- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT01098747
Study Evaluating A Novel Ibuprofen Formulation In The Treatment Of Dental Pain
12 juillet 2012 mis à jour par: Pfizer
Evaluation Of The Efficacy Of A Novel Ibuprofen Formulation In The Treatment Of Post-Surgical Dental Pain: Study I
This study will compare the pain relieving effect of a single-dose of a novel ibuprofen formulation to placebo and two formulations of standard ibuprofen in the treatment of post-surgical dental pain following "wisdom" tooth (third molar) removal.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Type d'étude
Interventionnel
Inscription (Réel)
335
Phase
- Phase 3
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
16 ans à 40 ans (Enfant, Adulte)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La 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])
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Traitement A
|
Dose unique de nouvel ibuprofène (équivalant à 400 mg d'ibuprofène)
|
|
Comparateur actif: Traitement B
|
Single-dose of standard ibuprofen (400mg)
|
|
Comparateur actif: Traitement C
|
Single-dose of standard ibuprofen (400mg)
|
|
Comparateur placebo: Treatment D
|
Dose unique de placebo
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Time-weighted Sum of Pain Relief Rating and Pain Intensity Difference From 0-8 Hours (SPRID 0-8)
Délai: 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
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Time to Confirmed First Perceptible Relief
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
- 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.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 avril 2010
Achèvement primaire (Réel)
1 juillet 2010
Achèvement de l'étude (Réel)
1 août 2010
Dates d'inscription aux études
Première soumission
1 avril 2010
Première soumission répondant aux critères de contrôle qualité
1 avril 2010
Première publication (Estimation)
5 avril 2010
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
17 août 2012
Dernière mise à jour soumise répondant aux critères de contrôle qualité
12 juillet 2012
Dernière vérification
1 juillet 2012
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
- La douleur
- Manifestations neurologiques
- Maladies stomatognathiques
- Maladies dentaires
- Douleur faciale
- Mal aux dents
- Effets physiologiques des médicaments
- Mécanismes moléculaires de l'action pharmacologique
- Agents du système nerveux périphérique
- Inhibiteurs d'enzymes
- Analgésiques
- Agents du système sensoriel
- Agents anti-inflammatoires non stéroïdiens
- Analgésiques, non narcotiques
- Agents anti-inflammatoires
- Agents antirhumatismaux
- Inhibiteurs de la cyclooxygénase
- Ibuprofène
Autres numéros d'identification d'étude
- AH-09-10
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .