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Phase 3 N=302 Randomized Quadruple-blind Treatment

Study of Pregabalin Versus Placebo in the Treatment of Nerve Pain Associated With HIV Neuropathy

HIV Infections · Peripheral Neuropathy

Enrolled (actual)
302
Serious AEs
Results posted
Aug 2009
Primary outcome: Primary: Change From Baseline for Numerical Rating Scale (NRS) Pain Scores at Endpoint-LOCF (Last Observation Carried Forward) Relative to Baseline — -2.88; -2.63 score on scale — p=0.3914

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
pregabalin (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Primary completion
Nov 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline for Numerical Rating Scale (NRS) Pain Scores at Endpoint-LOCF (Last Observation Carried Forward) Relative to Baseline
-2.88; -2.63 0.3914
SECONDARY
Change From Baseline for MOS (Medical Outcomes Study)-Sleep Subscales and Sleep Problem Indices
-13.17; -14.71; 0.39; 0.65; 10.04; 10.09 0.5425
SECONDARY
Change From Baseline for Hospital Anxiety and Depression Scale (HADS) Subscales
-1.33; -1.59; -1.10; -1.52 0.5105
SECONDARY
Change From Baseline for Modified Brief Pain Inventory-Short Form (mBPI-sf) Scores
-2.42; -2.56; -2.32; -2.39 0.5834
SECONDARY
Change From Baseline for NRS-Sleep Interference Scores
-2.53; -2.34 0.4776
SECONDARY
Categorized Patient Global Impression of Change (PGIC)
106; 84; 17; 32; 5; 10 0.0077 sig
SECONDARY
Patient Global Impression of Change (PGIC) Rating
27; 27; 41; 38; 38; 19 0.3852
SECONDARY
Change in Neuropathic Pain Symptom Inventory (NPSI) Subscores and Total Intensity Scores
-0.19; -0.22; -0.17; -0.15; -0.16; -0.17 0.3097
SECONDARY
Change in Quantitative Assessment of Neuropathic Pain (QANeP)
-1.11; -1.22; -0.99; -0.77; -0.78; -0.68 0.6865
SECONDARY
Change in NRS-Sleep Interference Scores
-1.04; -0.68; -1.99; -1.36; -2.26; -1.68 0.0469 sig
SECONDARY
Shift in Hospital Anxiety and Depression (HADS) Subscales
47; 55; 7; 6; 2; 2
SECONDARY
Change in Brief Pain Inventory-short Form (BPI-sf) Scores (The Worst Pain in the Past 24 Hours)
-1.52; -1.09; -2.18; -2.20; -3.08; -2.95 0.0685
SECONDARY
Change in Brief Pain Inventory-sf Scores (The Least Pain in the Past 24 Hours)
-0.84; -0.80; -1.49; -1.44; -2.37; -2.05 0.8605
SECONDARY
Change in Brief Pain Inventory-sf Scores (Average Level of Pain in the Past 24 Hours)
-1.15; -0.90; -1.79; -1.77; -2.64; -2.55 0.2390
SECONDARY
Change in Brief Pain Inventory-sf Scores (How Much Pain Are You Having Right Now)
-1.56; -1.01; -2.02; -1.98; -2.66; -2.66 0.0202 sig
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your General Activity)
-1.35; -1.04; -1.95; -1.87; -2.37; -2.25 0.2352
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your Mood)
-1.58; -1.20; -2.23; -2.06; -2.60; -2.41 0.1863
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your Walking Ability)
-1.40; -1.23; -1.84; -1.84; -2.44; -2.33 0.5493
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your Normal Work Including Both Work Outside the Home and Housework)
-1.47; -1.42; -2.10; -1.99; -2.54; -2.45 0.8727
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your Relations With Other People)
-1.06; -0.87; -1.54; -1.39; -1.91; -1.67 0.4991
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your Sleep)
-1.80; -1.12; -2.22; -1.86; -3.06; -2.68 0.0073 sig
SECONDARY
Change in Brief Pain Inventory-sf Scores (During the Past 24 Hours, How Pain Has Interfered With Your Enjoyment of Life)
-1.52; -1.20; -2.20; -2.13; -2.69; -2.64 0.2277
SECONDARY
Shift Table NPSI (Neuropathic Pain Symptom Inventory) - Duration of Spontaneous Pain
15; 21; 11; 5; 8; 6
SECONDARY
Shift Table in NPSI (Neuropathic Pain Symptom Inventory)- Number of Pain Attacks
4; 6; 2; 4; 1; 4
SECONDARY
Change in Number of Pain Attacks Compared to Baseline - NPSI (Neuropathic Pain Symptom Inventory)
65; 66; 35; 32; 19; 21 0.7136
SECONDARY
Duration of Spontaneous Pain-NPSI (Neuropathic Pain Symptom Inventory)
63; 60; 46; 40; 19; 26 0.6729
SECONDARY
Gracely Pain Scale Score
-2.70; -2.76
SECONDARY
Quantitative Assessments of Neuropathic Pain (QANeP) Maximum Sensory Thresholds : Shift Table
0; 0; 0; 1; 0; 3
SECONDARY
Quantitative Assessments of Neuropathic Pain (QANeP) Median Sensory Thresholds : Shift Table
0; 0; 1; 3; 5; 3

Summary

Study to determine if pregabalin is more effective than placebo in treating subjects with nerve pain associated with HIV neuropathy.

Eligibility Criteria

Inclusion Criteria

  • Subjects with confirmed diagnosis of HIV infection
  • HIV-associated neuropathic pain (nerve pain) for at least 3 months prior to study start
  • subjects with moderate to severe pain
  • subjects on stable HIV and pain medications (some medications are not allowed to be taken while participating in the study).

Exclusion Criteria

  • Pregnant or breast feeding females
  • subjects using street drugs or alcohol abusers during the study
  • subject's on anti-diabetic medications
  • use of neuroregenerative agents or neurotoxic chemotherapeutic agents 3 months prior to study start and throughout the study
  • use of neurotoxic drugs (other than D-drugs) within a month prior to study start and throughout the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00232141). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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