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A 13-Week, Randomized, Double-Blind, Multicenter, Placebo-Controlled Study Of Pregabalin For Postherpetic Neuralgia

Phase 3
Completed
Conditions
Neuralgia, Postherpetic
Interventions
Drug: Placebo
Registration Number
NCT00394901
Lead Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Brief Summary

The purpose of this study is to evaluate efficacy and safety of pregabalin in the treatment of postherpetic neuralgia in a dose-ranging manner.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
372
Inclusion Criteria
  • Visual Analogue Scale (VAS) of pain is higher than 40 mm.
  • Pain is sustained for more than 3 months after healing of herpes zoster skin rash.
Exclusion Criteria
  • Malignancy within the past 2 years.
  • Patients who have undergone neurolytic or neurosurgical therapy for postherpetic neuralgia.
  • Creatinine clearance </= 30 mL/min (estimated from serum creatinine, body weight, age, and sex using the Cockcroft and Gault equation, by omitting any decimal fractions).
  • Patients having other severe pain which may impair the self assessment of the pain due to postherpetic neuralgia.
  • Skin conditions in the affected dermatome that could alter sensation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
Pregabalin 150mg/dayPregabalin-
Pregabalin 300mg/dayPregabalin-
Pregabalin 600mg/dayPregabalin-
Primary Outcome Measures
NameTimeMethod
Mean Pain Scores at EndpointWeek13/discontinuation

Endpoint mean pain score is defined as the mean of the last 7 daily pain diary rating while taking the study medication, up to and including day after last dose. Scores range from 0-10 (11 points ordinal) with higher scores indicating increased pain.

Mean Pain Score at Endpoint by Groups of Subjects With Expected Similar Plasma ConcentrationsWeek13/discontinuation

Endpoint mean pain score is defined as the mean of the last 7 daily pain diary rating while taking the study medication, up to and including day after last dose. Scores range from 0-10 (11 points ordinal) with higher scores indicating increased pain.

Number of RespondersWeek13/discontinuation

A responder is defined as a subject with a 50% reduction in weekly mean pain score from baseline to endpoint.

Mean Pain Scores at Week 1Week 1

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 2Week 2

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 3Week 3

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 4Week4

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 5Week 5

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 6Week 6

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 7Week 7

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 8Week 8

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 9Week 9

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 10Week 10

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 11Week 11

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 12Week 12

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Mean Pain Scores at Week 13Week 13

Weekly mean pain score is defined as the mean of the last 7 daily diary pain ratings. Scores range from 0-10 (11 points ordinal)with higher scores indicating increased pain.

Secondary Outcome Measures
NameTimeMethod
Endpoint Sensory Scores of the Short-Form McGill Pain QuestionnaireWeek13/discontinuation

Sensory score range from 0-33. Higher scores indicate more severe pain.

Endpoint Affective Scores of the Short-Form McGill Pain QuestionnaireWeek13/discontinuation

Affective score range from 0-12. Higher scores indicate more severe pain.

Endpoint Total Scores of the Short-Form McGill Pain QuestionnaireWeek13/discontinuation

Total score range from 0-45. Higher scores indicate more severe pain.

Endpoint Visual Analogue Scale Scores of the Short-Form McGill Pain QuestionnaireWeek13/discontinuation

Visual Analogue Scale Score range from 0-100mm. Higher scores indicate more severe pain.

Endpoint Present Pain Intensity Scores of the Short-Form McGill Pain QuestionnaireWeek13/discontinuation

Present pain intensity score range from 0-5. Higher scores indicate more severe pain.

Mean Sleep Interference Scores at EndpointWeek13/discontinuation

Scores range from 0-10. Higher scores indicate more severe interference with sleep.

Endpoint Medical Outcomes Study Sleep Scale Scores:Sleep DisturbanceWeek13/discontinuation

Score range for sleep disturbance is 0-100.Higher scores indicate more of the attribute.

Endpoint Medical Outcomes Study Sleep Scale Scores:SnoringWeek13/discontinuation

Score range for snoring is 0-100.Higher scores indicate more of the attribute.

Endpoint Medical Outcomes Study Sleep Scale Scores:Awaken Short of Breath or With HeadacheWeek13/discontinuation

Score range for awaken short of breath or with headache is 0-100. Higher scores indicate more of the attribute.

Endpoint Medical Outcomes Study Sleep Scale Scores:Quantity of SleepWeek13/discontinuation

Sleep Quantity subscale is scored from 0-24 indicating the number of hours of sleep. Higher scores indicate more of the attribute named in the subscale.

Endpoint Medical Outcomes Study Sleep Scale Scores:Sleep AdequacyWeek13/discontinuation

Score range for sleep adequacy is 0-100. Higher scores indicate more of the attribute.

Endpoint Medical Outcomes Study Sleep Scale Scores:SomnolenceWeek13/discontinuation

Score range for Somnolence is 0-100. Higher scores indicate more of the attribute.

Endpoint Medical Outcomes Study Sleep Scale Scores:Overall Sleep Problem IndexWeek13/discontinuation

Score range for overall sleep problem index is 0-100. Higher scores indicate more of the attribute.

Endpoint Medical Outcomes Study Sleep Scale: Number of Participants With Optimal SleepWeek13/discontinuation

Number of participants who reported Optimal Sleep

Endpoint Patient Global Impression ChangeWeek13/discontinuation

Patient Global Impression Change is scaled from 1 to 7. 1=very much improved, 7=very much worse.

Endpoint Clinical Global Impression ChangeWeek13/discontinuation

Clinical Global Impression Change is scaled from 1 to 7. 1=very much improved, 7=very much worse.

Endpoint Short-Form 36-Item Health Survey Scores: Physical FunctioningWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: Role Limitations-PhysicalWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: Bodily PainWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: General Health PerceptionWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: Social FunctioningWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: Role Limitations-EmotionalWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: VitalityWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Endpoint Short-Form 36-Item Health Survey Scores: Mental HealthWeek13/discontinuation

Short-Form 36-Item Health Survey is scored from 0-100 with higher scores reflecting better patient status.

Number of Patients Not Reporting AllodyniaWeek13/discontinuation

Participants not reporting allodynia.

Number of Patients Not Reporting HyperalgesiaWeek13/discontinuation

Participants not reporting hyperalgesia.

Mean Sleep Interference Scores at Week 1week 1

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 2week 2

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 3week 3

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 4week 4

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 5week 5

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 6week 6

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 7week 7

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 9week 9

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 8week 8

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 10week 10

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 11week 11

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 12week 12

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Mean Sleep Interference Scores at Week 13week 13

Weekly mean sleep interference scores is defined as the mean of the last 7 daily diary interference with sleep ratings. Scores range from 0-10 (11 points ordinal) with higher scores indicating more severe interference with sleep.

Trial Locations

Locations (1)

Pfizer Investigational Site

🇯🇵

Saitama, Japan

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