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Efficacy and Safety of Q8003 in the Management of Post-bunionectomy Pain

Primary Purpose

Postoperative Pain

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Q8003 (morphine sulfate and oxycodone hydrochloride)
Placebo
Sponsored by
QRxPharma Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postoperative Pain focused on measuring Acute, Bunionectomy

Eligibility Criteria

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

Inclusion Criteria:

  • Patient is scheduled for bunionectomy surgery and is willing to stay in the study center for at least 48 hours from the initial dose of study medication post surgery.
  • Females must be non-pregnant, non-lactating, and practicing an acceptable method of birth control, or be surgically sterile or postmenopausal (amenorrhea for ≥12 months).
  • Patient has normal laboratory values or abnormal values judged not clinically significant by the Investigator for clinical chemistry and hematology (< 1.5 ULN).
  • Patient is in general good health based on physical examination, medical history and clinically acceptable results for the following assessments: vital signs and a 12-lead electrocardiogram (ECG).
  • Patient gives written informed consent and is able to understand the requirements of the study, adhere to the study restrictions, and be available for the required follow-up assessment.

Exclusion Criteria:

  • Patient has a current acute or chronic disease that would interfere with evaluations of postoperative Q8003 efficacy or safety.
  • Patient has a history of poor tolerance to short term opiate use in prior surgeries, based on patient self-report.
  • Patient used opiates continuously (including tramadol) for more than five days in the past year.
  • Patient has a history of pulmonary, cardiovascular, neurologic, endocrine, hepatic, gastrointestinal, or kidney disease or therapy that, in the opinion of the Investigator, would jeopardize the patient's well-being by participation in this study.
  • Patient has positive HIV serology or signs of HIV infection or AIDS.
  • Patient has positive HBsAg or HCV antibody.
  • Patient is currently receiving any medications that are not at a stable dose (the same dose for >2 month prior to date of surgery).
  • Patient is currently receiving muscle relaxants, antipsychotic drugs, monoamine oxidase inhibitors, or any medications for the treatment of depression.
  • Patient has used systemic corticosteroids within previous fourteen (14) days.
  • Patient was dosed with another investigational drug within 30 days prior to the Screening Visit.
  • Patient has current evidence of alcohol abuse (regularly drinks more than 4 units of alcohol per day; 1 unit = ½ pint of beer, 1 glass of wine, or 1 ounce of spirit).
  • Patient has a history of abusing licit or illicit drug substances within five (5) years of study entry.
  • Patient is obese with a body mass index >32.

Sites / Locations

  • Advanced Clinical Research Institute
  • Chesapeake Research Group
  • Advanced Regional Center for Foot and Ankle Care
  • Scirex Research Center
  • Lifetree Clinical Research
  • Jean Brown Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

Difference in pain intensity scores from baseline

Secondary Outcome Measures

Appropriate dosing interval for each tested dose level
Safety: incidence of opioid-related adverse events

Full Information

First Posted
November 14, 2007
Last Updated
May 15, 2012
Sponsor
QRxPharma Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00560183
Brief Title
Efficacy and Safety of Q8003 in the Management of Post-bunionectomy Pain
Official Title
A Placebo-controlled, Randomized, Double-blind Study of the Safety and Efficacy of Q8003 in the Management of Post-bunionectomy Pain
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Completed
Study Start Date
November 2007 (undefined)
Primary Completion Date
April 2008 (Actual)
Study Completion Date
April 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
QRxPharma Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will explore the efficacy and safety of a fixed dose combination of morphine and oxycodone for management of acute postoperative pain. The study will explore the efficacy dose response and dosing interval required to maintain adequate analgesia at each tested dosage strength.
Detailed Description
This study is a randomized, double-blind, placebo-controlled, rising-dose/by-cohort study of the efficacy and safety of Q8003 in inpatients with acute pain following unilateral bunionectomy surgery. Patients in each dosing group will receive either Q8003 (approximately 50 per dosing group) or placebo (approximately 13 per dosing group), determined by random sequential assignment and blinded to patients and managing Investigators. Dosing groups will be enrolled sequentially in ascending order; only one dosing group will be open at a time for enrollment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postoperative Pain
Keywords
Acute, Bunionectomy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
256 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Q8003 (morphine sulfate and oxycodone hydrochloride)
Intervention Description
Capsules, four different mg dosage strengths
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Capsules
Primary Outcome Measure Information:
Title
Difference in pain intensity scores from baseline
Time Frame
48 hours
Secondary Outcome Measure Information:
Title
Appropriate dosing interval for each tested dose level
Time Frame
48 hours
Title
Safety: incidence of opioid-related adverse events
Time Frame
48 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is scheduled for bunionectomy surgery and is willing to stay in the study center for at least 48 hours from the initial dose of study medication post surgery. Females must be non-pregnant, non-lactating, and practicing an acceptable method of birth control, or be surgically sterile or postmenopausal (amenorrhea for ≥12 months). Patient has normal laboratory values or abnormal values judged not clinically significant by the Investigator for clinical chemistry and hematology (< 1.5 ULN). Patient is in general good health based on physical examination, medical history and clinically acceptable results for the following assessments: vital signs and a 12-lead electrocardiogram (ECG). Patient gives written informed consent and is able to understand the requirements of the study, adhere to the study restrictions, and be available for the required follow-up assessment. Exclusion Criteria: Patient has a current acute or chronic disease that would interfere with evaluations of postoperative Q8003 efficacy or safety. Patient has a history of poor tolerance to short term opiate use in prior surgeries, based on patient self-report. Patient used opiates continuously (including tramadol) for more than five days in the past year. Patient has a history of pulmonary, cardiovascular, neurologic, endocrine, hepatic, gastrointestinal, or kidney disease or therapy that, in the opinion of the Investigator, would jeopardize the patient's well-being by participation in this study. Patient has positive HIV serology or signs of HIV infection or AIDS. Patient has positive HBsAg or HCV antibody. Patient is currently receiving any medications that are not at a stable dose (the same dose for >2 month prior to date of surgery). Patient is currently receiving muscle relaxants, antipsychotic drugs, monoamine oxidase inhibitors, or any medications for the treatment of depression. Patient has used systemic corticosteroids within previous fourteen (14) days. Patient was dosed with another investigational drug within 30 days prior to the Screening Visit. Patient has current evidence of alcohol abuse (regularly drinks more than 4 units of alcohol per day; 1 unit = ½ pint of beer, 1 glass of wine, or 1 ounce of spirit). Patient has a history of abusing licit or illicit drug substances within five (5) years of study entry. Patient is obese with a body mass index >32.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Warren Stern, Ph.D.
Organizational Affiliation
QRxPharma Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Advanced Clinical Research Institute
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Chesapeake Research Group
City
Pasadena
State/Province
Maryland
ZIP/Postal Code
21122
Country
United States
Facility Name
Advanced Regional Center for Foot and Ankle Care
City
Altoona
State/Province
Pennsylvania
ZIP/Postal Code
16602
Country
United States
Facility Name
Scirex Research Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77081
Country
United States
Facility Name
Lifetree Clinical Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84106
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

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Efficacy and Safety of Q8003 in the Management of Post-bunionectomy Pain

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