Trial Outcomes & Findings for Study to Evaluate the Safety and Efficacy of ABT-712 in Subjects With Moderate to Severe Chronic Low Back Pain (CLBP) (NCT NCT00763321)

NCT ID: NCT00763321

Last Updated: 2014-02-06

Results Overview

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment in pain intensity, assessed using the CLBP Intensity VAS (0 mm = No Pain and 100 mm = Worst Pain Imaginable). Least squares means and standard errors from 2-way ANCOVA model without interaction.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

287 participants

Primary outcome timeframe

Double-blind baseline to 4 weeks

Results posted on

2014-02-06

Participant Flow

Out of the 287 participants enrolled in the study, 285 participants were treated; 2 participants did not receive treatment during the open-label treatment period.

Participant milestones

Participant milestones
Measure
Open-label ABT-712
2 ABT-712 extended-release tablets, twice daily, for up to 3 weeks (open-label period).
Double-blind ABT-712
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Open-label Period
STARTED
285
0
0
Open-label Period
COMPLETED
222
0
0
Open-label Period
NOT COMPLETED
63
0
0
Double-blind Period
STARTED
0
109
113
Double-blind Period
COMPLETED
0
88
84
Double-blind Period
NOT COMPLETED
0
21
29

Reasons for withdrawal

Reasons for withdrawal
Measure
Open-label ABT-712
2 ABT-712 extended-release tablets, twice daily, for up to 3 weeks (open-label period).
Double-blind ABT-712
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Open-label Period
Adverse Event
24
0
0
Open-label Period
Lost to Follow-up
14
0
0
Open-label Period
Withdrawal by Subject
7
0
0
Open-label Period
Subject noncompliant
7
0
0
Open-label Period
Did not meet DB randomization criteria
5
0
0
Open-label Period
Lack of Efficacy
2
0
0
Open-label Period
Other
4
0
0
Double-blind Period
Lack of Efficacy
0
9
17
Double-blind Period
Adverse Event
0
4
4
Double-blind Period
Lost to Follow-up
0
4
2
Double-blind Period
Withdrawal by Subject
0
2
3
Double-blind Period
Other
0
2
3

Baseline Characteristics

Study to Evaluate the Safety and Efficacy of ABT-712 in Subjects With Moderate to Severe Chronic Low Back Pain (CLBP)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nonrandomized
n=63 Participants
2 ABT-712 extended-release tablets, twice daily, for up to 3 weeks during the open-label period. These participants enrolled in the study and received at least 1 dose of study drug, and either discontinued during the open-label period or were not randomized and did not progress to the double-blind period.
Double-blind ABT-712
n=109 Participants
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
n=113 Participants
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Total
n=285 Participants
Total of all reporting groups
Age, Continuous
46.1 years
STANDARD_DEVIATION 12.25 • n=93 Participants
49.6 years
STANDARD_DEVIATION 12.44 • n=4 Participants
48.1 years
STANDARD_DEVIATION 11.21 • n=27 Participants
48.2 years
STANDARD_DEVIATION 11.95 • n=483 Participants
Sex: Female, Male
Female
34 Participants
n=93 Participants
64 Participants
n=4 Participants
59 Participants
n=27 Participants
157 Participants
n=483 Participants
Sex: Female, Male
Male
29 Participants
n=93 Participants
45 Participants
n=4 Participants
54 Participants
n=27 Participants
128 Participants
n=483 Participants
Double-blind Baseline CLBP Intensity VAS
NA scores on a scale
STANDARD_DEVIATION NA • n=93 Participants
24.2 scores on a scale
STANDARD_DEVIATION 15.61 • n=4 Participants
23.2 scores on a scale
STANDARD_DEVIATION 15.01 • n=27 Participants
23.7 scores on a scale
STANDARD_DEVIATION 15.28 • n=483 Participants
Double-blind Baseline Sleep Interference by Pain Scale
NA scores on a scale
STANDARD_DEVIATION NA • n=93 Participants
2.2 scores on a scale
STANDARD_DEVIATION 2.02 • n=4 Participants
2.3 scores on a scale
STANDARD_DEVIATION 2.16 • n=27 Participants
2.2 scores on a scale
STANDARD_DEVIATION 2.09 • n=483 Participants

PRIMARY outcome

Timeframe: Double-blind baseline to 4 weeks

Population: The analysis of the primary outcome measure included all randomized participants who received at least 1 dose of study drug during the double-blind period (double-blind intent-to-treat).

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment in pain intensity, assessed using the CLBP Intensity VAS (0 mm = No Pain and 100 mm = Worst Pain Imaginable). Least squares means and standard errors from 2-way ANCOVA model without interaction.

Outcome measures

Outcome measures
Measure
Double-blind ABT-712
n=109 Participants
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
n=112 Participants
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Change From Double-blind (DB) Baseline to Final Assessment in Chronic Lower Back Pain (CLBP) Intensity by Visual Analog Scale (VAS)
1.2 scores on a scale
Standard Error 2.57
23.0 scores on a scale
Standard Error 2.54

SECONDARY outcome

Timeframe: Double-blind baseline to 4 weeks

Population: The analysis of the secondary outcome measure included all randomized participants who received at least 1 dose of study drug during the DB period (DB intent-to-treat), had a DB baseline assessment, and had at least 1 assessment during the DB period.

The change from the DB randomization baseline (DB baseline: the last assessment before first dose in the DB period) to the final assessment of the impact of pain on the participant's sleep. The CPSI utilizes a 100 mm VAS scale for questions of how often the participant had trouble falling asleep because of pain, needed sleeping medication, was awakened by pain during the night, and was awakened by pain in the morning (0 mm = Never and 100 mm = Always); and for rating the overall quality of sleep (0 mm = Very Poor and 100 mm = Excellent). Least squares means and standard errors from 2-way ANCOVA model without interaction.

Outcome measures

Outcome measures
Measure
Double-blind ABT-712
n=106 Participants
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
n=108 Participants
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
Trouble Falling Asleep
-3.7 scores on a scale
Standard Error 2.75
18.7 scores on a scale
Standard Error 2.77
Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
Needed Sleeping Medication
-1.2 scores on a scale
Standard Error 2.30
13.5 scores on a scale
Standard Error 2.32
Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
Awakened by Pain During the Night
-5.0 scores on a scale
Standard Error 2.61
19.5 scores on a scale
Standard Error 2.63
Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
Awakened by Pain in the Morning
-4.5 scores on a scale
Standard Error 2.72
20.1 scores on a scale
Standard Error 2.74
Change From Double-blind (DB) Baseline to Final Assessment in Chronic Pain Sleep Inventory (CPSI)
Quality of Sleep
-0.4 scores on a scale
Standard Error 3.04
-23.2 scores on a scale
Standard Error 3.06

Adverse Events

Open-label ABT-712

Serious events: 1 serious events
Other events: 146 other events
Deaths: 0 deaths

Double-blind ABT-712

Serious events: 1 serious events
Other events: 31 other events
Deaths: 0 deaths

Double-blind Placebo

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Open-label ABT-712
n=285 participants at risk
2 ABT-712 extended-release tablets, twice daily, for up to 3 weeks (open-label period).
Double-blind ABT-712
n=109 participants at risk
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
n=113 participants at risk
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Gastrointestinal disorders
HAEMORRHOIDS
0.00%
0/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.88%
1/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Gastrointestinal disorders
OBSTRUCTION GASTRIC
0.00%
0/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.92%
1/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Gastrointestinal disorders
PROCTALGIA
0.00%
0/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.88%
1/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Renal and urinary disorders
RENAL FAILURE ACUTE
0.35%
1/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.

Other adverse events

Other adverse events
Measure
Open-label ABT-712
n=285 participants at risk
2 ABT-712 extended-release tablets, twice daily, for up to 3 weeks (open-label period).
Double-blind ABT-712
n=109 participants at risk
2 ABT-712 extended-release tablets, twice daily, for 4 weeks (double-blind period).
Double-blind Placebo
n=113 participants at risk
2 placebo tablets, twice daily, for 4 weeks (double-blind period).
Gastrointestinal disorders
CONSTIPATION
29.8%
85/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
3.7%
4/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
3.5%
4/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Gastrointestinal disorders
NAUSEA
24.6%
70/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
15.6%
17/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
3.5%
4/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Gastrointestinal disorders
VOMITING
7.4%
21/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
5.5%
6/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
1.8%
2/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Nervous system disorders
DIZZINESS
6.0%
17/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.92%
1/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.88%
1/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Nervous system disorders
HEADACHE
6.7%
19/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
8.3%
9/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
8.0%
9/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Nervous system disorders
SOMNOLENCE
8.1%
23/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
3.7%
4/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
Skin and subcutaneous tissue disorders
PRURITUS
7.4%
21/285 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
1.8%
2/109 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.
0.00%
0/113 • AEs were recorded from the time of study drug administration to 30 days after last dose (total 12 weeks); SAEs were recorded from the time that informed consent was obtained until 30 days following discontinuation of study drug (total 16 weeks).
AEs with onset during the OL period are shown separately from AEs with onset after the first dose of study drug (ABT-712 or placebo) in the DB period.

Additional Information

Global Medical Services

AbbVie (prior sponsor, Abbott)

Phone: 800-633-9110

Results disclosure agreements

  • Principal investigator is a sponsor employee AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
  • Publication restrictions are in place

Restriction type: OTHER