Pfizer Inc. (NYSE: PFE) today announced that top-line results of a
double-blind, Phase 3 study evaluating pregabalin controlled-release
(CR) formulation in patients with fibromyalgia indicate that pregabalin
CR had a statistically significant positive effect compared to placebo
in the primary endpoint, time to loss of therapeutic response (LTR).
Fibromyalgia is a common pain condition in the United States, affecting
more than five million Americans. It is characterized by chronic
widespread pain and tenderness lasting for three or more months.
This study is the second of three Phase 3 studies of the pregabalin CR
formulation to report top-line findings, which will ascertain the
potential use of pregabalin as a once-a-day therapy. The top-line
results of the first study in adults with partial onset seizures with
epilepsy did not meet its primary endpoint. The final study in
post-herpetic neuralgia is ongoing. Pfizer will analyze further results
of all three studies once data are available.
“Collectively, the results of these controlled release studies will
allow us to better understand the potential of a once-a-day pregabalin
treatment regimen,” said Steven J. Romano, M.D., senior vice president,
head, Medicines Development Group, Global Primary Care Business Unit,
Pfizer Inc. “Reducing the number of times patients need to take their
medicine per day while maintaining the same efficacy and safety profile
could potentially provide a greater convenience and the potential to
enhance treatment adherence and outcomes.”
About the Study
The objective of the double-blind, placebo-controlled, multi-center,
randomized withdrawal study was to assess the efficacy and safety of
pregabalin CR as treatment for patients with fibromyalgia.
The study was composed of 4 phases: baseline (1 week), single-blind (SB)
treatment (6 weeks), double-blind (DB) treatment (13 weeks), and a
1-week double-blind taper. Study medication was administered once daily
(QD) immediately following the evening meal. During the SB phase, an
optimal dose of pregabalin CR (between 300 mg/day to 495 mg/day) was
determined. In the DB phase, patients were randomized to continued
pregabalin CR treatment at the optimized dose or to matching placebo.
A total of 441 subjects were enrolled into the SB phase from 49 sites in
4 countries (U.S., Canada, India, and Taiwan). Of the 441 subjects, 122
(28%) completed SB, had ≥50% pain response (i.e., ≥50% reduction in pain
compared to baseline) and were randomized into DB. 122 subjects
completed the single-blind phase and were randomized to the double-blind
phase. One subject discontinued following randomization without
receiving double-blind study medication, so 121 subjects received
double-blind study medication and are included in the full analysis set.
The primary endpoint, defined as the time to loss of therapeutic pain
response during DB (LTR; <30% pain response relative to the SB baseline
mean pain or withdrawal due to lack of efficacy or adverse events),
occurred in 34 of 63 (54.0%) patients in the pregabalin group as
compared with 41 of 58 (70.7%) subjects in the placebo group. The median
time from randomization to LTR was 58 days in the pregabalin group and
22 days in the placebo group. The difference between the treatments was
statistically significant (log-rank p-value=0.021).
Pregabalin CR was well tolerated and the safety profile was consistent
with the known profile for pregabalin (immediate release) in
fibromyalgia patients. Adverse events reported in 5 percent or more of
subjects included dizziness, somnolence, peripheral edema, insomnia,
headache, fatigue, nausea, weight increased, vision blurred, dry mouth,
and disturbance in attention.
About Lyrica
Lyrica® is currently approved for various indications in 120
countries and regions globally. Since its first approval from the FDA in
2004, Lyrica has been approved for five indications in the U.S., of
which four are in the therapeutic area of pain. These indications
include neuropathic pain associated with diabetic peripheral neuropathy,
post-herpetic neuralgia (pain after shingles), neuropathic pain
associated with spinal cord injury, fibromyalgia and partial onset
seizures in adults with epilepsy who take one or more drugs for
seizures. Antiepileptic drugs (AEDs) including Lyrica increase the risk
of suicidal thoughts or behavior in patients taking AEDs for any
indication.
There have been post-marketing reports of angioedema and
hypersensitivity with Lyrica. Treatment with Lyrica may cause dizziness,
somnolence, dry mouth, edema and blurred vision. Other most common
adverse reactions include weight gain, constipation, euphoric mood,
balance disorder, increased appetite and thinking abnormal (primarily
difficulty with concentration/attention).
For Lyrica prescribing information in the United States, please visit www.lyrica.com.
Pfizer Inc.: Working together for a healthier world®
At Pfizer, we apply science and our global resources to improve health
and well-being at every stage of life. We strive to set the standard for
quality, safety and value in the discovery, development and
manufacturing of medicines for people and animals. Our diversified
global health care portfolio includes human and animal biologic and
small molecule medicines and vaccines, as well as nutritional products
and many of the world’s best-known consumer products. Every day, Pfizer
colleagues work across developed and emerging markets to advance
wellness, prevention, treatments and cures that challenge the most
feared diseases of our time. Consistent with our responsibility as the
world’s leading biopharmaceutical company, we also collaborate with
health care providers, governments and local communities to support and
expand access to reliable, affordable health care around the world. For
more than 150 years, Pfizer has worked to make a difference for all who
rely on us. To learn more about our commitments, please visit us at www.pfizer.com.
DISCLOSURE NOTICE: The information contained in this release is as of
November 19, 2012. Pfizer assumes no obligation to update
forward-looking statements contained in this release as the result of
new information or future events or developments.
This release contains forward-looking information about a potential
additional indication for Lyrica as a once-a-day treatment, including
its potential benefits, that involves substantial risks and
uncertainties. Such risks and uncertainties include, among other
things, the uncertainties inherent in research and development;
decisions by regulatory authorities regarding whether and when to
approve any supplemental drug applications that may be filed for such
additional indication as well as their decisions regarding labeling and
other matters that could affect its availability or commercial
potential; and competitive developments.
A further description of risks and uncertainties can be found in
Pfizer’s Annual Report on Form 10-K for the fiscal year ended December
31, 2011 and in its reports on Form 10-Q and Form 8-K.
