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Efficacy And Safety Of Pregabalin For Pain Following Total Knee Replacement
This study has been completed.
Study NCT00442546   Information provided by Pfizer

First Received on March 1, 2007.   Last Updated on February 15, 2011   History of Changes
Results First Received: December 15, 2009  
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
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  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.

Participant Flow:   Overall Study
    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
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Reporting Groups
  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.

Baseline Measures
    Pregabalin (150 mg)     Pregabalin (300 mg)     Placebo     Total  
Number of Participants  
[units: participants]
  98     96     98     292  
Age, Customized  
[units: participants]
       
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]
       
Female     60     61     54     175  
Male     38     35     44     117  



  Outcome Measures
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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) ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
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:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
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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Results Point of Contact:  
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer, Inc.
phone: 1-800-718-1021
e-mail: ClinicalTrials.govCallCenter@pfizer.com


No publications provided


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