Efficacy and Safety of Oxymorphone Immediate Release in Post-surgical Acute Pain
- Conditions
- Acute Pain
- Registration Number
- NCT00226395
- Lead Sponsor
- Endo Pharmaceuticals
- Brief Summary
The purpose of this study is to evaluate the analgesic efficacy and safety of two doses of oxymorphone immediate release (IR) compared to placebo and oxycodone in post-surgical pain.
- Detailed Description
Following abdominal surgery and after sufficient washout from post-surgical analgesia, patients were randomized to one of the following four treatment groups; 1) oxymorphone IR 10 mg, 2) oxymorphone IR 20 mg, 3) oxycodone IR 15 mg, or 4) placebo. Total duration of treatment was 48 hours. Patients were required to take the study medication every 4-6 hours. After the first dose, periodic pain assessments were performed for the first six hours. Subsequently, patients were required to assess their current pain intensity and average pain intensity since the last dose of study medication just prior to every dose.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 320
- Male or female patients 18 years of age or older
- Patients undergoing surgery through an abdominal incision of at least 3 cm who are expected to be hospitalized for at least 36 hours and are expected to subsequently require at least 48 hours of oral opioid therapy.
- Washout of at least 45 minutes for parenteral and 4 hours for IM analgesia.
- Initial pain intensity score of at least 50 mm on a 100-mm VAS and a categorical pain rating of moderate or severe on a scale of none, mild, moderate, or severe.
- Written informed consent.
- Known allergy or significant reaction to opioids.
- History of chronic opioid use or opioid abuse within 6 months prior to study entry.
- History of alcohol or substance abuse within the last 3 years.
- Have been a participant in a study of an investigational drug or device within 30 days prior to study entry.
- Have been a previous participant in an oxymorphone clinical trial.
- Are currently taking or have taken a monoamine oxidase inhibitor (MAOI) drug within 2 weeks prior to study entry.
- Are currently taking or have taken St. John's Wort >1000 mg/day within 2 days prior to study entry.
- Use of long-acting oral and parenteral analgesics (opioid, non-opioid or non-steroidal anti-inflammatory drug [NSAID]) within 12 hours (at least 24 hours for cyclooxygenase-2 [COX 2] analgesics) prior to receiving study medication.
- Are not stabilized on the following medications for at least 4 weeks prior to dosing: tricyclic antidepressant drugs; serotonin reuptake inhibitors; amphetamines used for attention-deficit hyperactivity disorder (ADHD)
- Have a history of seizure.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Time to discontinuation due to all causes
- Secondary Outcome Measures
Name Time Method - Hourly Pain Intensity Difference Scores The following are the secondary endpoints during the initial 6 hours following the first dose of study medication: - 6-Hour Sum of Pain Intensity Differences (SPID; VAS and categorical) - 6-Hour Total Pain Relief Scores (TOTPAR; VAS and categorical) - Time (in hours) to First Perceptible Pain Relief - Time (in hours) to Meaningful Pain Relief - Hourly Pain Relief Scores The following are the secondary endpoints during the multiple dosing phase: - Mean average pain intensity scores collected during the dosing intervals. - Patient's global evaluation of study medication at the end of study. - Physician's global evaluation of study medication at the end of study. - Mean current pain intensity (VAS) collected during the dosing intervals.
Trial Locations
- Locations (21)
Univ. Pittsburgh Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Univ. Pittsburgh Medical center
🇺🇸Pittsburgh, Pennsylvania, United States
Huntington Memorial Hospital
🇺🇸Pasadena, California, United States
Brookwood Medical Center
🇺🇸Birmingham, Alabama, United States
The Medical Center, Dept. Clinical research
🇺🇸Birmingham, Alabama, United States
Arrowhead Community Hospital
🇺🇸Phoenix, Arizona, United States
John C Lincoln Hospital
🇺🇸Phoenix, Arizona, United States
Palm West Hospital
🇺🇸Palm Springs, Florida, United States
Sacred Heart Hospital
🇺🇸Pensacola, Florida, United States
The Methodist Hospital
🇺🇸Houston, Texas, United States
Cottonwood Hospital
🇺🇸Salt Lake City, Utah, United States
LDS Hospital
🇺🇸Salt Lake City, Utah, United States
McKay-Dee Hospital
🇺🇸Salt Lake City, Utah, United States
Montgomery Women's Health Associates
🇺🇸Montgomery, Alabama, United States
Paradise Valley Hospital
🇺🇸Phoenix, Arizona, United States
Glendale Adventist Medical Center
🇺🇸Glendale, California, United States
Duke University Medical Center
🇺🇸Durham, North Carolina, United States
Saddleback Memorial Medical Center
🇺🇸Laguna Hills, California, United States
Forsyth Medical Center
🇺🇸Winston-Salem, North Carolina, United States
Medical Park Hospital
🇺🇸Winston-Salem, North Carolina, United States
Memorial Hermann Memorial City Hospital
🇺🇸Houston, Texas, United States