Trial Outcomes & Findings for Study Comparing the Efficacy of Two Ibuprofen Formulations (NCT NCT00740857)
NCT ID: NCT00740857
Last Updated: 2011-06-06
Results Overview
Subjects evaluated the time to "First Perceptible" Relief by depressing a stopwatch at the moment they first began to experience "perceptible" relief and the time to "Meaningful" Relief by depressing a second stopwatch at the moment they first began to experience "meaningful" relief. These times were recorded up to 6 hrs after dosing. Range: up to 6 hrs, a lower number is better.
COMPLETED
PHASE4
211 participants
0-6 hours
2011-06-06
Participant Flow
Patients were recruited in the United States from August 2008 to October 2008.
During the screening period, the Investigator or his/her designee examined each subject and completed a checklist of the inclusion/exclusion criteria in order to determine the patient's eligibility. Surgery occurred within 14 days of the screening visit.
Participant milestones
| Measure |
Placebo
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Overall Study
STARTED
|
33
|
88
|
90
|
|
Overall Study
COMPLETED
|
32
|
88
|
90
|
|
Overall Study
NOT COMPLETED
|
1
|
0
|
0
|
Reasons for withdrawal
| Measure |
Placebo
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Overall Study
Withdrawal by Subject
|
1
|
0
|
0
|
Baseline Characteristics
Study Comparing the Efficacy of Two Ibuprofen Formulations
Baseline characteristics by cohort
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
Total
n=211 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age Continuous
|
18.8 years
STANDARD_DEVIATION 2.7 • n=5 Participants
|
18.5 years
STANDARD_DEVIATION 2.5 • n=7 Participants
|
19.0 years
STANDARD_DEVIATION 3.0 • n=5 Participants
|
18.8 years
STANDARD_DEVIATION 2.7 • n=4 Participants
|
|
Sex: Female, Male
Female
|
16 Participants
n=5 Participants
|
43 Participants
n=7 Participants
|
45 Participants
n=5 Participants
|
104 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
17 Participants
n=5 Participants
|
45 Participants
n=7 Participants
|
45 Participants
n=5 Participants
|
107 Participants
n=4 Participants
|
PRIMARY outcome
Timeframe: 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS). Median pain relief was not reached for the placebo participants within 360 minutes.
Subjects evaluated the time to "First Perceptible" Relief by depressing a stopwatch at the moment they first began to experience "perceptible" relief and the time to "Meaningful" Relief by depressing a second stopwatch at the moment they first began to experience "meaningful" relief. These times were recorded up to 6 hrs after dosing. Range: up to 6 hrs, a lower number is better.
Outcome measures
| Measure |
Placebo
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Time to Meaningful Pain Relief
|
—
|
45.4 minutes
Interval 41.5 to 53.5
|
63.6 minutes
Interval 58.6 to 84.0
|
SECONDARY outcome
Timeframe: 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS).
PID is based on the 4-point categorical pain severity score ranging from 0 (none) to 3 (severe), this value was derived by subtracting the score at each post-dosing time point from the baseline score, so that a higher positive value is indicative of greater improvement.
Outcome measures
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
15 minutes
|
0.1 units on scale
Standard Deviation 0.4
|
0.2 units on scale
Standard Deviation 0.5
|
0.1 units on scale
Standard Deviation 0.3
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
30 minutes
|
0.2 units on scale
Standard Deviation 0.5
|
0.8 units on scale
Standard Deviation 0.8
|
0.5 units on scale
Standard Deviation 0.6
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
45 minutes
|
0.3 units on scale
Standard Deviation 0.7
|
1.3 units on scale
Standard Deviation 0.8
|
0.9 units on scale
Standard Deviation 0.7
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
60 minutes
|
0.3 units on scale
Standard Deviation 0.7
|
1.6 units on scale
Standard Deviation 0.9
|
1.2 units on scale
Standard Deviation 0.8
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
90 minutes
|
0.2 units on scale
Standard Deviation 0.8
|
1.8 units on scale
Standard Deviation 0.9
|
1.5 units on scale
Standard Deviation 0.8
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
120 minutes
|
0.2 units on scale
Standard Deviation 0.8
|
1.8 units on scale
Standard Deviation 0.9
|
1.7 units on scale
Standard Deviation 0.8
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
180 minutes
|
0.3 units on scale
Standard Deviation 1.0
|
1.7 units on scale
Standard Deviation 1.0
|
1.7 units on scale
Standard Deviation 0.9
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
240 minutes
|
0.4 units on scale
Standard Deviation 1.2
|
1.5 units on scale
Standard Deviation 1.0
|
1.5 units on scale
Standard Deviation 0.9
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
300 minutes
|
0.2 units on scale
Standard Deviation 1.0
|
1.4 units on scale
Standard Deviation 1.0
|
1.4 units on scale
Standard Deviation 1.0
|
|
Pain Intensity Difference (PID) Scores at Each Individual Time Points
360 minutes
|
0.2 units on scale
Standard Deviation 1.0
|
1.2 units on scale
Standard Deviation 1.0
|
1.3 units on scale
Standard Deviation 0.9
|
SECONDARY outcome
Timeframe: 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS).
Response to the question "How much pain do you have from your starting pain?" was recorded on a 5-point categorical pain relief scale (None (0), A Little (1), Some (2), A Lot (3) or Complete (4)) at designated time points after study medication was taken.
Outcome measures
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Pain Relief (PR) Scores at Individual Time Points
15 minutes
|
0.2 units on scale
Standard Deviation 0.5
|
0.5 units on scale
Standard Deviation 0.8
|
0.3 units on scale
Standard Deviation 0.6
|
|
Pain Relief (PR) Scores at Individual Time Points
30 minutes
|
0.6 units on scale
Standard Deviation 0.8
|
1.6 units on scale
Standard Deviation 1.1
|
1.0 units on scale
Standard Deviation 0.9
|
|
Pain Relief (PR) Scores at Individual Time Points
90 minutes
|
0.8 units on scale
Standard Deviation 1.1
|
3.2 units on scale
Standard Deviation 1.0
|
2.7 units on scale
Standard Deviation 1.0
|
|
Pain Relief (PR) Scores at Individual Time Points
45 minutes
|
0.8 units on scale
Standard Deviation 1.0
|
2.4 units on scale
Standard Deviation 1.1
|
1.7 units on scale
Standard Deviation 1.1
|
|
Pain Relief (PR) Scores at Individual Time Points
60 minutes
|
0.9 units on scale
Standard Deviation 1.1
|
2.9 units on scale
Standard Deviation 1.0
|
2.1 units on scale
Standard Deviation 1.1
|
|
Pain Relief (PR) Scores at Individual Time Points
120 minutes
|
0.8 units on scale
Standard Deviation 1.2
|
3.2 units on scale
Standard Deviation 1.0
|
2.9 units on scale
Standard Deviation 1.0
|
|
Pain Relief (PR) Scores at Individual Time Points
180 minutes
|
1.0 units on scale
Standard Deviation 1.4
|
3.0 units on scale
Standard Deviation 1.1
|
2.9 units on scale
Standard Deviation 1.1
|
|
Pain Relief (PR) Scores at Individual Time Points
240 minutes
|
1.1 units on scale
Standard Deviation 1.6
|
2.7 units on scale
Standard Deviation 1.2
|
2.7 units on scale
Standard Deviation 1.2
|
|
Pain Relief (PR) Scores at Individual Time Points
300 minutes
|
0.8 units on scale
Standard Deviation 1.2
|
2.5 units on scale
Standard Deviation 1.4
|
2.6 units on scale
Standard Deviation 1.3
|
|
Pain Relief (PR) Scores at Individual Time Points
360 minutes
|
0.8 units on scale
Standard Deviation 1.3
|
2.2 units on scale
Standard Deviation 1.3
|
2.6 units on scale
Standard Deviation 1.3
|
SECONDARY outcome
Timeframe: 0-2 and 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS).
SPRID is a derived endpoint from the pain relief and pain intensity difference scores from 0-2 hours and 0-6 hours. PRID=PID+Pain Relief Score. SPRID-02 range: -2 (worst) to 14 (best); SPRID 06 range: -6 (worst) to 42 (best).
Outcome measures
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Time-weighted Sum of Pain Relief + Pain Intensity Difference (SPRID) From 0-2 Hours and 0-6 Hours
0-2 hours
|
1.8 units on scale
Standard Deviation 2.9
|
7.8 units on scale
Standard Deviation 2.9
|
6.3 units on scale
Standard Deviation 2.6
|
|
Time-weighted Sum of Pain Relief + Pain Intensity Difference (SPRID) From 0-2 Hours and 0-6 Hours
0-6 hours
|
6.5 units on scale
Standard Deviation 11.9
|
24.0 units on scale
Standard Deviation 10.1
|
23.0 units on scale
Standard Deviation 9.5
|
SECONDARY outcome
Timeframe: 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS).
PRID (PRID=PID+PR) is a derived endpoint from the pain relief and pain intensity difference scores at each time point. Range: -1 (worst) to 7 (best).
Outcome measures
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
90 minutes
|
1.0 units on scale
Standard Deviation 1.9
|
5.0 units on scale
Standard Deviation 1.7
|
4.2 units on scale
Standard Deviation 1.7
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
300 minutes
|
1.0 units on scale
Standard Deviation 2.1
|
3.9 units on scale
Standard Deviation 2.3
|
4.0 units on scale
Standard Deviation 2.2
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
360 minutes
|
1.0 units on scale
Standard Deviation 2.2
|
3.4 units on scale
Standard Deviation 2.3
|
3.9 units on scale
Standard Deviation 2.1
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
15 minutes
|
0.3 units on scale
Standard Deviation 0.8
|
0.7 units on scale
Standard Deviation 1.2
|
0.4 units on scale
Standard Deviation 0.9
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
30 minutes
|
0.8 units on scale
Standard Deviation 1.2
|
2.4 units on scale
Standard Deviation 1.8
|
1.4 units on scale
Standard Deviation 1.5
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
45 minutes
|
1.1 units on scale
Standard Deviation 1.6
|
3.6 units on scale
Standard Deviation 1.8
|
2.5 units on scale
Standard Deviation 1.7
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
60 minutes
|
1.2 units on scale
Standard Deviation 1.8
|
4.5 units on scale
Standard Deviation 1.8
|
3.3 units on scale
Standard Deviation 1.7
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
120 minutes
|
1.0 units on scale
Standard Deviation 2.0
|
5.0 units on scale
Standard Deviation 1.8
|
4.6 units on scale
Standard Deviation 1.7
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
180 minutes
|
1.2 units on scale
Standard Deviation 2.4
|
4.7 units on scale
Standard Deviation 2.0
|
4.6 units on scale
Standard Deviation 1.8
|
|
Pain Relief Combined With Pain Intensity Difference (PRID) Scores at Individual Time Points
240 minutes
|
1.5 units on scale
Standard Deviation 2.7
|
4.2 units on scale
Standard Deviation 2.1
|
4.2 units on scale
Standard Deviation 2.0
|
SECONDARY outcome
Timeframe: 0-2 and 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS).
SPID is a derived endpoint from the pain intensity difference scores from 0-2 hours and 0-6 hours. Range: -2 (worst) to 6 (best); -6 (worst) to 18 (best).
Outcome measures
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Time-weighted Sum of Pain Intensity Difference (SPID) From 0-2 Hours and 0-6 Hours
0-2 hours
|
0.4 units on scale
Standard Deviation 1.2
|
2.8 units on scale
Standard Deviation 1.4
|
2.2 units on scale
Standard Deviation 1.1
|
|
Time-weighted Sum of Pain Intensity Difference (SPID) From 0-2 Hours and 0-6 Hours
0-6 hours
|
1.4 units on scale
Standard Deviation 5.2
|
8.6 units on scale
Standard Deviation 4.8
|
8.1 units on scale
Standard Deviation 4.2
|
SECONDARY outcome
Timeframe: 0-2 and 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS).
TOTPAR is a derived endpoint from the pain relief scores from 0-2 hours and 0-6 hours. Range: 0 (worst) - 8 (best); 0 (worst) - 24 (best)
Outcome measures
| Measure |
Placebo
n=33 Participants
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Time-weighted Sum of Pain Relief Scores (TOTPAR) From 0-2 Hours and 0-6 Hours
0-2 hours
|
1.4 units on scale
Standard Deviation 1.8
|
5.0 units on scale
Standard Deviation 1.7
|
4.1 units on scale
Standard Deviation 1.6
|
|
Time-weighted Sum of Pain Relief Scores (TOTPAR) From 0-2 Hours and 0-6 Hours
0-6 hours
|
5.1 units on scale
Standard Deviation 7.1
|
15.4 units on scale
Standard Deviation 5.7
|
14.9 units on scale
Standard Deviation 5.8
|
SECONDARY outcome
Timeframe: 0-6 hoursPopulation: All randomized patients who were dosed with study product, indicated a baseline score of at least 2 out of 4 on the Categorical Pain Severity Rating Scale and confirmed a pain assessment of at least 50 mm out of 100 mm on the Visual Analog Scale (VAS). Median pain relief was not reached for the placebo participants within 360 minutes.
The elapsed time from dosing until the patient indicated first perceptible relief, provided the subject also indicated achieving meaningful relief.
Outcome measures
| Measure |
Placebo
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 Participants
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 Participants
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Time to First Perceptible Relief
|
—
|
23.7 minutes
Interval 20.6 to 26.6
|
28.6 minutes
Interval 25.9 to 31.5
|
Adverse Events
Placebo
Ibuprofen Formulation 1
Ibuprofen Formulation 2
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Placebo
n=33 participants at risk
2 placebo gel capsules delivered as a single dose up to 5 hours after surgery
|
Ibuprofen Formulation 1
n=88 participants at risk
2 marketed ibuprofen 200 mg liquid gels up to 5 hours after surgery
|
Ibuprofen Formulation 2
n=90 participants at risk
2 marketed ibuprofen 200 mg soft gels up to 5 hours after surgery
|
|---|---|---|---|
|
Gastrointestinal disorders
Nausea
|
12.1%
4/33
|
1.1%
1/88
|
2.2%
2/90
|
|
Gastrointestinal disorders
Vomiting
|
6.1%
2/33
|
1.1%
1/88
|
1.1%
1/90
|
|
General disorders
Fatigue
|
3.0%
1/33
|
0.00%
0/88
|
0.00%
0/90
|
|
Infections and infestations
Dry socket
|
0.00%
0/33
|
0.00%
0/88
|
1.1%
1/90
|
|
Injury, poisoning and procedural complications
Procedural site reaction
|
0.00%
0/33
|
0.00%
0/88
|
1.1%
1/90
|
|
Nervous system disorders
Dizziness
|
9.1%
3/33
|
0.00%
0/88
|
1.1%
1/90
|
|
Nervous system disorders
Headache
|
3.0%
1/33
|
0.00%
0/88
|
1.1%
1/90
|
|
Nervous system disorders
Syncope
|
3.0%
1/33
|
0.00%
0/88
|
0.00%
0/90
|
|
Vascular disorders
Hot flush
|
3.0%
1/33
|
0.00%
0/88
|
0.00%
0/90
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The PI agreed to allow the sponsor 30 days to review and approve abstracts and 60 days to review and approve manuscripts prior to submission to protect against disclosure of confidential information.
- Publication restrictions are in place
Restriction type: OTHER