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Clinical study with Lyrica (pregabalin) in patients suffering from epilepsy. This drug is used as adjunctive therapy with one or more antiepileptics. Lyrica has potential to reduce seizure frequency.
- Included all adult patients with partial seizures and without contraindications according to Summary of Product Characteristics (SmPC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lyrica | Adult patients with partial seizures (type of epilepsy). Inclusion criteria according to Summary of Product Characteristics |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lyrica (pregabalin) | Drug | The daily dose may range from 150mg to 600mg, administered as two single doses. The treatment should be started with 150mg daily dose (2x75mg). Depending on response and tolerability after 7 days may the dose be increased to 300mg/day (2x150mg) and after further 7 days to maximum dose 600mg/day (2x300mg) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With a 50 Percent or Greater Reduction From Baseline in 28 Day Partial Seizure Frequency | Responder rate was defined as the percentage of participants with at least a 50% reduction in 28-day partial seizure frequency from baseline during the maintenance phase (Week 4 - Week 16). The percent change in partial seizure frequency in the maintenance phase was the change from baseline in partial seizure frequency * 100, divided by the partial seizure frequency at the baseline visit. | Baseline through week 16 or early termination (ET) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage Change From Baseline in 28 Day Partial Seizure Frequency at Final Visit | The partial seizure frequency for the baseline period was the total number of partial seizures recorded for that period at Visit 0 (week 0). For each participant's final visit, the 28 day partial seizure frequency equals total number of partial seizures since the last visit * 28 divided by total number of days since the last visit. For percent change from baseline: change from baseline in partial seizure frequency*100 divided by partial seizure frequency at baseline visit. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Concomitant Drug Treatments | Concomitant drug (any drug other than, and in addition to, the study drug) taken for any period of time during the study. | Baseline through Week 16 or ET |
| Number of Participants With Concomitant Co-morbidities |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pfizer Investigational Site | Banská Bystrica | 97401 | Slovakia | |||
| Pfizer Investigational Site |
Not provided
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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A total of 286 participants were assigned to treatment. At 1 of study sites, lack of archival of study files, source documentation, missing informed consent forms and large data discrepancies led to exclusion of all data from this site (N=5), as data could not be verified. Removal of these 5 participants did not change interpretation of results.
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| ID | Title | Description |
|---|---|---|
| FG000 | Pregabalin | Pregabalin (Lyrica) at a dose ranging from 150 milligrams (mg) to 600 mg administered as two single doses, daily until Week 16. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Baseline and week 16 or ET |
| Number of Participants With no Seizures (Partial or Other) During the Last 4 Weeks in the Study | Participants were regarded as seizure-free if no seizures (partial or other) were reported for the participant during the last 4 weeks in the study. | Week 4 through week 16 or ET |
| Change From Baseline in Visual Analog Scale of Anxiety (VAS-A) Scores at Week 4 and Final Visit | VAS-A consists of a visual analog scale ranging from, 0 mm (no anxiety) to 100 mm (extreme anxiety). | Baseline, week 4 and week 16 or ET |
| Number of Participants With Categorical Scores on Clinical Global Impression of Severity (CGI-S) | CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. | Baseline |
| Number of Participants With Change in Clinical Global Impression of Severity (CGI-C) From Baseline at Final Visit | The CGI-C scale measures a physician's global impression of a participant's clinical condition at final visit in terms of change relative to the start of treatment (CGI-C). At final visit, the participants CGI-C will be categorized into a three point scale as: improvement: CGI response of very much improved, much improved or minimally improved; no change: CGI response of no change; worsening: CGI response of very much worse, much worse or minimally worse. | Week 16 or ET |
| Change From Baseline in Medical Outcome Study (MOS) Sleep Scale Sub-scores at Week 16 or ET | MOS: participant rated questionnaire, assess sleep quality and quantity. Consists of 9-item overall sleep problems index (length of time to fall asleep, how many hours of sleep each night during past 4 weeks); 7 subscales rated 1 (all the time) to 6 (none of the time): sleep disturbance, snoring, awaken short of breath (SOB) or with a headache, somnolence adequacy, and sleep quantity. Transformed scores (actual raw score minus lowest possible score divided by possible raw score range multiplied by 100); sub-scales total score range= 0-100; higher score indicates greater intensity of attribute. | Baseline and week 16 or ET |
Participants who had a concomitant co-morbidity during the study for any period of time from baseline through to Week 16 (Final Visit); participants with more than one concomitant co-morbidity were counted for each of the co-morbidity classes applicable. |
| Baseline through week 16 or ET |
| Banská Bystrica |
| 975 17 |
| Slovakia |
| Pfizer Investigational Site | Bardejov | 08501 | Slovakia |
| Pfizer Investigational Site | Bojnice | 97201 | Slovakia |
| Pfizer Investigational Site | Bratislava | 80101 | Slovakia |
| Pfizer Investigational Site | Bratislava | 81369 | Slovakia |
| Pfizer Investigational Site | Bratislava | 82606 | Slovakia |
| Pfizer Investigational Site | Bratislava | 83103 | Slovakia |
| Pfizer Investigational Site | Bratislava | 83305 | Slovakia |
| Pfizer Investigational Site | Bratislava | 84104 | Slovakia |
| Pfizer Investigational Site | Čadca | 02201 | Slovakia |
| Pfizer Investigational Site | Dolný Kubín | 02601 | Slovakia |
| Pfizer Investigational Site | Dubnica nad Váhom | 1841 | Slovakia |
| Pfizer Investigational Site | Dunajská Streda | 92901 | Slovakia |
| Pfizer Investigational Site | Handlová | 97251 | Slovakia |
| Pfizer Investigational Site | Hlohovec | 92001 | Slovakia |
| Pfizer Investigational Site | Humenné | 06601 | Slovakia |
| Pfizer Investigational Site | Kemarok | 06001 | Slovakia |
| Pfizer Investigational Site | Komárno | 94501 | Slovakia |
| Pfizer Investigational Site | Košice | 04001 | Slovakia |
| Pfizer Investigational Site | Košice | 04011 | Slovakia |
| Pfizer Investigational Site | Košice | 04012 | Slovakia |
| Pfizer Investigational Site | Košice | 04015 | Slovakia |
| Pfizer Investigational Site | Košice | 04086 | Slovakia |
| Pfizer Investigational Site | Košice | 04190 | Slovakia |
| Pfizer Investigational Site | Krompachy | 05342 | Slovakia |
| Pfizer Investigational Site | Levice | 93401 | Slovakia |
| Pfizer Investigational Site | Levoča | 05401 | Slovakia |
| Pfizer Investigational Site | Liptovský Mikuláš | 03101 | Slovakia |
| Pfizer Investigational Site | Malacky | 90122 | Slovakia |
| Pfizer Investigational Site | Martin | 03601 | Slovakia |
| Pfizer Investigational Site | Martin | 03659 | Slovakia |
| Pfizer Investigational Site | Modra | 90001 | Slovakia |
| Pfizer Investigational Site | Myjava | 90713 | Slovakia |
| Pfizer Investigational Site | Nitra | 94901 | Slovakia |
| Pfizer Investigational Site | Nové Mesto nad Váhom | 91501 | Slovakia |
| Pfizer Investigational Site | Nové Zámky | 94034 | Slovakia |
| Pfizer Investigational Site | Nové Zámky | 94073 | Slovakia |
| Pfizer Investigational Site | Piešťany | 92101 | Slovakia |
| Pfizer Investigational Site | Poltár | 98701 | Slovakia |
| Pfizer Investigational Site | Prešov | 08001 | Slovakia |
| Pfizer Investigational Site | Púchov | 2001 | Slovakia |
| Pfizer Investigational Site | Ružomberok | 03401 | Slovakia |
| Pfizer Investigational Site | Ružomberok | 03426 | Slovakia |
| Pfizer Investigational Site | Sereď | 92601 | Slovakia |
| Pfizer Investigational Site | Skalica | 90982 | Slovakia |
| Pfizer Investigational Site | Snina | 06901 | Slovakia |
| Pfizer Investigational Site | Spišská Nová Ves | 05201 | Slovakia |
| Pfizer Investigational Site | Šahy | 93601 | Slovakia |
| Pfizer Investigational Site | Šurany | 94218 | Slovakia |
| Pfizer Investigational Site | Trebišov | 07501 | Slovakia |
| Pfizer Investigational Site | Trenčín | 91101 | Slovakia |
| Pfizer Investigational Site | Trnava | 91701 | Slovakia |
| Pfizer Investigational Site | Trnava | 91775 | Slovakia |
| Pfizer Investigational Site | Trstená | 02801 | Slovakia |
| Pfizer Investigational Site | Vranov Nad Toplov | 09327 | Slovakia |
| Pfizer Investigational Site | Zlaté Moravce | 95301 | Slovakia |
| Pfizer Investigational Site | Zvolen | 86001 | Slovakia |
| Pfizer Investigational Site | Zvolen | 96001 | Slovakia |
| Pfizer Investigational Site | Žilina | 01001 | Slovakia |
| Pfizer Investigational Site | Žilina | 012 07 | Slovakia |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Pregabalin | Pregabalin (Lyrica) at a dose ranging from 150 milligrams (mg) to 600 mg administered as two single doses, daily until Week 16. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex/Gender, Customized | Number | participants |
| |||||||||||||||||||||||
| Comorbidities in the past | Number | Participants |
| |||||||||||||||||||||||
| Prior anti-epileptic medications | Number | Participants |
| |||||||||||||||||||||||
| 28-Day partial seizure frequency | The partial seizure frequency for the baseline period was the total number of partial seizures recorded for that period at Visit 0 (week 0). This was evaluated for 264 participants. | Mean | Standard Deviation | seizures |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With a 50 Percent or Greater Reduction From Baseline in 28 Day Partial Seizure Frequency | Responder rate was defined as the percentage of participants with at least a 50% reduction in 28-day partial seizure frequency from baseline during the maintenance phase (Week 4 - Week 16). The percent change in partial seizure frequency in the maintenance phase was the change from baseline in partial seizure frequency * 100, divided by the partial seizure frequency at the baseline visit. | The modified full analysis set (MFAS) included all participants who received at least 1 dose of the study drug and who had at least one baseline seizure. Participants who discontinued during first 4 weeks titration phase were regarded as missing and were excluded from the analysis. | Posted | Number | 95% Confidence Interval | Percentage of participants | Baseline through week 16 or early termination (ET) |
|
|
| |||||||||||||||||||||||||
| Secondary | Percentage Change From Baseline in 28 Day Partial Seizure Frequency at Final Visit | The partial seizure frequency for the baseline period was the total number of partial seizures recorded for that period at Visit 0 (week 0). For each participant's final visit, the 28 day partial seizure frequency equals total number of partial seizures since the last visit * 28 divided by total number of days since the last visit. For percent change from baseline: change from baseline in partial seizure frequency*100 divided by partial seizure frequency at baseline visit. | MFAS included all participants who received at least 1 dose of the study drug and who had at least one baseline seizure. Participants who discontinued during first 4 weeks titration phase were regarded as missing and were excluded from the analysis. Analysis was done using last observation carried forward (LOCF) method. | Posted | Median | 95% Confidence Interval | percent change | Baseline and week 16 or ET |
|
| ||||||||||||||||||||||||||
| Secondary | Number of Participants With no Seizures (Partial or Other) During the Last 4 Weeks in the Study | Participants were regarded as seizure-free if no seizures (partial or other) were reported for the participant during the last 4 weeks in the study. | MFAS: Data collected during the titration phase, i.e. prior to Visit 2 (Week 4) were not analyzed for this endpoint. Only participants who did not discontinue in the first 4 weeks after the baseline visit (titration phase) and had at least 4 weeks of seizure data during the maintenance phase were analyzed for this endpoint. | Posted | Number | Participants | Week 4 through week 16 or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Change From Baseline in Visual Analog Scale of Anxiety (VAS-A) Scores at Week 4 and Final Visit | VAS-A consists of a visual analog scale ranging from, 0 mm (no anxiety) to 100 mm (extreme anxiety). | Full Analysis Set (FAS): Included all participants who received at least 1 dose of study drug. Participants who did not have the minimum required data for the statistical summary were treated as missing. Analysis was done using LOCF method. | Posted | Mean | 95% Confidence Interval | millimeter (mm) | Baseline, week 4 and week 16 or ET |
|
| ||||||||||||||||||||||||||
| Secondary | Number of Participants With Categorical Scores on Clinical Global Impression of Severity (CGI-S) | CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. | FAS: Included all participants who received at least 1 dose of study drug. Participants who did not have the minimum required data for the statistical summary were treated as missing. | Posted | Number | participants | Baseline |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants With Change in Clinical Global Impression of Severity (CGI-C) From Baseline at Final Visit | The CGI-C scale measures a physician's global impression of a participant's clinical condition at final visit in terms of change relative to the start of treatment (CGI-C). At final visit, the participants CGI-C will be categorized into a three point scale as: improvement: CGI response of very much improved, much improved or minimally improved; no change: CGI response of no change; worsening: CGI response of very much worse, much worse or minimally worse. | FAS: Included all participants who received at least 1 dose of study drug. Participants who did not have the minimum required data for the statistical summary were treated as missing. | Posted | Number | Participants | Week 16 or ET |
|
| |||||||||||||||||||||||||||
| Secondary | Change From Baseline in Medical Outcome Study (MOS) Sleep Scale Sub-scores at Week 16 or ET | MOS: participant rated questionnaire, assess sleep quality and quantity. Consists of 9-item overall sleep problems index (length of time to fall asleep, how many hours of sleep each night during past 4 weeks); 7 subscales rated 1 (all the time) to 6 (none of the time): sleep disturbance, snoring, awaken short of breath (SOB) or with a headache, somnolence adequacy, and sleep quantity. Transformed scores (actual raw score minus lowest possible score divided by possible raw score range multiplied by 100); sub-scales total score range= 0-100; higher score indicates greater intensity of attribute. | The FAS included all participants who received at least 1 dose of the study drug and had at least one efficacy measurement. | Posted | Mean | Standard Deviation | Units on a scale | Baseline and week 16 or ET |
|
| ||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants With Concomitant Drug Treatments | Concomitant drug (any drug other than, and in addition to, the study drug) taken for any period of time during the study. | Safety analysis set included all enrolled participants who received 1 dose of study medication. | Posted | Number | participants | Baseline through Week 16 or ET |
|
| |||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants With Concomitant Co-morbidities | Participants who had a concomitant co-morbidity during the study for any period of time from baseline through to Week 16 (Final Visit); participants with more than one concomitant co-morbidity were counted for each of the co-morbidity classes applicable. | Safety analysis set included all enrolled participants who received 1 dose of study medication. | Posted | Number | participants | Baseline through week 16 or ET |
|
|
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The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Pregabalin | Pregabalin (Lyrica) at a dose ranging from 150 milligrams (mg) to 600 mg administered as two single doses, daily until Week 16. | 1 | 281 | 4 | 281 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dermatitis allergic | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Weight increased | Investigations | MedDRA 13.0 | Non-systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA 13.0 | Non-systematic Assessment |
|
On review of blinded data it was decided that an additional analysis set, MFAS was required. MFAS was created for analysis of seizure data. The outcomes related to seizure data were therefore analyzed for MFAS population and not FAS population.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
| ID | Term |
|---|---|
| D009437 | Neuralgia |
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000069583 | Pregabalin |
| ID | Term |
|---|---|
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
Not provided
Not provided
| Unspecified |
|
| Hypothyroidism |
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| Dyspepsia |
|
| Gastric ulcer |
|
| Ill-defined disorder |
|
| Pyrexia |
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| Hepatitis toxic |
|
| Hepatitis non-A non-B |
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| Herpes zoster |
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| Meningitis |
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| Brain contusion |
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| Concussion |
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| Extradural haematoma |
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| Femur fracture |
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| Head injury |
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| Subdural haematoma |
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| Traumatic brain injury |
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| Hepatitis B surface antigen positive |
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| Back pain |
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| Muscle spasms |
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| Brain neoplasm |
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| Meningioma |
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| Pleura carcinoma |
|
| Central nervous system lesion |
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| Cerebral hemorrhage |
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| Cerebrovascular accident |
|
| Convulsion |
|
| Demyelination |
|
| Encephalitis |
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| Encephalomalacia |
|
| Encephalopathy |
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| Epilepsy |
|
| Headache |
|
| Hypotonia |
|
| Hypoxic encephalopathy |
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| Neuritis |
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| Delivery |
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| Alcohol abuse |
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| Depression |
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| Psychotic disorder |
|
| Neonatal asphyxia |
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| Pulmonary embolism |
|
| Appendicectomy |
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| Cholecystectomy |
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| Craniotomy |
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| Glaucoma surgery |
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| Hysterectomy |
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| Inguinal hernia repair |
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| Meningioma surgery |
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| Spinal anaesthesia |
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| Spinal laminectomy |
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| Strabismus correction |
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| Subdural haematoma evacuation |
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| Hypertension |
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| Clonazepam |
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| Ergenyl chrono |
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| Gabapentin |
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| Lacosamide |
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| Lamotrigine |
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| Levetiracetam |
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| Oxcarbazepine |
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| Phenobarbital |
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| Phenytoin |
|
| Pregabalin |
|
| Primidone |
|
| Sultiame |
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| Topiramate |
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| Valproate sodium |
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| Valproic acid |
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| Vigabatrin |
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| Zentronal |
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