Phase 3
N=256
Ibuprofen Extended-Release Dental Pain Study
Pain · Post-Operative Pain · Third Molar Extraction
Bottom Line
View on ClinicalTrials.gov: NCT00707057 ↗Enrolled (actual)
256
Serious AEs
0.0%
Results posted
Mar 2011
Primary outcome: Primary: Analgesic Efficacy, as Measured by the Sum of Pain Intensity Differences (SPID) Scale — 14.80; 0.40 Units on a scale — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Ibuprofen 600 mg Extended-Release Tablets (Drug); Placebo (Drug)
- Age
- Pediatric, Adult · 16+ yrs
- Sex
- All
- Sponsor
- SCOLR Pharma, Inc.
- Primary completion
- Oct 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Analgesic Efficacy, as Measured by the Sum of Pain Intensity Differences (SPID) Scale |
14.80; 0.40 | <0.0001 sig |
| PRIMARY Durability of Effect as Measured by the Number of Subjects Achieving Meaningful Improvement in Pain Intensity Difference (PID) From Baseline at All Three Assessment Periods of 24, 36, and 48 Hours |
123; 47 | <0.0017 sig |
| SECONDARY Time to Confirmed "First Perceptible" Relief |
42.00; 240 | <0.0001 sig |
| SECONDARY Time to Confirmed "Meaningful" Relief |
108; 240 | <0.0001 sig |
| SECONDARY Percentage (%) of Subjects With Confirmed First Perceptible Relief Within 1 Hour of Dose 1 |
62; 12 | <0.0001 sig |
| SECONDARY Percentage of Subjects Achieving "Meaningful" Relief as Indicated by the Time Recorded on the Second Stopwatch Following "First Perceptible" Relief |
69; 17 | <0.0001 sig |
| SECONDARY Analgesic Efficacy for the 0-12, 0-4, 4-8, and 4-12 Hour Dosing Intervals After Dose 1 Using Total Pain Relief (TOTPAR) and Sum of Pain Intensity Difference(SPID) |
54.59; 12.05; 16.84; 3.18; 25.94; 5.34 | <0.0001 sig |
| SECONDARY Duration of Relief After Dose 1 |
720; 101 | <0.0001 sig |
| SECONDARY Percentage of Participants Who Require Rescue Medication at or Prior to Hour 8, Hour 10, and Hour 12 After Taking Dose 1 |
31.4; 82.8; 34.9; 85.1; 36.1; 85.1 | <0.0001 sig |
| SECONDARY Pain Relief and PID Scores at Individual Time Points for Dose 1 |
3.11; 0.18; 3.10; 0.22; 3.44; 0.22 | <0.0001 sig |
| SECONDARY Global Evaluation for Dose 1 |
6.05; 1.79 | <0.0001 sig |
| SECONDARY Global Evaluation, Maximum Relief, and Overall Relief for Dose 2 |
6.82; 4.24; 7.27; 5.02; 6.62; 4.46 | <0.0001 sig |
| SECONDARY Global Evaluation, Maximum Relief, and Overall Relief for Dose 3 |
7.14; 4.98; 7.61; 5.63; 6.76; 5.02 | <0.0001 sig |
| SECONDARY Global Evaluation, Maximum Relief, and Overall Relief for Dose 4 |
7.26; 4.70; 7.66; 5.34; 7.06; 4.89 | <0.0001 sig |
Summary
The purpose of this study is to evaluate the efficacy and safety of multiple doses of Ibuprofen 600 mg Extended-Release Tablets in a study of dental pain following extraction of third molar teeth.
Eligibility Criteria
Inclusion Criteria
- Males and females 16 to 45 years of age;
- Outpatients scheduled to undergo surgical extraction of 1-2 impacted third molar(s), one of which must be a mandibular impaction that is partially impacted in either tissue or bone;
- At least a score of 5 on the 11-point pain intensity numerical rating scale (PI-NRS) at baseline;
- Use of only the following preoperative medication(s) / anesthetic(s): short-acting local anesthetic (e.g., mepivacaine or lidocaine) with or without vasoconstrictor and/or nitrous oxide;
- Reliable, cooperative, and adequate intelligence to record the requested information on the analgesic questionnaire form;
- Subjects (or the parent or legal guardian of subjects under the age of 18 years) are required to read, comprehend, and sign the informed consent. Subjects requiring a parent or legal guardian to sign the informed consent will be required to sign an assent;
- Examined by the attending dentist or physician and medically cleared to participate in the study; and,
- In general good health and have no contraindications to any of the study meds.
Exclusion Criteria
- Presence of a serious medical condition (e.g., poorly controlled hypertension, poorly controlled diabetes, significantly impaired cardiac, renal or hepatic function, hyper- or hypothyroidism);
- Use of a prescription or nonprescription drug with which the administration of ibuprofen, celecoxib, any other non-steroidal anti-inflammatory drug (NSAID), or acetaminophen, is contraindicated;
- Acute local infection at the time of surgery that could confound the post-surgical evaluation;
- Females who are pregnant, lactating, of child-bearing potential, or postmenopausal for less than 2 years and not using a medically approved method of contraception (i.e., oral, transdermal, or implanted contraceptives, intrauterine device, diaphragm, condom, abstinence, or surgical sterility), or females who test positive on a urine-based pregnancy test;
- Presence or history (within 2 years of enrollment) of bleeding disorder(s) or peptic ulcer disease;
- Presence or history (within the past year) of alcoholism or substance abuse. Subjects who are taking CNS or other psychotropic drugs (including St. John's Wort, or any other nutritional supplement known to have psychotropic effects) may be enrolled if they have been on stable doses of medication for at least 2 months, will maintain this dose throughout the study, and their condition is judged by the Principal Investigator to be well-controlled;
- Habituation to analgesic drugs (i.e., routine use of oral analgesics 5 or more times per week);
- History of allergic reaction (eg, asthma, rhinitis, swelling, shock, or hives) to ibuprofen, naproxen, aspirin, celecoxib, any other NSAID, or acetaminophen;
- Prior use of any type of analgesic or NSAID 5 half-lives of that drug or less before taking the first dose of study medication, except for pre-anesthetic medication and anesthesia for the procedure;
- Ingestion of any caffeine-containing beverages, chocolate, or alcohol 4 hours or less before taking the first dose of study medication;
- Has taken an investigational product within the past 30 days;
- Has previously been entered into this study; and,
- The subject is a member of the study site staff either directly involved with the study, an employee of the Sponsor, or a relative of study site personnel directly involved with the study or Sponsor.
Data sourced from ClinicalTrials.gov (NCT00707057). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.