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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Investigator); Primary Purpose: Treatment |
| Conditions: |
Osteoarthritis Postoperative Pain |
| Interventions: |
Drug: pregabalin Drug: Placebo |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| Description | |
|---|---|
| Pregabalin (150 Milligrams [mg]) | Pregabalin capsules orally 75 mg the evening before surgery (approximately 12 hours prior to surgery) followed by 75 mg approximately 2 hours before surgery followed by 150 mg/day (75 mg twice daily) for up to 6 post-operative weeks starting on Post-Operative Day 1 (POD 1). |
| Pregabalin (300 mg) | Pregabalin capsules orally 150 mg the night before surgery (approximately 12 hours prior to surgery) followed by 150 mg approximately 2 hours before surgery followed by 300 mg/day (150 mg twice daily) for up to 6 post-operative weeks starting on POD 1. |
| Placebo | Matching Placebo capsules orally: 1 dose the evening before surgery (approximately 12 hours prior to surgery), 1 dose approximately 2 hours before surgery followed by twice daily dosing for up to 6 post-operative weeks starting on POD 1. |
| Pregabalin (150 Milligrams [mg]) | Pregabalin (300 mg) | Placebo | |
|---|---|---|---|
| STARTED | 103 | 100 | 104 |
| Received Treatment | 98 | 96 | 98 |
| COMPLETED | 77 | 63 | 71 |
| NOT COMPLETED | 26 | 37 | 33 |
| Adverse Event | 11 | 17 | 13 |
| Lost to Follow-up | 1 | 2 | 1 |
| Unknown | 4 | 9 | 6 |
| Withdrawal by Subject | 5 | 5 | 7 |
| Randomized But Not Treated | 5 | 4 | 6 |
Baseline Characteristics
| Description | |
|---|---|
| Pregabalin (150 mg) | Pregabalin capsules orally 75 mg the evening before surgery (approximately 12 hours prior to surgery) followed by 75 mg approximately 2 hours before surgery followed by 150 mg/day (75 mg twice daily) for up to 6 post-operative weeks starting on POD 1. |
| Pregabalin (300 mg) | Pregabalin capsules orally 150 mg the night before surgery (approximately 12 hours prior to surgery) followed by 150 mg approximately 2 hours before surgery followed by 300 mg/day (150 mg twice daily) for up to 6 post-operative weeks starting on POD 1. |
| Placebo | Matching Placebo capsules orally: 1 dose the evening before surgery (approximately 12 hours prior to surgery), 1 dose approximately 2 hours before surgery followed by twice daily dosing for up to 6 post-operative weeks starting on POD 1. |
| Pregabalin (150 mg) | Pregabalin (300 mg) | Placebo | Total | |
|---|---|---|---|---|
|
Number of Participants
[units: participants] |
98 | 96 | 98 | 292 |
|
Age, Customized
[units: participants] |
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| 18 to 44 years | 1 | 2 | 4 | 7 |
| 45 to 64 years | 52 | 44 | 49 | 145 |
| > = 65 years | 45 | 50 | 45 | 140 |
|
Gender
[units: participants] |
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| Female | 60 | 61 | 54 | 175 |
| Male | 38 | 35 | 44 | 117 |
Outcome Measures
| 1. Primary: | Subject Reported Worst Pain Score in Daily Diaries Using the Worst Pain Item of the Modified Brief Pain Inventory - Short Form (m-BPI-sf) [ Time Frame: 48 hours after surgery ] |
| 2. Secondary: | Cumulative Total Amount of Opioids Used During the Entire Hospital Stay [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, 144 hours, 168 hours, 192 hours, 216 hours ] |
| 3. Secondary: | Opioids Used Post Discharge [ Time Frame: Week 2, Week 4, Week 6/Early Termination (ET) ] |
| 4. Secondary: | Analgesics Used During the Hospital Stay (Acetylsalicylic Acid, Ketorolac, and Paracetamol) [ Time Frame: 24 hours, 48 hours, 72 hours ] |
| 5. Secondary: | Analgesics Used Post Discharge (Acetylsalicylic Acid [Week 2] and Paracetamol [Weeks 2, 4, and 6] [ Time Frame: Week 2, Week 4, Week 6/ET ] |
| 6. Secondary: | Analgesics Used Post Discharge (Ibuprofen) for the Pregabalin 150 mg and Placebo Treatment Groups [ Time Frame: Week 2, Week 4, Week 6/ET ] |
| 7. Secondary: | Analgesics Used Post Discharge (Ibuprofen) for the Pregabalin 300 mg Treatment Group [ Time Frame: Week 2, Week 4, Week 6/ET ] |
| 8. Secondary: | Analgesics Used Post Discharge (Acetylsalicylic Acid) for the Pregabalin 150 mg and Placebo Treatment Groups at Week 4 [ Time Frame: Week 4 ] |
| 9. Secondary: | Analgesics Used Post Discharge (Acetylsalicylic Acid) for the Pregabalin 300 mg Treatment Group at Week 4 [ Time Frame: Week 4 ] |
| 10. Secondary: | Analgesics Used Post Discharge (Acetylsalicylic Acid) for the Pregabalin 150 mg and Placebo Treatment Groups at Week 6/ET [ Time Frame: Week 6/ET ] |
| 11. Secondary: | Analgesics Used Post Discharge (Acetylsalicylic Acid) for the Pregabalin 300 mg and Placebo Treatment Groups at Week 6/ET [ Time Frame: Week 6/ET ] |
| 12. Secondary: | The Effect of Pregabalin Compared to Placebo on the Occurrence of Opioid-Related Symptoms as Assessed Using the Opioid-Related Symptom Distress Scale (OR-SDS) - Frequency Composite Score [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, Discharge, Week 2, Week 4, Week 6/ET ] |
| 13. Secondary: | The Effect of Pregabalin Compared to Placebo on the Occurrence of Opioid-Related Symptoms as Assessed Using the OR-SDS - Severity Composite Score [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, Discharge, Week 2, Week 4, Week 6/ET ] |
| 14. Secondary: | The Effect of Pregabalin Compared to Placebo on the Occurrence of Opioid-Related Symptoms as Assessed Using the OR-SDS - Degree of Bother Composite Score [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, Discharge, Week 2, Week 4, Week 6/ET ] |
| 15. Secondary: | The Effect of Pregabalin Compared to Placebo on the Occurrence of Opioid-Related Symptoms as Assessed Using the OR-SDS - Overall Composite Score [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, Discharge, Week 2, Week 4, Week 6/ET ] |
| 16. Secondary: | Total Clinically Meaningful Event (CME) Score [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, Discharge, Week 2, Week 4, and Week 6/ET ] |
| 17. Secondary: | Pain Interference Index Score as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 18. Secondary: | Pain Interference With Relations With People as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 19. Secondary: | Pain Interference With Enjoyment of Life as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 20. Secondary: | Pain Interference With General Activity as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 21. Secondary: | Pain Interference With Mood as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 22. Secondary: | Pain Interference With Walking Ability as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 23. Secondary: | Pain Interference With Normal Work as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 24. Secondary: | Pain Interference With Sleep as Measured by the m-BPI-sf [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET, Month 3, Month 6 ] |
| 25. Secondary: | Daily and Weekly Worst Pain During the Hospital Stay and Post Discharge Assessed by the Pain Numerical Rating Scale (NRS) [ Time Frame: 12 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, 144 hours, 168 hours, and 192 hours during the hospital stay, Week 2, Week 4, Week 6/ET ] |
| 26. Secondary: | Daily and Weekly Average Pain During the Hospital Stay and Post Discharge Assessed by the Pain NRS [ Time Frame: 12 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, 144 hours, 168 hours, and 192 hours during the hospital stay, Week 2, Week 4, Week 6/ET ] |
| 27. Secondary: | Current Pain During the Hospital Stay Assessed by the Pain NRS [ Time Frame: 4, 8, 12, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104, 112, 120, 128, 136, 144, 152, 160, 168, 176, 184, and 192 hours during the hospital stay ] |
| 28. Secondary: | Pain-Related Sleep Interference Post Surgery [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours 120 hours, 144 hours, 168 hours, and 192 hours post-surgery, Week 2, Week 4, Week 6/ET ] |
| 29. Secondary: | Change From Baseline in Visual Analogue Scale for Anxiety (VAS-Anxiety) Score Prior to Surgery [ Time Frame: Day 1, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, and 6 hours prior to surgery ] |
| 30. Secondary: | Timed Up-and-Go (TUG) [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, Week 2, Week 4, Week 6/ET ] |
| 31. Secondary: | Range of Motion (ROM) Assessment of the Active Flexion of the Surgical Knee [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, and 120 hours post surgery, Week 2, Week 4, Week 6/ET ] |
| 32. Secondary: | ROM Assessment of the Passive Flexion of the Surgical Knee [ Time Frame: 24 hours, 48 hours, 72 hours, 96 hours, and 120 hours post surgery, Week 2, Week 4, Week 6/ET ] |
| 33. Secondary: | Time From End of Surgery to Meet Hospital Discharge Criteria [ Time Frame: time from end of surgery up to 192 hours post surgery ] |
| 34. Secondary: | Time From End of Surgery to Actual Discharge [ Time Frame: time from end of surgery up to 192 hours post surgery ] |
| 35. Secondary: | Satisfaction With Current Pain Medication Measured by the Pain Treatment Satisfaction Scale (PTSS) [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET ] |
| 36. Secondary: | Satisfaction With Medication Characteristics Measured by the PTSS [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET ] |
| 37. Secondary: | Satisfaction With Medication Efficacy Measured by the PTSS [ Time Frame: Discharge, Week 2, Week 4, Week 6/ET ] |
| 38. Secondary: | Overall Satisfaction Measured by the PTSS [ Time Frame: Discharge, Week 2, Week 4, and Week 6/ET ] |
| 39. Secondary: | Overall Pain Relief Measured by the PTSS [ Time Frame: Discharge, Week 2, Week 4, and Week 6/ET ] |
| 40. Secondary: | Number of Subjects With Global Evaluation of Study Medication Scores [ Time Frame: Discharge, Week 2, Week 4, and Week 6/ET ] |
| 41. Secondary: | Number of Subjects With Persistent Pain Based on 11-Point Verbal Rating Scale (VRS) [ Time Frame: Month 3, Month 6 (phone call) ] |
| 42. Secondary: | Neuropathic Pain Symptom Inventory (NPSI) [ Time Frame: Month 3, Month 6 (phone call) ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
| Responsible Party: | Clinical Trials Disclosure Group, Pfizer, Inc |
| ClinicalTrials.gov Identifier: | NCT00442546 History of Changes |
| Other Study ID Numbers: | A0081133 |
| Study First Received: | March 1, 2007 |
| Results First Received: | December 15, 2009 |
| Last Updated: | February 15, 2011 |
| Health Authority: | United States: Food and Drug Administration |