Trial Outcomes & Findings for Study of Gabapentin Extended Release (G-ER)in the Treatment of Vasomotor (Hot Flashes/Hot Flushes) Symptoms in Postmenopausal Women. (NCT NCT00777023)

NCT ID: NCT00777023

Last Updated: 2012-02-22

Results Overview

Mean change from baseline in average daily number of moderate or severe hot flashes at stable dose week (SDW) 4 of treatment relative to placebo; last observation carried forward (LOCF) analysis

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

565 participants

Primary outcome timeframe

At baseline and 4 weeks of treatment

Results posted on

2012-02-22

Participant Flow

A total of 565 patients were randomly assigned to treatment: 190 in G-ER 1800 mg group, 192 in G-ER 1200 mg group, and 183 in placebo group. Of these 565 patients, 559 patients (190 in G-ER 1800 mg group, 186 in 1200 mg group, and 183 in placebo group) received study treatment and were included in intent to treat (ITT) and safety populations.

Participant milestones

Participant milestones
Measure
G-ER 1200 mg
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
Placebo 1200 mg or 1800 mg
Overall Study
STARTED
186
190
183
Overall Study
COMPLETED
151
149
146
Overall Study
NOT COMPLETED
35
41
37

Reasons for withdrawal

Reasons for withdrawal
Measure
G-ER 1200 mg
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
Placebo 1200 mg or 1800 mg
Overall Study
Adverse Event
15
21
8
Overall Study
Lack of Efficacy
1
0
14
Overall Study
Protocol Violation
2
1
1
Overall Study
Lost to Follow-up
2
3
3
Overall Study
Death
0
1
0
Overall Study
Withdrawal by Subject
7
7
8
Overall Study
Missing data
1
1
0
Overall Study
Reasons not specified
4
4
2
Overall Study
Last dose date unknown
3
3
1

Baseline Characteristics

Study of Gabapentin Extended Release (G-ER)in the Treatment of Vasomotor (Hot Flashes/Hot Flushes) Symptoms in Postmenopausal Women.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
G-ER 1200 mg
n=186 Participants
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 Participants
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 Participants
Placebo 1200 mg or 1800 mg
Total
n=559 Participants
Total of all reporting groups
Age Continuous
53.1 years
STANDARD_DEVIATION 7.0 • n=5 Participants
53.6 years
STANDARD_DEVIATION 6.1 • n=7 Participants
52.9 years
STANDARD_DEVIATION 6.0 • n=5 Participants
53.2 years
STANDARD_DEVIATION 6.4 • n=4 Participants
Age, Customized
<65 years
175 participants
n=5 Participants
181 participants
n=7 Participants
177 participants
n=5 Participants
533 participants
n=4 Participants
Age, Customized
>=65 years
11 participants
n=5 Participants
9 participants
n=7 Participants
6 participants
n=5 Participants
26 participants
n=4 Participants
Sex: Female, Male
Female
186 Participants
n=5 Participants
190 Participants
n=7 Participants
183 Participants
n=5 Participants
559 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Frequency of hot flashes
Mild
1.1 Hot flashes
STANDARD_DEVIATION 2.0 • n=5 Participants
1.0 Hot flashes
STANDARD_DEVIATION 2.0 • n=7 Participants
1.7 Hot flashes
STANDARD_DEVIATION 2.9 • n=5 Participants
1.2 Hot flashes
STANDARD_DEVIATION 2.3 • n=4 Participants
Frequency of hot flashes
Moderate
6.1 Hot flashes
STANDARD_DEVIATION 5.8 • n=5 Participants
5.4 Hot flashes
STANDARD_DEVIATION 4.0 • n=7 Participants
6.2 Hot flashes
STANDARD_DEVIATION 5.1 • n=5 Participants
5.9 Hot flashes
STANDARD_DEVIATION 5.0 • n=4 Participants
Frequency of hot flashes
Severe
6.7 Hot flashes
STANDARD_DEVIATION 5.1 • n=5 Participants
6.9 Hot flashes
STANDARD_DEVIATION 5.5 • n=7 Participants
6.6 Hot flashes
STANDARD_DEVIATION 4.9 • n=5 Participants
6.8 Hot flashes
STANDARD_DEVIATION 5.2 • n=4 Participants

PRIMARY outcome

Timeframe: At baseline and 4 weeks of treatment

Population: Intention to treat population

Mean change from baseline in average daily number of moderate or severe hot flashes at stable dose week (SDW) 4 of treatment relative to placebo; last observation carried forward (LOCF) analysis

Outcome measures

Outcome measures
Measure
G-ER 1200 mg
n=186 Participants
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 Participants
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 Participants
Placebo 1200 mg or 1800 mg
Change From Baseline in Average Daily Frequency of Moderate or Severe Hot Flashes After 4 Weeks of Treatment
-7.0 Hot flashes
Interval -7.77 to -6.19
-6.9 Hot flashes
Interval -7.68 to -6.08
-5.4 Hot flashes
Interval -6.18 to -4.46

PRIMARY outcome

Timeframe: At baseline and 12 weeks of treatment

Population: Intent to treat population

Mean change from baseline in average daily number of moderate or severe hot flashes at stable dose week (SDW) 12 of treatment relative to placebo; last observation carried forward (LOCF) analysis

Outcome measures

Outcome measures
Measure
G-ER 1200 mg
n=186 Participants
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 Participants
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 Participants
Placebo 1200 mg or 1800 mg
Change From Baseline in Average Daily Frequency of Moderate or Severe Hot Flashes After 12 Weeks of Treatment
-7.7 Hot flashes
Interval -8.5 to -6.97
-7.3 Hot flashes
Interval -8.06 to -6.52
-6.2 Hot flashes
Interval -6.96 to -5.38

PRIMARY outcome

Timeframe: At baseline and 4 weeks of treatment

Population: Intent to treat population

Mean change from baseline in average daily severity score of moderate or severe hot flashes at stable dose week (SDW) 4 of treatment relative to placebo; last observation carried forward (LOCF) analysis. Severity of hot flashes is scored on a scale of 1 to 3 where 1=mild, 2=moderate, 3=severe.

Outcome measures

Outcome measures
Measure
G-ER 1200 mg
n=186 Participants
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 Participants
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 Participants
Placebo 1200 mg or 1800 mg
Change From Baseline in Average Daily Severity Score of Moderate or Severe Hot Flashes After 4 Weeks of Treatment
-0.5 Units on a scale
Interval -0.63 to -0.4
-0.6 Units on a scale
Interval -0.76 to -0.53
-0.4 Units on a scale
Interval -0.49 to -0.25

PRIMARY outcome

Timeframe: At baseline and 12 weeks of treatment

Population: Intent to treat population

Mean change from baseline in average daily severity score of moderate or severe hot flashes at stable dose week (SDW) 12 of treatment relative to placebo; last observation carried forward (LOCF) analysis. Severity of hot flashes is scored on a scale of 1 to 3 where 1=mild, 2=moderate, 3=severe.

Outcome measures

Outcome measures
Measure
G-ER 1200 mg
n=186 Participants
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 Participants
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 Participants
Placebo 1200 mg or 1800 mg
Change From Baseline in Average Daily Severity Score of Moderate or Severe Hot Flashes After 12 Weeks of Treatment
-0.8 Units on a scale
Interval -0.9 to -0.61
-0.8 Units on a scale
Interval -0.97 to -0.68
-0.5 Units on a scale
Interval -0.69 to -0.39

Adverse Events

G-ER 1200 mg

Serious events: 2 serious events
Other events: 70 other events
Deaths: 0 deaths

G-ER 1800 mg

Serious events: 2 serious events
Other events: 83 other events
Deaths: 0 deaths

Sugar Pill

Serious events: 2 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
G-ER 1200 mg
n=186 participants at risk
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 participants at risk
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 participants at risk
Placebo 1200 mg or 1800 mg
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.54%
1/186 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/190 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/183 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Injury, poisoning and procedural complications
Overdose; attempted suicide
0.54%
1/186 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/190 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/183 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
General disorders
Chest pain
0.00%
0/186 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.53%
1/190 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/183 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/186 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.53%
1/190 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/183 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/186 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/190 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.55%
1/183 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Injury, poisoning and procedural complications
Meniscus lesion
0.00%
0/186 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.00%
0/190 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.55%
1/183 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.

Other adverse events

Other adverse events
Measure
G-ER 1200 mg
n=186 participants at risk
Gabapentin extended-release (G-ER) 1200 mg
G-ER 1800 mg
n=190 participants at risk
Gabapentin extended-release (G-ER) 1800 mg
Sugar Pill
n=183 participants at risk
Placebo 1200 mg or 1800 mg
Gastrointestinal disorders
Nausea
3.2%
6/186 • Number of events 6 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
7.4%
14/190 • Number of events 14 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
1.6%
3/183 • Number of events 3 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Nervous system disorders
Dizziness
17.2%
32/186 • Number of events 32 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
18.9%
36/190 • Number of events 36 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
2.7%
5/183 • Number of events 5 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Nervous system disorders
Headache
4.8%
9/186 • Number of events 9 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
7.4%
14/190 • Number of events 14 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
7.7%
14/183 • Number of events 14 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Nervous system disorders
Somnolence
7.0%
13/186 • Number of events 13 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
8.4%
16/190 • Number of events 16 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
3.3%
6/183 • Number of events 6 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
Nervous system disorders
Sedation
5.4%
10/186 • Number of events 10 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
1.6%
3/190 • Number of events 3 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.
0.55%
1/183 • Number of events 1 • Adverse events collected for total of 13 weeks: from baseline to end of stable dosing week (SDW) 12 (treatment Week 13; end-of-treatment period).
Adverse event collection began at baseline and continued through Week 14 follow-up phone call; serious adverse events followed for 30 days after study completion.

Additional Information

Head of R&D

Depomed

Phone: 650-462-5900

Results disclosure agreements

  • Principal investigator is a sponsor employee The PI agrees that the sponsor shall have the right to the first publication of the results of the study which is intended to be a joint, multi-center publication. Following the first publication, the PI may publish data or results from the study, provide however PI submits the proposed publication to sponsor for review at least 60 days prior to the date of the proposed publication. Sponsor may remove any information that is considered confidential and/or proprietary other than study data.
  • Publication restrictions are in place

Restriction type: OTHER