MedPath

Long-term Open-Label Safety Study to Evaluate EN3409

Phase 3
Completed
Conditions
Low Back Pain
Osteoarthritis
Neuropathic Pain
Interventions
Registration Number
NCT01755546
Lead Sponsor
BioDelivery Sciences International
Brief Summary

The purpose of the long-terms study is to evaluate the safety, tolerability, and analgesic efficacy of EN3409 in subjects with moderate to severe chronic pain requiring continuous around-the-clock opioid analgesia for an extended period of time.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
304
Inclusion Criteria
  • Female subjects who are practicing abstinence or using a medically acceptable form of contraception or have been postmenopausal, biologically sterile, or surgically sterile for more than 1 year
  • Male subjects who are practicing abstinence, surgically sterile, or are using a medically acceptable form of contraception
  • De Novo subject with a clinical diagnosis of moderate to severe noncancer-related CP (eg, CLBP, OA, neuropathic pain) for ≥ 3 months
  • De Novo subject that is treating their CP with a stable daily maintenance dose of ATC opioid analgesic medication equivalent to ≥ 60 mg and ≤ 160 mg Morphine Sulfate Equivalent (MSE) per day for ≥ 4 weeks
  • Stable health, as determined by the Principal Investigator
  • Subject is willing and able to comply with all protocol required visits and assessments
  • Rollover subject who has completed the 12-week Double-blind Treatment Phase in the EN3409-307/308 clinical study
Exclusion Criteria
  • A history or current evidence of any clinically significant disorder or any other condition, which in the opinion of the investigator, would jeopardize the safety of the subject or impact the validity of the study results
  • Females who are pregnant, breastfeeding, or plan to become pregnant during the study
  • Current cancer-related pain or received chemotherapy within 6 months of screening
  • Subjects receiving opioid analgesic medication < 60 mg MSE per day within 28 days of screening
  • De novo subjects receiving opioid analgesic medication at doses of > 160 mg MSE per day within 28 days of screening
  • Subjects with a history of other chronic painful conditions, other than the index CP condition, which require frequent analgesic medication
  • Reflex sympathetic dystrophy or causalgia (complex regional pain syndrome), acute spinal cord compression, cauda equina compression, acute nerve root compression, meningitis, or discitis
  • History of allergy or contraindications to any opioid or acetaminophen
  • Surgical procedure for relief of pain within 6 months, or nerve/plexus block within 28 days of screening
  • Hypokalemia or clinically unstable cardiac disease
  • Moderate to severe hepatic impairment
  • Moderate to severe renal impairment
  • Current or past history of alcohol or substance
  • Positive urine toxicology screen for drugs of abuse
  • History of abnormalities on physical exam, vital signs, ECG, or lab values

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
EN3409EN3409Buprenorphine HCI Buccal File at doses ranging from 300-900 mcg twice daily
Primary Outcome Measures
NameTimeMethod
Change From Baseline to Week 48 in Daily Average NRS Pain Intensity Score48 weeks

The NRS Pain intensity score is a segmented version of a visual analog scale used to measure pain. The scale is from 0 (no pain) to 10. Scores between greater than 0 and 3 are considered mild pain, scores from greater than 3 to 6 are moderate and greater than 6 to 10 are severe. The daily average is calculated and the change from baseline at week 48 is presented.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (56)

Horizon Research Group, Inc

🇺🇸

Mobile, Alabama, United States

Taylor Research, LLC

🇺🇸

Marietta, Georgia, United States

Long Island Gastrointestinal Research Group

🇺🇸

Great Neck, New York, United States

KRK Medical Research

🇺🇸

Dallas, Texas, United States

FutureSearch Trials of Dallas, LP

🇺🇸

Dallas, Texas, United States

Parkway Medical Center

🇺🇸

Birmingham, Alabama, United States

Arizona Research Center

🇺🇸

Phoenix, Arizona, United States

Innovative Clinical Trials

🇺🇸

San Antonio, Texas, United States

Highland Clinical Research

🇺🇸

Salt Lake City, Utah, United States

Long Beach Center for Clinical Research

🇺🇸

Long Beach, California, United States

Global Research, LLC

🇺🇸

Anaheim, California, United States

RX Clinical Research, Inc.

🇺🇸

Garden Grove, California, United States

Stamford Therapeutics Consortium

🇺🇸

Stamford, Connecticut, United States

Synergy Clinical Research Center of Escondido

🇺🇸

Escondido, California, United States

Adam D. Karns, MD

🇺🇸

Los Angeles, California, United States

Century Clinical Research, Inc.

🇺🇸

Daytona Beach, Florida, United States

Eastern Research, Inc.

🇺🇸

Hialeah, Florida, United States

Florida Health Center

🇺🇸

Fort Lauderdale, Florida, United States

Health Awareness, Inc.

🇺🇸

Jupiter, Florida, United States

Southeast Clinical Research, LLC

🇺🇸

Jacksonville, Florida, United States

Ribo Research LLC DBA Peninsula Research

🇺🇸

Ormond Beach, Florida, United States

Gold Coast Research, LLC

🇺🇸

Plantation, Florida, United States

Progressive Medical Research

🇺🇸

Port Orange, Florida, United States

Palm Beach Research Center

🇺🇸

West Palm Beach, Florida, United States

National Pain Research Institute, LLC

🇺🇸

Winter Park, Florida, United States

River Birch Research Alliance, LLC

🇺🇸

Blue Ridge, Georgia, United States

Drug Studies America

🇺🇸

Marietta, Georgia, United States

In-Quest Medical Research, LLC

🇺🇸

Norcross, Georgia, United States

Integrated Clinical Trials Services, Inc.

🇺🇸

West Des Moines, Iowa, United States

Global Scientific Innovations

🇺🇸

Evansville, Indiana, United States

Willis-Knighton Physician Network

🇺🇸

Bossier City, Louisiana, United States

New England Center for Clinical Research, Inc.

🇺🇸

Fall River, Massachusetts, United States

Great Lakes Research Group, Inc.

🇺🇸

Bay City, Michigan, United States

The Center for Clinical Trials

🇺🇸

Biloxi, Mississippi, United States

Cadillac Clinical Research

🇺🇸

Cadillac, Michigan, United States

Upstate Clinical Research Associates

🇺🇸

Williamsville, New York, United States

Plains Medical Clinic, LLC

🇺🇸

Fargo, North Dakota, United States

Clinical Inquest Center, Ltd

🇺🇸

Beavercreek, Ohio, United States

Altoona Center for Clinical Research

🇺🇸

Duncansville, Pennsylvania, United States

New Horizons Clinical Research

🇺🇸

Cincinnati, Ohio, United States

Optimed Research, Ltd.

🇺🇸

Tiffin, Ohio, United States

Prestige Clinical Research

🇺🇸

Franklin, Ohio, United States

Health Concepts

🇺🇸

Rapid City, South Dakota, United States

Advanced Clinical Research of Houston

🇺🇸

Houston, Texas, United States

Clinical Investigations Specialist, Inc.

🇺🇸

Kenosha, Wisconsin, United States

River Cities Clinical Research Center

🇺🇸

Shreveport, Louisiana, United States

Avail Clinical Research, LLC

🇺🇸

DeLand, Florida, United States

Research Centers of America, LLC

🇺🇸

Oakland Park, Florida, United States

Clinical Trials Management, LLC

🇺🇸

Metairie, Louisiana, United States

Brandywine Clinical Research

🇺🇸

Downingtown, Pennsylvania, United States

Clinical Research of West Florida, Inc.

🇺🇸

Tampa, Florida, United States

Compass Research, LLC

🇺🇸

Orlando, Florida, United States

FutureSearch Clinical Trials

🇺🇸

Austin, Texas, United States

Best Clinical Trials, LLC

🇺🇸

New Orleans, Louisiana, United States

The Center for Clinical Research

🇺🇸

Winston-Salem, North Carolina, United States

Pain Specialists of Charleston, P.A.

🇺🇸

Charleston, South Carolina, United States

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