CClinicalTrials.gg
TerminatedNCT02423018Updated Mar 23, 2016

Abuse Liability of Pregabalin and Its Effects on Benzodiazepine Withdrawal Symptoms

A Phase 4 interventional study of Pregabalin and Placebo in Substance-Related Disorders, sponsored by Centre for Addiction and Mental Health. Terminated at 1 site in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-03-23.

Sponsored by Centre for Addiction and Mental Health · Phase 4, Interventional, and Basic science

Why this study was terminated
Low enrollment.
Phase
Phase 4
Study type
Interventional
Enrollment
1
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to determine if a single dose of pregabalin 300mg in patients receiving medications for sedative-hypnotic withdrawal symptoms will produce meaningful differences in measures of "drug liking" and "drug high" as compared to placebo.

Read the detailed description

Pregabalin is currently being explored as a pharmacotherapy for substance use disorders. Open-labeled, uncontrolled studies indicate modest efficacy of pregabalin in benzodiazepine withdrawal symptom management and as a long-term benzodiazepine dependence treatment. Concurrently, there is increasing information from case reports and adverse drug event registries regarding pregabalin abuse in patients with substance use disorders.

Given that the abuse liability of pregabalin has not been clearly established, nor its effects on benzodiazepine withdrawal symptoms in inpatients, this study is a randomized, double-blind, placebo-controlled, cross-over, abuse liability study of a single dose of pregabalin 300mg, nested within a randomized,double-blind placebo-controlled, feasibility study evaluating pregabalin's effects on withdrawal symptoms in inpatients undergoing medically-assisted withdrawal from benzodiazepine, zopiclone or zolpidem.

02

Conditions studied

  • Substance-Related Disorders
03

In context

Substance-Related Disorders

2,124 studies on the registry are indexed under Substance-Related Disorders; 393 are open to participants now.

This study's enrollment of 1 is below the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

Centre for Addiction and Mental Health is the lead sponsor of 327 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Admitted to the Medical Withdrawal Unit at the Centre for Addiction and Mental Health for medically assisted withdrawal from benzodiazepines, zopiclone and/or zolpidem
  • Willing and capable to give written informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients who are hypersensitive to pregabalin or to any ingredient in the formulation or component of the container.
  • Pregnant or nursing women
  • Renal impairment (creatinine clearance less than 60ml/min)
  • History of angioedema, or taking drugs associated with angioedema (e.g., ACE-inhibitors).
  • Currently taking pregabalin or gabapentin
  • Currently taking thiazolidinedione antidiabetic agents (e.g., rosiglitazone, pioglitazone)
  • Previous history of pregabalin or gabapentin abuse
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
1 participant (actual)

Study arms

  • Active comparator
    Pregabalin

    Pregabalin titrated up to, and tapered from, 225mg/day in divided doses for 10 days

    Drug: Pregabalin · Drug: Placebo

  • Placebo comparator
    Placebo

    Placebo for 10 days

    Drug: Pregabalin · Drug: Placebo

Interventions

  • DrugPregabalin

    In replacement of their morning 75mg pregabalin or placebo dose on Days 6 and 8, all participants will receive either a single dose of 300mg of pregabalin or placebo, in a randomized, double-blind, crossover manner. This is when steady state concentrations of pregabalin occur.

    Also known as: Lyrica

  • DrugPlacebo

    In replacement of their morning 75mg pregabalin or placebo dose on Days 6 and 8, all participants will receive either a single dose of 300mg of pregabalin or placebo, in a randomized, double-blind, crossover manner. This is when steady state concentrations of pregabalin occur.

06

What researchers measure

Primary outcomes

  1. Change from baseline on Visual Analogue Scale for "Drug Liking" over 5 hours post-dose administration

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

Secondary outcomes

  1. Profile of Mood States (POMS)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  2. Psychomotor Performance (Digit Symbol Substitution Test (DSST)

    Digit Symbol Substitution Test (DSST)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  3. Visual Analogue Scale for "Take Drug Again"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  4. Visual Analogue Scale for "Any Drug Effects"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  5. Visual Analogue Scale for "Good Effects"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  6. Visual Analogue Scale for "Bad Effects"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  7. Visual Analogue Scale for "Feel Sick"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  8. Visual Analogue Scale for "Nausea"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  9. Visual Analogue Scale for "Sleepy"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  10. Visual Analogue Scale for "Dizzy"

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  11. Sedation (Addiction Research Center Inventory (ARCI)

    Addiction Research Center Inventory (ARCI)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  12. Euphoria (Addiction Research Center Inventory (ARCI)

    Addiction Research Center Inventory (ARCI)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  13. Dysphoric Changes (Addiction Research Center Inventory (ARCI)

    Addiction Research Center Inventory (ARCI)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  14. Psychotomimetic Changes (Addiction Research Center Inventory (ARCI)

    Addiction Research Center Inventory (ARCI)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  15. Somatic Disturbances (Addiction Research Center Inventory (ARCI)

    Addiction Research Center Inventory (ARCI)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  16. Sensory Disturbances (Addiction Research Center Inventory (ARCI)

    Addiction Research Center Inventory (ARCI)

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

  17. Tmax Estimated peak plasma pregabalin concentration

    Estimated peak plasma pregabalin concentration

    Time frame: On Days 6 and 8 only: obtained 1 hour post-dose

  18. Change from baseline on Visual Analogue Scale for "Drug High" over 5 hours

    Additional Primary Outcome

    Time frame: On Days 6 and 8 only: Baseline (0), and at 1, 2, 2.5, 3, 4, 5 hours post-dose

Other outcomes

  1. Change in score on the Benzodiazepine Withdrawal Symptom Questionnaire

    Time frame: Day 0, then twice daily on Days 1 to 10 (i.e., directly before 8am dose and 3pm)

  2. Change in score on the six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI)

    Time frame: Day 0, then twice daily on Days 1 to 10 (i.e., directly before 8am dose and 3pm)

  3. Clinical Global Impression Scale - Severity

    Time frame: Day 0

  4. Clinical Global Impression Scale - Improvement

    Time frame: Day 10

  5. Benzodiazepine use post-discharge

    Assess benzodiazepine use since discharge

    Time frame: 30 days post-discharge

  6. Pregabalin use post-discharge

    Assess pregabalin use since discharge

    Time frame: 30 days post-discharge

07

Study locations

1 site
  • Centre for Addiction and Mental Health
    Toronto, Ontario M5S 3M2, Canada
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02423018
Lead sponsor
Centre for Addiction and Mental Health
Responsible party
Beth Sproule (Clinician Scientist, Centre for Addiction and Mental Health) — Principal investigator
First posted
Apr 22, 2015
Start date
Apr 2015
Primary completion
Mar 2016
Completion
Mar 2016
Last update
Mar 23, 2016

Study contacts

Beth Sproule, PharmD
principal investigator · Centre for Addiction and Mental Health

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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