A Phase 4 interventional study of Pregabalin in Partial Seizures, sponsored by Pfizer's Upjohn has merged with Mylan to form Viatris Inc.. Terminated at 8 sites in Mexico. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-25.
Sponsored by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. · Phase 4, Interventional, and Treatment
The purpose of this study is to assess the clinical improvement by partial seizures reduction, safety and tolerability of subjects having partial epilepsy related to the adjunction of pregabalin BID (75 to 300mg day titration, BID) to existing standard AED (Antiepileptic drugs).
This study was terminated on 17 March 2009 due to delayed enrollment. The decision to terminate the trial was not based on any safety concerns, but rather on timelines and the difficulty in enrolling patients in this open label, single group study.
881 studies on the registry are indexed under Seizures; 143 are open to participants now.
This study's enrollment of 136 is above the median of 64 across 610 interventional studies indexed under Seizures.
Browse Seizures studies →Pfizer's Upjohn has merged with Mylan to form Viatris Inc. is the lead sponsor of 431 studies on the registry; none are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Pregabalin
150 to 600 mg/day during 21 weeks
Percent Change From Baseline in 28 Day Partial Seizure Rate During Treatment Observation Phase
28-day seizure rate (at observation period \[obs\]) = \[(number of seizures obs ) divided by (duration of period based on observed last dosing date and Visit 3 \[Week 9\] date)\] \* 28. Percent change = \[(28-day seizure rate obs minus 28-day seizure rate at baseline \[b\]) divided by 28-day seizure rate b\] \* 100. Negative values indicate a decrease in seizure frequency and positive values reflect an increase in seizure frequency.
Time frame: Week 9 to Week 21 or End of Treatment (early termination)
Response Ratio (RR)
Response ratio (RR) = comparison between baseline 28-seizure frequency with the 12 week observation phase. RR = \[(28-day seizure rate in observation period \[obs\] minus 28-day seizure rate at baseline \[b\] ) divided by (28-day seizure rate obs plus 28-day seizure rate b)\] \* 100. Range: -100 to 100; negative values for the RR indicate reductions in seizures.
Time frame: Week 9 to Week 21 or End of Treatment (early termination)
Percent Change From Baseline in 28-Day Partial Seizure Frequency at Week 21
Percent change from Baseline = \[(28-day seizure rate at 21 weeks minus 28-day seizure rate at baseline \[b\]) divided by (28-day seizure rate b) \* 100. Negative values indicate a decrease in seizure frequency, positive values reflect an increase in seizure frequency.
Time frame: Week 21 or End of Treatment (early termination)
Percent Change From Baseline in Seizure Frequency in Participants Who Had <=6 Seizures and >6 Seizures During the Baseline Period
Negative values indicate a decrease in seizure frequency; positive values reflect an increase in seizure frequency.
Time frame: Week 9 to Week 21 or End of Treatment (early termination)
Percent of Seizure- Free Participants During the Treatment Observation Period
Seizure-free = no seizures during observation period (100 percent reduction in seizures from baseline).
Time frame: Week 9 to Week 21 or Early Termination (end of treatment)
Percent of Seizure Free Participants During the Last 4 Weeks of the Treatment Observation Period
Seizure-free = no seizures during last 4 weeks of observation period (100 percent reduction in seizures from baseline).
Time frame: Week 17 to Week 21 (or Last 4 Weeks of Treatment after Week 9)
Percent of Participants With >=50% Reduction in Seizure Frequency (28-day Seizure Rate) Between Baseline and Final 4 Weeks of the Treatment Observation Period
Time frame: Week 17 to Week 21 (or Last 4 Weeks of Treatment after Week 9)
Percent of Participants With >=75% Reduction in Seizure Frequency (28-day Seizure Rate) Between Baseline and Final 4 Weeks of the Treatment Observation Period
Time frame: Week 17 through Week 21 (or Last 4 Weeks of Treatment after Week 9)
Treatment Satisfaction: Patient General Impression to Change (PGIC)
Patient General Impression to Change (PGIC): participant rated instrument to measure participant's change in overall status since beginning study medication on a 7-point scale; range: 1 (very much improved) to 7 (very much worse). Not done = participant did not complete the PGIC.
Time frame: Week 21, LOCF
Change From Baseline in Sleep Interference: Medical Outcome Sleep Scale (MOS)
Participant rated questionnaire to assess sleep quality and quantity; 9-item overall sleep problems index and 7 subscales. Sleep disturbance, snoring, awaken short of breath, somnolence, and adequacy subscale scores (s) rated 1 (all the time) to 6 (none of the time); transformed s; total range (r): 0 to 100; higher s = greater intensity of attribute; negative values (v) = reduction from baseline (b), positive v = increase from b. Sleep Quantity score r: 0-24 hours. Higher s = greater quantity of sleep. Change = (MOS score at observation period minus MOS score at b) divided by MOS score b.
Time frame: Week 21, LOCF
Change From Baseline in Sleep Interference: Medical Outcome Sleep Scale (MOS): Optimal Sleep Subscale
Optimal Sleep subscale of the MOS subject rated questionnaire to assess sleep quality and quantity. Optimal Sleep (1 of 7 subscales) was derived from sleep quantity: average hours of sleep each night during the past week. Number of subjects with response: YES=1 (optimal sleep: quantity of sleep was 7 or 8 hours per night) or No= 0 (no optimal sleep). Negative value indicates a decrease in attribute; positive value indicates an increase in attribute. Change = (MOS score at observation period minus MOS score at baseline \[b\]) divided by MOS score b.
Time frame: Week 21, LOCF
Change From Baseline in Hospital Anxiety and Depression Scale (HADS)
Participant rated questionnaire with 2 subscales: HADS-A assesses generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); HADS-D: state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale has 7 items; range: 0 (no anxiety or depression) to 3 (severe anxiety or depression). Total score 0 to 21 for each subscale; higher score = greater severity of symptoms. Negative value = reduction from baseline (b), positive value = increase from b. Change = (HADS score at observation period minus HADS score at b) divided by HADS score b.
Time frame: Week 21, LOCF
| Milestone | Pregabalin |
|---|---|
| Started | 136 |
| Full analysis set | 135 |
| Completed | 118 |
| Not completed | 18 |
| Withdrew: Lost to follow-up | 2 |
| Withdrew: Adverse event | 6 |
| Withdrew: Other | 7 |
| Withdrew: Withdrawal by subject | 3 |
28-day seizure rate (at observation period \[obs\]) = \[(number of seizures obs ) divided by (duration of period based on observed last dosing date and Visit 3 \[Week 9\] date)\] \* 28. Percent change = \[(28-day seizure rate obs minus 28-day seizure rate at baseline \[b\]) divided by 28-day seizure rate b\] \* 100. Negative values indicate a decrease in seizure frequency and positive values reflect an increase in seizure frequency.
| percent change | Pregabalin |
|---|---|
| Percent Change From Baseline in 28 Day Partial Seizure Rate During Treatment Observation Phase | -51.2 ± 45.2 |
Response ratio (RR) = comparison between baseline 28-seizure frequency with the 12 week observation phase. RR = \[(28-day seizure rate in observation period \[obs\] minus 28-day seizure rate at baseline \[b\] ) divided by (28-day seizure rate obs plus 28-day seizure rate b)\] \* 100. Range: -100 to 100; negative values for the RR indicate reductions in seizures.
| ratio | Pregabalin |
|---|---|
| Response Ratio (RR) | -45.1 ± 37.9 |
Percent change from Baseline = \[(28-day seizure rate at 21 weeks minus 28-day seizure rate at baseline \[b\]) divided by (28-day seizure rate b) \* 100. Negative values indicate a decrease in seizure frequency, positive values reflect an increase in seizure frequency.
| percent change | Pregabalin |
|---|---|
| Percent Change From Baseline in 28-Day Partial Seizure Frequency at Week 21 | -36.0 ± 55.8 |
Negative values indicate a decrease in seizure frequency; positive values reflect an increase in seizure frequency.
| percent change | Pregabalin |
|---|---|
| <= 6 seizures at Baseline (n=50) | -57.9 ± 44.9 |
| > 6 seizures at Baseline (n=71) | -46.5 ± 45.1 |
Seizure-free = no seizures during observation period (100 percent reduction in seizures from baseline).
| percent of participants | Pregabalin |
|---|---|
| Percent of Seizure- Free Participants During the Treatment Observation Period | 20.7 |
Seizure-free = no seizures during last 4 weeks of observation period (100 percent reduction in seizures from baseline).
| percent of participants | Pregabalin |
|---|---|
| Percent of Seizure Free Participants During the Last 4 Weeks of the Treatment Observation Period | 40.5 |
| percent of participants | Pregabalin |
|---|---|
| Percent of Participants With >=50% Reduction in Seizure Frequency (28-day Seizure Rate) Between Baseline and Final 4 Weeks of the Treatment Observation Period | 63.6 |
| percent of participants | Pregabalin |
|---|---|
| Percent of Participants With >=75% Reduction in Seizure Frequency (28-day Seizure Rate) Between Baseline and Final 4 Weeks of the Treatment Observation Period | 48.8 |
Patient General Impression to Change (PGIC): participant rated instrument to measure participant's change in overall status since beginning study medication on a 7-point scale; range: 1 (very much improved) to 7 (very much worse). Not done = participant did not complete the PGIC.
| percent of participants | Pregabalin |
|---|---|
| Week 21: Very Much Improved | 22.4 |
| Week 21: Much Improved | 52.6 |
| Week 21: Minimally Improved | 13.8 |
| Week 21: No Change | 4.3 |
| Week 21: Minimally Worse | 1.7 |
| Week 21: Much Worse | 1.7 |
| Week 21: Very Much Worse | 0.9 |
| Week 21: Not Done | 2.6 |
| LOCF: Very Much Improved | 20.7 |
| LOCF: Much Improved | 51.1 |
| LOCF: Minimally Improved | 12.6 |
| LOCF: No Change | 4.4 |
| LOCF: Minimally Worse | 1.5 |
| LOCF: Much Worse | 1.5 |
| LOCF: Very Much Worse | 0.7 |
| LOCF: Not Done | 7.4 |
Participant rated questionnaire to assess sleep quality and quantity; 9-item overall sleep problems index and 7 subscales. Sleep disturbance, snoring, awaken short of breath, somnolence, and adequacy subscale scores (s) rated 1 (all the time) to 6 (none of the time); transformed s; total range (r): 0 to 100; higher s = greater intensity of attribute; negative values (v) = reduction from baseline (b), positive v = increase from b. Sleep Quantity score r: 0-24 hours. Higher s = greater quantity of sleep. Change = (MOS score at observation period minus MOS score at b) divided by MOS score b.
| scores on scale | Pregabalin |
|---|---|
| Week 21: Sleep Disturbance | -3.8 ± 20.9 |
| LOCF: Sleep Disturbance | -4.0 ± 21.1 |
| Week 21: Snoring | 1.4 ± 35.4 |
| LOCF: Snoring | 2.2 ± 34.3 |
| Week 21: Awaken Short of Breath | 0.7 ± 32.4 |
| LOCF: Awaken Short of Breath | 0.3 ± 30.9 |
| Week 21: Adequacy | 4.2 ± 28.0 |
| LOCF: Adequacy | 4.0 ± 26.9 |
| Week 21: Somnolence | 0.4 ± 28.3 |
| LOCF: Somnolence | -0.8 ± 28.2 |
| Week 21: 9-Item Overall Sleep Problem Index | -2.2 ± 16.6 |
| LOCF: 9-Item Overall Sleep Problem Index | -2.5 ± 16.1 |
| Week 21: Sleep Quantity | 0.4 ± 2.1 |
| LOCF: Sleep Quantity | 0.4 ± 2.1 |
Optimal Sleep subscale of the MOS subject rated questionnaire to assess sleep quality and quantity. Optimal Sleep (1 of 7 subscales) was derived from sleep quantity: average hours of sleep each night during the past week. Number of subjects with response: YES=1 (optimal sleep: quantity of sleep was 7 or 8 hours per night) or No= 0 (no optimal sleep). Negative value indicates a decrease in attribute; positive value indicates an increase in attribute. Change = (MOS score at observation period minus MOS score at baseline \[b\]) divided by MOS score b.
| scores on scale | Pregabalin |
|---|---|
| Week 21 | 0.1 ± 0.6 |
| LOCF | 0.1 ± 0.6 |
Participant rated questionnaire with 2 subscales: HADS-A assesses generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); HADS-D: state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale has 7 items; range: 0 (no anxiety or depression) to 3 (severe anxiety or depression). Total score 0 to 21 for each subscale; higher score = greater severity of symptoms. Negative value = reduction from baseline (b), positive value = increase from b. Change = (HADS score at observation period minus HADS score at b) divided by HADS score b.
| scores on scale | Pregabalin |
|---|---|
| Week 21: Anxiety | -1.4 ± 3.7 |
| LOCF: Anxiety | -1.4 ± 3.8 |
| Week 21: Depression | -0.8 ± 4.8 |
| LOCF: Depression | -0.7 ± 4.7 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pregabalin | — | 8/136 (5.9%) | 91/136 (66.9%) |
| Event | Pregabalin |
|---|---|
| VertigoEar and labyrinth disorders | 2/136 |
| Grand mal convulsionNervous system disorders | 2/136 |
| Drug intoleranceGeneral disorders | 1/136 |
| HypoglycemiaMetabolism and nutrition disorders | 1/136 |
| HeadacheNervous system disorders | 1/136 |
| Partial seizuresNervous system disorders | 1/136 |
| Partial seizures with secondary generalizationNervous system disorders | 1/136 |
| SyncopeNervous system disorders | 1/136 |
| Psychotic disorderPsychiatric disorders | 1/136 |
| Event | Pregabalin |
|---|---|
| SomnolenceNervous system disorders | 59/136 |
| DizzinessNervous system disorders | 25/136 |
| Weight increasedInvestigations | 19/136 |
| HeadacheNervous system disorders | 12/136 |
| VertigoEar and labyrinth disorders | 7/136 |
| NauseaGastrointestinal disorders | 4/136 |
| NasopharyngitisInfections and infestations | 4/136 |
| CoughRespiratory, thoracic and mediastinal disorders | 3/136 |
| PyrexiaGeneral disorders | 2/136 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 2/136 |
| Age, Customized(participants) | Pregabalin |
|---|---|
| 18 - 44 years | 107 |
| 45 - 64 years | 25 |
| >= 65 years | 4 |
| Sex: Female, Male(Participants) | Pregabalin |
|---|---|
| Female | 76 |
| Male | 60 |
| 28-Day Seizure Rate(seizure rate) | Pregabalin |
|---|---|
| Mean | 7.8 ± 14.0 |
| 28 day seizure frequency in Subjects with <= 6 and > 6 seizures during Baseline Period(seizures) | Pregabalin |
|---|---|
| <=6 seizures | 2 ± 0.8 |
| > 6 seizures | 12 ± 17.2 |
| Medical Outcomes Study Sleep Scale(scores on scale) | Pregabalin |
|---|---|
| Sleep Disturbance | 32.9 ± 20.9 |
| Snoring | 40.1 ± 33.4 |
| Awaken Short of Breath | 26.0 ± 24.8 |
| Quantity of Sleep | 7.9 ± 1.9 |
| Optimal Sleep | 0.5 ± 0.5 |
| Sleep Adequacy | 64.6 ± 26.1 |
| Somnolence | 39.2 ± 24.5 |
| 9-Item Sleep Problems Index | 33.4 ± 15.8 |
| Hospital Anxiety and Depression Scale (HADS)(score on scale) | Pregabalin |
|---|---|
| Anxiety Total Score | 8.8 ± 4.2 |
| Depression Total Score | 7.3 ± 4.1 |
This study is terminated, as verified in Feb 2011. You cannot join it, but the record below documents what was studied.
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Pfizer's Upjohn has merged with Mylan to form Viatris Inc.