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临床试验/NCT01983111
NCT01983111已完成4 期

A Multicenter, Phase IV, Interventional Study to Compare the Efficacy and Safety of NORSPAN to Tramadol/Acetaminophen in Patients With Prolonged Postoperative Pain After Spinal Surgery (PASSION)

Mundipharma Korea Ltd1 个研究点 分布在 1 个国家目标入组 136 人开始时间: 2013年10月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
入组人数
136
试验地点
1
主要终点
Change in the Pain Intensity Score (0-10 NRS) From Visit 1 (Baseline) to 6weeks After Treatment.

研究概览

简要总结

The purpose of this study is to compare the efficacy and safety of buprenorphine transdermal system to tramadol/acetaminophen.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Korean men and women aged 20 years or more
  • Presence of pain associated with a spinal disease and lumbar fusion at 1-2 spinal segments (1-2 level lumbar fusion surgery)
  • Moderate to severe pain of the NRS pain score ≥ 4 at Visit 1 (14~90 days after surgery, Baseline) (Amended 21Nov2013)
  • Consent to participate in the study and voluntary signature on the informed consent form

排除标准

  • Women of childbearing potential, except for the following cases:
  • A partner who is vasectomized or otherwise surgically sterile.
  • Use of 2 contraception methods. Two methods include the combination of double-barrier contraception or barrier contraception and hormone contraception, and appropriate barrier methods are as follows: Diaphragm (female contraceptive device), condom, intrauterine (copper or hormone), sponge or spermicide. Hormonal contraceptives include all commercially available products containing estrogen and/or progesterone.
  • Pregnant or breastfeeding women. Pregnant woman is defined as a woman after fertilization to late pregnancy with a positive result from the urine pregnancy test.
  • History of hypersensitivity to buprenorphine, tramadol, APAP or excipients, and celecoxib
  • Medical history of asthma, acute rhinitis, nasal polyp, vascular edema urticaria or allergic reaction to aspirin or other non-steroidal anti-inflammatory drugs(NSAIDs, COX-2)
  • Hypersensitivity or intolerance to Domperidone
  • Risk of gastrointestinal irritation such as gastrointestinal bleeding, mechanical ileus or perforation
  • Genetic problem such as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • Severely impaired respiratory function or respiratory depression
  • Current use of monoamine oxidase(MAO) inhibitors or the medication history within 2 weeks prior to study participation
  • Convulsive disorder, head injury, shock, decreased level of consciousness of uncertain origin, intracranial lesion or increased intracranial pressure or severe hepatic impairment
  • Biliary tract disorder
  • Presence or suspected drug abuse history
  • Medical history of opioid or drug dependence
  • Current use of other CNS inhibitors or muscle relaxants that may result in dyspnea, hypotension, severe sedation or coma when used with the investigational product, opioid analgesics
  • Use of strong opioids, buprenorphine or tramadol/APAP within 1 week prior to study participation (however, study participation is allowed for PRN prescription of PCA and strong opioids)
  • Any condition representing a contraindication of application of buprenorphine, tramadol/APAP or celecoxib
  • Major pain not attributable to a spinal disease
  • Anticancer therapy that may affect pain assessment
  • Clinically significant cardiovascular or renal dysfunction
  • Postoperative complications
  • Symptoms of acute pain after lumbar fusion or characteristic analgesic features showing rapidly changing needs for analgesics
  • Current use of other investigational product at enrollment or within 30 days after administration of other investigational product

研究组 & 干预措施

buprenorphine

Experimental

Patch

干预措施: buprenorphine (Drug)

tramadol/acetaminophen

Active Comparator

Oral tablet

干预措施: tramadol/acetaminophen (Drug)

结局指标

主要结局

Change in the Pain Intensity Score (0-10 NRS) From Visit 1 (Baseline) to 6weeks After Treatment.

时间窗: baseline and 6 weeks

NRS-Pain scale assessed the severity of a subject's pain of mean pain over the past 24 hours prior to the visit on a scale of 0 (No pain) and 10 (Worst possible pain). Change = mean score at Week6/ET minus mean score at Baseline.

次要结局

  • Clinical Global Impression of Change(CGIC)(6 weeks)
  • Patient Global Impressions of Change(PGIC)(6 weeks)
  • Change in the Pain Intensity Score (0-10 NRS) From Visit 1 (Baseline) to Week 2 of the Investigational Product Administration(2 weeks)
  • Change in the Quality of Life (EQ-5D) Score From Visit 1 (Baseline) to Week 6 Post-dose(Baseline and at 6 weeks)
  • Change From Baseline in Health-related Quality of Life Assessed by EuroQol Visual Analog Scale (EQ-5D VAS)(Baseline and at 6weeks)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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