PMID- 21242741 OWN - NLM STAT- MEDLINE DCOM- 20110729 LR - 20220330 IS - 1537-162X (Electronic) IS - 0362-5664 (Linking) VI - 34 IP - 1 DP - 2011 Jan-Feb TI - A 52-week study of gabapentin enacarbil in restless legs syndrome. PG - 8-16 LID - 10.1097/WNF.0b013e3182087d48 [doi] AB - OBJECTIVES: This open-label, multicenter, 52-week extension study (NCT00333359) assessed the long-term safety and efficacy of gabapentin enacarbil in subjects with moderate-to-severe primary restless legs syndrome (RLS). METHODS: Subjects had completed one of 4 randomized, double-blind parent studies (XP052/XP053/XP081/XP083). Gabapentin enacarbil 1200 mg was administered once daily at 5 pm; dose adjustments to 600 or 1800 mg were permitted based on investigator judgment. Safety assessments included adverse events (AEs), vital signs, clinical laboratory tests, and electrocardiograms. Efficacy evaluations included the International Restless Legs Scale total score and the investigator-rated Clinical Global Impression-Improvement scale, at week 52 last observation carried forward. RESULTS: The safety population comprised 573 subjects; 386 (67.4%) completed the study. Treatment-emergent AEs were reported by 80.1% of subjects and led to withdrawal in 10.3% of subjects; most (67.7%) were mild or moderate in intensity. The most common AEs were somnolence and dizziness (19.7% and 11.5% of subjects). Twenty subjects (3.5%) reported serious AEs; one subject died (fall, 25 days after stopping gabapentin enacarbil, judged not treatment related). No serious AE occurred in more than 1 subject. No clinically relevant changes were reported in vital signs, laboratory parameters, or electrocardiograms. At week 52 last observation carried forward, the mean (SD) change from parent study baseline in International Restless Legs Scale total score was -15.2 (8.85 [parent study baseline score, 23.2 (5.03)]), and 84.8% of subjects were Clinical Global Impression-Improvement responders ("much improved" or "very much improved"). CONCLUSIONS: Gabapentin enacarbil was generally safe and well tolerated and improved RLS symptoms in subjects with moderate-to-severe primary RLS for up to 64 weeks of treatment. FAU - Ellenbogen, Aaron L AU - Ellenbogen AL AD - Quest Research Institute, Farmington Hills, MI 48334, USA. aellenbogen@comcast.net FAU - Thein, Stephen G AU - Thein SG FAU - Winslow, David H AU - Winslow DH FAU - Becker, Philip M AU - Becker PM FAU - Tolson, Jerry M AU - Tolson JM FAU - Lassauzet, Marie-Liesse AU - Lassauzet ML FAU - Chen, Dan AU - Chen D LA - eng SI - ClinicalTrials.gov/NCT00333359 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Neuropharmacol JT - Clinical neuropharmacology JID - 7607910 RN - 0 (1-(((alpha-isobutanoyloxyethoxy)carbonyl)aminomethyl)-1-cyclohexaneacetic acid) RN - 0 (Carbamates) RN - 0 (GABA Agents) RN - 56-12-2 (gamma-Aminobutyric Acid) SB - IM MH - Adult MH - Aged MH - Carbamates/*adverse effects/*therapeutic use MH - Chronic Disease MH - Female MH - GABA Agents/*adverse effects/*therapeutic use MH - Humans MH - Male MH - Middle Aged MH - Restless Legs Syndrome/diagnosis/*drug therapy MH - Severity of Illness Index MH - Treatment Outcome MH - Young Adult MH - gamma-Aminobutyric Acid/adverse effects/*analogs & derivatives/therapeutic use EDAT- 2011/01/19 06:00 MHDA- 2011/07/30 06:00 CRDT- 2011/01/19 06:00 PHST- 2011/01/19 06:00 [entrez] PHST- 2011/01/19 06:00 [pubmed] PHST- 2011/07/30 06:00 [medline] AID - 00002826-201101000-00003 [pii] AID - 10.1097/WNF.0b013e3182087d48 [doi] PST - ppublish SO - Clin Neuropharmacol. 2011 Jan-Feb;34(1):8-16. doi: 10.1097/WNF.0b013e3182087d48.