Pain Clinical Trial
Official title:
An Open-label, Multi-center, Single-arm, Phase IV Clinical Trial Assessing Conversion From Hydrocodone, Oxycodone CR or Morphine SR to Tapentadol ER in Subjects With Moderate to Severe Chronic Low Back or OA Pain of the Hip or Knee
The purpose of this study is to evaluate tapentadol Extended Release (ER) in the treatment of moderate to severe chronic pain in participants with a diagnosis of chronic low back pain (LBP) or osteoarthritis (OA) of the hip or knee after conversion from hydrocodone, oxycodone Controlled Release (CR), and/or morphine Sustained Release (SR).
This is a multi-center, single group, open-label (all people know the identity of the
intervention) treatment study to describe the overall clinical experience in participants
with moderate to severe chronic low back pain or OA pain of the hip or knee, after conversion
from hydrocodone, oxycodone CR, and/or morphine SR, using dose-conversion ratios of 1:5, 1:5
and 1:2.5, respectively.
Approximately 150 participants taking hydrocodone, oxycodone CR, and/or morphine SR with
baseline pain intensity ≥4 (ie, pain intensity scores averaged over the last 4 days of the
screening period on an 11-point numeric rating scale [NRS]) will be converted to an initial
dose of tapentadol ER 100, 150 or 200 mg approximately every 12 hours based on their total
daily dose of prior opioids. Enrollment of participants in any prior opioid group
(hydrocodone, oxycodone CR, and/or morphine SR) may be stopped at any time during the study
to ensure adequate representation of each prior opioid.
The study will consist of two periods: screening (1 Week) and treatment (4 weeks). The
expected duration of participation for individual participants is approximately 5 weeks,
including 4 weeks of active study treatment. The study will include scheduled visits and may
also include unscheduled phone calls and site visits for dose adjustment and/or for safety
evaluations.
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