Postoperative Pain Clinical Trial
Official title:
A Multi-center, Open-label, Dose Titration Study Pharmacokinetics/Pharmacodynamics, Safety, and Efficacy of Hydromorphone Oral Solution in Subjects From 28 Days to 16 Years of Age, Who Require Opioid Analgesics for Postoperative Pain
The primary objective of this study is to characterize the pharmacokinetics and pharmacodynamics of hydromorphone oral solution in pediatric subjects aged 28 days to 16 years inclusive. The secondary objectives are to characterize the safety and efficacy of hydromorphone oral solution in pediatric subjects aged 28 days to 16 years inclusive.
Hydromorphone is an opioid analgesic that has been used for decades as an alternative to
morphine in the treatment of moderate to severe malignant and nonmalignant pain. Only a small
number of analgesics have been studied in children. The benefits to the subjects include
contribution of knowledge that will provide for appropriate dosing regimen recommendations
for future pediatric subjects.
Treatment consisted of both parenteral and oral hydromorphone. For up to 48 hours immediately
following surgery, subjects were administered hydromorphone by IV PCA pump. Dosing with the
oral hydromorphone HCl began when the subject was ready to take clear oral liquid. Subjects
were administered oral hydromorphone HCl every 6 hours for up to 9 doses. The investigator
determined the timing of the first dose based on each subject's clinical condition.
The duration of the treatment phase was up to 102 hours (up to 48 hours for the Parenteral
Treatment Period and up to 54 hours for the Oral Treatment Period).
Efficacy was based on the oral hydromorphone treatment. Adverse events were collected for
both the oral and parenteral treatments.
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