Chronic Pain Clinical Trial
Official title:
A Multicenter, 12-Week, Double-Blind, Placebo-Controlled, Randomized Withdrawal Study to Determine the Efficacy and Safety Of ALO-02 (Oxycodone Hydrochloride and Naltrexone Hydrochloride) Extended-Release Capsules in Subjects With Moderate to Severe Chronic Low Back Pain
| Verified date | August 2014 |
| Source | Pfizer |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | United States: Food and Drug Administration |
| Study type | Interventional |
The primary objective of the study is to determine the analgesic efficacy and safety of ALO-02 extended-release capsules, when compared to placebo, in subjects with moderate to severe chronic low back pain.
| Status | Completed |
| Enrollment | 280 |
| Est. completion date | June 2013 |
| Est. primary completion date | June 2013 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: - Moderate-to-severe chronic low back pain present for at least 3 months. - Require a continuous around-the-clock opioid analgesic for an extended period of time. - Refrain from taking other opioid and non-opioid medications during the study. Exclusion Criteria: - Active or within a past 2 years a history of lumbosacral radiculopathy or chronic low back pain due to other underlying disorders such as spinal stenosis with neurologic impairment, cancer, infection, or post-surgical intervention. - Documented diagnosis of ongoing pain due to other chronic pain conditions which may interfere with assessment of chronic low back pain. - Active or ongoing or history of alcohol or drug abuse. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| United States | Pfizer Investigational Site | Albuquerque | New Mexico |
| United States | Pfizer Investigational Site | Altoona | Pennsylvania |
| United States | Pfizer Investigational Site | Anaheim | California |
| United States | Pfizer Investigational Site | Austin | Texas |
| United States | Pfizer Investigational Site | Carmichael | California |
| United States | Pfizer Investigational Site | Charleston | South Carolina |
| United States | Pfizer Investigational Site | Cincinnati | Ohio |
| United States | Pfizer Investigational Site | Colorado Springs | Colorado |
| United States | Pfizer Investigational Site | Colorado Springs | Colorado |
| United States | Pfizer Investigational Site | Columbia | South Carolina |
| United States | Pfizer Investigational Site | Columbus | Ohio |
| United States | Pfizer Investigational Site | Dallas | Texas |
| United States | Pfizer Investigational Site | Dallas | Texas |
| United States | Pfizer Investigational Site | DeLand | Florida |
| United States | Pfizer Investigational Site | Duncansville | Pennsylvania |
| United States | Pfizer Investigational Site | Evansville | Indiana |
| United States | Pfizer Investigational Site | Fair Oaks | California |
| United States | Pfizer Investigational Site | Fresno | California |
| United States | Pfizer Investigational Site | Goodyear | Arizona |
| United States | Pfizer Investigational Site | Hartsdale | New York |
| United States | Pfizer Investigational Site | Hollywood | Maryland |
| United States | Pfizer Investigational Site | Laguna Hills | California |
| United States | Pfizer Investigational Site | Las Vegas | Nevada |
| United States | Pfizer Investigational Site | Long Beach | California |
| United States | Pfizer Investigational Site | Marietta | Georgia |
| United States | Pfizer Investigational Site | Mobile | Alabama |
| United States | Pfizer Investigational Site | New Windsor | New York |
| United States | Pfizer Investigational Site | New York | New York |
| United States | Pfizer Investigational Site | North Hollywood | California |
| United States | Pfizer Investigational Site | Oklahoma City | Oklahoma |
| United States | Pfizer Investigational Site | Oklahoma City | Oklahoma |
| United States | Pfizer Investigational Site | Omaha | Nebraska |
| United States | Pfizer Investigational Site | Ormond Beach | Florida |
| United States | Pfizer Investigational Site | Phoenix | Arizona |
| United States | Pfizer Investigational Site | Phoenix | Arizona |
| United States | Pfizer Investigational Site | Plantation | Florida |
| United States | Pfizer Investigational Site | Plantation | Florida |
| United States | Pfizer Investigational Site | Port Orange | Florida |
| United States | Pfizer Investigational Site | San Antonio | Texas |
| United States | Pfizer Investigational Site | San Antonio | Texas |
| United States | Pfizer Investigational Site | St. Louis | Missouri |
| United States | Pfizer Investigational Site | Tampa | Florida |
| United States | Pfizer Investigational Site | Warwick | Rhode Island |
| United States | Pfizer Investigational Site | West Palm Beach | Florida |
| United States | Pfizer Investigational Site | Williamsville | New York |
| United States | Pfizer Investigational Site | Winston-Salem | North Carolina |
| United States | Pfizer Investigational Site | Worcester | Massachusetts |
| Lead Sponsor | Collaborator |
|---|---|
| Pfizer |
United States,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Change in baseline in daily average pain numerical rating scale scores | Baseline, weeks 11 and 12 | No | |
| Secondary | Percent reduction in daily average pain numerical rating scale scores | Screening, Weeks 11 and 12 | No | |
| Secondary | Changes in Brief Pain Inventory-Short Form | Screening, Baseline | No | |
| Secondary | Change from baseline in Brief Pain Inventory-Short Form | Baseline, Weeks 2, 4, 8 and 12 | No | |
| Secondary | Changes in Brief Pain Inventory-Short Form | Screening, Weeks 2, 4, 8 and 12 | No | |
| Secondary | Area Under the Curve of the daily average pain numerical rating scale scores | Screening, Weeks 11 and 12 | No | |
| Secondary | Amount of acetaminophen | Screening, Week 12 | No | |
| Secondary | Time to loss of analgesic response | Baseline, Week 12 | No | |
| Secondary | Time to treatment discontinuation | Baseline, Week 12 | No | |
| Secondary | Changes in Roland Morris Disability Questionnaire | Screening, Baseline | No | |
| Secondary | Change from baseline in Roland Morris Disability Questionnaire | Baseline, weeks 2, 4, 8 and 12 | No | |
| Secondary | Changes in Roland Morris Disability Questionnaire | Screening, Weeks 2, 4, 8 and 12 | No | |
| Secondary | Changes in Patient's Global Assessment of Low Back Pain | Screening, Baseline | No | |
| Secondary | Change from baseline in Patient's Global Assessment of Low Back Pain | Baseline, Weeks 4, 8 and 12 | No | |
| Secondary | Percent of subjects satisfied with treatment | Randomization, Week 12 | No | |
| Secondary | Changes in Short-Form-36v2 Health Survey | Screening, Baseline | No | |
| Secondary | Change from baseline in Short-Form-36v2 Health Survey | Baseline, Week 12 | No | |
| Secondary | Changes in Short-Form-36v2 Health Survey | Screening, Week 12 | No | |
| Secondary | Changes in EQ-5D Health Questionnaire | Screening, Baseline | No | |
| Secondary | Change from baseline in EQ-5D Health Questionnaire | Baseline, Week 12 | No | |
| Secondary | Changes in EQ-5D Health Questionnaire | Screening, Week 12 | No | |
| Secondary | Changes in Work Productivity and Activity Impairment Questionnaire | Screening, Baseline | No | |
| Secondary | Change from baseline in Work Productivity and Activity Impairment Questionnaire | Baseline, Weeks 4, 8 and 12 | No | |
| Secondary | Changes in Work Productivity and Activity Impairment Questionnaire | Screening, Weeks 4, 8 and 12 | No | |
| Secondary | Changes in Healthcare Resource Use Questionnaire | Screening, Baseline | No | |
| Secondary | Change from baseline in Healthcare Resource Use Questionnaire | Baseline, Weeks 4, 8 and 12 | No | |
| Secondary | Changes in Healthcare Resource Use Questionnaire | Screening, Weeks 4, 8 and 12 | No | |
| Secondary | mean and median total daily dose of ALO-02 | Week 12 | No | |
| Secondary | percentage of Chronic Low Back Pain Responder Index | Weeks 4, 8 and 12 | No |
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