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FibromyalgiaPhase 3NCT01432236

A Phase 3b Multicenter Study of Pregabalin in Fibromyalgia Subjects Who Have Comorbid Depression

A Phase 3 study testing Pregabalin in people with Fibromyalgia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 37 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The intent of this study is to identify and treat fibromyalgia subjects with comorbid depression who are receiving an SSRI (selective serotonin reuptake inhibitor) or SNRI (selective norepinephrine reuptake inhibitor) primarily for their depression and to determine whether pregabalin demonstrates improvement relative… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Fibromyalgia
What is being tested?
Pregabalin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
197 participants
Where
37 sitesin 4 countries
Study dates
Oct 2011to Jul 2013
Phase
Phase 3
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

  • Men or women of any race or ethnicity who are at least 18 years of age.
  • Adult women and men with a diagnosis of fibromyalgia and stable depression (major depressive disorder, depression not otherwise specified (NOS), or dysthymia) who have been taking an antidepressant (SSRI or SNRI) primarily for their depression for at least 3 months.

Who cannot join

  • Have failed pregabalin treatment due to lack of improvement of symptoms at doses of greater than or equal to 300 mg daily, cannot tolerate pregabalin or any pregabalin ingredient, or participated in a pregabalin clinical trial. If the subject has taken pregabalin and discontinued for reason other than lack of improvement or intolerance, then they will be eligible. Pregabalin use within the last 30 days (prior to V1) is not permitted.
  • Patients with severe or unstable depression are not eligible.
  • Patients with other types of pain or conditions that may make it difficult to evaluate fibromyalgia symptoms are not eligible
  • Any subject considered at risk of suicide or self harm based on investigator judgment and/or the details of a risk assessment

Trial locations and contacts

37 sites in 4 countries.

37 sites in 4 countries

United States26 sites
  • Michigan Head Pain and Neurological Institute

    Ann Arbor, Michigan, 48104

  • FutureSearch Trials of Neurology

    Austin, Texas, 78731

  • Boston Clinical Trials

    Boston, Massachusetts, 02131

  • Social Psychiatry Research Institute

    Brooklyn, New York, 11235

  • Charlottesville Medical Research

    Charlottesville, Virginia, 22911

  • University of Cincinnati

    Cincinnati, Ohio, 45219

  • Innovative Research of West Florida, Inc.

    Clearwater, Florida, 33756

  • Medical Research and Health Education Foundation, Inc.

    Columbus, Georgia, 31909

  • Radiant Research, Inc.

    Columbus, Ohio, 43212

  • Florida Medical Center & Research, Inc.

    Coral Gables, Florida, 33134

  • Midwest Clinical Research Center

    Dayton, Ohio, 45417

  • Coastal Medical

    East Greenwich, Rhode Island, 02818

  • Central Kentucky Research Associates, Inc.

    Lexington, Kentucky, 40509

  • Sunstone Medical Research, LLC

    Medford, Oregon, 97504

  • Coastal Carolina Research Center

    Mt. Pleasant, South Carolina, 29464

  • Quality Clinical Research, Inc.

    Omaha, Nebraska, 68114

  • SDS Clinical Trials

    Orange, California, 92868

  • Fatigue Consultation Clinic

    Salt Lake City, Utah, 84102

  • Lifetree Clinical Research, LC

    Salt Lake City, Utah, 84106

  • Research Across America

    Santa Ana, California, 92705

  • Meridien Research

    Tampa, Florida, 33606

  • Genova Clinical Research

    Tucson, Arizona, 85704

  • Omega Medical Research

    Warwick, Rhode Island, 02886

  • Heartland Research Associates, LLC

    Wichita, Kansas, 67207

  • Behavioral Medicine Center

    Wyomissing, Pennsylvania, 19610

  • Clinical Research Center of Reading, LLP

    Wyomissing, Pennsylvania, 19610

Other trials in United States

Spain6 sites
  • Hospital de lˊEsperança

    Barcelona, 08024

  • Instituto Universitario USP Dexeus

    Barcelona, 08028

  • Servicio de Reumatologia,Institut Ferran de Reumatologia-Clinica CIMA

    Barcelona, 08034

  • Hospital Clínic de Barcelona

    Barcelona, 08036

  • Hospital General Universitario de Guadalajara

    Guadalajara, 19002

  • Hospital General Universitario Gregorio Marañon

    Madrid, 28028

Other trials in Spain

Canada3 sites
  • Dr. Alexander McIntyre Inc.

    Penticton, British Columbia, V2A 4M4

  • Diex Research Sherbrooke Inc.

    Sherbrooke, Quebec, J1H 1Z1

  • Canadian Centre for Clinical Trials

    Thornhill, Ontario, L4J 1W3

Other trials in Canada

Italy2 sites
  • Azienda Ospedaliera Luigi Sacco - Polo Universitario

    Milan, 20157

  • Università degli Studi di Roma "La Sapienza"

    Roma, 00161

Other trials in Italy

About this study

Official title: A Phase 3b Multicenter, Double-blind, Randomized, Placebo-controlled, 2-way Crossover Study Of Pregabalin In The Treatment Of Fibromyalgia With Concurrent Antidepressant Therapy For Comorbid Depression (Protocol A0081275)

The intent of this study is to identify and treat fibromyalgia subjects with comorbid depression who are receiving an SSRI (selective serotonin reuptake inhibitor) or SNRI (selective norepinephrine reuptake inhibitor) primarily for their depression and to determine whether pregabalin demonstrates improvement relative to placebo in improving pain associated with fibromyalgia.

Conditions
Fibromyalgia
Being tested
Pregabalin, placebo
Keywords
Pregabalin, Lyrica, depression
Medical subject headings
Fibromyalgia, Depression

What participants receive

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

  • PregabalinDrug

    Pregabalin 300 or 450 mg/day dosed BID ( twice a day) for 14 weeks; 150 mg/day starting dose

  • placeboDrug

    placebo capsules twice a day for 14 weeks

Study groups in NCT01432236
Study groupRoleWhat they receive
PregabalinExperimentalGroup 1 as Pregabalin vs. Placebo (cross over study in which period one has this group)
Receives: Drug: Pregabalin
PlaceboPlacebo comparatorGroup 2 as placebo vs. pregabalin (cross over study in which period two will have this group)
Receives: Drug: placebo

What is being measured

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

  1. Mean NRS Pain Score at End of Period.

    The daily pain diary consists of an 11-point numeric scale (NRS) ranging from 0 ("no pain") to 10 ("worst possible pain"). Participants describe their pain during the past 24 hours by choosing the appropriate number between 0 and 10. The endpoint mean pain scores for Period 1 and Period 2 are defined as the mean of the last 7 non-missing daily diary pain ratings while taking study medication in the double-blind phase during Period 1 and Period 2, respectively.

    Measured: End of each period, at Weeks 6 and 14

Secondary outcomes (13)
  1. Fibromyalgia Impact Questionnaire (FIQ) Score at Baseline.

    This was a 20-item participant reported outcome instrument. It contained 10 subscales, which were combined to yield a total score. The first 11 questions were related specifically to physical functioning subscale, ranging from 0 to 10. The remaining 9 questions assessed pain, fatigue, stiffness, difficulty working, and symptoms of anxiety and depression ranging from 0 to 10. The higher values indicated greater impairment. All 20 were combined to form a total score ranging from 0 to 100, provides an estimation of fibromyalgia impact with higher scores indicating more impairment. The severity categorizations for the FIQ are: less than 40 (mild), 40-60 (moderate), and above 60 (severe).

    Measured: Baseline

  2. FIQ Score at End of Period.

    This was a 20-item participant reported outcome instrument. It contained 10 subscales, which were combined to yield a total score. The first 11 questions were related specifically to physical functioning subscale, ranging from 0 to 10. The remaining 9 questions assessed pain, fatigue, stiffness, difficulty working, and symptoms of anxiety and depression ranging from 0 to 10. The higher values indicated greater impairment. All 20 were combined to form a total score ranging from 0 to 100, provides an estimation of fibromyalgia impact with higher scores indicating more impairment. The severity categorizations for the FIQ are: less than 40 (mild), 40-60 (moderate), and above 60 (severe).

    Measured: End of each period, at Weeks 6 and 14

  3. Patient Global Impression of Change (PGIC) at the End of Period 1.

    PGIC: participant rated instrument to measure participant's change in overall status on a 7-point scale; range from 1 (very much improved) to 7 (very much worse).

    Measured: End of Period 1 at Week 6

  4. Percentage of Participants With >=30% and >=50% Pain Reduction Based on Daily Pain Diary.

    Participant with at least a 30% reduction in mean pain score from baseline (at randomization) to the endpoint at the end of each period (Visits 6 and 12) is considered a 30% responder, for the respective period. Similarly, a subject with at least a 50% reduction in mean pain score from baseline (at randomization) to the endpoint at the end of each period (Visits 6 and 12) is considered a 50% responder, for the respective period.

    Measured: Visits 2, 6, and 12

  5. Subjective Sleep Questionnaire - Mean Sleep Quality at End of Period.

    Subjective Sleep Questionnaire included 5 items: participants report latency (how long it took them to fall asleep), how many hours they slept, the number of times they woke up, the total wake time after sleep onset, and then rate the quality of their sleep (NRS) for the previous night. Subjective rating of quality of sleep during the past night was done by selecting a number between 0 (very poor) and 10 (excellent). Mean sleep quality was calculated as the mean of the last seven days, the potential range of responses was therefore 0-10.

    Measured: End of each period, at Weeks 6 and 14

  6. Subjective Sleep Questionnaire - Mean Subjective Wake After Sleep Onset at End of Period.

    Subjective Sleep Questionnaire included, participants report latency (how long it took them to fall asleep), how many hours they slept, the number of times they woke up, the total wake time after sleep onset, and then rate the quality of their sleep (numeric rating scale) for the previous night. Subjective wake after sleep onset was the subjective estimate of the total amount of time the participant was awake after initial sleep onset until final awakening.

    Measured: End of each period, at Weeks 6 and 14

  7. Subjective Sleep Questionnaire - Mean Latency to Sleep Onset at End of Period.

    Subjective Sleep Questionnaire included, participants report latency (how long it took them to fall asleep), how many hours they slept, the number of times they woke up, the total wake time after sleep onset, and then rate the quality of their sleep (numeric rating scale) for the previous night. Subjective latency to sleep onset was the subjective estimate of the amount of time to fall asleep after lights out.

    Measured: End of each period, at Weeks 6 and 14

  8. Subjective Sleep Questionnaire - Mean Subjective Total Sleep Time at End of Period.

    Subjective Sleep Questionnaire included, participants report latency (how long it took them to fall asleep), how many hours they slept, the number of times they woke up, the total wake time after sleep onset, and then rate the quality of their sleep (numeric rating scale) for the previous night. Subjective total sleep time was the subjective estimate of the total amount of time the participant was asleep after lights out until final awakening.

    Measured: End of each period, at Weeks 6 and 14

  9. Subjective Sleep Questionnaire - Parameter Estimates for Subjective Number of Awakenings Per Night After Sleep Onset at End of Period.

    Subjective Sleep Questionnaire included, participants report latency (how long it took them to fall asleep), how many hours they slept, the number of times they woke up, the total wake time after sleep onset, and then rate the quality of their sleep (numeric rating scale) for the previous night. Subjective number of awakenings after sleep onset was the subjective estimate of the total number of times the participant awakened during the night until final awakening.

    Measured: End of each period, at Weeks 6 and 14

  10. Hospital Anxiety and Depression Scale (HADS) at Baseline.

    HADS: participant rated questionnaire with 2 subscales. HADS-A (anxiety) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); HADS-D (depression) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.

    Measured: Baseline

  11. HADS at End of Period.

    HADS: participant rated questionnaire with 2 subscales. HADS-A (anxiety) assesses state of generalized anxiety (anxious mood, restlessness, anxious thoughts, panic attacks); HADS-D (depression) assesses state of lost interest and diminished pleasure response (lowering of hedonic tone). Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.

    Measured: End of each period, at Weeks 6 and 14

  12. Mean EuroQoL 5-Dimensions (EQ-5D) Score at Baseline.

    EQ-5D is a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a single index value characterizing current health status using a 100-point visual analog scale (0=worst, 100=best). EQ-5D summary index is obtained with a formula that weights each level of the dimensions. The index-based score is interpreted along a continuum of 0 (death) to 1 (perfect health).

    Measured: Baseline

  13. EQ-5D Score at End of Period.

    EQ-5D is a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a single index value characterizing current health status using a 100-point visual analog scale (0=worst, 100=best). EQ-5D summary index is obtained with a formula that weights each level of the dimensions. The index-based score is interpreted along a continuum of 0 (death) to 1 (perfect health).

    Measured: End of each period, at Weeks 6 and 14

Timeline

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

  1. First posted12 Sep 2011 (estimated)
  2. Study startOct 2011
  3. Primary completionJul 2013
  4. Study completionJul 2013

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
197 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01432236
Sponsor's protocol ID
A0081275
Other IDs
2011-002480-19
Status last verified
Oct 2014
First submitted
8 Sep 2011
Last updated
22 Jan 2021
Data monitoring committee
No

Publications

  • Bateman L, Sarzi-Puttini P, Burbridge CL, Landen JW, Masters ET, Bhadra Brown P, Scavone JM, Emir B, Vissing RS, Clair AG, Pauer LR. Burden of illness in fibromyalgia patients with comorbid depression. Clin Exp Rheumatol. 2016 Mar-Apr;34(2 Suppl 96):S106-13. Epub 2016 Mar 10.

    PubMed 27057659
  • Arnold LM, Sarzi-Puttini P, Arsenault P, Khan T, Bhadra Brown P, Clair A, Scavone JM, Driscoll J, Landen J, Pauer L. Efficacy and Safety of Pregabalin in Patients with Fibromyalgia and Comorbid Depression Taking Concurrent Antidepressant Medication: A Randomized, Placebo-controlled Study. J Rheumatol. 2015 Jul;42(7):1237-44. doi: 10.3899/jrheum.141196. Epub 2015 Jun 1.

    PubMed 26034150

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pregabalin in people with Fibromyalgia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 37 sites in 4 countries.

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 2 inclusion and 4 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: finished, as of the sponsor's last update on 22 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Spain, Canada, Italy. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 22 Oct 2014). 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?

Mean NRS Pain Score at End of Period. (time frame: End of each period, at Weeks 6 and 14). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01432236, which also lists 2 linked publications.

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 22 Jan 2021.

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