PMID- 20487048 OWN - NLM STAT- MEDLINE DCOM- 20110801 LR - 20151119 IS - 1742-1241 (Electronic) IS - 1368-5031 (Linking) VI - 64 IP - 9 DP - 2010 Aug TI - A prospective, open-label, multicentre study of pregabalin in the treatment of neuropathic pain in Latin America. PG - 1301-9 LID - 10.1111/j.1742-1241.2010.02389.x [doi] AB - AIMS: The objective of this study was to evaluate the safety and efficacy of pregabalin at flexible doses of 150-600 mg/day in Latin American patients with neuropathic pain. METHODS: A prospective, multicentre, open-label, non-comparative study included patients age >or= 18 years diagnosed with neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, chemotherapy-induced peripheral neuropathic pain (PNP), or human immunodeficiency virus-related PNP. Eligible patients (N = 121) had a score of >or= 40 mm on the visual analogue scale and a daily pain rating scale (DPRS) score of >or= 4 throughout screening. Patients received flexible-dose pregabalin (150-600 mg/day) for 12 weeks, which included a 4-week dose-adjustment phase. The primary efficacy measure was change from baseline to end of treatment/last observation carried forward (EOT/LOCF) in weekly mean pain score on the DPRS. Secondary efficacy measures included pain, anxiety, sleep interference, treatment satisfaction and Patient and Clinician Global Impression of Change. RESULTS: Pregabalin significantly reduced the weekly mean pain score on DPRS from baseline to EOT/LOCF [-3.8 (95% CI: -4.2 to -3.3); p < 0.0001]. Reductions from baseline to EOT/LOCF were observed for all secondary efficacy outcomes (p < 0.0001). Pain and sleep interference were significantly improved compared with baseline across all weeks of the study, as early as 1 week after initiation of pregabalin (p < 0.0001). The most common adverse events (AEs) were somnolence, dizziness, weight gain and peripheral oedema. Nine (7.4%) patients discontinued the study because of AEs and 25 (20.7%) temporarily stopped or reduced their pregabalin dose because of AEs. CONCLUSIONS: Flexible-dose pregabalin (150-600 mg/day) significantly reduced pain and anxiety and improved sleep and was generally well tolerated in Latin American patients with neuropathic pain. FAU - Xochilcal-Morales, M AU - Xochilcal-Morales M AD - Centro de Investigacion Clinica del Pacifico, Acapulco, Mexico. FAU - Castro, E M AU - Castro EM FAU - Guajardo-Rosas, J AU - Guajardo-Rosas J FAU - Obregon, T N AU - Obregon TN FAU - Acevedo, J C AU - Acevedo JC FAU - Chucan, J M G AU - Chucan JM FAU - Plancarte-Sanchez, R AU - Plancarte-Sanchez R FAU - Davila, G AU - Davila G FAU - Wajsbrot, D AU - Wajsbrot D FAU - Guerrero, M AU - Guerrero M FAU - Vinueza, R AU - Vinueza R LA - eng SI - ClinicalTrials.gov/NCT00407511 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20100510 PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Analgesics) RN - 55JG375S6M (Pregabalin) RN - 56-12-2 (gamma-Aminobutyric Acid) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Analgesics/*administration & dosage/adverse effects MH - Colombia MH - Dose-Response Relationship, Drug MH - Ecuador MH - Female MH - Humans MH - Male MH - Mexico MH - Middle Aged MH - Neuralgia/*drug therapy MH - Pain Measurement MH - Peru MH - Pregabalin MH - Prospective Studies MH - Treatment Outcome MH - Venezuela MH - Young Adult MH - gamma-Aminobutyric Acid/administration & dosage/adverse effects/*analogs & derivatives EDAT- 2010/05/22 06:00 MHDA- 2011/08/02 06:00 CRDT- 2010/05/22 06:00 PHST- 2010/05/22 06:00 [entrez] PHST- 2010/05/22 06:00 [pubmed] PHST- 2011/08/02 06:00 [medline] AID - IJCP2389 [pii] AID - 10.1111/j.1742-1241.2010.02389.x [doi] PST - ppublish SO - Int J Clin Pract. 2010 Aug;64(9):1301-9. doi: 10.1111/j.1742-1241.2010.02389.x. Epub 2010 May 10.