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A Study to Evaluate Two Formulations of Carisoprodol in Subjects With Musculoskeletal Spasm of the Lower Back

Phase 3
Completed
Conditions
Lower Back Pain
Interventions
Registration Number
NCT00671502
Lead Sponsor
Meda Pharmaceuticals
Brief Summary

The purpose of this study is to determine if two sustained released formulations of carisoprodol are more effective than placebo.

Detailed Description

Methodology:

This was a randomized, double-blind, double-dummy, placebo-controlled, parallel-group study in subjects 18-70 years of age with acute, painful, muscle spasm of the lower back. The study consisted of a baseline screening (Study Day 1), during which subjects were evaluated for inclusion/exclusion criteria, and a 7-day double-blind treatment period (Study Day 1 through Study Day 7). Subjects were randomly assigned to be dosed twice daily with one of the following double-blind treatments: sustained release(SR) carisoprodol 500-mg tablets,sustained release (SR) carisoprodol 700-mg tablets, or placebo.

Subjects were evaluated in the clinic on Study Days 1, 3 and 7. Subjects who remained symptomatic on Study Day 7 were allowed to continue in the study for a 7-day, double-blind extension period at the discretion of the Investigator. Subjects were contacted by telephone for a safety follow-up 7 days after the last dose of study medication.

A pharmacokinetic (PK) substudy was conducted at selected sites. These sites obtained blood samples for PK analysis at the end of the 7-day treatment period and the 14-day treatment period, if applicable.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
840
Inclusion Criteria
  • Onset of pain is within 3 days of first visit
  • Subject rating of pain must be 40 mm or greater on visual analog scale( VAS)
  • Ability to discontinue all analgesics, non steroidal anti inflammatory drug (NSAIDs), and other muscle relaxants
  • Willingness to provide written informed consent
  • Must be in generally good health
Exclusion Criteria
  • Presence of sciatic pain
  • History of clinically significant spine pathology such as herniated nucleas pulposis, spondylolisthesis, spinal stenosis
  • Presence of underlying chronic back pain
  • Neurological signs and symptoms such as numbness, tingling, foot drop, parethesia, unexplained constipation, urinary retention or urinary incontinence
  • Myocardial infaction within one year of study
  • Cancer not in remission or in remission less than one year
  • HIV or other immunodeficiency syndromes
  • History of osteoporosis or at high risk for vetebral fracture
  • Underlying rheumatologic disease such as rheumatoid arthritis, ankylosing spondylitis, etc.
  • Presence of active influenze or other viral syndromes
  • Morbid obesity basal metabolic index(BMI >39)
  • Evidence of infection, such as low grade fever or neutrophilia
  • Existence of any medical/surgical condition that could interfere with the evaluation of the study medication
  • Known history of alcohol or drug abuse
  • Injury involving high potential for litigation, including worker's compensation or automobile accidents
  • Pregnancy or breast feeding
  • Women of child-bearing potential not abstinent or not practicing a medically acceptable method of contraception
  • Vertebral body or spinous process, percussive tenderness on physical exam
  • Any abnormalities in the following tests of both lower extremities: ankle dorsiflexion strength, great toe dorsiflexion strength, absent or hypereflexic Achilles or patellar tendor reflexes, abnormal sensory exam in the medial, dorsal or lateral aspect of the foot and positive straight leg raise test
  • Urgent medical conditions on comprehensive exam that might indicate a more serious condition should be treated urgently

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Carisoprodol 500mgCarisoprodol SRsustained release(SR) tablet
Carisoprodol 700mgCarisoprodol SRtablet sustained release (SR)
PlaceboPlacebotablet
Primary Outcome Measures
NameTimeMethod
Subject Rating of Pain on a 100-point Visual Analog Scale (VAS)up to 14 days

the scale used was from 0 to 100 mm. 0 equaled no pain and 100 equaled maximum pain.participants measure their pain before treatment and during treatment at each visit

Secondary Outcome Measures
NameTimeMethod
Subject Functional Assessment Based on the Roland-Morris Disability Questionnaire (RMDQ)up to 14 days
Adverse Event Assessmentup to 21 days

the number of adverse events reported during the course of the study as reported by the participants

Trial Locations

Locations (68)

Sunrise Medical Research #501

🇺🇸

Plantation, Florida, United States

Perimeter Institute for Clinical Research, Inc.

🇺🇸

Atlanta, Georgia, United States

Palm Beach Research Center

🇺🇸

West Palm Beach, Florida, United States

Partners in Primary Care

🇺🇸

Voorhees, New Jersey, United States

Well Pharma Medical Research Corporation

🇺🇸

Miami, Florida, United States

International Research Associates, LLC

🇺🇸

Miami, Florida, United States

Tukoi Clinical Research

🇺🇸

Miami, Florida, United States

West Houston Clinical Research

🇺🇸

Houston, Texas, United States

InVisions Consultants, LLC

🇺🇸

San Antonio, Texas, United States

Harris & Associates, P.C.

🇺🇸

Detroit, Michigan, United States

MedSearch, LLC

🇺🇸

Birmingham, Alabama, United States

Anasazi Internal Medicine PC

🇺🇸

Phoenix, Arizona, United States

Fanno Creek Clinic, LLC

🇺🇸

Portland, Oregon, United States

Vaughn H. Mancha, Jr., PC Family Practice

🇺🇸

Montgomery, Alabama, United States

OrthoArkansas

🇺🇸

Little Rock, Arkansas, United States

Clinical Research of South Florida

🇺🇸

Coral Gables, Florida, United States

Valley Medical Center

🇺🇸

Flint, Michigan, United States

Trinity Health and Wellness

🇺🇸

Roseville, California, United States

Quality Care Medical Center, Inc.

🇺🇸

Vista, California, United States

South Florida Clinical Research Center

🇺🇸

Hollywood, Florida, United States

FPA Clinical Research

🇺🇸

Kissimmee, Florida, United States

San Diego Sports Medicine & Family Health Center

🇺🇸

San Diego, California, United States

Heritage Physician Group

🇺🇸

Hot Springs, Arkansas, United States

Quality of Life Medical Center, LLC

🇺🇸

Hawaiian Gardens, California, United States

Genesis Research International

🇺🇸

Longwood, Florida, United States

Anthony Roselli, MD

🇺🇸

Avon, Connecticut, United States

Sunset Medical Research

🇺🇸

Sunset, Louisiana, United States

Clinical Pharmacology Study Group

🇺🇸

Worcester, Massachusetts, United States

Family Practice Center of Wadsworth, Inc.

🇺🇸

Wadsworth, Ohio, United States

KMED Research

🇺🇸

Clair Shores, Michigan, United States

Westside Family Medical Center, P.C.

🇺🇸

Kalamazoo, Michigan, United States

Best Clinical Research - PA

🇺🇸

Philadelphia, Pennsylvania, United States

South Jersey Medical Associations, PA

🇺🇸

Blackwood, New Jersey, United States

Arcuri Clinical Research

🇺🇸

Philadelphia, Pennsylvania, United States

Arlington Family Health Pavilion

🇺🇸

Arlington, Texas, United States

Clinical Research Source Inc.

🇺🇸

Perrysburg, Ohio, United States

ACRC Trials

🇺🇸

Addison, Texas, United States

Care Center of Family Practice & Pediatrics of Hamilton

🇺🇸

Hamilton, New Jersey, United States

Partners in Clinical Research

🇺🇸

Cumberland, Rhode Island, United States

Oakwell Clinical Research

🇺🇸

San Antonio, Texas, United States

North Texas Family Medicine

🇺🇸

Plano, Texas, United States

Health Research of Hampton Roads, Inc.

🇺🇸

Newport News, Virginia, United States

Liberty Research Center

🇺🇸

Tacoma, Washington, United States

Sun Research Institute

🇺🇸

San Antonio, Texas, United States

Unlimited Research

🇺🇸

San Antonio, Texas, United States

University Clinical Research, Inc.

🇺🇸

Pembroke Pines, Florida, United States

Medical Research Initiatives

🇺🇸

Richmond, Virginia, United States

Northern Pines Health Center

🇺🇸

Buckley, Michigan, United States

Metrolina Medical Research

🇺🇸

Charlotte, North Carolina, United States

Integrated Medical Research

🇺🇸

Ashland, Oregon, United States

Genesis Clinical Research Corporation

🇺🇸

Huntsville, Alabama, United States

Southeastern Integrated Medical, PL dba Florida Medical Research Institute

🇺🇸

Gainesville, Florida, United States

Family Practice Clinic

🇺🇸

North Little Rock, Arkansas, United States

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

Comprehensive Clinical Research

🇺🇸

Berlin, New Jersey, United States

Albuquerque Clinical Trials, Inc.

🇺🇸

Albuquerque, New Mexico, United States

Williamette Valley Clinical Studies

🇺🇸

Eugene, Oregon, United States

Central TX Clinical Research

🇺🇸

Austin, Texas, United States

Robert S. Eagerton Jr., MD Family Practice

🇺🇸

Manning, South Carolina, United States

Omega Medical Research

🇺🇸

Warwick, Rhode Island, United States

Evergreen Clinical Research, LLC

🇺🇸

Bellaire, Texas, United States

Holston Medical Group, P.C.

🇺🇸

Bristol, Tennessee, United States

Mid-Cities Family Care

🇺🇸

Bedford, Texas, United States

Prime Care Medical Group

🇺🇸

Houston, Texas, United States

North Hills Family Practice

🇺🇸

North Richland Hills, Texas, United States

Deer Park Family Clinic, P.A.

🇺🇸

Deer Park, Texas, United States

Southwest Florida Clinical Research Center

🇺🇸

Tampa, Florida, United States

Kansas City University of Medicine and BioSciences Dybedal Building

🇺🇸

Kansas City, Missouri, United States

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