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A Multicenter Active Comparator Study of HC-ER in Adults Following Bunionectomy Surgery

Phase 2
Completed
Conditions
Postoperative Pain
Interventions
Drug: Matching Placebo
Drug: 10 mg HC / 325 mg APAP
Drug: 10 mg HC-ER
Drug: 20 mg HC-ER
Drug: 30 mg HC-ER
Drug: 40 mg HC-ER
Registration Number
NCT02197156
Lead Sponsor
Zogenix, Inc.
Brief Summary

The purpose of the study is to establish a dose-response relationship among several capsule strengths of Hydrocodone Bitartrate Extended Release (HC-ER) and to compare the efficacy to placebo following bunionectomy surgery

Detailed Description

Sum of Pain Intensity Differences (SPID) for the Primary pain measurement: VASPI (Visual Analog Scale of Pain Intensity) from time 0 to 12 hrs; Safety evaluations assessed: laboratory evaluations, physical examinations, vital signs/pulse oximetry and electrocardiography

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
241
Inclusion Criteria
  • Subject was able to read and voluntarily sign the Institutional Review Board (IRB) approved, written informed consent document and given the opportunity to ask questions regarding the study prior to the performance of any study- specific procedures.
  • Subject required primary unilateral first metatarsal bunionectomy surgery with or without hammertoe repair with no other collateral procedures allowed
  • Subject was male or female at least 18 years of age.
  • Subject weighed > or = 100 lbs (pounds).
  • Subject was willing and able to comply with the protocol and able to score their pain intensity.
  • Subject was in good health as determined by the investigator on the basis of medical history, physical examination, Electrocardiogram (ECG) and screening laboratory results.
  • Subject had not developed a condition or complications as result of the bunionectomy procedure that would preclude their participation in the study.
  • Subject was willing and able to remain at the recovery day care center for the entire 24-hour Treatment period.
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Exclusion Criteria
  • Subject was pregnant or lactating.
  • Subject had been on an investigational drug within 30 days prior to the initiation of study drug.
  • Subject had donated blood or blood components within one month prior to study (Check-in).
  • Subject had a know allergy or hypersensitivity to opioids, acetaminophen, and/or ketorolac.
  • Subject had a known history of substance or alcohol abuse within 2 years prior to Screening.
  • Subject tested positive to drug screens (cocaine, marijuana, opioids, benzodiazepines, and barbiturates) that could not be justified by prescription use.
  • Subject had a condition that would contraindicate the use of opioid analgesia (e.g., pulmonary disease or paralytic ileus).
  • Subject had received a selective serotonin reuptake inhibitor (SSRI), monoamine oxidase inhibitor (MAOI) carbamazepine, quinidine, and/or tricyclic antidepressants (TCA) compounds within 1-month prior to Check-in.
  • Subject had received opioids, tranquilizers, sedatives, or hypnotics within 48 hours prior to Check-in.
  • Subject had received corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), or other analgesics within 24 hours prior to Check-in.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboMatching PlaceboMatching placebo
10 mg HC / 325 mg APAP10 mg HC / 325 mg APAP10 mg Hydrocodone (HC) / 325 mg acetaminophen (APAP)
10 mg HC-ER10 mg HC-ERHydrocodone bitartrate extended release (HC-ER) 10 mg
20 mg HC-ER20 mg HC-ERHydrocodone bitartrate extended release (HC-ER) 20 mg
30 mg HC-ER30 mg HC-ERHydrocodone bitartrate extended release (HC-ER) 30 mg
40 mg HC-ER40 mg HC-ERHydrocodone bitartrate extended release (HC-ER) 40 mg
Primary Outcome Measures
NameTimeMethod
The Sum of Pain Intensity Differences (SPID) for the Visual Analog Scale Pain Intensity (VASPI)0-12 hours
Secondary Outcome Measures
NameTimeMethod
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