An Open-Label, Multiple-Dose, Multiple-Day, Non-Randomized, Single-Arm Safety Study Of Repeat-Doses Of DIC075V (Intravenous Diclofenac Sodium) In Patients With Acute Post-Operative Pain
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 1,050
- 试验地点
- 44
- 主要终点
- Change From Baseline in Blood Pressure at Study Discharge/Early Termination
研究概览
简要总结
This is an open-label, multiple-dose, safety study of DIC075V in patients with acute post-operative pain following abdominal or orthopedic surgery.
详细描述
This is an open-label, multiple-dose, multiple-day, single-arm safety study of repeat-doses of DIC075V in patients with acute post-operative pain following abdominal (i.e., non-laparoscopic abdominal surgeries) or orthopedic (e.g., hip or knee joint replacement) surgery. Eligible patients will receive DIC075V IV bolus q6 hours. Safety assessments will be collected at baseline (immediately prior to starting DIC075V therapy) and at study discharge or early termination.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •abdominal ( non-laparoscopic abdominal surgeries) or orthopedic ( hip or knee joint replacement) surgery or other surgeries requiring multiple doses of parenterally administered NSAIDs over multiple days
- •Expected stay > 48 hrs
排除标准
- •bilirubin > 2.5 mg/dl
- •prothrombin time is > 20% above the upper limit of normal
- •serum creatinine is > 1.9 mg/dl at screening.
- •known allergy or hypersensitivity to diclofenac, other NSAIDs,
研究组 & 干预措施
A
IV administration of multiple doses of DIC075V (intravenous diclofenac sodium) over multiple days
干预措施: DIC075V (intravenous diclofenac sodium) (Drug)
结局指标
主要结局
Change From Baseline in Blood Pressure at Study Discharge/Early Termination
时间窗: Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)
Change from baseline in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in millimeter of mercury (mmHg) was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes.
Change From Baseline in Heart Rate at Study Discharge/Early Termination
时间窗: Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)
Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes.
Number of Participants With Clinically Significant Physical Examination Abnormalities at Screening
时间窗: Screening (0 to 21 days prior to surgery)
Physical examination included the assessment of general appearance, skin; head, ears, eyes, nose, and throat (HEENT); neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion.
Number of Participants With Abnormal Urinalysis Findings
时间窗: Baseline (Day 1, immediately before dosing) up to study discharge/early termination (maximum up to Day 5)
Urine parameters included gravity, glucose, protein, and bilirubin. Abnormalities were judged by the investigator.
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Study Discharge/Early Termination
时间窗: Study discharge/early termination (maximum up to Day 5)
12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion.
Number of Participants Who Took at Least 1 Concomitant Medication
时间窗: Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)
Concomitant medications were medications that were taken concurrently on or after first dose of study drug.
Change From Baseline in Blood Pressure at Clinic Follow-up Visit
时间窗: Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)
Change from baseline in SBP and DBP in mmHg was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes.
Change From Baseline in Respiratory Rate at Study Discharge/Early Termination
时间窗: Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)
Respiratory rate was measured after the participant had taken rest for 5 minutes.
Number of Participants With Wound Assessment at Study Discharge/Early Termination
时间窗: Study discharge/early termination (maximum up to Day 5)
Wound assessment had 6 questions, completed by investigator/sub-investigator. Question related to extent of healing; extent and degree of inflammation and extent of drainage had options: much better than expected, better than expected, normal, slower than expected, and much slower than expected. Question related to separation of surgical incision had options: no separation, barely detectible separation, localized separation, mostly separated, and complete separation (dehiscence). Question related to infection at surgical site had options: definitely, no infection, possibly infected, probably infected, certainly infected, and abscess/gross cellulitis. Question related to prescription of postoperative systemic antibiotics had options: no, yes for prophylaxis, and yes for infection. Every question there was category "Not Done" for participants with no wound assessment other than the reason 'missing' and category "Missing", where participants were missing for wound assessment.
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Baseline
时间窗: Baseline (Day 1, immediately before dosing)
12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion.
Change From Baseline in Heart Rate at Clinic Follow-up Visit
时间窗: Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)
Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes.
Number of Participants With Clinically Significant Physical Examination Abnormalities at Clinic Follow-up Visit
时间窗: Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)
Physical examination included the assessment of general appearance, skin; HEENT; neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
时间窗: Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were events between first dose of study drug and up to 37 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAEs included SAEs and all non-SAEs that occurred during the study.
Change From Baseline in Respiratory Rate at Clinic Follow-up Visit
时间窗: Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)
Respiratory rate was measured after the participant had taken rest for 5 minutes.
Number of Participants With Thrombophlebitis Assessment Evaluation at Baseline
时间窗: Baseline (Day 1, immediately before dosing)
Thrombophlebitis assessment evaluation was done using following grades: 0 equals to (=) no reaction, 1= tenderness along the vein, 2= continuous tenderness of pain with redness, 3= palpable swelling or thrombosis within length of cannula, 4= palpable swelling or thrombosis beyond the length of the cannula and 5= palpable swelling or thrombosis beyond the length of the cannula with overt infection.
Number of Participants With Thrombophlebitis Assessment Evaluation at Study Discharge/Early Termination
时间窗: Study discharge/early termination (maximum up to Day 5)
Thrombophlebitis assessment evaluation was done using following grades: 0= no reaction, 1= tenderness along the vein, 2= continuous tenderness of pain with redness, 3= palpable swelling or thrombosis within length of cannula, 4= palpable swelling or thrombosis beyond the length of the cannula and 5= palpable swelling or thrombosis beyond the length of the cannula with overt infection.
次要结局
未报告次要终点
