Phase 3
Completed N=218
A Confirmatory Study of Fentanyl in Participants With Osteoarthritis or Low Back Pain
Source: ClinicalTrials.gov NCT01008618 ↗Enrolled (actual)
218
Serious AEs
4.6%
Results posted
Jul 2013
Primary outcomePrimary: Time From the Initial Day of Application in Double-Blind Period to Withdrawal Because of Insufficient Analgesic Efficacy — NA; NA Days — p=0.0846
Summary
The purpose of this study is to evaluate efficacy and safety of fentanyl in opioid-naive participants with osteoarthritis (disorder, which is seen mostly in older persons, in which the joints become painful and stuff) or low back pain who cannot obtain a sufficient analgesic effect by the treatment of non-opioid analgesics (drug used to control pain).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Time From the Initial Day of Application in Double-Blind Period to Withdrawal Because of Insufficient Analgesic Efficacy |
NA; NA | 0.0846 |
| SECONDARY Pain Visual Analog Scale (VAS) Score - Titration Period |
74.1; 39.71 | — |
| SECONDARY Pain Visual Analog Scale (VAS) Score - Double-Blind Period |
28.9; 29.6; 28.9; 36.5 | — |
| SECONDARY Number of Participants Evaluated as Per Participant's Overall Assessment - Titration Period |
77; 11; 183; 124 | — |
| SECONDARY Number of Participants Evaluated as Per Participant's Overall Assessment - Double-Blind Period |
71; 76; 57; 63; 63; 56 | — |
| SECONDARY Number of Doses of Rescue Treatment Per Day - Titration Period |
0.0; 0.2 | — |
| SECONDARY Number of Doses of Rescue Treatment Per Day - Double-Blind Period |
0.0; 0.0; 0.2; 0.2 | — |
| SECONDARY Brief Pain Inventory Short Form (BPI-sf) Score - Titration Period |
5.9; 4.0 | — |
| SECONDARY Brief Pain Inventory Short Form (BPI-sf) Score - Double-Blind Period |
3.2; 3.2; 3.2; 3.9 | — |
| SECONDARY Short-Form 36-Item Health Survey Version 2.0 (SF-36v2) - Titration Period |
17.1; 48.2; 23.3; 48.5 | — |
| SECONDARY Short-Form 36-Item Health Survey Version 2.0 (SF-36v2) - Double-Blind Period: |
25.8; 22.8; 50.1; 50.8; 24.3; 22.5 | — |
| SECONDARY Number of Participants Evaluated as Per Physician's Overall Assessment - Titration Period |
185; 33 | — |
| SECONDARY Number of Participants Evaluated as Per Physician's Overall Assessment - Double-Blind Period |
73; 77; 0; 0; 64; 51 | — |
Eligibility Criteria
Inclusion Criteria
- Participants whose pain because of osteoarthritis or low back pain is continuing for at least 12 weeks prior to informed consent
- Participants who are continuously taking a non-opioid analgesic at the normal highest dose or more for at least 14 consecutive days prior to informed consent, or participant at a certain dose (except the use on an as-needed base) on consecutive days
- Participants showing insufficient therapeutic efficacy of the non-opioid analgesic currently being used, and requiring a continuous opioid analgesic as per the investigator or sub-investigator
- Participants with an average pain intensity of 50 millimeter or more on the Visual Analog Scale (VAS) in 24-hour daily living prior to informed consent
- Participants who can be hospitalized to the 4th day after the initiation of titration period
Exclusion Criteria
- In cases of low back pain, participants with severe pain of lower extremities due to radiculopathy (a problem in which one or more nerves are affected) than that of low back pain, or participants with disc herniation (a medical condition affecting the spine due to trauma, lifting injuries, or idiopathic [unknown] causes) requiring an operation
- In cases of low back pain, participants with pain due to compression fracture
- Participants who had an operation that may affect the assessment within 30 days before informed consent
- Participants whose main cause of the pain to be assessed is considered attributable to psychogenic pain (physical pain that is caused, increased, or prolonged by mental, emotional, or behavioral factors)
- Participants with asthma, bradyarrhythmia (slow irregular heart beat) and severe respiratory function disorders
Data sourced from ClinicalTrials.gov (NCT01008618). 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. Informational only — not medical advice.