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
Main Entry Criteria. Patients with at least 3 months of pain following a herpes zoster infection
Comparator. Pregabalin dose based on renal function or placebo
Number of Patients. 173
Primary Outcome Variable. Seven daily pain scoresStay updated, free articles. Join our Telegram channel
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