Trial Outcomes & Findings for A Comparative Study of Tramadol Hydrochloride Plus Acetaminophen Tablets Maintenance Versus Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Maintenance in Participants With Knee Osteoarthritis (NCT NCT00635349)

NCT ID: NCT00635349

Last Updated: 2013-07-22

Results Overview

The WOMAC is a self-administered and health status questionnaire designed to capture elements of pain, stiffness and physical impairment in participants with osteoarthritis. It consists of 24 questions (5 questions about pain, 2 about stiffness and 17 about physical function) scored on a visual analog scale (VAS) of 0 to 10 cm (0 cm=no pain to 10 cm=worse pain). Individual question responses are assigned a score between 0=extreme and 4=none. Maximum scores for each element differ and therefore, scores were normalized. Total normalized score ranges from 0=worst to 100=best.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

143 participants

Primary outcome timeframe

Day 29 and Day 85

Results posted on

2013-07-22

Participant Flow

A total of 143 participants were given informed consent, out of which 3 participants had screening failure.

Participant milestones

Participant milestones
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Participants received fixed dose combination of tramadol hydrochloride 37.5 milligram (mg) plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Overall Study
STARTED
73
67
Overall Study
COMPLETED
29
19
Overall Study
NOT COMPLETED
44
48

Reasons for withdrawal

Reasons for withdrawal
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Participants received fixed dose combination of tramadol hydrochloride 37.5 milligram (mg) plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Overall Study
Other
8
6
Overall Study
Protocol Violation
18
22
Overall Study
Withdrawal by Subject
3
8
Overall Study
Lost to Follow-up
4
3
Overall Study
Adverse Event
11
9

Baseline Characteristics

A Comparative Study of Tramadol Hydrochloride Plus Acetaminophen Tablets Maintenance Versus Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Maintenance in Participants With Knee Osteoarthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=73 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 milligram (mg) plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=67 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Total
n=140 Participants
Total of all reporting groups
Age Continuous
60.0 years
STANDARD_DEVIATION 8.0 • n=5 Participants
62.3 years
STANDARD_DEVIATION 7.6 • n=7 Participants
61.1 years
STANDARD_DEVIATION 7.9 • n=5 Participants
Sex: Female, Male
Female
62 Participants
n=5 Participants
56 Participants
n=7 Participants
118 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 29 and Day 85

Population: Full analysis set (FAS) population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Last observation carried forward (LOCF) method was applied.

The WOMAC is a self-administered and health status questionnaire designed to capture elements of pain, stiffness and physical impairment in participants with osteoarthritis. It consists of 24 questions (5 questions about pain, 2 about stiffness and 17 about physical function) scored on a visual analog scale (VAS) of 0 to 10 cm (0 cm=no pain to 10 cm=worse pain). Individual question responses are assigned a score between 0=extreme and 4=none. Maximum scores for each element differ and therefore, scores were normalized. Total normalized score ranges from 0=worst to 100=best.

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Change From Day 29 in Western Ontario and McMaster Universities Arthritis Index (WOMAC) Total Score at Day 85
Day 29
33.54 units on a scale
Standard Deviation 15.01
39.44 units on a scale
Standard Deviation 14.17
Change From Day 29 in Western Ontario and McMaster Universities Arthritis Index (WOMAC) Total Score at Day 85
Change at Day 85
-1.88 units on a scale
Standard Deviation 11.07
-0.07 units on a scale
Standard Deviation 13.46

SECONDARY outcome

Timeframe: Day 29 and Day 85

Population: Full analysis set (FAS) population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Last observation carried forward (LOCF) method was applied. Here 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

Pain intensity was evaluated by 11- point numeric rating scale ranging from 0 to 10 where, 0=no pain and 10=pain as bad as you can imagine.

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=56 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=52 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Change From Day 29 in Pain Intensity Score at Day 85
Day 29
3.82 units on a scale
Standard Deviation 1.22
3.81 units on a scale
Standard Deviation 1.03
Change From Day 29 in Pain Intensity Score at Day 85
Change at Day 85
0.14 units on a scale
Standard Deviation 1.76
0.83 units on a scale
Standard Deviation 2.02

SECONDARY outcome

Timeframe: Day 29, Day 57 and Day 85

Population: FAS population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Here 'n' signifies number of participants evaluable at each time point for each arm respectively.

Pain relief was assessed by using a 6-point scale ranging from -1 to 4 where, -1=pain aggravated, 0=no change, 1=slightly relieved, 2=moderately relieved, 3=considerably relieved, and 4=pain completely disappeared. Participants with pain slightly relieved, moderately relieved and completely disappeared were considered as pain relieved.

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Number of Participants With Pain Relief
Day 29; Pain relieved (n=56, 52)
49 participants
42 participants
Number of Participants With Pain Relief
Day 57; Pain relieved (n=47, 41)
32 participants
28 participants
Number of Participants With Pain Relief
Day 85; Pain relieved (n=55, 56)
42 participants
35 participants

SECONDARY outcome

Timeframe: Day 85

Population: FAS population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Here 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure

Participants' overall assessment on study drug was done by using a 5-point scale ranging from -2 to 2 where, -2= very bad, 1= bad, 0=moderate, 1=good and 2=very good. Study drug refers specifically to the randomized treatment received from Day 29 to Day 85.

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=57 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=57 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Number of Participants With Overall Assessment on Study Drug by Participants
Very bad
1 participants
1 participants
Number of Participants With Overall Assessment on Study Drug by Participants
Bad
2 participants
11 participants
Number of Participants With Overall Assessment on Study Drug by Participants
Moderate
21 participants
22 participants
Number of Participants With Overall Assessment on Study Drug by Participants
Good
29 participants
21 participants
Number of Participants With Overall Assessment on Study Drug by Participants
Very good
4 participants
2 participants

SECONDARY outcome

Timeframe: Day 85

Population: FAS population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Here 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure

Investigator was completed overall assessment on study drug by using a 5-point scale (-2 to 2; where, -2= very bad, 1= bad, 0=moderate, 1=good and 2=very good). Study drug refers specifically to the randomized treatment received from Day 29 to Day 85.

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=57 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=57 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Number of Participants With Overall Assessment on Study Drug by Investigator
Very bad
1 participants
0 participants
Number of Participants With Overall Assessment on Study Drug by Investigator
Bad
1 participants
6 participants
Number of Participants With Overall Assessment on Study Drug by Investigator
Moderate
21 participants
25 participants
Number of Participants With Overall Assessment on Study Drug by Investigator
Good
31 participants
24 participants
Number of Participants With Overall Assessment on Study Drug by Investigator
Very good
3 participants
2 participants

SECONDARY outcome

Timeframe: Day 29, Day 57 and Day 85

Population: FAS population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Here 'n' signifies number of participants evaluable at each time point for each arm respectively.

Swelling was assessed by using a 4-point scale ranging from 0 to 3 where, 0=no swelling, 1=presence of cross fluctuation of fluid (PCFF), 2=patellar ballotment, and 3=swelling that distort the joint contours (SDJC).

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Number of Participants With Categorical Swelling
Day 85; PCFF (n=55, 56)
1 participants
9 participants
Number of Participants With Categorical Swelling
Day 85; Patellar ballotment (n=55, 56)
1 participants
1 participants
Number of Participants With Categorical Swelling
Day 29; No swelling (n=56, 52)
52 participants
45 participants
Number of Participants With Categorical Swelling
Day 29; PCFF (n=56, 52)
4 participants
7 participants
Number of Participants With Categorical Swelling
Day 57; No swelling (n=47, 41)
43 participants
38 participants
Number of Participants With Categorical Swelling
Day 57; PCFF (n=47, 41)
4 participants
3 participants
Number of Participants With Categorical Swelling
Day 85; No swelling (n=55, 56)
53 participants
46 participants

SECONDARY outcome

Timeframe: Day 29, Day 57 and Day 85

Population: FAS population included all randomly assigned participants excluding those who violated the major eligibility criteria or had no data at all after randomization. Here 'n' signifies number of participants evaluable at each time point for each arm respectively.

Tenderness was assessed by using a 4-point scale 0 to 3 where, 0= no tenderness, 1= complaint of tenderness, 2=complaint of tenderness with wincing (CTW), and 3=wincing and attempt to withdraw.

Outcome measures

Outcome measures
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=59 Participants
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Number of Participants With Categorical Tenderness
Day 85; Complaint of tenderness (n=55, 56)
15 participants
10 participants
Number of Participants With Categorical Tenderness
Day 29; No tenderness(n=56, 52)
33 participants
37 participants
Number of Participants With Categorical Tenderness
Day 29; Complaint of tenderness (n=56, 52)
22 participants
14 participants
Number of Participants With Categorical Tenderness
Day 29; CTW (n=56, 52)
0 participants
1 participants
Number of Participants With Categorical Tenderness
Day 29; Wincing and attempt to withdraw (n=56, 52)
1 participants
0 participants
Number of Participants With Categorical Tenderness
Day 57; No tenderness(n=47, 41)
33 participants
30 participants
Number of Participants With Categorical Tenderness
Day 57; Complaint of tenderness (n=47, 41)
14 participants
10 participants
Number of Participants With Categorical Tenderness
Day 57; CTW (n=47, 41)
0 participants
1 participants
Number of Participants With Categorical Tenderness
Day 57; wincing and attempt to withdraw(n=47, 41)
0 participants
0 participants
Number of Participants With Categorical Tenderness
Day 85; No tenderness(n=55, 56)
39 participants
44 participants
Number of Participants With Categorical Tenderness
Day 85; CTW (n=55, 56)
0 participants
2 participants
Number of Participants With Categorical Tenderness
Day 85; Wincing and attempt to withdraw(n=55, 56)
1 participants
0 participants

Adverse Events

Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Tramadol Hydrochloride Plus Acetaminophen

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=73 participants at risk
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=67 participants at risk
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Vascular disorders
Thromboangiitis obliterans
1.4%
1/73
Safety population included all participants who received at least 1 dose study drug and had safety data.
0.00%
0/67
Safety population included all participants who received at least 1 dose study drug and had safety data.

Other adverse events

Other adverse events
Measure
Non-steroidal Anti-inflammatory Drugs (NSAIDs)
n=73 participants at risk
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of NSAIDs either meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 29 to Day 85.
Tramadol Hydrochloride Plus Acetaminophen
n=67 participants at risk
Participants received fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 to 3 tablets per day along with meloxicam (7.5 mg or 15 mg once daily) or aceclofenac (100 mg twice daily) from Day 1 to Day 28. Participants who had the numeric rating scale score 4 or less on Day 29 were randomly assigned to the treatment of fixed dose combination of tramadol hydrochloride 37.5 mg plus acetaminophen 325 mg, 1 or 2 tablets 4 times daily from Day 29 to Day 85 (maximum daily dose was 8 tablets).
Gastrointestinal disorders
Nausea
9.6%
7/73
Safety population included all participants who received at least 1 dose study drug and had safety data.
6.0%
4/67
Safety population included all participants who received at least 1 dose study drug and had safety data.
Gastrointestinal disorders
Constipation
8.2%
6/73
Safety population included all participants who received at least 1 dose study drug and had safety data.
7.5%
5/67
Safety population included all participants who received at least 1 dose study drug and had safety data.
Gastrointestinal disorders
Dyspepsia
4.1%
3/73
Safety population included all participants who received at least 1 dose study drug and had safety data.
6.0%
4/67
Safety population included all participants who received at least 1 dose study drug and had safety data.
Gastrointestinal disorders
Dizziness
8.2%
6/73
Safety population included all participants who received at least 1 dose study drug and had safety data.
7.5%
5/67
Safety population included all participants who received at least 1 dose study drug and had safety data.

Additional Information

Clinical Research Director

Janssen Korea / 25F, LS Yongsan Tower, 191 Hankangro 2-Ga, Yongsan-Gu, Seoul 140-702 Korea

Phone: 82-2-2094-4518

Results disclosure agreements

  • Principal investigator is a sponsor employee Principal Investigator (PI) cannot provide any trial related information to external parties' without mutual agreement with the Sponsor. This is valid even after the contract is canceled.
  • Publication restrictions are in place

Restriction type: OTHER