Efficacy of gabapentin enacarbil in adult patients with severe primary restless legs syndrome SLEEP MEDICINE Lee, D. O., Buchfuhrer, M. J., Garcia-Borreguero, D., Avidan, A. Y., Ahmed, M., Hays, R., Ondo, W. G., Jaros, M. J., Kim, R., Shang, G. 2016; 19: 50-56


Assess efficacy and tolerability of gabapentin enacarbil (GEn) in adults with severe primary restless legs syndrome (RLS).We pooled data from three 12-week, double-blind, placebo-controlled, randomized trials (NCT00298623, NCT00365352, NCT01332305) across GEn 600-mg, GEn 1200-mg, and placebo treatment groups for severe primary RLS (baseline International Restless Legs Scale (IRLS) total score =24). Co-primary end points at week 12 were mean change from baseline in IRLS total score and proportion of responders ("much"/very much" improved) on the investigator-rated Clinical Global Impression - Improvement (CGI-I) Scale. Outcomes for individual IRLS items (eg, sleep, mood, quality of life, pain, safety) were assessed.A total of 309 patients had severe primary RLS (placebo, n?=?110; GEn 600?mg, n?=?80; GEn 1200?mg, n?=?119). GEn 600?mg and 1200?mg significantly improved least-squares mean IRLS total scores versus placebo at week 12 (placebo, -12.3; GEn 600?mg, -16.3; GEn 1200?mg, -18.0; treatment difference vs. placebo, both p?<0.01). Significantly more patients with severe primary RLS treated with GEn 600?mg (64%) and 1200?mg (74%) were CGI-I responders at week 12 versus placebo (42%; p?<0.01 for both GEn doses). Both GEn doses led to significant improvements in the other outcomes explored versus placebo at week 12. The most frequent treatment-emergent adverse events (TEAEs) were somnolence (GEn, 21-24%; placebo, 3%) and dizziness (GEn, 14-19%; placebo, 3%).GEn (600?mg or 1200?mg) once daily significantly improved RLS symptoms and consequences of these symptoms in severe primary RLS. The most frequent TEAEs were somnolence and dizziness.

View details for DOI 10.1016/j.sleep.2015.11.002

View details for PubMedID 27198947