A Phase 2 interventional study of pregabalin and pregabalin/PF-00489791 in Postherpetic Neuralgia, sponsored by Pfizer. Completed at 39 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-05.
Sponsored by Pfizer · Phase 2, Interventional, and Treatment
Pregabalin is an alpha-2 delta ligand approved for the treatment of neuropathic pain, however, not all patients will respond to this drug. This study will compare the efficacy of pregabalin when administered with an experimental drug PF-00489791, in patients with post-herpetic neuralgia. The efficacy of this combination will be compared to pregabalin alone.
1,287 studies on the registry are indexed under Neuralgia; 256 are open to participants now.
This study's enrollment of 72 is above the median of 52 across 973 interventional studies indexed under Neuralgia.
Browse Neuralgia studies →Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.
Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.
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Exclusion Criteria:
Drug: pregabalin
Drug: pregabalin/PF-00489791
Drug: Placebo
75mg bid titrating to 150mg bid on day 4
Pregabalin 75mg bid titrating to 150mg bid on day 4; PF-00489791: 4mg od titrating to 10mg od on day 4
Placebo
Mean Pain Score on Daily Pain Rating Scale (DPRS)
Pain was assessed by using a daily pain rating scale that consisted of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"), higher scores indicate more pain intensity. Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. Self-assessment was performed daily. The mean pain score was defined as the mean of the last 7 daily pain ratings scale scores while taking study medication, at end of each treatment period: Period 1 (Week 2) and Period 2 (Week 6), respectively. Mean pain score had a score range of 0 (no pain) to 10 (worst possible pain), higher scores indicate more pain. Cumulative data of mean pain scores at end of treatment for both the periods was calculated and reported in terms of adjusted mean and standard error.
Time frame: End of treatment period (included both Week 2 and Week 6)
Percentage of Participants With Patient Global Impression of Change (PGIC) Score
The PGIC is a participant-rated instrument that measures change in the participants' overall status on a 7-point scale. Scores range from 1 (very much improved) to 7 (very much worse), lower scores indicated more improvement. PGIC was evaluated using 3 categories: improvement (scores 1-3), no change (score 4), and worsening (scores 5-7). In this outcome measure percentage of participants with categories: improved, no change and worsening, based on PGIC score were reported. Cumulative data at end of treatment for both the periods (Period 1 \[Week 2\] and Period 2 \[Week6\]) was calculated and reported.
Time frame: End of treatment period (included both Week 2 and Week 6)
Pain Visual Analogue Scale (VAS) at Baseline and Week 4
Participants marked intensity of the pain on a scale, ranging from 0 millimeters (mm) = no pain to 100 mm = worst possible pain, where higher scores indicate more pain.
Time frame: Baseline, Week 4
Neuropathic Pain Symptom Inventory (NPSI)
Participant rated 10-item questionnaire to evaluate different symptoms of neuropathic pain (spontaneous pain like \[item 1 to 3\]: burning, squeezing, pressure; painful attack like \[item 4 to 5\]: electric shock, stabbing; pain provoked on \[item 6 to 8\]: light touching, pressure, contact with something cold; abnormal sensations like \[item 9 to 10\]: pins and needles, tingling). Each item was rated on an 11-point numerical scale range: 0 (absence of pain) to 10 (maximum intensity of pain). Total NPSI scale ranged from 0 (no pain) to 100 (maximum pain). Higher scores indicate a greater intensity of pain. Cumulative data of NPSI scale at end of treatment for both the periods (Period 1 \[Week 2\] and Period 2 \[Week 6\]) was calculated and reported in terms of adjusted mean and standard error.
Time frame: End of treatment period (included both Week 2 and Week 6)
Number of Participants With Clinically Significant Vital Signs Abnormalities
Vital signs abnormalities included sitting, standing: systolic, diastolic blood pressure and heart rate. Clinical significance was judged by investigator.
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Criteria for ECG abnormalities: Maximum QTc (corrected QT) interval, QTcB (Bazett's correction formula) and QTcF (Fridericia's correction formula): 450 to less than (\<) 480 milliseconds (msec), 480 to \<500 msec and greater than equal to (\>=) 500 msec; Maximum QTc interval increase from baseline: \>=30 to \<60 and \>=60 (msec); PR interval: \>=300 msec and percent change \>=25 or 50 percent; QRS complex: percent change \>=25 or 50 percent. Clinical significance was judged by investigator.
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Hematology
Criteria for hematology abnormalities included Hemoglobin: \<0.8\*lower limit of normal (LLN) and hematocrit: \<0.8\*LLN. Clinical significance was judged by investigator.
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Clinical Chemistry
Criteria for clinical chemistry abnormalities included total bilirubin: greater than (\>) 1.5\*upper limit of normal (ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase: \>3.0\*ULN; total protein, albumin: \<0.8\*LLN or \>1.2\*ULN; blood urea nitrogen, creatinine: \>1.3\*ULN; uric acid: \>1.2\*ULN; sodium: \<0.95\*LLN or \>1.05\*ULN; potassium, chloride, calcium: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN. Clinical significance was judged by investigator.
Time frame: Baseline up to Week 7
Number of Participants With Clinically Significant Laboratory Abnormalities: Urinalysis
Urinalysis abnormalities criteria included: urine specific gravity: \<1.003 to \>1.030; urine pH: \<4.5 to \>8; urine glucose, urine ketones, urine proteins, urine blood/hemoglobin: \>=1. Clinical significance was judged by investigator.
Time frame: Baseline up to Week 7
| Milestone | Pregabalin Then Placebo | Placebo Then Pregabalin | Pregabalin + Placebo Then Pregabalin + PF-00489791 | Pregabalin + PF-00489791 Then Pregabalin + Placebo |
|---|---|---|---|---|
| Started | 16 | 14 | 20 | 22 |
| Treated | 16 | 13 | 20 | 21 |
| Completed | 14 | 12 | 17 | 17 |
| Not completed | 2 | 2 | 3 | 5 |
| Withdrew: Adverse event | 1 | 0 | 3 | 2 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 1 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 1 |
| Withdrew: Randomized but not treated | 0 | 1 | 0 | 1 |
| Milestone | Pregabalin Then Placebo | Placebo Then Pregabalin | Pregabalin + Placebo Then Pregabalin + PF-00489791 | Pregabalin + PF-00489791 Then Pregabalin + Placebo |
|---|---|---|---|---|
| Started | 14 | 12 | 17 | 17 |
| Completed | 13 | 11 | 17 | 14 |
| Not completed | 1 | 1 | 0 | 3 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 1 |
| Withdrew: Adverse event | 0 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 1 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 0 |
| Milestone | Pregabalin Then Placebo | Placebo Then Pregabalin | Pregabalin + Placebo Then Pregabalin + PF-00489791 | Pregabalin + PF-00489791 Then Pregabalin + Placebo |
|---|---|---|---|---|
| Started | 13 | 11 | 17 | 14 |
| Completed | 12 | 11 | 17 | 14 |
| Not completed | 1 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 1 | 0 | 0 | 0 |
Pain was assessed by using a daily pain rating scale that consisted of an 11-point numeric scale ranging from 0 ("no pain") to 10 ("worst possible pain"), higher scores indicate more pain intensity. Participants described their pain during the past 24 hours by choosing the appropriate number between 0 and 10. Self-assessment was performed daily. The mean pain score was defined as the mean of the last 7 daily pain ratings scale scores while taking study medication, at end of each treatment period: Period 1 (Week 2) and Period 2 (Week 6), respectively. Mean pain score had a score range of 0 (no pain) to 10 (worst possible pain), higher scores indicate more pain. Cumulative data of mean pain scores at end of treatment for both the periods was calculated and reported in terms of adjusted mean and standard error.
| units on a scale | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Mean Pain Score on Daily Pain Rating Scale (DPRS) | 4.32 ± 0.343 | 4.22 ± 0.253 | 5.57 ± 0.451 |
The PGIC is a participant-rated instrument that measures change in the participants' overall status on a 7-point scale. Scores range from 1 (very much improved) to 7 (very much worse), lower scores indicated more improvement. PGIC was evaluated using 3 categories: improvement (scores 1-3), no change (score 4), and worsening (scores 5-7). In this outcome measure percentage of participants with categories: improved, no change and worsening, based on PGIC score were reported. Cumulative data at end of treatment for both the periods (Period 1 \[Week 2\] and Period 2 \[Week6\]) was calculated and reported.
| percentage of participants | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Improved | 77.42 | 77.78 | 39.13 |
| No Change | 16.13 | 18.52 | 43.48 |
| Worse | 6.45 | 3.70 | 17.39 |
Participants marked intensity of the pain on a scale, ranging from 0 millimeters (mm) = no pain to 100 mm = worst possible pain, where higher scores indicate more pain.
| mm | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Baseline | 66.48 ± 10.64 | 65.92 ± 14.32 | 67.92 ± 16.37 |
| Week 4 | 60.88 ± 22.42 | 63.79 ± 14.33 | 55.92 ± 22.22 |
Participant rated 10-item questionnaire to evaluate different symptoms of neuropathic pain (spontaneous pain like \[item 1 to 3\]: burning, squeezing, pressure; painful attack like \[item 4 to 5\]: electric shock, stabbing; pain provoked on \[item 6 to 8\]: light touching, pressure, contact with something cold; abnormal sensations like \[item 9 to 10\]: pins and needles, tingling). Each item was rated on an 11-point numerical scale range: 0 (absence of pain) to 10 (maximum intensity of pain). Total NPSI scale ranged from 0 (no pain) to 100 (maximum pain). Higher scores indicate a greater intensity of pain. Cumulative data of NPSI scale at end of treatment for both the periods (Period 1 \[Week 2\] and Period 2 \[Week 6\]) was calculated and reported in terms of adjusted mean and standard error.
| units on a scale | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Neuropathic Pain Symptom Inventory (NPSI) | 25.71 ± 3.134 | 25.87 ± 2.168 | 35.25 ± 5.148 |
Vital signs abnormalities included sitting, standing: systolic, diastolic blood pressure and heart rate. Clinical significance was judged by investigator.
| Participants | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Number of Participants With Clinically Significant Vital Signs Abnormalities | 0 | 2 | 1 |
Criteria for ECG abnormalities: Maximum QTc (corrected QT) interval, QTcB (Bazett's correction formula) and QTcF (Fridericia's correction formula): 450 to less than (\<) 480 milliseconds (msec), 480 to \<500 msec and greater than equal to (\>=) 500 msec; Maximum QTc interval increase from baseline: \>=30 to \<60 and \>=60 (msec); PR interval: \>=300 msec and percent change \>=25 or 50 percent; QRS complex: percent change \>=25 or 50 percent. Clinical significance was judged by investigator.
| Participants | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | 1 | 0 | 0 |
Criteria for hematology abnormalities included Hemoglobin: \<0.8\*lower limit of normal (LLN) and hematocrit: \<0.8\*LLN. Clinical significance was judged by investigator.
| Participants | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Number of Participants With Clinically Significant Laboratory Abnormalities: Hematology | 0 | 0 | 0 |
Criteria for clinical chemistry abnormalities included total bilirubin: greater than (\>) 1.5\*upper limit of normal (ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase: \>3.0\*ULN; total protein, albumin: \<0.8\*LLN or \>1.2\*ULN; blood urea nitrogen, creatinine: \>1.3\*ULN; uric acid: \>1.2\*ULN; sodium: \<0.95\*LLN or \>1.05\*ULN; potassium, chloride, calcium: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN. Clinical significance was judged by investigator.
| Participants | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Number of Participants With Clinically Significant Laboratory Abnormalities: Clinical Chemistry | 0 | 0 | 0 |
Urinalysis abnormalities criteria included: urine specific gravity: \<1.003 to \>1.030; urine pH: \<4.5 to \>8; urine glucose, urine ketones, urine proteins, urine blood/hemoglobin: \>=1. Clinical significance was judged by investigator.
| Participants | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Number of Participants With Clinically Significant Laboratory Abnormalities: Urinalysis | 0 | 0 | 0 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pregabalin + PF-00489791 | — | 1/38 (2.6%) | 22/38 (57.9%) |
| Pregabalin | — | 0/61 (0%) | 35/61 (57.4%) |
| Placebo | — | 0/26 (0%) | 7/26 (26.9%) |
| Event | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| Chest discomfortGeneral disorders | 1/38 | 0/61 | 0/26 |
| Event | Pregabalin + PF-00489791 | Pregabalin | Placebo |
|---|---|---|---|
| DizzinessNervous system disorders | 7/38 | 9/61 | 0/26 |
| SomnolenceNervous system disorders | 2/38 | 6/61 | 0/26 |
| FatigueGeneral disorders | 0/38 | 5/61 | 0/26 |
| DiarrhoeaGastrointestinal disorders | 3/38 | 4/61 | 1/26 |
| Back painMusculoskeletal and connective tissue disorders | 3/38 | 1/61 | 0/26 |
| Muscle spasmsMusculoskeletal and connective tissue disorders | 3/38 | 3/61 | 0/26 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 3/38 | 1/61 | 0/26 |
| HeadacheNervous system disorders | 3/38 | 4/61 | 2/26 |
| Penis disorderReproductive system and breast disorders | 0/14 | 1/27 | 1/13 |
| Vision blurredEye disorders | 2/38 | 2/61 | 0/26 |
Safety analysis set included all participants who were randomized and had received at least 1 dose of study drug.
| Age, Categorical(Participants) | Pregabalin Then Placebo | Placebo Then Pregabalin | Pregabalin + Placebo Then Pregabalin + PF-00489791 | Pregabalin + PF-00489791 Then Pregabalin + Placebo | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 7 | 8 | 5 | 7 | 27 |
| >=65 years | 9 | 5 | 15 | 14 | 43 |
| Sex: Female, Male(Participants) | Pregabalin Then Placebo | Placebo Then Pregabalin | Pregabalin + Placebo Then Pregabalin + PF-00489791 | Pregabalin + PF-00489791 Then Pregabalin + Placebo | Total |
|---|---|---|---|---|---|
| Female | 8 | 8 | 13 | 14 | 43 |
| Male | 8 | 5 | 7 | 7 | 27 |
Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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