Pregabalin



Pregabalin


Timothy Welty





  • MECHANISM OF ACTION



    • Binds to the α-2-δ subunit of voltage-gated calcium channels in the neuron


    • Reduces depolarization-dependent calcium influx, modulating excitatory neurotransmitter release


  • EFFICACY



    • Epilepsy



      • Study Type. Randomized clinical trial (RCT)1



        • Main Entry Criteria. Adult patients with simple, complex, or secondarily generalized refractory seizures treated with one to three antiepileptic drugs


        • Comparator. Pregabalin at 150 or 600 mg/day and placebo


        • Number of Patients. 287


        • Primary Outcome Variable. Seizure counts and adverse effects


        • Results. Pregabalin at both doses significantly reduced seizure frequency.


      • Study Type. RCT2



        • Main Entry Criteria. Adult patients with partial seizures on other antiepileptic drugs


        • Comparator. Pregabalin at 50, 150, 300, or 600 mg/day and placebo


        • Number of Patients. 453


        • Primary Outcome Variable. Seizure counts and responder rate


        • Results. Pregabalin at 150, 300, and 600 mg/day significantly reduced seizure frequency and had significantly higher responder rates compared to placebo.


    • Pain



      • Study Type. RCT3



        • Main Entry Criteria. Patients with postherpetic neuralgia



        • Comparator. Pregabalin 150 or 300 mg/day or placebo


        • Number of Patients. 281


        • Primary Outcome Variable. Pain score, sleep interruption, Short Form-36 (SF-36), and global assessment


        • Results. Significantly more patients in both pregabalin groups reported improvements in pain and sleep interruption compared to placebo; SF-36 scores significantly improved in bodily pain and vitality scales; there was no difference between doses of pregabalin.


      • Study Type. RCT4



        • Main Entry Criteria. Patients with at least a 1- to 5-year history of diabetic peripheral neuropathy, a pain score of ≥40 mm on the SF McGill Pain Questionnaire (SF-MPQ), and an average daily pain score of ≥4 on a 0 to 10 numeric pain rating scale


        • Comparator. Pregabalin 300 mg/day or placebo


        • Number of Patients. 146


        • Primary Outcome Variable. Mean pain scores, SF-36 Health Survey


        • Results. Statistically significant improvements were observed in pain scores, mean sleep interference scores, and total SF-MPQ score.


      • Study Type. RCT5

Jul 14, 2016 | Posted by in PHARMACY | Comments Off on Pregabalin

Full access? Get Clinical Tree

Get Clinical Tree app for offline access