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    Clinical Trial Results:
    A 6-MONTH, OPEN-LABEL, SAFETY TRIAL OF PREGABALIN IN ADOLESCENT PATIENTS WITH FIBROMYALGIA

    Summary
    EudraCT number
    2010-020300-29
    Trial protocol
    CZ  
    Global end of trial date
    01 Jun 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Feb 2016
    First version publication date
    24 Feb 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    A0081231
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01020526
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Pfizer, Inc.
    Sponsor organisation address
    235 East 42nd Street, New York, NY, United States, 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., +1 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., +1 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    24 Sep 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    01 Jun 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Jun 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the safety of pregabalin at doses of 75-450 mg/day (taken in twice daily [BID] doses) in participants who participated in the double-blind fibromyalgia study A0081180 and who wished to receive open-label pregabalin therapy.
    Protection of trial subjects
    The study was conducted in accordance with the protocol, legal and regulatory requirements, as well as the general principles set forth in the International Ethical Guidelines for Biomedical Research Involving Human Subjects (Council for International Organizations of Medical Sciences 2002), Guidelines for Good Clinical Practice (GCP) (International Conference on Harmonization [ICH] 1996), and the Declaration of Helsinki (World Medical Association 1996 and 2008). In addition, the study was conducted in accordance with applicable local regulatory requirements and laws.
    Background therapy
    This study has no background medication therapy.
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Sep 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 40
    Country: Number of subjects enrolled
    India: 20
    Country: Number of subjects enrolled
    Czech Republic: 3
    Worldwide total number of subjects
    63
    EEA total number of subjects
    3
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    63
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    A total of 63 participants were screened and enrolled at 19 study centers in this open-label extension study to the parent double-blind randomized fibromyalgia study A0081180.

    Pre-assignment
    Screening details
    Participants initiated dosing at 75 mg/day and their dose was optimized over a 3 week period, based on tolerability and response, to a dose of 75 mg/day, 150 mg/day, 300 mg/day or 450 mg/day.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Pregabalin
    Arm description
    Participants initiated dosing at 75 mg/day, and their dose was optimized over a 3 week period based on tolerability and response to a dose of 75 mg/day, 150 mg/day, 300 mg/day or 450 mg/day. These doses were administered during the subsequent flexible dosing phase for a period of 21 weeks. Pregabalin was administered orally as capsules.
    Arm type
    Experimental

    Investigational medicinal product name
    Lyrica
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    75 mg/day to 450 mg/day

    Number of subjects in period 1
    Pregabalin
    Started
    63
    Completed
    49
    Not completed
    14
         Consent withdrawn by subject
    5
         Adverse event, non-fatal
    2
         Other reasons
    3
         Lost to follow-up
    1
         Insufficient clinical response
    3

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Pregabalin
    Reporting group description
    Participants initiated dosing at 75 mg/day, and their dose was optimized over a 3 week period based on tolerability and response to a dose of 75 mg/day, 150 mg/day, 300 mg/day or 450 mg/day. These doses were administered during the subsequent flexible dosing phase for a period of 21 weeks. Pregabalin was administered orally as capsules.

    Reporting group values
    Pregabalin Total
    Number of subjects
    63 63
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    63 63
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age Continuous | Male
    Units: years
        arithmetic mean (standard deviation)
    14.8 ( 1.4 ) -
    Gender, Male/Female
    Units: Participants
        Female
    53 53
        Male
    10 10

    End points

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    End points reporting groups
    Reporting group title
    Pregabalin
    Reporting group description
    Participants initiated dosing at 75 mg/day, and their dose was optimized over a 3 week period based on tolerability and response to a dose of 75 mg/day, 150 mg/day, 300 mg/day or 450 mg/day. These doses were administered during the subsequent flexible dosing phase for a period of 21 weeks. Pregabalin was administered orally as capsules.

    Primary: Change from baseline in pain numeric rating scale by week

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    End point title
    Change from baseline in pain numeric rating scale by week [1]
    End point description
    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 worse pain. Participants chose the number that best described the pain during the last week.
    End point type
    Primary
    End point timeframe
    Baseline, Weeks 3, 8, 16, 24 and Last Visit.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses were planned for this primary endpoint
    End point values
    Pregabalin
    Number of subjects analysed
    63
    Units: Units on a Scale
    arithmetic mean (standard deviation)
        Baseline (N=63)
    6.7 ( 1.68 )
        Week 3 (N=61)
    -2.1 ( 2.51 )
        Week 8 (N=55)
    -1.8 ( 2.95 )
        Week 16 (N=51)
    -2.1 ( 2.6 )
        Week 24 (N=55)
    -2.1 ( 2.56 )
        Last Visit (N=63)
    -2.1 ( 2.47 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All adverse events were recorded from the time the participants had taken at least 1 dose of study drug through the last subject visit.
    Adverse event reporting additional description
    For summary purposes, adverse event investigator terms were converted to preferred terms using a standard system of classification (COSTART or MedDRA). Adverse events tabulations included summaries by body system or system organ class, by overall decreasing frequency and by maximum intensity.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.0
    Reporting groups
    Reporting group title
    Pregabalin
    Reporting group description
    Participants initiated dosing at 75 mg/day and their dose was optimized over a 3 week period, based on tolerability and response, to a dose of 75 mg/day, 150 mg/day, 300 mg/day or 450 mg/day.

    Serious adverse events
    Pregabalin
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 63 (4.76%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Nervous system disorders
    Migraine
         subjects affected / exposed
    1 / 63 (1.59%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Joint instability
         subjects affected / exposed
    1 / 63 (1.59%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 63 (1.59%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Pregabalin
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    32 / 63 (50.79%)
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    14 / 63 (22.22%)
         occurrences all number
    16
    Headache
         subjects affected / exposed
    6 / 63 (9.52%)
         occurrences all number
    10
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    8 / 63 (12.70%)
         occurrences all number
    11
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    5 / 63 (7.94%)
         occurrences all number
    5
    Abdominal pain upper
         subjects affected / exposed
    5 / 63 (7.94%)
         occurrences all number
    6
    Nausea
         subjects affected / exposed
    5 / 63 (7.94%)
         occurrences all number
    7
    Reproductive system and breast disorders
    Dysmenorrhoea
         subjects affected / exposed
    3 / 63 (4.76%)
         occurrences all number
    4
    Respiratory, thoracic and mediastinal disorders
    Nasal congestion
         subjects affected / exposed
    4 / 63 (6.35%)
         occurrences all number
    4
    Infections and infestations
    Ear infection
         subjects affected / exposed
    4 / 63 (6.35%)
         occurrences all number
    4
    Upper respiratory tract infection
         subjects affected / exposed
    4 / 63 (6.35%)
         occurrences all number
    6

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    31 Dec 2012
    Updated Pfizer protocol template wording was implemented. Information regarding the importance of parent/guardian/caregiver involvement in overseeing subject participation, especially dosing, was added.
    14 Mar 2014
    The Columbia Suicide Severity Rating Scale (C-SSRS) was added as a required study assessment.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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