Trial Outcomes & Findings for Pramipexole ER vs. Placebo in Fibromyalgia (NCT NCT00689052)

NCT ID: NCT00689052

Last Updated: 2014-06-09

Results Overview

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)

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

61 participants

Primary outcome timeframe

Baseline and Week 29

Results posted on

2014-06-09

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Patients receive placebo in dose up-titration steps
Pramipexole
Patients receive pramipexole in dose up-titration steps
Overall Study
STARTED
31
30
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
31
30

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Patients receive placebo in dose up-titration steps
Pramipexole
Patients receive pramipexole in dose up-titration steps
Overall Study
Adverse Event
4
6
Overall Study
Protocol Violation
1
0
Overall Study
Lost to Follow-up
2
0
Overall Study
Withdrawal by Subject
2
0
Overall Study
Early termination of the trial
22
24

Baseline Characteristics

Pramipexole ER vs. Placebo in Fibromyalgia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=31 Participants
Patients receiving matching placebo
Pramipexole
n=30 Participants
Patients receiving pramipexole
Total
n=61 Participants
Total of all reporting groups
Age, Continuous
52.3 years
STANDARD_DEVIATION 10.3 • n=99 Participants
50.7 years
STANDARD_DEVIATION 9.7 • n=107 Participants
51.5 years
STANDARD_DEVIATION 9.9 • n=206 Participants
Sex: Female, Male
Female
30 Participants
n=99 Participants
30 Participants
n=107 Participants
60 Participants
n=206 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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)

Outcome measures

Outcome data not reported

SECONDARY outcome

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

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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 .

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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 .

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 29

Population: FAS (All randomized and treated patients with a baseline and at least one post-baseline will be included in the Full Analysis Set (FAS))

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.

Outcome measures

Outcome data not reported

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Pramipexole

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=31 participants at risk
Pramipexole
n=30 participants at risk
Blood and lymphatic system disorders
Iron deficiency anaemia
3.2%
1/31 • Up to 72 days
0.00%
0/30 • Up to 72 days

Other adverse events

Other adverse events
Measure
Placebo
n=31 participants at risk
Pramipexole
n=30 participants at risk
Psychiatric disorders
insomnia
9.7%
3/31 • Up to 72 days
16.7%
5/30 • Up to 72 days
Psychiatric disorders
sleep attacks
0.00%
0/31 • Up to 72 days
10.0%
3/30 • Up to 72 days
Nervous system disorders
somnolence
3.2%
1/31 • Up to 72 days
16.7%
5/30 • Up to 72 days
Nervous system disorders
dizziness
3.2%
1/31 • Up to 72 days
6.7%
2/30 • Up to 72 days
Nervous system disorders
headache
6.5%
2/31 • Up to 72 days
6.7%
2/30 • Up to 72 days
Gastrointestinal disorders
nausea
9.7%
3/31 • Up to 72 days
23.3%
7/30 • Up to 72 days
Gastrointestinal disorders
dry mouth
0.00%
0/31 • Up to 72 days
10.0%
3/30 • Up to 72 days
Gastrointestinal disorders
Gastrooesophageal disease
0.00%
0/31 • Up to 72 days
6.7%
2/30 • Up to 72 days
Skin and subcutaneous tissue disorders
hyperhidrosis
0.00%
0/31 • Up to 72 days
6.7%
2/30 • Up to 72 days
Skin and subcutaneous tissue disorders
rash
6.5%
2/31 • Up to 72 days
0.00%
0/30 • Up to 72 days
Musculoskeletal and connective tissue disorders
arthralgia
9.7%
3/31 • Up to 72 days
3.3%
1/30 • Up to 72 days
General disorders
fatigue
0.00%
0/31 • Up to 72 days
13.3%
4/30 • Up to 72 days
Gastrointestinal disorders
Diarrhoea
6.5%
2/31 • Up to 72 days
3.3%
1/30 • Up to 72 days

Additional Information

Boehringer Ingelheim Pharmaceuticals

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.
  • Publication restrictions are in place

Restriction type: OTHER