An Open-Label Long-Term Study Of Pregabalin For The Treatment Of Central Neuropathic Pain
What it found
Results are posted in the registry, but without a statistical test of the main measure. See the numbers below.
What was tested
Treatment tested
- Pregabalin
Voltage-gated calcium channel modulator
Results by group
Number of Participants With Peripheral Edema
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 9 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 8 Participants | 103 | |
| Pregabalin | 8 Participants | 103 | |
| Pregabalin | 4 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 8 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 7 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 14 Participants | 103 | |
| Pregabalin | 7 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 10 Participants | 103 | |
| Pregabalin | 7 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 9 Participants | 103 | |
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Facial/Periorbital Edema
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Generalized or Abdominal Edema
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Localized Pain Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Localized Tenderness Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Swelling Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 4 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 4 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 7 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Pitting Edema Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 6 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 4 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 7 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 8 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 4 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Collateral Superficial Veins (Non-varicose) Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Skin Redness Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Number of Participants With Visual Field Deteriorated
53 weeks
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Pregabalin
Pregabalin
Number of Participants With Deterioration in Neurological Examination Findings
53 weeks
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 5 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 2 Participants | 103 |
Number of Participants With Suicidal Ideation According to Sheehan Suicidality Tracking Scale (Sheehan-STS)
Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Pregabalin | 3 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 1 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 0 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 2 Participants | 103 | |
| Pregabalin | 0 Participants | 103 |
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| Pregabalin | 103 | 19 (18.4%) |
As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.
What it measured
Main measures
Number of Participants With Peripheral Edema
Baseline, Weeks 4, 20, 36, 52, and 53
Number of Participants With Facial/Periorbital Edema
Baseline, Weeks 4, 20, 36, 52, and 53
Number of Participants With Generalized or Abdominal Edema
Baseline, Weeks 4, 20, 36, 52, and 53
Number of Participants With Localized Pain Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
PainNumber of Participants With Localized Tenderness Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
PainNumber of Participants With Swelling Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
PainNumber of Participants With Pitting Edema Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
PainNumber of Participants With Collateral Superficial Veins (Non-varicose) Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
PainNumber of Participants With Skin Redness Related to Deep Vein Thrombosis (DVT)
Baseline, Weeks 4, 20, 36, 52, and 53
PainNumber of Participants With Visual Field Deteriorated
53 weeks
Number of Participants With Deterioration in Neurological Examination Findings
53 weeks
Walking and mobilityPhysical functionNumber of Participants With Suicidal Ideation According to Sheehan Suicidality Tracking Scale (Sheehan-STS)
Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52
Other measures (4)
Change From Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ) at Each Time Point: Total Scores
Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52
PainChange From Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ) at Each Time Point: Sensory Scores
Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52
PainChange From Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ) at Each Time Point: Affective Scores
Baseline, Weeks 2, 4, 8, 12, 20, 28, 36, 44, and 52
PainChange From Baseline in the Modified Brief Pain Inventory (10 Item) (mBPI-10)Total Scores at Last Evaluation Score
Baseline, Week 52
Pain
Who could take part
MS (type not specified) · 18 and over
Inclusion Criteria: Inclusion criteria for subjects to be shifted from Study A0081107 * Subjects who completed the 18-week study period in Study A0081107 conducted for chronic neuropathic pain after spinal cord injury; * Subjects who completed assessments of all efficacy endpoints until the end of the treatment phase of the preceding Study A0081107 (V7); Inclusion criteria for subjects to be new participants in this study * Subjects with central neuropathic pain after stroke or multiple sclerosis; * At least 6 months have passed after the onset of central neuropathic pain; * Pain VAS at least 40mm in Visit 1 and Visit 2; Exclusion Criteria: * Creatinine clearance \< 60 mL/min; * Platelet count \< 100 × 103/mm3 ; White blood cell (WBC) count \< 2500 / mm3; Neutrophil count \< 1500/ mm3; * Subjects who are expected to require surgery during the trial;
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The purpose of this study is to assess the safety of the long-term use of pregabalin at doses up to 600 mg/day in patients with central neuropathic pain (post spinal cord injury pain, post stroke pain, and multiple sclerosis pain).
Papers
Results
Ogawa S, Arakawa A, Hayakawa K, Yoshiyama T. Pregabalin for Neuropathic Pain: Why Benefits Could Be Expected for Multiple Pain Conditions. Clin Drug Investig. 2016 Nov;36(11):877-888. doi: 10.1007/s40261-016-0423-x.Results
Onouchi K, Koga H, Yokoyama K, Yoshiyama T. An open-label, long-term study examining the safety and tolerability of pregabalin in Japanese patients with central neuropathic pain. J Pain Res. 2014 Jul 28;7:439-47. doi: 10.2147/JPR.S63028. eCollection 2014.
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History
Started
Sept 2010
Main results due
Mar 2012
Finished
Mar 2012
Results posted
May 2013
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