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Postherpetic Neuralgia ( PHN )Phase 4NCT01455428

Pregabalin for Treatment of Patients With Postherpetic Neuralgia (PHN)

A Phase 4 study testing Lyrica (pregabalin) in people with Postherpetic Neuralgia ( PHN ), run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 22 sites in China.

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 prove pregabalin is effective in relieving pain compared with placebo in subjects with postherpetic neuralgia (PHN). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Postherpetic Neuralgia ( PHN )
What is being tested?
Lyrica (pregabalin)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
223 participants
Where
22 sitesChina
Study dates
Dec 2011to Jan 2014
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female Chinese subjects, ages ≥18 at screening
  • Subjects with symptoms of neuropathic pain associated with postherpetic neuralgia (PHN). Subjects must have pain present for ﹥3 months after healing of the acute herpes zoster skin rash
  • At screening (V1), subjects must have a score ≥40mm on the 100-mm visual analog scale (VAS) of the Short Form-McGill Pain Questionnaire (SF-MPQ, see Appendix 3)
  • At randomization (V2), subjects must have a score ≥40mm on the 100-mm visual analog scale (VAS) of the Short Form-McGill Pain Questionnaire (SF-MPQ, see Appendix 3)
  • At randomization (V2), subjects must have completed at least 5 daily pain diaries (DPRS, see Appendix 2) and have an average daily pain score ≥4 over the past 7 days

Who cannot join

  • Subjects who demonstrate a high response to placebo, with 30% decrease on the Pain Visual Analog Scale (VAS) at randomization as compared to screening
  • Subjects who have a high variability in pain scores during the 1 week screening period, with any difference between two scores ﹥3

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

China22 sites
  • Peking University First Hospital

    Beijing, Beijing Municipality, 100034

  • Beijing Friendship Hospital, Capital Medical University/Department of Internal Neurology

    Beijing, 100050

  • Peking University Third Hospital, Neurology Department

    Beijing, 100191

  • Neurology Department, Beijing Hospital of the Ministry of Health

    Beijing, 100730

  • West China Hospital of Sichuan University, Neurology Department

    Chengdu/wuhou D, 610041

  • the first affiliated hospital ,chongqing medical university, Department of Neurology

    Chongqing, 400016

  • Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

    Guangzhou, Guangdong, 510120

  • GuangZhou First Municipal People's Hospital

    Guangzhou, 510180

  • The Third Affiliated Hospital of Sun Yat-sen University

    Guangzhou, 510630

  • The First Affiliated Hospital of College of Medicine, Zhejiang University/Dermatology and STD Dept.

    Hangzhou, Zhejiang, 310003

  • Sir Run Run Shaw Hospital Affiliated of College of Medicine, Zhejiang University/Neurology Dept.

    Hangzhou, Zhejiang, 310016

  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

  • Neurology Department, Jiangsu Province Hospital

    Nanjing, Jiangsu, 210029

  • Neurology Department, Shanghai Changzheng Hospital

    Shanghai, 200003

  • Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine

    Shanghai, 200025

  • Huashan Hospital, Fudan University/Neurology Department

    Shanghai, 200040

  • Renji Hospital Shanghai Jiao Tong University School of Medicine/Neurology Department

    Shanghai, 200127

  • Shenzhen People's Hospital

    Shenzhen, Guangdong, 518020

  • The Second Affiliated Hospital of Soochow University/Neurology Department

    Suzhou, Jiangsu, 215004

  • Tianjin Medical University General Hospital, Dermatological Department

    Tianjin, 300052

  • Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430022

  • Tongji Hospital Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430030

Other trials in China

About this study

Official title: An 8-week Randomized, Double Blind, Multi-center, Placebo-controlled Study To Evaluate The Efficacy, Safety And Tolerability Of Pregabalin ( 300mg/Day ) Using A Fixed Dosing Schedule In The Treatment Of Subjects With Postherpetic Neuralgia ( Phn )

To prove pregabalin is effective in relieving pain compared with placebo in subjects with postherpetic neuralgia (PHN).

Being tested
Lyrica (pregabalin), Placebo
Keywords
Pregabalin, Postherpetic Neuralgia ( PHN )
Medical subject headings
Neuralgia, Postherpetic

What participants receive

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

  • Lyrica (pregabalin)Drug

    Capsule, 300 mg/d, BID, 8 weeks treatment

  • PlaceboDrug

    Capsule, 300 mg/d, BID, 8 weeks treatment

Study groups in NCT01455428
Study groupRoleWhat they receive
Lyrica (pregabalin)ExperimentalNot described
Receives: Drug: Lyrica (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. Baseline Mean Pain Score

    The daily pain rating scale (DPRS) consists of an 11-point numeric scale ranging from 0 (no pain) to 10 (worst possible pain). Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10.

    Measured: Baseline

  2. Change From Baseline in Mean Pain Score at Endpoint

    The daily pain rating scale (DPRS) consists of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"). Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. The mean endpoint pain score was obtained from the last 7 available DPRS scores of the daily pain diary while the participant was on study medication, up to and including the day after the last Week 8 (Day 57) dose.

    Measured: Baseline until end of fixed dose phase (Day 57/Week 8)/Early Termination (Study Endpoint)

Secondary outcomes (23)
  1. Change From Baseline in Weekly Mean Pain Score at Weeks 1 to 8

    The DPRS consists of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"). Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. The weekly mean pain score was the sum of the daily scores divided by the number of diary entries during that week.

    Measured: Baseline and weekly from Weeks 1 to 8

  2. Baseline Mean Sleep Interference Score

    Pain-related sleep interference was assessed on an 11-point numerical rating scale ranging from 0 (did not interfere with sleep) to 10 (completely interfered [unable to sleep due to pain]). Participants were to describe how their pain had interfered with their sleep during the past 24 hours by choosing the appropriate number between 0 and 10.

    Measured: Baseline

  3. Change From Baseline in Mean Sleep Interference Score at Endpoint

    Pain-related sleep interference was assessed on an 11-point numerical rating scale ranging from 0 (did not interfere with sleep) to 10 (completely interfered [unable to sleep due to pain]). Participants were to describe how their pain had interfered with their sleep during the past 24 hours by choosing the appropriate number between 0 and 10. The mean endpoint score was obtained from the last 7 available scores of the daily diary while the participant was on study medication, up to and including the day after the last Week 8 (Day 57) dose.

    Measured: Baseline until end of fixed dose phase (Day 57/Week 8)/Early Termination (Study Endpoint)

  4. Change From Baseline in Weekly Mean Sleep Interference Scores at Weeks 1 to 8

    Pain-related sleep interference was assessed on an 11-point numerical rating scale ranging from 0 (did not interfere with sleep) to 10 (completely interfered [unable to sleep due to pain]). Participants were to describe how their pain had interfered with their sleep during the past 24 hours by choosing the appropriate number between 0 and 10. The weekly mean score was the sum of the daily scores divided by the number of diary entries during that week.

    Measured: Baseline and weekly from Weeks 1 to 8

  5. Percentage of 30 Percent (%) Responders at Endpoint

    The DPRS consists of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"). Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. A 30% responder was a participant who had 30% reduction or more in mean pain score at the end of the fixed dose phase (Day 57/Week 8)/Early Termination (Study Endpoint) compared to baseline.

    Measured: End of fixed dose phase (Day 57/Week 8)/Early Termination (Study Endpoint)

  6. Change From Baseline in Short Form McGill Pain Questionnaire (SF-MPQ) Score at Weeks 1, 3, 5, and 8

    SF-MPQ was assessed according to the participant's answer to the SF-MPQ questionnaire. The score for each composite scale (sensory, affective, and total) was derived by summing the reported intensity value for each item within a particular scale where None=0, Mild=1, Moderate=2, and Severe=3. The sensory score was the sum of the scores of the first 11 pain descriptors (throbbing, shooting, stabbing, sharp, cramping, gnawing, hot-burning, aching, heavy, tender, and splitting) and could range from 0-33. The affective score was the sum of the scores of the last 4 pain descriptors (tiring-exhausting, sickening, fearful, and punishing-cruel) and could range from 0-12. The total score was the sum of the scores of all 15 pain descriptors and could range from 0 to 45. Higher scores indicated greater pain.

    Measured: Baseline; Weeks 1, 3, 5, and 8

  7. Baseline Pain Visual Analogue Scale (VAS) and Present Pain Intensity (PPI) Scale

    The VAS was part of the Short Form McGill Pain Questionnaire (SF-MPQ) scale and reflected the overall pain intensity score, The pain VAS was a horizontal line; 100 millimeters (mm) in length, was self-administered by the participant in order to rate pain from 0 (no pain) to 100 (worst possible pain). The PPI was part of the SF-MPQ scale and measured the participant's present pain intensity on a 6-point scale ranging from 0 (no pain) to 5 (excruciating).

    Measured: Baseline

  8. Change From Baseline in Pain VAS From the SF-MPQ at Endpoint

    The VAS was part of the SF-MPQ scale and reflected the overall pain intensity score. The pain VAS was a horizontal line; 100 mm in length, was self-administered by the participant in order to rate pain from 0 (no pain) to 100 (worst possible pain).

    Measured: Baseline to Day 57 (Week 8)/Early Termination (Study Endpoint)

  9. Change From Baseline in PPI Scale From the SF-MPQ at Endpoint

    The PPI was part of the SF-MPQ scale and measured the participant's present pain intensity on a 6-point scale ranging from 0 (no pain) to 5 (excruciating).

    Measured: Baseline to Day 57 (Week 8)/Early Termination (Study Endpoint)

  10. Baseline Medical Outcomes Study (MOS)-Sleep Scale Scores

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. With the exception of sleep adequacy, optimal sleep, and quantity, higher scores reflected greater impairment in the MOS-Sleep subscales. The MOS-Sleep Scale was used to evaluate sleep during the previous week.

    Measured: Baseline

  11. Change From Baseline in MOS-Sleep Scale, Sleep Disturbance Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. For sleep disturbance, the subscale score also ranged from 0 to 100, with higher scores representing greater sleep disturbance.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  12. Change From Baseline in MOS-Sleep Scale, Snoring Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The snoring subscale score also ranged from 0 to 100, with lower scores indicating less snoring.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  13. Change From Baseline in MOS-Sleep Scale, Awaken Short of Breath Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The awaken short of breath subscale also ranged from 0 to 100, with lower scores indicating less difficulty in breathing.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  14. Change From Baseline in MOS-Sleep Scale, Quantity of Sleep Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The MOS Sleep Quantity sub-scale scores ranged from 0 to 24 (number of hours slept).

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  15. Percentage of Participants Who Had Optimal Sleep at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The MOS optimal sleep subscale was a binary outcome derived from the sleep quantity responses: the response was YES if sleep quantity was 7 or 8 hours per night.

    Measured: Day 57 (Week 8)/Early Termination (Study Endpoint)

  16. Change From Baseline in MOS-Sleep Scale, Sleep Adequacy Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The sleep adequacy subscale also ranged from 0 to 100, with higher scores indicating greater sleep adequacy.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  17. Change From Baseline in MOS-Sleep Scale, Somnolence Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The somnolence subscale score also ranged from 0 to 100, with lower scores indicating less somnolence.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  18. Change From Baseline in MOS-Sleep Scale, Sleep Problems Index Score at Endpoint

    The MOS-Sleep Scale was a participant-rated questionnaire consisting of 12 items that assessed key constructs of sleep. Instrument scoring yielded 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. The total score ranged from 0 to 100. The sleep problems index subscale score also ranged from 0 to 100, with lower scores indicating fewer sleep problems.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  19. Clinical Global Impression of Change (CGIC) Score at Endpoint

    The CGIC was a clinician-rated global measure that provided a clinically relevant and easy to interpret account of a clinician's perception of the clinical importance of the participant's improvement or worsening during their involvement in a clinical study. Clinicians rated the participant's overall improvement on a 7-point scale where scores ranged from 1 (very much improved) to 7 (very much worse).

    Measured: Day 57 (Week 8)/Early Termination (Study Endpoint)

  20. Patient Global Impression of Change (PGIC) Score at Endpoint

    The PGIC was a participant-rated global measure that provided a clinically relevant and easy to interpret account of a participant's perception of the clinical importance of their own improvement or worsening during their involvement in a clinical study. Participants rated their overall improvement on a 7-point scale where scores ranged from 1 (very much improved) to 7 (very much worse).

    Measured: Day 57 (Week 8)/Early Termination (Study Endpoint)

  21. Baseline Hospital Anxiety and Depression Scale (HADS) Scores

    The HADS was a self-administered questionnaire that consisted of 2 subscales, 1 measuring anxiety (HADS-A Scale) and the other measuring depression (HADS-D Scale). Each subscale comprised of 7 items; participants assessed how each item applied to them on a scale of 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Subscores from HADS-A (Anxiety) and HADS-D (Depression) were not to be combined. The interpretation of each HADS subscales was as follows: 0-7 normal, 8-10 mild, 11-14 moderate and 15-21 severe.

    Measured: Baseline

  22. Change From Baseline in HADS Anxiety Total Score at Endpoint

    The HADS was a self-administered questionnaire that consisted of 2 subscales, 1 measuring anxiety (HADS-A Scale) and the other measuring depression (HADS-D Scale). Each subscale was comprised of 7 items; participants assessed how each item applied to them on a scale of 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Subscores from HADS-A (Anxiety) and HADS-D (Depression) were not to be combined. The interpretation of each HADS subscales was as follows: 0-7 normal, 8-10 mild, 11-14 moderate and 15-21 severe.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

  23. Change From Baseline in HADS Depression Total Score at Endpoint

    The HADS was a self-administered questionnaire that consisted of 2 subscales, 1 measuring anxiety (HADS-A Scale) and the other measuring depression (HADS-D Scale). Each subscale was comprised of 7 items; participants assessed how each item applied to them on a scale of 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Subscores from HADS-A (Anxiety) and HADS-D (Depression) were not to be combined. The interpretation of each HADS subscales was as follows: 0-7 normal, 8-10 mild, 11-14 moderate and 15-21 severe.

    Measured: Baseline and Day 57 (Week 8)/Early Termination (Study Endpoint)

Timeline

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

  1. First posted20 Oct 2011 (estimated)
  2. Study startDec 2011
  3. Primary completionJan 2014
  4. Study completionJan 2014

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
Double blind
Who is masked
Participant, Investigator
Enrolment
223 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01455428
Sponsor's protocol ID
A0081276
Status last verified
May 2015
First submitted
17 Oct 2011
Last updated
28 Jan 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Lyrica (pregabalin) in people with Postherpetic Neuralgia ( PHN ), run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 22 sites in China.

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 5 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 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 22 sites in China. 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 22 May 2015). 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?

Baseline Mean Pain Score (time frame: Baseline). The study lists 2 primary outcomes in all. 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 28 Jan 2021.

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