- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02680847
Safety and Pharmacokinetic Study of ALO-02 in Children Ages 7-17 With Pain
August 27, 2018 updated by: Pfizer
An Open-label Study To Evaluate The Pharmacokinetics And Safety Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride) Extended-release Capsules In Children And Adolescents 7-17 Years Of Age Who Require Opioid Analgesia
Safety and pharmacokinetics of an abuse-deterrent, extended-release formulation of oxycodone hydrochloride with a sequestered naltrexone core in children 7-17 with moderate-severe pain.
Study Overview
Detailed Description
This is a multicenter, open-label, single-arm study designed to characterize the PK and to evaluate the safety of ALO-02 in children and adolescents 7 to 17 years of age who require opioid analgesia for moderate-to-severe pain.
The study consists of 4 study periods (screening, titration, maintenance, follow-up) occurring over a period of up to 9 weeks.
The study will enroll approximately 140 children and adolescents with at least 100 subjects once stabilized during the titration period to complete a minimum of 2 of the 4 weeks study duration in the maintenance period to satisfy the PK endpoint.
A safety follow-up visit is required at 1 week post-last dose.
Study Type
Interventional
Enrollment (Actual)
32
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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California
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Lancaster, California, United States, 93534
- Research Center For Clinical Studies-West, Inc.
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Los Angeles, California, United States, 90027
- Children's Hospital of Los Angeles - University of Southern California School of Medicine
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Los Angeles, California, United States, 90027
- Children's Hopsital Los Angeles
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Sacramento, California, United States, 95817
- University of California Davis
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Sacramento, California, United States, 95817
- Shriners Hospitals For Children Northern California
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Sacramento, California, United States, 95817
- UC Davis Health Attn: Peter Trovitch, PharmD
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Illinois
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Chicago, Illinois, United States, 60612
- University of Illinois at Chicago Clinical Research Center
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Chicago, Illinois, United States, 60612
- University of Illinois Hospital and Health Sciences Systems
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Chicago, Illinois, United States, 60612
- University of Illinois Hospital at the Medical Center
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North Carolina
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Greenville, North Carolina, United States, 27834
- Leo Jenkins Cancer Center Pharmacy
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Greenville, North Carolina, United States, 27834
- East Carolina University Brody School of Medicine(ECU)
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina Children's Hospital
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina, SCTR Research Nexus
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina, Investigational Drugs Services
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina, Rutledge Tower, Pediatric Clinic
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Texas
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San Antonio, Texas, United States, 78249
- Road Runner Research, Ltd
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
7 years to 17 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Children 7-17 with moderate to severe pain requiring around the clock treatment with an opioid analgesic.
- Be an experienced opioid user, defined as any subject treated with opioid therapy, equivalent or equal to > 6 mg per day of oxycodone, for a period of 3 consecutive days immediately prior to first day of dosing.
Exclusion Criteria:
- Columbia-Suicide Severity Rating Scale (C-SSRS) for suicidal ideation and behavior in past year.
- Hypersensitivity to morphine, naltrexone.
- A life expectancy (assessed by investigator) of less than 6 months or is no longer capable of taking medication orally.
- Undergone surgery within 3 days prior to the first day of dosing.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ALO-02
One arm, open label, active
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Oral/Capsule, twice per day dosing; Treatment duration consists of a 1 to 4 week Conversion/Titration Phase leading to a 2 to 4 week Maintenance Treatment duration.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Average Steady-state Concentration (Css, av) of Oxycodone
Time Frame: Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
|
ALO-02 capsules consist of controlled-release pellets containing oxycodone hydrochloride (HCl) and naltrexone HCl.
Oxycodone is a main component of this product.
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Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
|
Apparent Oral Clearance (CL/F) of Oxycodone
Time Frame: Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
|
ALO-02 capsules consist of controlled-release pellets containing oxycodone hydrochloride (HCl) and naltrexone HCl.
Oxycodone is a main component of this product.
|
Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
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Number of Participants With All-causality and Treatment-related Adverse Events (AEs)
Time Frame: Baseline up to Day 63
|
An AE was any untoward medical occurrence in a clinical investigation patient administered a product or medical device; the event needed not necessarily have a causal relationship with the treatment or usage.
All-causality AEs refer to any AE occurrence which needed not necessarily have a causal relationship with the treatment or usage.
Treatment-related AEs refer to AEs that have a causal relationship with the treatment or usage.
The majority of AEs were of mild to moderate severity.
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Baseline up to Day 63
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Number of All-causality and Treatment-related AEs, by Intensity
Time Frame: Baseline up to Day 63
|
An AE was any untoward medical occurrence in a clinical investigation patient administered a product or medical device; the event needed not necessarily have a causal relationship with the treatment or usage.
All-causality AEs refer to any AE occurrence which needed not necessarily have a causal relationship with the treatment or usage.
Treatment-related AEs refer to AEs that have a causal relationship with the treatment or usage.
The majority of AEs were of mild to moderate severity.
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Baseline up to Day 63
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Number of Participants With All-causality and Treatment-related Serious Adverse Events (SAEs)
Time Frame: Baseline up to Day 63
|
An SAE was any untoward medical occurrence at any dose that: resulted in death; was life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect.
All-causality SAEs refer to any SAE occurrence which needed not necessarily have a causal relationship with the treatment or usage.
Treatment-related SAEs refer to SAEs that have a causal relationship with the treatment or usage.
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Baseline up to Day 63
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Number of Participants With Clinical Opiate Withdrawal Scale (COWS)
Time Frame: Screening, Day 1, Titration Phase: Weeks 1,2,3,4; end of titration phase; Maintenance phase: Weeks 2, 4; early termination at titration phase, end of maintenance phase.
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The COWS contains 11 common opiate withdrawal signs or symptoms rated by the clinician.The summed score of the 11 items is used to assess a subject's level of withdrawal.
A subject assessed with a COWS score>= 13 was treated for opiate withdrawal signs and symptoms according to the investigator's medical judgment.
The total COWS score ranges from 0 to 48.
Higher scores indicate worse outcome.
Different score ranges represent different severities of withdrawal: no withdrawal (<5), mild (5-12), moderate (13-24), moderately severe (25-36), and severe (>36)
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Screening, Day 1, Titration Phase: Weeks 1,2,3,4; end of titration phase; Maintenance phase: Weeks 2, 4; early termination at titration phase, end of maintenance phase.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Apparent Volume of Distribution (Vz/F) of Oxycodone
Time Frame: Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
|
ALO-02 capsules consist of controlled-release pellets containing oxycodone hydrochloride (HCl) and naltrexone HCl.
Oxycodone is a main component of this product.
|
Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
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Systemic Exposure Levels of the Metabolites of Oxycodone (Oxymorphone and Noroxycodone), Naltrexone, and 6-β-naltrexol.
Time Frame: Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
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Oxymorphone and noroxycodone are major metabolites of Oxycodone and 6-β-naltrexol is the major metabolite of naltrexol.
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Visit 4 (Day 21,28,35 or 42) or Visit 5 if not collected at Visit 4 (early termination or end of study, which occurred on Day 35,42,49 or 56) in Maintenance Phase
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Number of Participants With Maximum Changes in Vital Signs (Blood Pressure, Heart Rate, Respiratory Rate) Meeting Categorical Summarization Criteria
Time Frame: Baseline up to Day 58
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Following parameters were analyzed for examinations of vital signs: resting systolic and diastolic blood pressure, heart rate, and respiratory rate.
In this study, there were only participants meeting the maximum decrease from baseline in systolic blood pressure (SBP) >= 30 mmHg and diastolic blood pressure (DBP) >=20 mmHg criteria.
None of the vital sign changes were clinically significant.
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Baseline up to Day 58
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Number of Participants With Laboratory (Lab) Abnormalities (Hematology and Chemistry)
Time Frame: Baseline up to Day 77
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Following parameters were analyzed for hematologic laboratory tests: hemoglobin, hematocrit, red blood cells, mean corpuscular volume, platelets, white blood cells, lymphocytes (absolute & %), neutrophils (absolute & %), basophils (absolute & %), eosinophils (absolute &%), monocytes (absolute & %).
Following parameters were analyzed for chemical laboratory tests: bilirubin,aspartate aminotransferase, alanine aminotransferase,alkaline phosphatase, protein(total), albumin,blood urea nitrogen, creatinine, cholesterol, sodium, potassium,chloride, calcium, phosphate, bicarbonate, glucose, creatine kinase.
None of the lab abnormalities were clinically significant.
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Baseline up to Day 77
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 21, 2016
Primary Completion (Actual)
January 10, 2018
Study Completion (Actual)
January 24, 2018
Study Registration Dates
First Submitted
January 20, 2016
First Submitted That Met QC Criteria
February 9, 2016
First Posted (Estimate)
February 12, 2016
Study Record Updates
Last Update Posted (Actual)
September 25, 2018
Last Update Submitted That Met QC Criteria
August 27, 2018
Last Verified
August 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- B4531015
- ALO-02 PHASE 4 PEDIATRIC STUDY (Other Identifier: Alias Study Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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