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| Sponsor: | Grünenthal GmbH |
|---|---|
| Collaborator: |
Johnson & Johnson Pharmaceutical Research & Development, L.L.C. |
| Information provided by (Responsible Party): | Grünenthal GmbH |
| ClinicalTrials.gov Identifier: | NCT00609466 |
Purpose
The main objective of this trial is to demonstrate the efficacy and safety of multiple-dose application of oral application of CG5503 IR 75mg compared to placebo and to assess safety and tolerability of CG5503 IR 75mg in subjects following bunionectomy.
This trial was performed based on a previously performed double-blind, placebo-controlled, multiple-dose trial in the same indication investigating 3 dose strengths CG5503 IR (50, 75 and 100 mg) published under PMID: 18851776.
| Condition | Intervention | Phase |
|---|---|---|
|
Bunionectomy Pain Postoperative Pain Acute Pain |
Drug: CG5503 IR Drug: Morphine Drug: Placebo |
Phase III |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-blind, Parallel-group, Multi-center, Active- and Placebo-controlled Trial to Evaluate the Analgesic Efficacy and Safety of Multiple Doses of CG5503 IR for Postoperative Pain Following Bunionectomy |
| Enrollment: | 291 |
| Study Start Date: | September 2007 |
| Study Completion Date: | February 2008 |
| Primary Completion Date: | February 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
CG5503 IR 75mg 4 to 6 hourly for 72 hours
|
Drug: CG5503 IR
75mg IR 4 - 6 hourly Total: 72 hours
|
|
Active Comparator: 2
Morphine IR 30 mg 4 to 6 hourly for 72 hours
|
Drug: Morphine
Morphine 30 mg IR 4 - 6 hourly Total: 72 hours
|
|
Placebo Comparator: 3
Matching placebo 4 to 6 hourly for 72 hours
|
Drug: Placebo
Placebo; 4 - 6 hourly; Total: 72 hours
|
Subjects undergoing bunionectomy often experience moderate to severe acute pain post-surgery. Normally such pain is controlled when subjects receive repeated doses of opioid analgesics. However, opioid therapy is commonly associated with side effects such as nausea, vomiting, sedation, constipation, addiction, tolerance, and respiratory depression. CG5503, a newly synthesized drug with an immediate release (IR) formulation, also acts as a centrally acting pain reliever but has a dual mode of action. The aim of this trial is to investigate the effectiveness (level of pain control) and safety (side effects) of CG5503 IR 75mg compared with no drug (placebo) or one dose of morphine (an opioid commonly used to treat post-surgical pain). This trial is a randomized, double-blind (neither investigator nor patient will know which treatment was received), active- and placebo-controlled, parallel-group, multicenter trial to evaluate the treatment of acute pain after bunionectomy. The trial will include a blinded 72 hour inpatient phase immediately following bunionectomy, during which subjects will be treated with either 75-mg CG5503 IR, a placebo, or 30-mg morphine, and pain relief will be periodically assessed. Assessments of pain relief include the pain intensity numeric rating scale (PI), pain relief numeric rating scale (PAR), and patient global impression of change scale (PGIC). Safety evaluations include monitoring of adverse events, physical examinations, and clinical laboratory tests. Venous blood samples will be collected for the determination of serum concentrations of CG5503 and morphine. The alternative trial hypothesis is that at least 1 dose strength of CG5503 will be different from placebo in controlling pain at 48 hours.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| United States, Maryland | |
| Site 104 | |
| Pasadena, Maryland, United States, 21122 | |
| United States, Texas | |
| Site 101 | |
| Austin, Texas, United States, 78705 | |
| Site 102 | |
| Houston, Texas, United States, 77081 | |
| Site 105 | |
| San Antonio, Texas, United States, 78229 | |
| Site 103 | |
| San Marcos, Texas, United States, 78666 | |
| United States, Utah | |
| Site 106 | |
| Salt Lake City, Utah, United States, 84117 | |
| Principal Investigator: | Stephen E Daniels, DO | Premier Research Group (formerly SCIREX Corporation) |
More Information
| Responsible Party: | Grünenthal GmbH |
| ClinicalTrials.gov Identifier: | NCT00609466 History of Changes |
| Other Study ID Numbers: | 574139 |
| Study First Received: | January 24, 2008 |
| Results First Received: | September 16, 2009 |
| Last Updated: | November 10, 2011 |
| Health Authority: | United States: Food and Drug Administration |
|
Opioid Central acting analgesic CG5503 IR Postoperative pain |
Bunionectomy Morphine Placebo |
|
Pain, Postoperative Postoperative Complications Pathologic Processes Pain Signs and Symptoms Analgesics Morphine Sensory System Agents |
Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Analgesics, Opioid Central Nervous System Depressants Narcotics |