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Phase 3 N=568 Randomized Quadruple-blind Treatment

A Safety And Efficacy Study of Ibuprofen 250 mg / Acetaminophen 500 mg In The Treatment Of Post-Surgical Dental Pain

Post-surgical Pain Following Extraction of Molar Teeth

Enrolled (actual)
568
Serious AEs
0.0%
Results posted
Aug 2017
Primary outcome: Primary: Time-weighted Sum of Pain Intensity Difference Scores on 11-Point Numerical Scale From 0 to 8 Hours Post-dose (SPID11 [0-8]) — 4.1; 34.3; 28.9; 19.4 units on a scale — p=<0.001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Ibuprofen 250 mg / Acetaminophen 500 mg (Drug); Ibuprofen 250 mg (Drug); Acetaminophen 650 mg (Drug); Placebo (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Pfizer
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Time-weighted Sum of Pain Intensity Difference Scores on 11-Point Numerical Scale From 0 to 8 Hours Post-dose (SPID11 [0-8])
4.1; 34.3; 28.9; 19.4 <0.001 sig
SECONDARY
Time-weighted Sum of Pain Intensity Difference Scores on 11-Point Numerical Scale From 6 to 8 Hours Post-dose (SPID11 [6-8])
1.9; 11.3; 9.5; 5.6 <0.001 sig
SECONDARY
Time-weighted Sum of Pain Relief Rating (TOTPAR) From 0 to 8 Hours and 6 to 8 Hours Post-dose
5.3; 18.4; 15.4; 11.4; 2.3; 6.2 <0.001 sig
SECONDARY
Time to Treatment Failure
107.0; 629.0; 608.5; 449.0 <0.001 sig
SECONDARY
Cumulative Percentage of Participants With Treatment Failure at 6 and 8 Hours
67.9; 10.5; 21.7; 38.8; 69.6; 24.4 <0.001 sig
SECONDARY
Time to Onset of Meaningful Pain Relief
NA; 47.9; 65.9; 56.6 <0.001 sig

Summary

This is a randomized, double blind, placebo-controlled, parallel group, single-center study in approximately 560 subjects to determine the overall analgesic efficacy and safety of a fixed-dose ibuprofen 250 mg / acetaminophen 500 mg formulation compared to ibuprofen 250 mg alone, acetaminophen 650 mg alone, and to placebo. Subjects will be healthy males and females aged 18-40 years, inclusive, who are experiencing post-operative pain following surgical extraction of 3 or more third molar teeth. Following extraction, subjects must experience, within 5 hours, post-surgical pain of at least moderate severity (on a 4-point categorical scale), confirmed by a Visual Analog Pain Severity Rating Scale (VAS PSR) of at least 50 mm on a 100 mm VAS PSR scale. Eligible subjects will be randomized to receive a single oral dose of study medication under double-blind conditions and then evaluated on site for 12 hours following administration of study medication. Subjects will provide self-ratings of pain severity and pain relief at various time points using categorical and numerical scales. Additionally, subjects will also evaluate the time to first perceptible relief and time to meaningful relief using a double stopwatch method. Finally, at 12 hours, subjects will complete a categorical Global Evaluation of the study medication. A review of any reported adverse events will also be completed.

Eligibility Criteria

Inclusion Criteria

  • Outpatients who have undergone surgical extraction of 3 or more third molars, of which at least 2 must be a partial or complete bony mandibular impaction.
  • Subject must have at least moderate pain on the 4-point categorical scale, confirmed by at least 50 mm on the 100 mm VAS PSR scale within approximately 5 hours (i.e., less than or equal to 5 hours, 15 minutes) after surgery is completed.
  • Female subjects are not pregnant or breast feeding.
  • Informed consent.

Exclusion Criteria

  • Presence or history of any significant hepatic, renal, endocrine, cardiovascular, neurological, psychiatric, gastrointestinal, pulmonary, hematologic, or metabolic disorder determined by the Investigator to place the subject at increased risk, including the presence or history within 2 years of screening.
  • Acute localized dental alveolar infection at the time of surgery that could confound the post-surgical evaluation.
  • Hypersensitivity to ibuprofen, naproxen, aspirin, or any other NSAID; or to APAP, tramadol, other opioids, or to their combinations.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02912650). 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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