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Efficacy and Safety of Oxmorphone Extended Release in Chronic Non-malignant Pain

Primary Purpose

Chronic Pain

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Oxymorphone Extended Release
Sponsored by
Endo Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Pain focused on measuring chronic pain, lower back, opioid, efficacy, safety

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Males or females 18 years of age or older opioid naïve Have an initial pain intensity score of at least 50 mm VAS In good health as determined by the investigator on the basis of medical history and physical examination Have moderate to severe chronic non-neuropathic LBP that has been present daily for at least several hours per day for a minimum of three months prior to the Screening Any adjunct therapy for back pain such as physical therapy, biofeedback therapy, acupuncture therapy or herbal remedies, based on the patient's current status should remain unchanged during the period of participation of the patient Written informed consent Exclusion Criteria: Pregnant and/or lactating Radiculopathy, fibromyalgia, reflex sympathetic dystrophy or causalgia (complex regional pain syndrome), acute spinal cord compression, cauda equina compression, acute nerve root compression, severe lower extremity weakness or numbness, bowel or bladder dysfunction secondary to cauda equina compression, diabetic amyotrophy, meningitis, discitis, or back pain due to secondary infection or tumor Cannot or will not agree to stop local regional pain treatments during the study (nerve/plexus blocks or ablation, neurosurgical procedures for pain control, or inhalation analgesia). The patient must not have a nerve/plexus block within 4 weeks of screening Intend to alter physical therapy regimen during the study. Surgical procedures directed towards the source of back pain within 6 months of screening Pain which is secondary to confirmed or suspected neoplasm Dysphagia or difficulty swallowing tablets or capsules, or an inability to take oral medication Significant prior history of substance abuse or alcohol abuse Use of any investigational medication within 30 days prior to the first dose of study medication Previous exposure to oxymorphone History of clinically significant intolerance to oxymorphone or a known hypersensitivity to opioid analgesics History of seizure Ileostomy or colostomy Use of MAO inhibitor within 14 days prior to the start of study medication Other clinically significant conditions as judged by the investigator

Sites / Locations

  • Southern Drug Research
  • Phoenix Center for Clinical Research
  • Express Care Clinical Research
  • New England Research
  • Glasgow Family Practice
  • Radiant Research
  • University Clinical Research
  • LCFP Inc
  • Century Clinical Research
  • Ocala Rheumatology Research Center
  • The Arthritis Center
  • University Clinical Research
  • Radiant Research
  • Park Place Therapeutic Center
  • ICSL Clinical Studies
  • Comprehensive Neurology Specialists
  • Comprehensive Neuroscience
  • Pain Specialists of Greater Chicago
  • Mid-America Physiatrists
  • Research Medical Center
  • Radiant Research
  • Piedmont Anesthesia
  • Keystone Clinical Solutions
  • Perkiomen Valley Family Practice
  • Feasterville Family Health Center
  • Fleetwood Clinical Research
  • New England Center for Clinical Research
  • Paragon Clinical Research
  • Radiant Research
  • Waccamaw Pain Management
  • KRK Medical Research
  • Intermountain Clinical Research
  • Jean Brown Research

Outcomes

Primary Outcome Measures

Change in pain intensity from baseline (pre-randomization) to last assessment.

Secondary Outcome Measures

Time to early discontinuation due to lack of efficacy
Patient's Global Assessment of Pain Medication
Physician's Global Assessment of Pain Medication
Safety as measured by AEs

Full Information

First Posted
September 22, 2005
Last Updated
February 12, 2010
Sponsor
Endo Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00225797
Brief Title
Efficacy and Safety of Oxmorphone Extended Release in Chronic Non-malignant Pain
Official Title
An Open-Label Titration Followed by a Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Tolerability, and Safety of Oxymorphone Extended Release Tablets in Opioid-Naïve Patients With Chronic Low Back Pain
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
November 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
July 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Endo Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the analgesic efficacy and safety of oxymorphone extended release in non-cancer patients with chronic low back pain.
Detailed Description
Patients with low back pain who are sub-optimally responsive to their current analgesic treatment begin open-label treatment with oxymorphone extended release (ER). During the Open-Label Titration Period, patients will receive daily oxymorphone ER by mouth (PO) q12h. The investigator will initiate the Open-Label Titration Period using study drug at a dose of 5 mg PO q12h for 2 days; thereafter, patients will continue receiving 5 mg q12h or be titrated at increments of 5-10 mg q12h every 3-7 days until stabilization is achieved. The goal of the Open-Label Titration Period is to determine for each patient a fixed dose of study medication that is tolerated and achieves adequate analgesia. Stabilized patients will be randomiozed to either continue with current dose of oxymorphone ER or receive placebo for a total duration of 12 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pain
Keywords
chronic pain, lower back, opioid, efficacy, safety

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
160 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Oxymorphone Extended Release
Primary Outcome Measure Information:
Title
Change in pain intensity from baseline (pre-randomization) to last assessment.
Secondary Outcome Measure Information:
Title
Time to early discontinuation due to lack of efficacy
Title
Patient's Global Assessment of Pain Medication
Title
Physician's Global Assessment of Pain Medication
Title
Safety as measured by AEs

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females 18 years of age or older opioid naïve Have an initial pain intensity score of at least 50 mm VAS In good health as determined by the investigator on the basis of medical history and physical examination Have moderate to severe chronic non-neuropathic LBP that has been present daily for at least several hours per day for a minimum of three months prior to the Screening Any adjunct therapy for back pain such as physical therapy, biofeedback therapy, acupuncture therapy or herbal remedies, based on the patient's current status should remain unchanged during the period of participation of the patient Written informed consent Exclusion Criteria: Pregnant and/or lactating Radiculopathy, fibromyalgia, reflex sympathetic dystrophy or causalgia (complex regional pain syndrome), acute spinal cord compression, cauda equina compression, acute nerve root compression, severe lower extremity weakness or numbness, bowel or bladder dysfunction secondary to cauda equina compression, diabetic amyotrophy, meningitis, discitis, or back pain due to secondary infection or tumor Cannot or will not agree to stop local regional pain treatments during the study (nerve/plexus blocks or ablation, neurosurgical procedures for pain control, or inhalation analgesia). The patient must not have a nerve/plexus block within 4 weeks of screening Intend to alter physical therapy regimen during the study. Surgical procedures directed towards the source of back pain within 6 months of screening Pain which is secondary to confirmed or suspected neoplasm Dysphagia or difficulty swallowing tablets or capsules, or an inability to take oral medication Significant prior history of substance abuse or alcohol abuse Use of any investigational medication within 30 days prior to the first dose of study medication Previous exposure to oxymorphone History of clinically significant intolerance to oxymorphone or a known hypersensitivity to opioid analgesics History of seizure Ileostomy or colostomy Use of MAO inhibitor within 14 days prior to the start of study medication Other clinically significant conditions as judged by the investigator
Facility Information:
Facility Name
Southern Drug Research
City
Hueytown
State/Province
Alabama
ZIP/Postal Code
35023
Country
United States
Facility Name
Phoenix Center for Clinical Research
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85015
Country
United States
Facility Name
Express Care Clinical Research
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
New England Research
City
Bridgeport
State/Province
Connecticut
ZIP/Postal Code
06606
Country
United States
Facility Name
Glasgow Family Practice
City
Newark
State/Province
Delaware
ZIP/Postal Code
19702
Country
United States
Facility Name
Radiant Research
City
Daytona Beach
State/Province
Florida
ZIP/Postal Code
32114
Country
United States
Facility Name
University Clinical Research
City
Deland
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
LCFP Inc
City
Ft. Myers
State/Province
Florida
ZIP/Postal Code
33907
Country
United States
Facility Name
Century Clinical Research
City
Holly Hill
State/Province
Florida
ZIP/Postal Code
32117
Country
United States
Facility Name
Ocala Rheumatology Research Center
City
Ocala
State/Province
Florida
ZIP/Postal Code
34474
Country
United States
Facility Name
The Arthritis Center
City
Palm Harbor
State/Province
Florida
ZIP/Postal Code
34684
Country
United States
Facility Name
University Clinical Research
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Radiant Research
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
Facility Name
Park Place Therapeutic Center
City
Plantation
State/Province
Florida
ZIP/Postal Code
33324
Country
United States
Facility Name
ICSL Clinical Studies
City
St Petersburg
State/Province
Florida
ZIP/Postal Code
33702
Country
United States
Facility Name
Comprehensive Neurology Specialists
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30338
Country
United States
Facility Name
Comprehensive Neuroscience
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30338
Country
United States
Facility Name
Pain Specialists of Greater Chicago
City
Burr Ridge
State/Province
Illinois
ZIP/Postal Code
60527
Country
United States
Facility Name
Mid-America Physiatrists
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Research Medical Center
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64132
Country
United States
Facility Name
Radiant Research
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Piedmont Anesthesia
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Keystone Clinical Solutions
City
Altoona
State/Province
Pennsylvania
ZIP/Postal Code
16602
Country
United States
Facility Name
Perkiomen Valley Family Practice
City
Collegeville
State/Province
Pennsylvania
ZIP/Postal Code
19426
Country
United States
Facility Name
Feasterville Family Health Center
City
Feasterville
State/Province
Pennsylvania
ZIP/Postal Code
19053
Country
United States
Facility Name
Fleetwood Clinical Research
City
Fleetwood
State/Province
Pennsylvania
ZIP/Postal Code
19522
Country
United States
Facility Name
New England Center for Clinical Research
City
Cranston
State/Province
Rhode Island
ZIP/Postal Code
02920
Country
United States
Facility Name
Paragon Clinical Research
City
Cranston
State/Province
Rhode Island
ZIP/Postal Code
02920
Country
United States
Facility Name
Radiant Research
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29651
Country
United States
Facility Name
Waccamaw Pain Management
City
Murrells Inlet
State/Province
South Carolina
ZIP/Postal Code
29576
Country
United States
Facility Name
KRK Medical Research
City
Richardson
State/Province
Texas
ZIP/Postal Code
75080
Country
United States
Facility Name
Intermountain Clinical Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84102
Country
United States
Facility Name
Jean Brown Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84124
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22437221
Citation
Peniston JH, Hu X, Potts SL, Wieman MS, Turk DC. Tolerability of concomitant use of selective serotonin reuptake inhibitors or serotonin-norepinephrine reuptake inhibitors and oxymorphone extended release. Postgrad Med. 2012 Mar;124(2):114-22. doi: 10.3810/pgm.2012.03.2542.
Results Reference
derived
PubMed Identifier
20521870
Citation
Peniston JH, Xiang Q, Gould EM. Factors affecting acceptability of titrated oxymorphone extended release in chronic low back pain - an individual patient analysis. Curr Med Res Opin. 2010 Aug;26(8):1861-71. doi: 10.1185/03007995.2010.490457.
Results Reference
derived
PubMed Identifier
17257473
Citation
Katz N, Rauck R, Ahdieh H, Ma T, Gerritsen van der Hoop R, Kerwin R, Podolsky G. A 12-week, randomized, placebo-controlled trial assessing the safety and efficacy of oxymorphone extended release for opioid-naive patients with chronic low back pain. Curr Med Res Opin. 2007 Jan;23(1):117-28. doi: 10.1185/030079906x162692.
Results Reference
derived

Learn more about this trial

Efficacy and Safety of Oxmorphone Extended Release in Chronic Non-malignant Pain

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