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Efficacy and Safety of Egalet-002 in Patients With Moderate-to-Severe Chronic Low Back Pain

Primary Purpose

Moderate-to-severe Chronic Low Back Pain

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Oxycodone extended-release
Placebo of oxycodone extended-release
Sponsored by
Egalet Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate-to-severe Chronic Low Back Pain

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Is an English-speaking man or woman between 18 and 75 years of age who has given written informed consent.
  • Has a clinical diagnosis of moderate-to-severe low back pain (Quebec Task Force Class 1 to 3) for ≥6 months.
  • Is opioid naïve (ie, taking <20 mg oxycodone/day or opioid equivalent) or is opioid experienced (ie, taking a dose between 20 and 240 mg [inclusive] oxycodone/day or opioid equivalent) for management of moderate-to-severe CLBP at least 14 days prior to screening and will, in the opinion of the investigator, continue to require opioid therapy (between 20 and 240 mg oxycodone/day, inclusive) for management of moderate-to-severe CLBP for the duration of the study.
  • Has stable health, as determined by the investigator,
  • If female, the patient is currently not pregnant, not breast-feeding, nor attempting to become pregnant (for 30 days before screening and throughout the duration of the study), or is of non-childbearing potential

Exclusion Criteria:

  • Has cancer-related pain.
  • Has a history of receiving >240 mg oxycodone (or equivalent) daily within 30 days before screening.
  • Has a lumbar spinal infusion pump in use or used within 6 months before screening.
  • Has clinically unstable cardiac disease (including atrial fibrillation, symptomatic bradycardia, unstable congestive heart failure, or active myocardial ischemia)
  • Has positive urine drug toxicity screen for illegal or non-prescribed drugs
  • Has current (or history of within the last 5 years prior to screening) drug dependence or substance abuse disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision criteria (excluding nicotine).
  • Has positive result for cannabinoids (even if legally prescribed).
  • Has a history of attempted suicide.

Sites / Locations

  • Site 207
  • Site 202
  • Site 253
  • Site 260
  • Site 268
  • Site 282
  • Site 217
  • Site 280
  • Site 220
  • Site 235
  • Site 215
  • Site 238
  • Site 262
  • Site 201
  • Site 225
  • Site 231
  • Site 237
  • Site 221
  • Site 248
  • Site 228
  • Site 214
  • Site 270
  • Site 269
  • Site 227
  • SIte 204
  • Site 211
  • Site 229
  • Site 278
  • Site 232
  • Site 264
  • Site 271
  • Site 223
  • Site 212
  • Site 245
  • Site 255
  • Site 222
  • SIte 236
  • Site 277
  • Site 206
  • Site 224
  • Site 249
  • Site 226
  • Site 254
  • Site 210
  • Site 244
  • Site 234
  • Site 265
  • Site 266
  • Site 267
  • Site 252
  • Site 261
  • Site 243
  • Site 233
  • Site 208
  • Site 203
  • Site 213
  • Site 242
  • Site 276
  • Site 209
  • Site 259
  • Site 240
  • Site 239
  • Site 279
  • Site 256
  • Site 258
  • Site 205
  • Site 247
  • Site 251
  • Site 218
  • Site 263
  • Site 219
  • Site 275
  • Site 241
  • Site 257

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Oxycodone extended-release

Placebo of Oxycodone extended-release

Arm Description

Egalet ADER oxycodone tablet

Egalet ADER oxycodone placebo tablet

Outcomes

Primary Outcome Measures

Measure of Average Pain Intensity past 24 hours, as measured by a 0-10 NPRS using eDiary collection daily at bedtime.

Secondary Outcome Measures

Efficacy: daily (past 24 hours) worst pain intensity score (WPI)
Safety: Incidence of TEAEs, including those leading to treatment withdrawal, and/or abnormal physical examination findings, vital signs measurements, ECGs, and clinical laboratory test results, related to treatment

Full Information

First Posted
March 8, 2016
Last Updated
March 2, 2018
Sponsor
Egalet Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02716857
Brief Title
Efficacy and Safety of Egalet-002 in Patients With Moderate-to-Severe Chronic Low Back Pain
Official Title
A Randomized Withdrawal, Double-blind, Placebo-controlled Phase 3 Trial to Evaluate the Efficacy and Safety of Egalet® Abuse-deterrent, Extended-release (ADER) Oxycodone Tablet, Egalet-002, in Patients With Moderate-to-Severe Chronic Low Back Pain
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
March 2016 (undefined)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
November 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Egalet Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the analgesic efficacy of Egalet-002 twice daily (BID) in patients with moderate-to-severe chronic low back pain

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Moderate-to-severe Chronic Low Back Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Care ProviderInvestigator
Allocation
Randomized
Enrollment
549 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Oxycodone extended-release
Arm Type
Experimental
Arm Description
Egalet ADER oxycodone tablet
Arm Title
Placebo of Oxycodone extended-release
Arm Type
Placebo Comparator
Arm Description
Egalet ADER oxycodone placebo tablet
Intervention Type
Drug
Intervention Name(s)
Oxycodone extended-release
Other Intervention Name(s)
Egalet-002, Egalet ADER oxycodone
Intervention Type
Drug
Intervention Name(s)
Placebo of oxycodone extended-release
Primary Outcome Measure Information:
Title
Measure of Average Pain Intensity past 24 hours, as measured by a 0-10 NPRS using eDiary collection daily at bedtime.
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Efficacy: daily (past 24 hours) worst pain intensity score (WPI)
Time Frame
16 Weeks
Title
Safety: Incidence of TEAEs, including those leading to treatment withdrawal, and/or abnormal physical examination findings, vital signs measurements, ECGs, and clinical laboratory test results, related to treatment
Time Frame
16 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Is an English-speaking man or woman between 18 and 75 years of age who has given written informed consent. Has a clinical diagnosis of moderate-to-severe low back pain (Quebec Task Force Class 1 to 3) for ≥6 months. Is opioid naïve (ie, taking <20 mg oxycodone/day or opioid equivalent) or is opioid experienced (ie, taking a dose between 20 and 240 mg [inclusive] oxycodone/day or opioid equivalent) for management of moderate-to-severe CLBP at least 14 days prior to screening and will, in the opinion of the investigator, continue to require opioid therapy (between 20 and 240 mg oxycodone/day, inclusive) for management of moderate-to-severe CLBP for the duration of the study. Has stable health, as determined by the investigator, If female, the patient is currently not pregnant, not breast-feeding, nor attempting to become pregnant (for 30 days before screening and throughout the duration of the study), or is of non-childbearing potential Exclusion Criteria: Has cancer-related pain. Has a history of receiving >240 mg oxycodone (or equivalent) daily within 30 days before screening. Has a lumbar spinal infusion pump in use or used within 6 months before screening. Has clinically unstable cardiac disease (including atrial fibrillation, symptomatic bradycardia, unstable congestive heart failure, or active myocardial ischemia) Has positive urine drug toxicity screen for illegal or non-prescribed drugs Has current (or history of within the last 5 years prior to screening) drug dependence or substance abuse disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision criteria (excluding nicotine). Has positive result for cannabinoids (even if legally prescribed). Has a history of attempted suicide.
Facility Information:
Facility Name
Site 207
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Site 202
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Site 253
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Site 260
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Site 268
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85029
Country
United States
Facility Name
Site 282
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Site 217
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Site 280
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Site 220
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Site 235
City
Laguna Hills
State/Province
California
ZIP/Postal Code
92637
Country
United States
Facility Name
Site 215
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Site 238
City
Los Gatos
State/Province
California
ZIP/Postal Code
95032
Country
United States
Facility Name
Site 262
City
Napa
State/Province
California
ZIP/Postal Code
94558
Country
United States
Facility Name
Site 201
City
Oakland
State/Province
California
ZIP/Postal Code
94607
Country
United States
Facility Name
Site 225
City
Sacramento
State/Province
California
ZIP/Postal Code
95831
Country
United States
Facility Name
Site 231
City
San Diego
State/Province
California
ZIP/Postal Code
92105
Country
United States
Facility Name
Site 237
City
San Diego
State/Province
California
ZIP/Postal Code
92120
Country
United States
Facility Name
Site 221
City
Wildomar
State/Province
California
ZIP/Postal Code
92595
Country
United States
Facility Name
Site 248
City
Boulder
State/Province
Colorado
ZIP/Postal Code
80301
Country
United States
Facility Name
Site 228
City
Bradenton
State/Province
Florida
ZIP/Postal Code
34205
Country
United States
Facility Name
Site 214
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Site 270
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Site 269
City
Inverness
State/Province
Florida
ZIP/Postal Code
34452
Country
United States
Facility Name
Site 227
City
Jupiter
State/Province
Florida
ZIP/Postal Code
33458
Country
United States
Facility Name
SIte 204
City
Lake Worth
State/Province
Florida
ZIP/Postal Code
33462
Country
United States
Facility Name
Site 211
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
Site 229
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
Site 278
City
Plantation
State/Province
Florida
ZIP/Postal Code
33317
Country
United States
Facility Name
Site 232
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32129
Country
United States
Facility Name
Site 264
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Facility Name
Site 271
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
Facility Name
Site 223
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
Facility Name
Site 212
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Site 245
City
Boise
State/Province
Idaho
ZIP/Postal Code
83713
Country
United States
Facility Name
Site 255
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60614
Country
United States
Facility Name
Site 222
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47714
Country
United States
Facility Name
SIte 236
City
West Des Moines
State/Province
Iowa
ZIP/Postal Code
50265
Country
United States
Facility Name
Site 277
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66210
Country
United States
Facility Name
Site 206
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70115
Country
United States
Facility Name
Site 224
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71105
Country
United States
Facility Name
Site 249
City
Pikesville
State/Province
Maryland
ZIP/Postal Code
21208
Country
United States
Facility Name
Site 226
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02135
Country
United States
Facility Name
Site 254
City
New Bedford
State/Province
Massachusetts
ZIP/Postal Code
02740
Country
United States
Facility Name
Site 210
City
Bay City
State/Province
Michigan
ZIP/Postal Code
48706
Country
United States
Facility Name
Site 244
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39202
Country
United States
Facility Name
Site 234
City
Hazelwood
State/Province
Missouri
ZIP/Postal Code
63042
Country
United States
Facility Name
Site 265
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
Facility Name
Site 266
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States
Facility Name
Site 267
City
Somerset
State/Province
New Jersey
ZIP/Postal Code
08873
Country
United States
Facility Name
Site 252
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87102
Country
United States
Facility Name
Site 261
City
Kew Gardens
State/Province
New York
ZIP/Postal Code
11415
Country
United States
Facility Name
Site 243
City
New York
State/Province
New York
ZIP/Postal Code
10019
Country
United States
Facility Name
Site 233
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
Site 208
City
Williamsville
State/Province
New York
ZIP/Postal Code
14221
Country
United States
Facility Name
Site 203
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28209
Country
United States
Facility Name
Site 213
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Site 242
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Site 276
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Site 209
City
Franklin
State/Province
Ohio
ZIP/Postal Code
45005
Country
United States
Facility Name
Site 259
City
Kettering
State/Province
Ohio
ZIP/Postal Code
45429
Country
United States
Facility Name
Site 240
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43623
Country
United States
Facility Name
Site 239
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73119
Country
United States
Facility Name
Site 279
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Site 256
City
Jenkintown
State/Province
Pennsylvania
ZIP/Postal Code
19046
Country
United States
Facility Name
Site 258
City
Lansdale
State/Province
Pennsylvania
ZIP/Postal Code
19446
Country
United States
Facility Name
Site 205
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29406
Country
United States
Facility Name
Site 247
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29601
Country
United States
Facility Name
Site 251
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
Facility Name
Site 218
City
Austin
State/Province
Texas
ZIP/Postal Code
78704
Country
United States
Facility Name
Site 263
City
Hurst
State/Province
Texas
ZIP/Postal Code
76054
Country
United States
Facility Name
Site 219
City
Richardson
State/Province
Texas
ZIP/Postal Code
75080
Country
United States
Facility Name
Site 275
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78207
Country
United States
Facility Name
Site 241
City
Everett
State/Province
Washington
ZIP/Postal Code
98201
Country
United States
Facility Name
Site 257
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States

12. IPD Sharing Statement

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Efficacy and Safety of Egalet-002 in Patients With Moderate-to-Severe Chronic Low Back Pain

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