A Study Comparing The Efficacy And Safety Of Lidocaine 5% Patch With Placebo In Patients With Chronic Axial Low Back Pain

NCT ID: NCT00904111

Last Updated: 2013-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

215 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-31

Brief Summary

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Patients with Chronic Axial Low Back Pain participated in a Phase II clinical trial to assess the efficacy of lidocaine 5% patch compared with placebo.

Detailed Description

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Conditions

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Chronic Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Lidocaine 5% Patch

Lidocaine 5% patch (Lidoderm®,Endo Pharmaceuticals Inc.), 2 patches applied directly to the most painful area of the low back once daily (q24h)

Group Type EXPERIMENTAL

Lidoderm®

Intervention Type DRUG

Eligible patients were randomly allocated to receive one of two treatments for 12 weeks: lidocaine 5% patch or matching placebo patch.

Placebo Topical Patch

Matching placebo patch, 2 patches applied directly to the most painful area of the low back once daily (q24h)

Group Type PLACEBO_COMPARATOR

Placebo Topical Patch

Intervention Type DRUG

Eligible patients were randomly allocated to receive one of two treatments for 12 weeks: lidocaine 5% patch or matching placebo patch.

Interventions

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Lidoderm®

Eligible patients were randomly allocated to receive one of two treatments for 12 weeks: lidocaine 5% patch or matching placebo patch.

Intervention Type DRUG

Placebo Topical Patch

Eligible patients were randomly allocated to receive one of two treatments for 12 weeks: lidocaine 5% patch or matching placebo patch.

Intervention Type DRUG

Other Intervention Names

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Lidocaine 5% Patch

Eligibility Criteria

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Inclusion Criteria

* Had axial LBP with or without radiation present for at least 3 months as defined as:

* Chronic axial LBP without radiation: pain isolated to the axial low back without radiation into the buttock or below
* Chronic axial LBP with radiation: pain that radiates to the buttock or below. This patient group could include patients with radicular/neuropathic and non-radicular components with leg pain component \<50%
* Had daily moderate to severe LBP as the primary source of pain
* Had a normal neurological examination, including:

* Motor strength
* Sensory exam in lower extremities
* Deep tendon reflexes
* Had a normal 12-lead electrocardiogram (ECG) without any clinically significant abnormalities in heart rate, rhythm, or conduction
* Had discontinued use of all analgesic medications (including over-the-counter \[OTC\] analgesics) prior to randomization (patients were allowed limited use of analgesic medications for indications other than non-study pain).
* Had a daily average pain intensity rating of 6 or greater (on a 0 to 10 scale) for at least 3 days out of the 5 consecutive days immediately prior to the baseline visit; 0 was defined as "no pain" and 10 was defined as "pain as bad as ever imagined" as measured by Question 5 of the Brief Pain Inventory (BPI) and recorded in a diary

Exclusion Criteria

* Had spinal stenosis with \> 50% leg pain component
* Had elective surgery scheduled to occur during the 14-week study
* Had a history of one or more back surgeries within 1 year of study entry
* Had severe renal insufficiency (creatinine clearance of \<30mL/min)
* Had moderate or greater hepatic impairment
* Were taking analgesic medications that could not be discontinued during the study. Patients taking these medications prior to the study were required to discontinue use for the duration of the study. Patients using opioid analgesics at study entry were required to taper off these medications.
* Were taking long-acting opioids or opioids that could not be discontinued over the first 5 days of the placebo run-in period
* Had received an epidural steroid/local anesthesia injection within 4 weeks prior to study entry
* Had received trigger point injections within 2 weeks prior to study entry
* Had received Botulinum Toxin (Botox) Injections for LBP within 6 months prior to study entry
* Were using a lidocaine-containing product that could not be discontinued during the study
* Were using any topical medication applied to the low back region
* Had previously failed treatment with Lidoderm analgesic patch for LBP
* Were taking class 1 anti-arrhythmic drugs (e.g. mexiletine, tocainide)
* Had any other chronic pain condition that, in the opinion of the investigator, would have interfered with patient assessment of LBP relief
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Endo Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Endo Pharmaceuticals Inc.

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Endo Pharmaceuticals

Locations

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Birmingham, Alabama, United States

Site Status

Phoenix, Arizona, United States

Site Status

Carlsbad, California, United States

Site Status

National City, California, United States

Site Status

Waterbury, Connecticut, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Port Orange, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Chicago, Illinois, United States

Site Status

Overland Park, Kansas, United States

Site Status

Pittsfield, Massachusetts, United States

Site Status

Burlington, North Carolina, United States

Site Status

Altoona, Pennsylvania, United States

Site Status

Duncansville, Pennsylvania, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Cordova, Tennessee, United States

Site Status

San Antonio, Texas, United States

Site Status

Virginia Beach, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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EN3261-001

Identifier Type: -

Identifier Source: org_study_id