A Comparison of Pregabalin (Lyrica®) to Placebo in Pain Relief After Photorefractive Keratectomy (PRK) Surgery

NCT ID: NCT01097577

Last Updated: 2020-10-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2010-06-30

Brief Summary

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The purpose of this study is to compare the efficacy of pregabalin to placebo for postoperative pain control after photorefractive keratectomy.

Detailed Description

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Study subjects will be taken from a standard group of typical candidates for PRK surgery including active duty and DoD (Department of Defense) beneficiaries. Prior to being approached for the study, all patients will have had a previous desire for surgery and had a pre-operative evaluation indicating healthy ocular status.

Patients scheduled for PRK surgery will be briefed on the purpose of the study and invited to participate at the preoperative appointment. After the consent process, patients will be randomized in a 1:1 fashion to receive either oral pregabalin 75mg twice daily or placebo for pain control, in addition to the standard care treatment of as needed Percocet and tetracaine ophthalmic drops. Subjects will be evaluated daily for 4 days post-operatively for subjective pain assessment, adverse drug events and compliance, use of concomitant medications as well as monitoring of healing time. Quality of life will be measured at baseline and post-op day 2 when the peak of pain is anticipated. Analysis will be performed to detect an approximate 10% improvement in pain scores. Secondary outcomes will include measuring healing time, quality of life and use of rescue medications.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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pregabalin

Oral Pregabalin 75 mg capsule twice daily administered prior to PRK and continued for 5 days

Group Type EXPERIMENTAL

pregabalin

Intervention Type DRUG

1 capsule (75 mg) by mouth twice daily starting two hours prior to surgery and continuing 4 days postoperatively.

Placebo

Oral placebo capsule (Lactose) twice daily administered prior to PRK and continued for 5 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

1 capsule by mouth twice daily starting two hours prior to surgery and continuing 4 days postoperatively.

Interventions

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pregabalin

1 capsule (75 mg) by mouth twice daily starting two hours prior to surgery and continuing 4 days postoperatively.

Intervention Type DRUG

Placebo

1 capsule by mouth twice daily starting two hours prior to surgery and continuing 4 days postoperatively.

Intervention Type DRUG

Other Intervention Names

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Lyrica

Eligibility Criteria

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Inclusion Criteria

* Healthy ocular status
* Stable preoperative refractive anisometropia
* Consented to the PRK surgical procedure

Exclusion Criteria

* Pregnant or breastfeeding
* Diagnosed with autoimmune disease or diabetes
* Patients with a known adverse reaction or hypersensitivity to gabapentin or pregabalin
* Patients only desiring PRK on one eye
* Patients with history of drug use/abuse/addiction
* Patients who are on chronic pain medications
* Patients currently taking anti-epileptic, antidepressant and/or anti-psychotic medications
* Patients with a history of suicidality
* Patients with chronic renal insufficiency (defined as estimated creatinine clearance less than 30ml/min or Scr ≥ 2.0) 10) Patients who have experienced angioedema, or have heart failure
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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59th Medical Wing

FED

Sponsor Role lead

Responsible Party

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Julie Meek

Clinical Pharmacist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Julie M Meek, PharmD

Role: PRINCIPAL_INVESTIGATOR

59th Medical Wing

Charles Reilly, MD

Role: STUDY_CHAIR

59th Medical Wing

Margaret Bonnie Rosbolt, PharmD, CCRC

Role: STUDY_DIRECTOR

59th Medical Wing

Locations

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Wilford Hall Medical Center - Refractive Surgery Center

Lackland Air Force Base, Texas, United States

Site Status

Countries

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United States

References

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Meek JM, Rosbolt MB, Taylor KR, Fusco EA, Panday VA, Reilly CD. Pregabalin versus placebo in postoperative pain relief of patients' status post photorefractive keratectomy: a double-masked, randomized, prospective study. J Ocul Pharmacol Ther. 2014 Sep;30(7):527-32. doi: 10.1089/jop.2013.0208. Epub 2014 Jun 10.

Reference Type RESULT
PMID: 24914779 (View on PubMed)

Other Identifiers

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FWH20100004H

Identifier Type: -

Identifier Source: org_study_id