Efficacy and Safety of Oxymorphone Extended Release in Opioid-Experienced Patients With Chronic Non-Malignant Pain

This study has been completed.
Sponsor:
Information provided by:
Endo Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00226421
First received: September 23, 2005
Last updated: February 12, 2010
Last verified: February 2010
  Purpose

The purpose of this study is to evaluate the analgesic efficacy and safety of oxymorphone extended release in opioid-experienced patients with chronic low back pain.


Condition Intervention Phase
Chronic Pain
Drug: Oxymorphone Extended Release
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: An Open-Label Titration Followed by a Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Tolerability, and Safety of Oxymorphone Extended Release Tablets in Opioid-Experienced Patients With Chronic Low Back Pain

Resource links provided by NLM:


Further study details as provided by Endo Pharmaceuticals:

Primary Outcome Measures:
  • Change in pain intensity from baseline (pre-randomization) to last assessment.

Secondary Outcome Measures:
  • - Time to early discontinuation due to lack of efficacy
  • - Patient's Global Assessment of Pain Medication
  • - Physician's Global Assessment of Pain Medication
  • - Pain Quality Assessment Scale
  • - Safety as measured by AEs

Estimated Enrollment: 120
Study Start Date: October 2004
Estimated Study Completion Date: August 2005
Detailed Description:

Patients with chronic low back pain on stable opioid treatment will be converted to oxymorphone extended release (ER)and enter an open-label treatment phase.During the Open-Label Titration Period (up to 28 days), patients will receive daily oxymorphone ER PO q12h. Patients stabilized on a dose that provides adequate pain relief will be randomized to either continue on the stabilized dose of oxymorphone ER or receive placebo in a double-blind fashion for a total duration of 12 weeks.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Males or females 18 years of age or older
  • In good health as determined by the Investigator on the basis of medical history and physical examination.
  • Moderate to severe chronic non-neuropathic low back pain that has been present daily for at least several hours per day for a minimum of three months prior to the screening.
  • On a stable around-the-clock opioid pain medication for the management of moderate to severe chronic lower back pain.
  • Expected to require a total daily oxymorphone ER dose that is a minimum of 20 mg per day (oral morphine equivalent: approximately 60 mg) and will not exceed 220 mg oxymorphone ER (oral morphine requirement: approximately 660 mg).
  • Any adjunct therapy for back pain such as physical therapy, biofeedback therapy, acupuncture therapy or herbal remedies, based on the patient's current status should remain unchanged during the period of participation of the patient.
  • Written informed consent

Exclusion Criteria:

  • Pregnant and/or lactating
  • Subjects with radiculopathy, fibromyalgia, reflex sympathetic dystrophy or causalgia (complex regional pain syndrome), acute spinal cord compression, cauda equina compression, acute nerve root compression, severe lower extremity weakness or numbness, bowel or bladder dysfunction secondary to cauda equina compression, diabetic amyotrophy, meningitis, discitis, or back pain due to secondary infection or tumor.
  • Cannot or will not agree to stop local regional pain treatments during the study (nerve/plexus blocks or ablation, neurosurgical procedures for pain control, Botulinum toxin injections, or inhalation analgesia). The patient must not have a nerve/plexus block within 4 weeks of screening (Visit 1). The patient must not have a Botulinum toxin injection in the lower back region within 3 months of screening.
  • Intend to alter their physical therapy regimen during the study.
  • Surgical procedures directed towards the source of back pain within 6 months of screening.
  • Pain which is secondary to confirmed or suspected neoplasm.
  • Dysphagia or difficulty swallowing tablets or capsules.
  • Significant prior history of substance abuse or alcohol abuse.
  • Use of any investigational medication within 30 days prior to the first dose of study medication.
  • Previous exposure to oxymorphone.
  • History of clinically significant intolerance to oxymorphone or a known hypersensitivity to opioid analgesics.
  • History of seizure.
  • use of MAO inhibitor within 14 days prior to the start of study medication.
  • Other clinically significant conditions as judged by the investigator.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00226421

  Show 31 Study Locations
Sponsors and Collaborators
Endo Pharmaceuticals
  More Information

No publications provided by Endo Pharmaceuticals

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Sr. Director Clinical R&D
ClinicalTrials.gov Identifier: NCT00226421     History of Changes
Other Study ID Numbers: EN3202-032
Study First Received: September 23, 2005
Last Updated: February 12, 2010
Health Authority: United States: Food and Drug Administration

Keywords provided by Endo Pharmaceuticals:
opioid
oxymorphone
chronic pain
randomized, double-blind trial
low back pain

Additional relevant MeSH terms:
Low Back Pain
Back Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Oxymorphone
Analgesics, Opioid
Adjuvants, Anesthesia
Central Nervous System Agents
Therapeutic Uses
Pharmacologic Actions
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Central Nervous System Depressants
Narcotics

ClinicalTrials.gov processed this record on July 10, 2014