A Phase 4 interventional study of placebo and pregabalin (Lyrica) in Fibromyalgia, sponsored by Pfizer's Upjohn has merged with Mylan to form Viatris Inc.. Completed at 36 sites in 4 countries. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2021-01-28.
Sponsored by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. · Phase 4, Interventional, and Treatment
This study will compare pregabalin with placebo over a 15 week period in adolescents with fibromyalgia aged 12-17 years to evaluate the safety and efficacy of pregabalin.
1,336 studies on the registry are indexed under Fibromyalgia; 266 are open to participants now.
This study's enrollment of 107 is above the median of 60 across 1,035 interventional studies indexed under Fibromyalgia.
Browse Fibromyalgia 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: placebo
Drug: pregabalin (Lyrica)
matching placebo capsules twice daily.
75-450mg/day pregabalin dose optimised at start of study
Change From Baseline to Week 15 in Mean Pain Diary Score
The Primary Endpoint is based on the daily pain diary, and is defined as change from baseline to Week 15 in mean pain diary score. The daily pain diary consists of an 11-point numeric rating scale ranging from zero (no pain) to 10 (worst possible pain). The patients rate their pain during the past 24 hours by choosing the appropriate number between 0 ("no pain") and 10 ("worst possible pain").
Time frame: Week 15
Change From Baseline to Week 15 in Mean Sleep Quality Diary Score
Change from Baseline to endpoint in mean sleep quality score from the daily sleep diary, defined as the mean of the last 7 diary entries prior to Visit 10 in the study while the participant is on study medication. The daily quality of sleep diary consists of an 11-point numeric rating scale with which the patient rates the quality of their sleep during the past 24 hours. Zero indicates "best possible sleep" and 10 indicates "worst possible sleep".
Time frame: Week 15
Mean Change From Baseline to Weekly Mean Pain Score - Daily Pain Numeric Rating Scale (NRS)
Mean pain score was calculated for each week during the double-blind treatment phase (Week 1 to Week 15). For each week, only days up to the last day on study medication were considered. A minimum of 4 pain diaries were required to calculate the mean pain score. The pain NRS consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: Baseline to Week 15
Mean Change From Baseline to Weekly Mean Sleep Quality Score (NRS)
Mean sleep quality score was calculated for each week during the double-blind treatment phase (Week 1 to Week 15). A minimum of 4 sleep diaries are required to calculate the mean pain score. The daily quality of sleep diary consists of an 11-point numeric rating scale with which the patient rates the quality of their sleep during the past 24 hours. Zero indicates "best possible sleep" and 10 indicates "worst possible sleep".
Time frame: Baseline to Week 15
Change From Baseline to Week 15 in Mean Pain Numeric Rating Scale (1 Week Recall Period)
The weekly pain numeric rating scale (Weekly Pain NRS) consists of an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicate greater degree of impairment. Participants choose the number that best describes the pain during the last week.
Time frame: Week 15
Proportion of 30% Responders in Weekly Mean Pain Score (NRS) at Week 15
At each visit, participants with at least 30% reduction from Baseline in mean pain score were defined as a 30% responder at the visit. The pain NRS consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: Week 15
Proportion of 50% Responder in Weekly Mean Pain Score (NRS) at Week 15
At each visit, participants with at least 50% reduction from Baseline in mean pain score were defined as a 50% responder at the visit. The pain NRS consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: Week 15
Proportion of Patient Global Impression Change (PGIC) at Week 15
Responder rates based on PGIC was derived and tabulated by treatment group. A responder was defined as a participant who reports much improved or very much improved. The PGIC is a patient-rated single item that measures patient's perception of change in their overall status since starting study medication on a scale ranging from 1 (very much improved) to 7 (very much worse).
Time frame: Week 15
A total of 147 participants were screened, 107 participants were randomized to treatment. The 107 randomized participants were recruited in 4 countries at 23 study centers.
| Milestone | Pregabalin | Placebo |
|---|---|---|
| Started | 54 | 53 |
| Completed | 44 | 36 |
| Not completed | 10 | 17 |
| Withdrew: Adverse event | 4 | 4 |
| Withdrew: Protocol violation | 0 | 2 |
| Withdrew: Withdrawal by subject | 5 | 7 |
| Withdrew: Other reasons | 1 | 1 |
| Withdrew: Insufficient clinical response | 0 | 3 |
The Primary Endpoint is based on the daily pain diary, and is defined as change from baseline to Week 15 in mean pain diary score. The daily pain diary consists of an 11-point numeric rating scale ranging from zero (no pain) to 10 (worst possible pain). The patients rate their pain during the past 24 hours by choosing the appropriate number between 0 ("no pain") and 10 ("worst possible pain").
| Units on a scale | Pregabalin | Placebo |
|---|---|---|
| Change From Baseline to Week 15 in Mean Pain Diary Score | -1.60 ± 0.32 | -0.94 ± 0.31 |
Change from Baseline to endpoint in mean sleep quality score from the daily sleep diary, defined as the mean of the last 7 diary entries prior to Visit 10 in the study while the participant is on study medication. The daily quality of sleep diary consists of an 11-point numeric rating scale with which the patient rates the quality of their sleep during the past 24 hours. Zero indicates "best possible sleep" and 10 indicates "worst possible sleep".
| Units on a scale | Pregabalin | Placebo |
|---|---|---|
| Change From Baseline to Week 15 in Mean Sleep Quality Diary Score | -1.13 ± 0.30 | -0.94 ± 0.31 |
Mean pain score was calculated for each week during the double-blind treatment phase (Week 1 to Week 15). For each week, only days up to the last day on study medication were considered. A minimum of 4 pain diaries were required to calculate the mean pain score. The pain NRS consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain).
| Units on a scale | Pregabalin | Placebo |
|---|---|---|
| Week 1 (N= 52, 49) | -0.48 ± 0.25 | -0.41 ± 0.26 |
| Week 2 (N= 54, 47) | -1.11 ± 0.25 | -0.48 ± 0.26 |
| Week 3 (N= 52, 44) | -1.27 ± 0.25 | -0.45 ± 0.26 |
| Week 4 (N= 50, 46) | -1.45 ± 0.25 | -0.55 ± 0.26 |
| Week 5 (N= 49, 44) | -1.27 ± 0.25 | -0.59 ± 0.26 |
| Week 6 (N= 49, 44) | -1.47 ± 0.25 | -0.51 ± 0.27 |
| Week 7 (N= 48, 42) | -1.67 ± 0.25 | -0.77 ± 0.27 |
| Week 8 (N= 46, 44) | -1.65 ± 0.25 | -0.59 ± 0.27 |
| Week 9 (N= 46, 42) | -1.61 ± 0.26 | -0.66 ± 0.27 |
| Week 10 (N= 45, 40) | -1.82 ± 0.26 | -0.85 ± 0.27 |
| Week 11 (N= 44, 38) | -1.93 ± 0.26 | -1.07 ± 0.28 |
| Week 12 (N= 43, 34) | -1.75 ± 0.26 | -0.78 ± 0.28 |
| Week 13 (N= 42, 33) | -1.75 ± 0.27 | -1.01 ± 0.29 |
| Week 14 (N= 41, 34) | -2.01 ± 0.27 | -1.11 ± 0.29 |
| Week 15 (N= 35, 33) | -1.90 ± 0.28 | -1.16 ± 0.30 |
Mean sleep quality score was calculated for each week during the double-blind treatment phase (Week 1 to Week 15). A minimum of 4 sleep diaries are required to calculate the mean pain score. The daily quality of sleep diary consists of an 11-point numeric rating scale with which the patient rates the quality of their sleep during the past 24 hours. Zero indicates "best possible sleep" and 10 indicates "worst possible sleep".
| Units on a scale | Pregabalin | Placebo |
|---|---|---|
| Week 1 (N= 52, 49) | -0.52 ± 0.25 | -0.30 ± 0.26 |
| Week 2 (N= 54, 47) | -0.84 ± 0.25 | -0.65 ± 0.26 |
| Week 3 (N= 52, 44) | -0.89 ± 0.25 | -0.44 ± 0.26 |
| Week 4 (N= 50, 46) | -1.03 ± 0.25 | -0.54 ± 0.26 |
| Week 5 (N= 49, 44) | -0.99 ± 0.25 | -0.61 ± 0.27 |
| Week 6 (N= 49, 44) | -1.18 ± 0.25 | -0.54 ± 0.27 |
| Week 7 (N= 48, 42) | -1.30 ± 0.25 | -0.81 ± 0.27 |
| Week 8 (N= 46, 44) | -1.43 ± 0.25 | -0.42 ± 0.27 |
| Week 9 (N= 46, 42) | -1.38 ± 0.26 | -0.81 ± 0.27 |
| Week 10 (N= 45, 40) | -1.43 ± 0.26 | -0.66 ± 0.27 |
| Week 11 (N= 44, 38) | -1.39 ± 0.26 | -0.95 ± 0.28 |
| Week 12 (N= 43, 34) | -1.38 ± 0.26 | -0.77 ± 0.28 |
| Week 13 (N= 42, 33) | -1.34 ± 0.27 | -1.00 ± 0.29 |
| Week 14 (N= 41, 34) | -1.36 ± 0.27 | -0.94 ± 0.29 |
| Week 15 (N= 35, 33) | -1.25 ± 0.28 | -1.08 ± 0.30 |
The weekly pain numeric rating scale (Weekly Pain NRS) consists of an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicate greater degree of impairment. Participants choose the number that best describes the pain during the last week.
| Units on a scale | Pregabalin | Placebo |
|---|---|---|
| Change From Baseline to Week 15 in Mean Pain Numeric Rating Scale (1 Week Recall Period) | -1.64 ± 0.31 | -0.77 ± 0.30 |
At each visit, participants with at least 30% reduction from Baseline in mean pain score were defined as a 30% responder at the visit. The pain NRS consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain).
| percentage of participants | Pregabalin | Placebo |
|---|---|---|
| Proportion of 30% Responders in Weekly Mean Pain Score (NRS) at Week 15 | 42.6 | 38.8 |
At each visit, participants with at least 50% reduction from Baseline in mean pain score were defined as a 50% responder at the visit. The pain NRS consists of an 11 point NRS ranging from 0 (no pain) to 10 (worst possible pain).
| percentage of participants | Pregabalin | Placebo |
|---|---|---|
| Proportion of 50% Responder in Weekly Mean Pain Score (NRS) at Week 15 | 20.4 | 10.2 |
Responder rates based on PGIC was derived and tabulated by treatment group. A responder was defined as a participant who reports much improved or very much improved. The PGIC is a patient-rated single item that measures patient's perception of change in their overall status since starting study medication on a scale ranging from 1 (very much improved) to 7 (very much worse).
| percentage of participants | Pregabalin | Placebo |
|---|---|---|
| Very much improved | 16.3 | 2.3 |
| Much improved | 36.7 | 27.3 |
| Minimally improved | 22.4 | 27.3 |
| No change | 18.4 | 38.6 |
| Minimally worse | 6.1 | 2.3 |
| Much worse | 0 | 2.3 |
| Very much worse | 0 | 0 |
Collected over Adverse events were reported from signing the informed consent until a follow-up visit (Week 16).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pregabalin | — | 1/54 (1.9%) | 33/54 (61.1%) |
| Placebo | — | 0/53 (0%) | 27/53 (50.9%) |
| Event | Pregabalin | Placebo |
|---|---|---|
| CholelithiasisHepatobiliary disorders | 1/54 | 0/53 |
| Major depressionPsychiatric disorders | 1/54 | 0/53 |
| Event | Pregabalin | Placebo |
|---|---|---|
| DizzinessNervous system disorders | 16/54 | 7/53 |
| NauseaGastrointestinal disorders | 12/54 | 5/53 |
| HeadacheNervous system disorders | 10/54 | 10/53 |
| Weight increasedInvestigations | 9/54 | 0/53 |
| FatigueGeneral disorders | 8/54 | 4/53 |
| Back painMusculoskeletal and connective tissue disorders | 3/54 | 5/53 |
| SomnolenceNervous system disorders | 5/54 | 2/53 |
| VomitingGastrointestinal disorders | 3/54 | 4/53 |
| Pharyngitis streptococcalInfections and infestations | 0/54 | 4/53 |
| Upper respiratory tract infectionInfections and infestations | 3/54 | 4/53 |
| Age, Continuous(years) | Pregabalin | Placebo | Total |
|---|---|---|---|
| Mean | 14.6 ± 1.2 | 14.7 ± 1.2 | 14.7 ± 1.2 |
| Sex: Female, Male(Participants) | Pregabalin | Placebo | Total |
|---|---|---|---|
| Female | 48 | 44 | 92 |
| Male | 6 | 9 | 15 |
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Pfizer's Upjohn has merged with Mylan to form Viatris Inc.