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Phase 4 N=60 Randomized Triple-blind Other

Study Evaluating Abuse Potential of Lyrica® in Healthy Non-Drug Dependent Recreational Opioid Users

Abuse Potential

Enrolled (actual)
60
Serious AEs
0.0%
Results posted
Aug 2023
Primary outcome: Primary: Bipolar Visual Analog Scale (VAS) for "Drug Liking" Maximum Effect (Emax). — 54.30; 90.85; 72.53; 76.05 Score on a 100 mm scale — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Pregabalin 300mg (Drug); pregabalin 450 mg (Drug); Pregabalin 300 mg with oxycodone 20 mg (Drug); pregabalin 450 mg with oxycodone 20 mg (Drug); oxycodone 20 mg (Drug); Placebo (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Viatris Specialty LLC
Primary completion
Apr 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Bipolar Visual Analog Scale (VAS) for "Drug Liking" Maximum Effect (Emax).
54.30; 90.85; 72.53; 76.05; 96.11; 95.06 <0.0001 sig
SECONDARY
Unipolar VAS for "High" - Maximum Effect (Emax)
10.83; 85.83; 55.83; 60.43; 91.36; 92.23 <0.0001 sig
SECONDARY
Bipolar VAS for "Take Drug Again"
53.58; 77.05; 63.98; 64.87; 77.91; 75.92 <0.0001 sig
SECONDARY
Bipolar VAS for "Overall Drug Liking"
53.74; 75.73; 60.14; 63.54; 74.86; 75.01 <0.0001 sig
SECONDARY
Unipolar VAS for "Any Drug Effect"
2.14; 29.97; 16.68; 20.00; 36.55; 40.98 <0.0001 sig

Summary

This is a Phase 4 clinical study in healthy non-drug dependent recreational opioid users to assess the abuse potential of Lyrica when taken alone or in combination with oxycodone.

Eligibility Criteria

Inclusion Criteria

  • Male and female participants must be 18 to 55 years of age, inclusive, at the time of screening. There must be no less than 20% female participants in the Treatment Phase.
  • Male and female participants who are overtly healthy. Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, vital signs, 12-lead ECG, and/or clinical laboratory tests.
  • Participants must have drug abuse experience with opioids; ie, must have used opioids for non-therapeutic purposes (ie, for psychoactive effects) on at least 10 occasions within the last year and at least once in the 8 weeks before the Screening Visit (Visit 1).
  • Participants must satisfactorily complete both the Naloxone Challenge and the Drug Discrimination.
  • Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
  • Body mass index (BMI) of 17.5 to 34 kg/m2, inclusive; and a total body weight

≥50 kg (110 lb).

  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document (ICD).

Exclusion Criteria

  • Current or past diagnosis of any type of drug dependence within the past year. Diagnosis of substance and/or alcohol dependence (excluding caffeine and nicotine) will be assessed by the Investigator using the Diagnostic and Statistical Manual-4 (DSM-4) criteria performed at Screening. Current drug use will be allowed if the candidate can produce a negative urine sample and are free of any signs/symptoms of withdrawal. The candidate will be informed if they have a positive breathalyzer test.
  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
  • Any condition possibly affecting drug absorption (eg, gastrectomy) excluding cholecystectomy within 1 year prior to study.
  • Abnormal baseline EtCO2 45 mm Hg.
  • Clinical or laboratory evidence of active hepatitis A infection or a history of human immunodeficiency virus (HIV) infection, hepatitis B, or hepatitis C and/or positive testing for HIV, hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C antibody (HCVAb).
  • Participants with active suicidal ideation or suicidal behavior within 5 year prior to Screening as determined through the use of the Columbia-Suicide Severity Rating Scale (C-SSRS) or active ideation identified at Screening or on Day 0.
  • Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
  • Patients with: sleep apnea, myasthenia gravis and glaucoma.
  • Use of prescription or nonprescription drugs and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of investigational product.
  • Herbal supplements and herbal medications must be discontinued at least 28 days prior to the first dose of study medication.
  • Previous administration with an investigational drug within 30 days (or as determined by the local requirement) or 5 half-lives (whichever is longer) preceding the first dose of investigational product used in this study.
  • Positive urine drug screen (UDS) for substances of abuse at each admission in the Qualification and Treatment Phase, excluding tetrahydrocannabinol (THC). If a participant presents with a positive UDS excluding THC at an
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05053126). 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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