{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:40:04Z","timestamp":1781584804869,"version":"3.54.5"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,6,24]],"date-time":"2014-06-24T00:00:00Z","timestamp":1403568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epilepsia"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the efficacy and tolerability of add\u2010on pregabalin controlled\u2010release formulation (<jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content>) (doses of 165 or 330\u00a0mg\/day) in patients with partial\u2010onset seizures (<jats:styled-content style=\"fixed-case\">POS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a randomized, double\u2010blind (<jats:styled-content style=\"fixed-case\">DB<\/jats:styled-content>), parallel\u2010group study of <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> once\u2010daily as adjunctive treatment in adults with treatment\u2010resistant partial seizures. After an 8\u2010week baseline period, eligible patients were randomized (1:1:1) to placebo, <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> 165\u00a0mg, or <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> 330\u00a0mg for 14\u00a0weeks, including a 2\u2010week dose escalation. Primary endpoint was the log<jats:sub>e<\/jats:sub>\u2010transformed 28\u2010day seizure rate for all <jats:styled-content style=\"fixed-case\">POS<\/jats:styled-content> with observable component during the full 14\u2010week double\u2010blind treatment phase. Secondary endpoints included the 50% responder rate and percent change from baseline in 28\u2010day <jats:styled-content style=\"fixed-case\">POS<\/jats:styled-content> rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred twenty\u2010three patients were randomized and received treatment; placebo (n\u00a0=\u00a0110), <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> 330\u00a0mg (n\u00a0=\u00a0100), <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> 165\u00a0mg (n\u00a0=\u00a0113); and 287 (88.9%) completed the trial. The primary efficacy analysis result, expressed as percent reduction from placebo, was 13.1% and 1.0% for <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> 330\u00a0mg and <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> 165\u00a0mg, respectively, and was not statistically significant (p\u00a0=\u00a00.091, 0.908). The proportion of 50% responders was similar for placebo (35.8%) and 165\u00a0mg <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> (37.8%) and nominally higher for 330\u00a0mg <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> (45.9%, p\u00a0=\u00a00.125 compared to placebo). The <jats:styled-content style=\"fixed-case\">LS<\/jats:styled-content> mean estimates of the percent change from baseline for placebo (\u22125.7%) was nominally smaller than 165\u00a0mg <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> (\u221215.0%, p\u00a0=\u00a00.540) and 330\u00a0mg <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> (\u221231.5%, p\u00a0=\u00a00.079); however, the median percent changes from baseline were not as well differentiated (placebo, \u221235.4%; 165 mg PGB\u2010CR, \u221238.0%; 330 mg PGB\u2010CR \u221243.4%). Rates of adverse events (<jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>s) were low for placebo and study drug; the most frequent reported <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>s were dizziness, somnolence, and fatigue, consistent with the immediate\u2010release formulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Results from this trial did not demonstrate that <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> is effective in reducing seizure frequency below that of placebo. Both doses of <jats:styled-content style=\"fixed-case\">PGB<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content> were shown to be safe and well\u2010tolerated.<\/jats:p><jats:p>A PowerPoint slide summarizing this article is available for download in the Supporting Information section <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/epi.12690\/suppinfo\">here<\/jats:ext-link>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/epi.12690","type":"journal-article","created":{"date-parts":[[2014,6,24]],"date-time":"2014-06-24T21:45:51Z","timestamp":1403646351000},"page":"1220-1228","source":"Crossref","is-referenced-by-count":28,"title":["Adjunctive use of controlled\u2010release pregabalin in adults with treatment\u2010resistant partial seizures: A double\u2010blind, randomized, placebo\u2010controlled 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