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FibromyalgiaPhase 2NCT00689052

Pramipexole ER vs. Placebo in Fibromyalgia

A Phase 2 study testing pramipexole ER in people with Fibromyalgia, run by Boehringer Ingelheim at 42 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is to assess the efficacy and safety of an extended-release (ER) formulation of pramipexole in comparison with placebo for the treatment of fibromyalgia. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Fibromyalgia
What is being tested?
pramipexole ER
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
61 participants
Where
42 sitesUnited States
Study dates
Jul 2008to Nov 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female outpatients greater than or equal to 18 years of age
  • Meet criteria for primary fibromyalgia as defined by the American College of Rheumatology (ACR): widespread aching pain in all four quadrants of the body and axial skeleton for greater than 3 months duration and greater than or equal to 11 of 18 tender points under digital palpitation examination with an approximate force of 4 kilograms per centimeters squared (kg/cm2)
  • Pain score of greater than or equal to 4 (scored once at screening and as a weekly mean at baseline) on the 11-point Likert pain scale with 0 = no pain and 10 = worst possible pain
  • Score of greater than or equal to 4 (= moderately ill) on the Clinical Global Impression of Severity (CGI-S) at screening and at baseline
  • All females of child-bearing potential must test negative for pregnancy at Visit 1. Females of child-bearing potential (not surgically sterilized and between menarche and two years postmenopausal) must agree to utilize medically acceptable and reliable means of birth control as determined by the investigator during the study and for one month following the last dose of study medication. Examples of reliable methods include: use of hormonal contraception (oral, injectable, or subcutaneous), double-barrier method, abstinence, partner with vasectomy, or hormonal intrauterine devices
  • Educational level and degree of understanding such that the patient can communicate intelligibly with the investigator and study coordinator
  • Judged to be reliable and agree to keep all appointments for clinic visits, tests, and procedures required by the protocol

Who cannot join

  • Employees of Boehringer Ingelheim (BI) (that is, employees, temporary contract workers, or designees responsible for the conduct of the study)
  • Have received treatment within 30 days prior to screening with a drug that has not received regulatory approval for any indication
  • Have previously completed or withdrawn from this study or any other study investigating pramipexole.
  • Any current or previous diagnosis of psychosis, bipolar disorder, or schizoaffective disorder as assessed by the Mini International Neuropsychiatric Interview (MINI)
  • Have any primary anxiety disorder within the past year as assessed by the Mini International Neuropsychiatric Interview (MINI)
  • Have any Diagnosis of Statistical Manual of Mental Diseases, 4th Edition (DSM-IV) Axis II disorder that would interfere with protocol compliance
Show all 24Show fewer
  • Medium or high risk of suicidality as assessed by the Mini International Neuropsychiatric Interview (MINI)
  • History of substance abuse/dependence within the past year, excluding nicotine and caffeine
  • A positive urine drug screen for any substance of abuse or excluded medication
  • Women who are pregnant or breast-feeding
  • Have pain symptoms related to traumatic injury that will interfere with the interpretation of outcome measures
  • Patients with regional pain syndromes, multiple surgeries or failed back surgery syndrome
  • A confirmed or previous diagnosis of rheumatoid arthritis, inflammatory arthritis, or infectious arthritis, or an autoimmune disease
  • Abnormal C-Reactive Protein, Anti-Nuclear Antibody (ANA), Rheumatoid factor, or Thyroid Stimulating Hormone (TSH)
  • Any serious or unstable medical or psychiatric condition or clinically significant abnormalities in labs at screening that would lead to hospitalization during the course of the study or otherwise compromise study participation
  • Have uncontrolled seizures
  • Taking any prohibited medications that cannot be discontinued at screening
  • Patients who are treatment-refractory or whose response may be compromised by disability compensation issues
  • Patients with frequent or severe allergic reactions to multiple medications
  • Prior or current treatment with pramipexole
  • Clinically significant renal disease
  • Current or previous diagnosis of malignant melanoma
  • Clinically relevant ophthalmopathy
  • Documented sleep apnea

Trial locations and contacts

42 sites in 1 country.

42 sites in 1 country

United States42 sites
  • 248.637.01008 Boehringer Ingelheim Investigational Site

    Albany, New York

  • 248.637.01024 Boehringer Ingelheim Investigational Site

    Albuquerque, New Mexico

  • 248.637.01032 Boehringer Ingelheim Investigational Site

    Arcadia, California

  • 248.637.01007 Boehringer Ingelheim Investigational Site

    Atlanta, Georgia

  • 248.637.01019 Boehringer Ingelheim Investigational Site

    Austin, Texas

  • 248.637.01017 Boehringer Ingelheim Investigational Site

    Billings, Montana

  • 248.637.01009 Boehringer Ingelheim Investigational Site

    Birmingham, Alabama

  • 248.637.01025 Boehringer Ingelheim Investigational Site

    Charlotte, North Carolina

  • 248.637.01028 Boehringer Ingelheim Investigational Site

    Chicago, Illinois

  • 248.637.01004 Boehringer Ingelheim Investigational Site

    Cincinnati, Ohio

  • 248.637.01038 Boehringer Ingelheim Investigational Site

    Columbus, Ohio

  • 248.637.01031 Boehringer Ingelheim Investigational Site

    Danbury, Connecticut

  • 248.637.01035 Boehringer Ingelheim Investigational Site

    DeLand, Florida

  • 248.637.01039 Boehringer Ingelheim Investigational Site

    Duncansville, Pennsylvania

  • 248.637.01042 Boehringer Ingelheim Investigational Site

    Englewood, Colorado

  • 248.637.01026 Boehringer Ingelheim Investigational Site

    Fargo, North Dakota

  • 248.637.01020 Boehringer Ingelheim Investigational Site

    Flowood, Mississippi

  • 248.637.01023 Boehringer Ingelheim Investigational Site

    Fort Myers, Florida

  • 248.637.01034 Boehringer Ingelheim Investigational Site

    Hot Springs, Arkansas

  • 248.637.01012 Boehringer Ingelheim Investigational Site

    Kansas City, Missouri

  • 248.637.01014 Boehringer Ingelheim Investigational Site

    Lansing, Michigan

  • 248.637.01010 Boehringer Ingelheim Investigational Site

    Lexington, Kentucky

  • 248.637.01044 Boehringer Ingelheim Investigational Site

    Los Angeles, California

  • 248.637.01046 Boehringer Ingelheim Investigational Site

    Medford, Oregon

  • 248.637.01002 Boehringer Ingelheim Investigational Site

    New York, New York

  • 248.637.01016 Boehringer Ingelheim Investigational Site

    Newton, Massachusetts

  • 248.637.01003 Boehringer Ingelheim Investigational Site

    Oklahoma City, Oklahoma

  • 248.637.01047 Boehringer Ingelheim Investigational Site

    Orlando, Florida

  • 248.637.01043 Boehringer Ingelheim Investigational Site

    Palm Beach Gardens, Florida

  • 248.637.01033 Boehringer Ingelheim Investigational Site

    Phoenix, Arizona

  • 248.637.01018 Boehringer Ingelheim Investigational Site

    Picayune, Mississippi

  • 248.637.01006 Boehringer Ingelheim Investigational Site

    Portland, Oregon

  • 248.637.01021 Boehringer Ingelheim Investigational Site

    Renton, Washington

  • 248.637.01041 Boehringer Ingelheim Investigational Site

    Salt Lake City, Utah

  • 248.637.01037 Boehringer Ingelheim Investigational Site

    San Antonio, Texas

  • 248.637.01036 Boehringer Ingelheim Investigational Site

    Santa Ana, California

  • 248.637.01029 Boehringer Ingelheim Investigational Site

    Seattle, Washington

  • 248.637.01011 Boehringer Ingelheim Investigational Site

    Spokane, Washington

  • 248.637.01040 Boehringer Ingelheim Investigational Site

    Sunrise, Florida

  • 248.637.01027 Boehringer Ingelheim Investigational Site

    Tampa, Florida

  • 248.637.01045 Boehringer Ingelheim Investigational Site

    Tucson, Arizona

  • 248.637.01015 Boehringer Ingelheim Investigational Site

    Warwick, Rhode Island

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Dose Titration Efficacy and Safety Study of Pramipexole ER (0.75 to 4.5 mg) Administered Orally Once Daily Versus Placebo Over a 16-week Maintenance Phase in Patients Diagnosed With Fibromyalgia, as Assessed by the American College of Rheumatology (ACR) Criteria Followed by a 24-week Open-label Extension Phase

The primary objective of this study is to assess the efficacy and safety of an extended-release (ER) formulation of pramipexole in comparison with placebo for the treatment of fibromyalgia.

The objective of the open-label phase is to assess the safety profile and effect of Pramipexole (PPX) extended-release (ER) in fibromyalgia patients over a 24-week period.

Conditions
Fibromyalgia
Being tested
pramipexole ER, placebo
Medical subject headings
Fibromyalgia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • pramipexole ERDrug

  • placeboDrug

Study groups in NCT00689052
Study groupRoleWhat they receive
Pramipexole ERExperimental0.75 mg to 4.5 mg tablets of Pramipexole ER, once daily in the evening
Receives: Drug: pramipexole ER
PlaceboPlacebo comparatorPlacebo tablets, once daily in the evening
Receives: Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Change in the Weekly Mean of the 24-hour Average Pain Score From a Daily Diary as Measured by the 11-point Likert Pain Scale

    The 11-point Likert Pain Scale is a numerical rating scale completed by the patient that measures the intensity of pain. The intensity scores range from 0 (no pain) to 10 (worst possible pain)

    Measured: Baseline and Week 29

Secondary outcomes (12)
  1. The Proportion of Patients "Very Much Improved" or "Much Improved" on the Patient's Global Impression of Improvement (PGI-I) 7-point Scale

    PGI-I is a self-reported scale completed by the patient that measures the degree of improvement at the time of assessment.

    The score ranges from 1 = very much improved to 7 = very much worse

    Measured: Week 29 (at the end of the maintenance phase)

  2. The Short Form 36 (SF-36) Health Survey, Physical Functioning Subscale (Change From Baseline).

    The SF-36 Health Survey is a self-administered 36-item instrument completed by the patient .

    SF 36 has subscales as follows: i) physical functioning (PF), ii) role limitations due to physical problems (RP), iii) bodily pain (BP), iv) general health perceptions (GH), v) vitality (VT), vi) social function (SF), vii) role limitations due to emotional problems (RE), viii) mental health (MH),ix)physical component summary (PCS)and x)mental component summary(MCS).

    Among the subscales, Physical functioning was key secondary endpoint while other were additional secondary endpoints.

    Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. The number of items per domain varies from 2 to 1

    Measured: Baseline and Week 29

  3. The Proportion of Patients With at Least a 30% or at Least a 50% Improvement Relative to Baseline in Pain (Assessed on the 11-point Likert Pain Scale

    11-Point Likert Pain Scale is a numerical rating scale completed by the patient that measures the intensity of pain. The intensity scores range from: 0 = no pain to 10 = worst possible pain .

    Measured: Baseline and Week 29

  4. Fibromyalgia Impact Questionnaire (FIQ) Total Score (Change From Baseline)

    FIQ is a self-reported scale completed by the patient that measures patient status, progress, and outcomes over the past week.

    The FIQ is composed of a total of 20 items; the first 11 items measure physical functioning, and each item is rated on a four-point Likert scale. Items 12 and 13 measure the number of days the patient felt well and the number of days the patient felt unable to work due to their fibromyalgia symptoms. Items 14 through 20 are numerical, 11-point Likert scales (marked in 10-point increments) on which the patient rates work difficulty, pain, fatigue, morning tiredness, stiffness, anxiety, and depression. The total score ranges from 0 to 80. A higher score indicates a more negative impact

    Measured: Baseline and Week 29

  5. Hospital Anxiety and Depression Scale (HADS) (Change From Baseline).

    The Hospital Anxiety and Depression Scale (HADS) measures the severity of anxiety and depression. The severity score ranges from: 0 = least severe to 3 = most severe. The total score ranges from 0 to 21; the higher the score, the more severe the anxious/depressive symptoms

    Measured: Baseline and Week 29

  6. The Short Form 36 (SF-36) Health Survey (Change From Baseline) (Excluding the Physical Functioning Subscale(PF)).

    The SF-36 Health Survey is a self-administered 36-item instrument completed by the patient .

    SF 36 has subscales as follows: i) physical functioning (PF), ii) role limitations due to physical problems (RP), iii) bodily pain (BP), iv) general health perceptions (GH), v) vitality (VT), vi) social function (SF), vii) role limitations due to emotional problems (RE), viii) mental health (MH),ix)physical component summary (PCS)and x)mental component summary(MCS).

    Among the subscales, Physical functioning was key secondary endpoint while other were additional secondary endpoints.

    Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. The number of items per domain varies from 2 to 1

    Measured: Baseline and Week 29

  7. Euroqol- 5 Dimensions (EQ-5D) Survey (Change From Baseline)

    The Euroqol- 5 Dimension (EQ-5D) Health Survey is a generic, multidimensional, health related, quality-of-life instrument that contains two parts-a health status profile and a visual analog scale (VAS) to rate global health-related quality of life. The profile contains five items corresponding to five health domains- mobility, self-care, usual activities, pain/discomfort, and mood. A single score is generated for each health state. Data from the EQ-5D can be converted into 243 unique health states. For each health state, there exists a corresponding valuation that allows the patient's health to be represented as an index, which is a value between -0.594 and 1; the higher the score, the better the quality of life.

    Measured: Baseline and Week 29

  8. Multidimensional Assessment of Fatigue (MAF) Index (Change From Baseline)

    The Multidimensional Assessment of Fatigue (MAF) Index is a 16-item, self-reporting instrument designed to collect data on four dimensions of fatigue- severity, distress, degree of interference in activities of daily living, and timing .

    Measured: Baseline and Week 29

  9. Medical Outcomes Study (MOS) Sleep Scale (Change From Baseline)

    The Medical Outcomes Study (MOS) sleep scale is a 12-item (MOS1 to MOS12) self reporting sleep measure.

    Measured: Baseline and Week 29

  10. Clinical Global Impression of Severity (CGI-S Scores)

    Clinical Global Impression of Severity (CGI-S) Scale is a clinician's assessment of patient's severity of illness. The score ranges from 1 = normal, not at all ill to 7 = among the most extremely ill patients

    Measured: Baseline and Week 29

  11. Frequency of Rescue Medication for Pain

    Acetaminophen/paracetamol (maximum of 4 g/day) to be allowed as rescue medication for pain.

    Measured: Week 29

  12. Change From Baseline in Mean Tender Point Threshold

    The Tender Point Pain Threshold will be assessed for all 18 tender points by a study clinician. A dolorimeter will be used to exert the pressure at each point and to measure the threshold reading; when the patient first indicates pain, the threshold will be recorded in kg/sq.cm ;If the patient reports pain before 1.0 kg/sq.cm is reached (>0 kg/sq.cm), 1.0 kg/sq.cm will be entered. If the patient does not report pain when the maximum pressure is applied (10.0 kg/sq.cm),0 (no pain) will be entered.

    Measured: Baseline and Week 29

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jun 2008 (estimated)
  2. Study startJul 2008
  3. Primary completionNov 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00689052
Sponsor's protocol ID
248.637
Status last verified
May 2014
First submitted
29 May 2008
Last updated
9 Jun 2014

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing pramipexole ER in people with Fibromyalgia, run by Boehringer Ingelheim at 42 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 9 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Nov 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Change in the Weekly Mean of the 24-hour Average Pain Score From a Daily Diary as Measured by the 11-point Likert Pain Scale (time frame: Baseline and Week 29). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2014.

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