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Phase 3 N=385 Randomized Double-blind Treatment

A Multicenter Efficacy Study of a Diclofenac+Menthol Gel in Subjects With Ankle Sprain

Pain

Enrolled (actual)
385
Serious AEs
0.0%
Results posted
Jan 2018
Primary outcome: Primary: Area Under the Curve From Day 1 to Day 3 (AUC1-3 Days) of Pain Intensity(PI) on Movement for Diclofenac/Methanol Gel and Placebo Gel — 276.97; 282.88 NRS Score (0 - 10 scale) * hrs — p=0.4144

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
1% diclofenac sodium plus 3% menthol (Drug); 1% diclofenac sodium plus 0.09% menthol (Drug); 3% menthol (Drug); Placebo with 0.09% menthol gel (Drug)
Age
Pediatric, Adult, Older Adult · 16+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Mar 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Area Under the Curve From Day 1 to Day 3 (AUC1-3 Days) of Pain Intensity(PI) on Movement for Diclofenac/Methanol Gel and Placebo Gel
276.97; 282.88 0.4144
SECONDARY
AUC1-3 Days of PI on Movement for Diclofenac Sodium + Methanol, Diclofenac, Methanol and Placebo
276.97; 261.11; 272.65; 282.88 0.8761
SECONDARY
Pain Intensity Difference (PID) on Movement
7.8; 7.4; 7.8; 7.7; 0.23; 0.19
SECONDARY
PID at Rest
7.8; 7.4; 7.8; 7.7; 0.34; 0.43
SECONDARY
Pain Relief Score (PRS)
0.33; 0.29; 0.32; 0.36; 0.44; 0.36
SECONDARY
Sum of Pain Intensity Difference (SPID)
4.16; 3.19; 4.72; 4.37; 9.19; 9.13
SECONDARY
Time of Onset of Pain Relief (TOPR)
1.03; 4.00; 1.00; 4.00 0.5404
SECONDARY
Time of Onset of Meaningful Pain Relief (TOMR)
92.50; 76.83; 72.00; 93.50 0.6918
SECONDARY
Time of Onset of Cooling Sensation (TOCS)
0.17; 0.17; 0.17; 0.17 0.7003
SECONDARY
Total Pain Relief (TOTPAR)
2.81; 2.64; 3.27; 2.75; 6.86; 6.81
SECONDARY
Skin Temperature
27.69; 29.31; 29.92; 30.93; 28.26; 29.81
SECONDARY
Ankle Swelling
573.9; 573.6; 577.1; 576.1; 566.2; 566.9
SECONDARY
Time to Complete Recovery
240.00; 240.00; 240.00; 240.00 0.0408 sig
SECONDARY
Patient's Global Assessment in Response to Treatment (PGART)
3; 13; 6; 9; 24; 20

Summary

This Phase III pivotal efficacy study will assess efficacy and onset of pain relief of MFC51123 gel vs. placebo and MFC51123 gel vs. 1% diclofenac gel and 3% menthol gel in participants with an ankle sprain to support topical MFC51123 gel registration.

Eligibility Criteria

Inclusion Criteria

  • Age: 16-65 years
  • Good general and mental health
  • Grade I or Grade II acute sprain of the lateral ankle within 24 hours of Visit 1, a pain intensity score of the ankle sprain that is ≥ 5 as measured on an 11-point numerical rating scale, and a peri-malleolar edema (sub-malleolar perimeter difference of ≥ 20mm between injured and uninjured ankle
  • Females of child-bearing age practicing a reliable method of contraception

Exclusion Criteria

  • Pregnant or breast-feeding females
  • If participant has treated the ankle sprain with treatment such as oral or other topical pain relief medications, massage or physical therapy since experiencing the ankle sprain
  • Acute or chronic pain disorders, which may confound the study pain evaluations
  • Participant has has injury to both ankles or to both medial and lateral ligaments of the same ankle
  • Known or suspected hypersensitivity, allergy, intolerance or contraindication to the use of any of the study medications
  • Participant has a medical history of renal or hepatic disease, a current active peptic ulcer or a history of upper gastrointestinal bleeding or perforation related to previous NSAID therapy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02100670). 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.

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