Pramipexole ER vs. Placebo in Fibromyalgia
A Randomized, Double-blind, Placebo-controlled, Dose Titration Efficacy and Safety Study of Pramipexole ER (0.75 to 4.5 mg) Administered Orally Once Daily Versus Placebo Over a 16-week Maintenance Phase in Patients Diagnosed With Fibromyalgia, as Assessed by the American College of Rheumatology (ACR) Criteria Followed by a 24-week Open-label Extension Phase
1 other identifier
interventional
61
1 country
42
Brief Summary
The primary objective of this study is to assess the efficacy and safety of an extended-release (ER) formulation of pramipexole in comparison with placebo for the treatment of fibromyalgia. The objective of the open-label phase is to assess the safety profile and effect of Pramipexole (PPX) extended-release (ER) in fibromyalgia patients over a 24-week period.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
42 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 29, 2008
CompletedFirst Posted
Study publicly available on registry
June 3, 2008
CompletedStudy Start
First participant enrolled
July 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2008
CompletedResults Posted
Study results publicly available
November 25, 2009
CompletedJune 9, 2014
May 1, 2014
4 months
May 29, 2008
October 23, 2009
June 3, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
The Change in the Weekly Mean of the 24-hour Average Pain Score From a Daily Diary as Measured by the 11-point Likert Pain Scale
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)
Baseline and Week 29
Secondary Outcomes (12)
The Proportion of Patients "Very Much Improved" or "Much Improved" on the Patient's Global Impression of Improvement (PGI-I) 7-point Scale
Week 29 (at the end of the maintenance phase)
The Short Form 36 (SF-36) Health Survey, Physical Functioning Subscale (Change From Baseline).
Baseline and Week 29
The Proportion of Patients With at Least a 30% or at Least a 50% Improvement Relative to Baseline in Pain (Assessed on the 11-point Likert Pain Scale
Baseline and Week 29
Fibromyalgia Impact Questionnaire (FIQ) Total Score (Change From Baseline)
Baseline and Week 29
Hospital Anxiety and Depression Scale (HADS) (Change From Baseline).
Baseline and Week 29
- +7 more secondary outcomes
Study Arms (2)
Pramipexole ER
EXPERIMENTAL0.75 mg to 4.5 mg tablets of Pramipexole ER, once daily in the evening
Placebo
PLACEBO COMPARATORPlacebo tablets, once daily in the evening
Interventions
Eligibility Criteria
You may qualify if:
- Male and female outpatients greater than or equal to 18 years of age
- Meet criteria for primary fibromyalgia as defined by the American College of Rheumatology (ACR): widespread aching pain in all four quadrants of the body and axial skeleton for greater than 3 months duration and greater than or equal to 11 of 18 tender points under digital palpitation examination with an approximate force of 4 kilograms per centimeters squared (kg/cm2)
- Pain score of greater than or equal to 4 (scored once at screening and as a weekly mean at baseline) on the 11-point Likert pain scale with 0 = no pain and 10 = worst possible pain
- Score of greater than or equal to 4 (= moderately ill) on the Clinical Global Impression of Severity (CGI-S) at screening and at baseline
- All females of child-bearing potential must test negative for pregnancy at Visit 1. Females of child-bearing potential (not surgically sterilized and between menarche and two years postmenopausal) must agree to utilize medically acceptable and reliable means of birth control as determined by the investigator during the study and for one month following the last dose of study medication. Examples of reliable methods include: use of hormonal contraception (oral, injectable, or subcutaneous), double-barrier method, abstinence, partner with vasectomy, or hormonal intrauterine devices
- Educational level and degree of understanding such that the patient can communicate intelligibly with the investigator and study coordinator
- Judged to be reliable and agree to keep all appointments for clinic visits, tests, and procedures required by the protocol
You may not qualify if:
- Employees of Boehringer Ingelheim (BI) (that is, employees, temporary contract workers, or designees responsible for the conduct of the study)
- Have received treatment within 30 days prior to screening with a drug that has not received regulatory approval for any indication
- Have previously completed or withdrawn from this study or any other study investigating pramipexole.
- Any current or previous diagnosis of psychosis, bipolar disorder, or schizoaffective disorder as assessed by the Mini International Neuropsychiatric Interview (MINI)
- Have any primary anxiety disorder within the past year as assessed by the Mini International Neuropsychiatric Interview (MINI)
- Have any Diagnosis of Statistical Manual of Mental Diseases, 4th Edition (DSM-IV) Axis II disorder that would interfere with protocol compliance
- Medium or high risk of suicidality as assessed by the Mini International Neuropsychiatric Interview (MINI)
- History of substance abuse/dependence within the past year, excluding nicotine and caffeine
- A positive urine drug screen for any substance of abuse or excluded medication
- Women who are pregnant or breast-feeding
- Have pain symptoms related to traumatic injury that will interfere with the interpretation of outcome measures
- Patients with regional pain syndromes, multiple surgeries or failed back surgery syndrome
- A confirmed or previous diagnosis of rheumatoid arthritis, inflammatory arthritis, or infectious arthritis, or an autoimmune disease
- Abnormal C-Reactive Protein, Anti-Nuclear Antibody (ANA), Rheumatoid factor, or Thyroid Stimulating Hormone (TSH)
- Any serious or unstable medical or psychiatric condition or clinically significant abnormalities in labs at screening that would lead to hospitalization during the course of the study or otherwise compromise study participation
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (42)
248.637.01009 Boehringer Ingelheim Investigational Site
Birmingham, Alabama, United States
248.637.01033 Boehringer Ingelheim Investigational Site
Phoenix, Arizona, United States
248.637.01045 Boehringer Ingelheim Investigational Site
Tucson, Arizona, United States
248.637.01034 Boehringer Ingelheim Investigational Site
Hot Springs, Arkansas, United States
248.637.01032 Boehringer Ingelheim Investigational Site
Arcadia, California, United States
248.637.01044 Boehringer Ingelheim Investigational Site
Los Angeles, California, United States
248.637.01036 Boehringer Ingelheim Investigational Site
Santa Ana, California, United States
248.637.01042 Boehringer Ingelheim Investigational Site
Englewood, Colorado, United States
248.637.01031 Boehringer Ingelheim Investigational Site
Danbury, Connecticut, United States
248.637.01035 Boehringer Ingelheim Investigational Site
DeLand, Florida, United States
248.637.01023 Boehringer Ingelheim Investigational Site
Fort Myers, Florida, United States
248.637.01047 Boehringer Ingelheim Investigational Site
Orlando, Florida, United States
248.637.01043 Boehringer Ingelheim Investigational Site
Palm Beach Gardens, Florida, United States
248.637.01040 Boehringer Ingelheim Investigational Site
Sunrise, Florida, United States
248.637.01027 Boehringer Ingelheim Investigational Site
Tampa, Florida, United States
248.637.01007 Boehringer Ingelheim Investigational Site
Atlanta, Georgia, United States
248.637.01028 Boehringer Ingelheim Investigational Site
Chicago, Illinois, United States
248.637.01010 Boehringer Ingelheim Investigational Site
Lexington, Kentucky, United States
248.637.01016 Boehringer Ingelheim Investigational Site
Newton, Massachusetts, United States
248.637.01014 Boehringer Ingelheim Investigational Site
Lansing, Michigan, United States
248.637.01020 Boehringer Ingelheim Investigational Site
Flowood, Mississippi, United States
248.637.01018 Boehringer Ingelheim Investigational Site
Picayune, Mississippi, United States
248.637.01012 Boehringer Ingelheim Investigational Site
Kansas City, Missouri, United States
248.637.01017 Boehringer Ingelheim Investigational Site
Billings, Montana, United States
248.637.01024 Boehringer Ingelheim Investigational Site
Albuquerque, New Mexico, United States
248.637.01008 Boehringer Ingelheim Investigational Site
Albany, New York, United States
248.637.01002 Boehringer Ingelheim Investigational Site
New York, New York, United States
248.637.01025 Boehringer Ingelheim Investigational Site
Charlotte, North Carolina, United States
248.637.01026 Boehringer Ingelheim Investigational Site
Fargo, North Dakota, United States
248.637.01004 Boehringer Ingelheim Investigational Site
Cincinnati, Ohio, United States
248.637.01038 Boehringer Ingelheim Investigational Site
Columbus, Ohio, United States
248.637.01003 Boehringer Ingelheim Investigational Site
Oklahoma City, Oklahoma, United States
248.637.01046 Boehringer Ingelheim Investigational Site
Medford, Oregon, United States
248.637.01006 Boehringer Ingelheim Investigational Site
Portland, Oregon, United States
248.637.01039 Boehringer Ingelheim Investigational Site
Duncansville, Pennsylvania, United States
248.637.01015 Boehringer Ingelheim Investigational Site
Warwick, Rhode Island, United States
248.637.01019 Boehringer Ingelheim Investigational Site
Austin, Texas, United States
248.637.01037 Boehringer Ingelheim Investigational Site
San Antonio, Texas, United States
248.637.01041 Boehringer Ingelheim Investigational Site
Salt Lake City, Utah, United States
248.637.01021 Boehringer Ingelheim Investigational Site
Renton, Washington, United States
248.637.01029 Boehringer Ingelheim Investigational Site
Seattle, Washington, United States
248.637.01011 Boehringer Ingelheim Investigational Site
Spokane, Washington, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Early termination leading to no number of subjects analysed for any outcome measure
Results Point of Contact
- Title
- Boehringer Ingelheim Pharmaceuticals
- Organization
- Boehringer Ingelheim Pharmaceuticals
Study Officials
- STUDY CHAIR
Boehringer Ingelheim
Boehringer Ingelheim
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 29, 2008
First Posted
June 3, 2008
Study Start
July 1, 2008
Primary Completion
November 1, 2008
Last Updated
June 9, 2014
Results First Posted
November 25, 2009
Record last verified: 2014-05