Study Evaluating A Novel Ibuprofen Formulation In The Treatment Of Dental Pain
Evaluation Of The Efficacy Of A Novel Ibuprofen Formulation In The Treatment Of Post-Surgical Dental Pain: Study I
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Normal, healthy males and females 16 to 40 years of age
- Outpatients who have moderate to severe post-operative pain (confirmed by a Visual Analog Scale-Pain Severity Rating [VAS-PSR] score of at least 50 mm on a 100 mm VAS-PSR) following surgical extraction of two or more third molars, at least one of which must be a partial or complete bony mandibular impaction
- Use of only the following pre-operative medication(s)/anesthetic(s): topical benzocaine, a short acting parenteral (local) anesthetic (mepivacaine or lidocaine) with or without vasoconstrictor and/or nitrous oxide
Exclusion Criteria:
- Pregnancy or breast-feeding
- Alcohol or substance abuse
- Any serious medical or psychiatric disorder
- History of stomach ulcers, stomach bleed, or other bleeding disorders
- Use of a prescription or over-the-counter drug with which administration of ibuprofen or any other non-steroidal anti-inflammatory drug, acetaminophen, or hydrocodone is contraindicated (including: opioids, antipsychotics, antianxiety agents, or other central nervous system depressants[including alcohol])
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment A
|
Single-dose of novel ibuprofen (equal to 400 mg ibuprofen)
|
|
Active Comparator: Treatment B
|
Single-dose of standard ibuprofen (400mg)
|
|
Active Comparator: Treatment C
|
Single-dose of standard ibuprofen (400mg)
|
|
Placebo Comparator: Treatment D
|
Single-dose of placebo
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time-weighted Sum of Pain Relief Rating and Pain Intensity Difference From 0-8 Hours (SPRID 0-8)
Time Frame: 0 to 8 hours
|
SPRID: time-weighted sum of pain relief rating combined with pain intensity difference (PRID) over 8 hours.
SPRID 0-8 score range: -8 (worst) to 56 (best).
PRID: sum of Pain intensity differences (PID) and pain relief rating (PRR) at each time point.
PRID score range: -1=worst to 7=best.
PID: baseline pain severity score minus pain severity score at a given time point (pain severity score range 0=none to 3=severe; baseline score range 2=moderate to 3=severe).
PID score range: -1(worst) to 3 (best).
PRR: assessed on 5-point pain relief rating scale (0=No relief to 4=Complete relief).
|
0 to 8 hours
|
|
Time to Onset of Meaningful Relief
Time Frame: 0 to 8 hours
|
Participants evaluated the time to meaningful relief by stopping a second stopwatch labeled 'meaningful relief' at the moment they first began to experience meaningful relief.
Stopwatch was active up to 8 hours after dosing or until stopped by the participant, or rescue medication was administered.
|
0 to 8 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to Confirmed First Perceptible Relief
Time Frame: 0 to 8 hours
|
Participants evaluated the time to first perceptible relief by stopping a stopwatch labeled 'first perceptible relief' at the moment they first began to experience any relief.
Stopwatch was active up to 8 hours after dosing or until stopped by the participant, or rescue medication was administered.
The first perceptible relief was considered confirmed if the participant also stopped the second stopwatch indicating meaningful relief.
|
0 to 8 hours
|
|
Pain Relief Rating (PRR)
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
PRR was evaluated at different time points during the study up to 8 hours after taking the study medication, and immediately before rescue medication was taken (if necessary).
PRR was assessed on a 5-point categorical pain relief rating scale where 0=No relief to 4=Complete relief.
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Pain Intensity Difference (PID)
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
PID was derived by subtracting the pain severity score at a given post-dosing time point (pain severity score range 0 [none] to 3 [severe]) from the baseline score (Baseline pain severity score range 2 [moderate] to 3 [severe]).
Total possible score range for PID: -1 (worst) to 3 (best).
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Sum of Pain Relief Rating and Pain Intensity Difference (PRID)
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
PRID was sum of PID and PRR at each post-dosing time point.
The overall possible score range, for PRID was -1 (worst) to 7 (best).
PID was derived by subtracting the pain severity score at a given post-dosing time point (pain severity score range 0 [none] to 3 [severe]) from the baseline score (Baseline pain severity score range 2 [moderate] to 3 [severe]).
Total possible score range for PID: -1 (worst) to 3 (best).
PRR was assessed on 5-point categorical pain relief rating scale (0=No relief to 4=Complete relief).
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Time-weighted Sum of Pain Intensity Difference (SPID)
Time Frame: 0-2, 0-3, 0-6, 0-8 hours
|
SPID: time-weighted sum of PID over 2, 3, 6 and 8 hours.
SPID scores range was -2 (worst) to 6 (best) for SPID 0-2, -3 (worst) to 9 (best) for SPID 0-3, -6 (worst) to 18 (best) for SPID 0-6, -8 (worst) to 24 (best) for SPID 0-8.
PID: baseline pain severity score minus pain severity score at a given time point (pain severity score range 0=none to 3=severe; baseline score range 2=moderate to 3=severe).
Total score range for PID: -1(worst) to 3 (best).
|
0-2, 0-3, 0-6, 0-8 hours
|
|
Time-weighted Sum of Pain Relief Rating (TOTPAR)
Time Frame: 0-2, 0-3, 0-6, 0-8 hours
|
TOTPAR: time-weighted sum of PRR scores over 2, 3, 6 and 8 hours.
TOTPAR score range was 0 (worst) to 8 (best) for TOTPAR 0-2, 0 (worst) to 12 (best) for TOTPAR 0-3, 0 (worst) to 24 (best) for TOTPAR 0-6, 0 (worst) to 32 (best) for TOTPAR 0-8.
PRR was evaluated at different time points during the study up to 8 hours, and immediately after taking rescue medication (if necessary).
PRR was assessed on a 5-point categorical pain relief rating scale wherein 0=No relief to 4=Complete relief.
|
0-2, 0-3, 0-6, 0-8 hours
|
|
Time-weighted Sum of Pain Relief Rating and Pain Intensity Difference (SPRID)
Time Frame: 0-2, 0-3, 0-6, 0-8 hours
|
SPRID: time-weighted sum of PRID over 2, 3, 6 and 8 hours.
SPRID score range:-2 (worst) to 14(best) for SPRID 0-2, -3(worst) to 21(best) for SPRID 0-3, -6(worst) to 42(best) for SPRID 0-6, -8(worst) to 56(best) for SPRID 0-8.
PRID:sum of PID and PRR at each time point.
Total score range for PRID: -1=worst to 7=best.
PID:baseline pain severity score minus pain severity score at given time(score range 0=none to 3=severe; baseline score range 2=moderate to 3=severe).
Total score range for PID: -1(worst) to 3(best), PRR: scored on 5-point pain relief rating scale(0=No relief to 4=Complete relief).
|
0-2, 0-3, 0-6, 0-8 hours
|
|
Cumulative Percentage of Participants With Meaningful Relief
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
Percentage of participants with meaningful relief evaluated by stopping the stopwatch labeled 'meaningful relief' at the moment the participant first began to experience meaningful relief.
Stopwatch was active up to 8 hours after dosing or until stopped by the participant, or rescue medication was administered.
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Cumulative Percentage of Participants With Confirmed First Perceptible Relief
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
Percentage of participants with first perceptible relief was evaluated by stopping a stopwatch labeled 'first perceptible relief' at the moment the participant first began to experience any relief.
Stopwatch was active up to 8 hours after dosing or until stopped by the participant, or rescue medication was administered.
The first perceptible relief was considered confirmed if the participant also stopped the second stopwatch indicating meaningful relief.
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Time to Treatment Failure
Time Frame: 0 to 8 hours
|
Median time of dropping out of the participants from the study due to lack of efficacy or rescue medication, whichever came first.
|
0 to 8 hours
|
|
Cumulative Percentage of Participants With Treatment Failure
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
Percentage of participants who withdrew from the study due to lack of efficacy or received rescue medication.
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Cumulative Percentage of Participants With Complete Relief
Time Frame: 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
Complete relief was defined as a PRR of 4. PRR was assessed on a 5-point categorical pain relief rating scale where 0=No relief to 4=Complete relief.
|
0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 hours
|
|
Participant Global Evaluation of Study Medication
Time Frame: 8 hours
|
Participant global evaluation of study medication was performed at the 8-hour time point or immediately before taking the rescue medication.
It was scored on a 6-point categorical scale where 0 = Very poor, 1 = Poor, 2 = Fair, 3 = Good, 4 = Very Good, and 5 = Excellent.
|
8 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Jayawardena S, Leyva R, Kellstein D. Safety of a novel formulation of ibuprofen sodium compared with standard ibuprofen and placebo. Postgrad Med. 2015 Jan;127(1):33-7. doi: 10.1080/00325481.2015.993268. Epub 2014 Dec 15.
- Brain P, Leyva R, Doyle G, Kellstein D. Onset of analgesia and efficacy of ibuprofen sodium in postsurgical dental pain: a randomized, placebo-controlled study versus standard ibuprofen. Clin J Pain. 2015 May;31(5):444-50. doi: 10.1097/AJP.0000000000000142.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pain
- Neurologic Manifestations
- Stomatognathic Diseases
- Tooth Diseases
- Facial Pain
- Toothache
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Ibuprofen
Other Study ID Numbers
Other Study ID Numbers
- AH-09-10
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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