36 is a self administered, validated questionnaire that measures each of the following 8 health aspects: Physical functioning, role limitations due to physical problems, social functioning, bodily pain, mental health, role limitations due to emotional problems, vitality, and general health perception over the past week. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning) where, higher scores indicate a better health related quality of life.
Measured: Week 19
Change in Mean Daily Sleep Interference Scores
The pain related sleep interference item rating scale is scored on an 11 point numeric rating scale (NRS Sleep). It is self administered by the subject in order to rate how pain has interfered with their sleep during the past 24 hours, ranging from 0 (pain does not interfere with sleep) to 10 (completely interferes (unable to sleep due to pain)). Participants are to describe how their pain has interfered with their sleep during the past 24 hours by choosing the appropriate number on the numeric rating scale.
Measured: Week 19
Change in Hospital Anxiety and Depression Scales (HADS)
The HADS is a self administered questionnaire that was designed to screen for the presence of a mood disorder in medically ill patients. To distinguish psychiatric presentations from physical illness, the items focus on subjective disturbance of mood rather than physical signs. The HADS contains 14 items rated on 4 point Likert type scales. Two subscales assess depression and anxiety. Each subscale consists of 7 statements, rated on a scale of 0 to 3 (0 = No anxiety or depression, to 3 = Severe feelings of anxiety or depression). Separate scores are calculated for each subscale ranging from 0 to 21. Higher scores denote greater severity of depression or anxiety
Measured: Week 19
Change in the Brief Pain Inventory (BPI-sf)
The BPI sf is a self-administered questionnaire developed to assess the severity of pain and the impact of pain on daily functions during a 24 hour period prior to evaluation. The BPI sf consists of 5 questions. Questions 1, 2, 3, and 4 measure pain on an 11 point scale from 0 (no pain) to 10 (worst pain possible). Question 5 consists of 7 item subsets which measure the level of interference of pain on daily functions on an 11 point scale from 0 (Does not interfere) to 10 (Completely interferes).
Measured: Week 19
Percentage of Participants With Benefit From Treatment, Satisfaction With Treatment and Willingness to Continue Treatement (BSW)
The BSW is administered by the study physician or designated site personnel and consists of three single item measures designed to capture the patient's perception of the effect of treatment in terms of the relative benefit, their satisfaction, and their intention or willingness to continue on therapy.
Measured: Week 19
Number of Participants With Adverse Events
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. A serious adverse event is any untoward medical occurrence at any dose that: Results in death; Is life-threatening (immediate risk of death); Requires inpatient hospitalization or prolongation of existing hospitalization; Results in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); or Results in congenital anomaly/birth defect. The study physician used the adjective "severe" to those AEs that interfere significantly with participant's usual function.
Measured: Baseline to Week 20
Percentage of Participants With Suicidal Behaviour/Ideation
Percentage of participants with suicidal behavior/ideation were noted as Baseline, Weeks 6, 11, 15, 19 and 20.
Measured: Baseline, Weeks 6, 11, 15, 19 and 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jan 2011 (estimated)
- Study startMar 2011
- Primary completionSep 2014
- Study completionNov 2014
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Post Herpetic NeuralgiaStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 806 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
- 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
- NCT01270828
- Sponsor's protocol ID
- A0081224
- Other IDs
- 2009-016766-86, 2009
- Status last verified
- Dec 2015
- First submitted
- 4 Jan 2011
- Last updated
- 28 Jan 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Huffman CL, Goldenberg JN, Weintraub J, Sanin L, Driscoll J, Yang R, Chew ML, Scavone JM. Efficacy and Safety of Once-Daily Controlled-Release Pregabalin for the Treatment of Patients With Postherpetic Neuralgia: A Double-Blind, Enriched Enrollment Randomized Withdrawal, Placebo-Controlled Trial. Clin J Pain. 2017 Jul;33(7):569-578. doi: 10.1097/AJP.0000000000000445.
PubMed 27753650
Study at a glance
From the registry record, last updated by the sponsor on 28 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Double-blind, Randomized, Placebo-controlled, Safety And Efficacy Study Of Once Daily Controlled Release Pregabalin In The Treatment Of Patients With Postherpetic Neuralgia (Protocol A0081224)
- ClinicalTrials.gov ID
- NCT01270828
- Acronym / sponsor ID
- A0081224
- Conditions
- Post Herpetic Neuralgia
- Keywords
- Control Release Pregabalin in Post Herpetic Neuralgia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 806 participants (actual)
- Lead sponsor
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.Industry (pharma, biotech, devices)
- Study start
- Mar 2011
- Primary completion
- Sep 2014 (actual)
- Study completion
- Nov 2014 (actual)
- First posted
- 5 Jan 2011 (estimated)
- Results
- Posted 13 Jan 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to explore the safety and efficacy of a new once a day pregabalin formulation versus placebo for patients with post herpetic neuralgia (Shingles)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pregablain CR tablet 82.5 to 660mg | Experimental | Drug: Pregabalin |
| Placebo | 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 (4 listed)
- Patients must have pain present for more than 3 months after the healing of the herpes zoster skin rash.
- At screening (V1) and enrollment (V2), patients must have a score of greater than or equal to 4 on the Pain Numeric Rating Scale (1 week recall period).
- At enrollment (V2), at least 4 pain diaries must be completed satisfactorily within the last 7 days and the average pain score must be greater than or equal to 4.
- Male or female of any race, at least 18 years of age, and using appropriate methods of contraception
Key exclusion criteria (3 listed)
- Creatinine clearance <30 mL/min (estimated from serum creatinine).
- Skin conditions in the affected dermatome that could alter sensation
- Pregabalin use in the last 30 days. Subjects taking pregabalin in the last 30 days should be washed out of pregabalin for at least 30 days prior to screening visit. Patients who had not responded to pregabalin
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 |
|---|---|---|
| PregabalinTablets, 82.5 to 660mg, once per day. Duration: 19 weeks | Drug | Pregablain CR tablet 82.5 to 660mg |
| placeboPlacebo, 82.5 to 660mg, once per day. Duration: 13 weeks | Drug | Placebo |
Primary outcome
Number of Participants With Loss of Therapeutic Response.
Time frame: 13 Weeks
Loss of Therapeutic Response (LTR) is defined as <30% pain response relative to the single blind phase baseline or patient discontinuation due to lack of efficacy or adverse events in the double blind phase of the study. For the calculation of <30% pain response relative to baseline, baseline will be defined as the mean of the last 7 observations prior to the start of SB treatment, which will be compared with the 7 days rolling average of pain response in DB phase. Participants may be discontinued due to lack of efficacy in this study at the discretion of the study physician.
16 secondary outcomes
Participants With Secondary LTR Based on 5 Day Rolling Average Diary Results
Time frame: 13 Weeks
Percentage of Participants With 30% Reduction in the Mean Pain Score.
Time frame: 13 Weeks
Percentage of Participants With 50% Reduction in the Mean Pain Score.
Time frame: 13 Weeks
Change From Baseline to Endpoint in Weekly Mean Pain Score.
Time frame: SB Baseline (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
Change in the Weekly NRS-Pain (1-Week Recall).
Time frame: SB Baseline (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
Change in the Medical Outcomes Study-Sleep Scale (MOS-SS).
Time frame: SB Baseline (BL) (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
Change in the MOS-SS-Quantity of Sleep.
Time frame: SB Baseline (BL) (Enrollment) to Week 19 and DB Baseline (Week 6) to Week 19
The MOS-SS-Optimal Sleep.
Time frame: Week 6 and Week 19
Percentage of Participants With Change in the Patient Global Impression of Change (PGIC) Score
Time frame: Week 19
Change in the Short Form 36 Health Survey (SF-36)
Time frame: Week 19
Change in Mean Daily Sleep Interference Scores
Time frame: Week 19
Change in Hospital Anxiety and Depression Scales (HADS)
Time frame: Week 19
Change in the Brief Pain Inventory (BPI-sf)
Time frame: Week 19
Percentage of Participants With Benefit From Treatment, Satisfaction With Treatment and Willingness to Continue Treatement (BSW)
Time frame: Week 19
Number of Participants With Adverse Events
Time frame: Baseline to Week 20
Percentage of Participants With Suicidal Behaviour/Ideation
Time frame: Baseline, Weeks 6, 11, 15, 19 and 20
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jan 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27753650Huffman CL, Goldenberg JN, Weintraub J, Sanin L, Driscoll J, Yang R, Chew ML, Scavone JM. Efficacy and Safety of Once-Daily Controlled-Release Pregabalin for the Treatment of Patients With Postherpetic Neuralgia: A Double-Blind, Enriched Enrollment Randomized Withdrawal, Placebo-Controlled Trial. Clin J Pain. 2017 Jul;33(7):569-578. doi: 10.1097/AJP.0000000000000445.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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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
146 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pregabalin in people with Post Herpetic Neuralgia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 146 sites in 17 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 4 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 146 sites in United States, Russia, Ukraine, Bulgaria, Poland and 12 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 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 13 Jan 2016). 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 Loss of Therapeutic Response. (time frame: 13 Weeks). 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 NCT01270828, 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 28 Jan 2021.