Trial Outcomes & Findings for A Comparison of the Analgesic Efficacy and Safety of Once Daily Tramadol OAD Tablets to Twice Daily Tramadol BID for the Treatment of Osteoarthritis of the Knee (Extension Protocol) and Open Label Safety Follow-Up (NCT NCT00912015)

NCT ID: NCT00912015

Last Updated: 2012-04-30

Results Overview

Spontaneous adverse events were recorded for patients who received the same dose for at least 350 days. A treatment emergent adverse event (TEAE) was associated to the dose level on which a patient was 2 days prior to the TEAE. Only TEAEs which could be associated with the dose level on which the patient was for the longest time were considered.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

238 participants

Primary outcome timeframe

12 months

Results posted on

2012-04-30

Participant Flow

Participant milestones

Participant milestones
Measure
Tramadol OAD 200mg
All Patients who Received 1x200 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 300mg
All Patients who Received 1x300 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 400mg
All Patients who Received 1x400 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 100mg
All Patients who Received 1x100 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Overall Study
STARTED
141
70
25
2
Overall Study
COMPLETED
125
62
22
0
Overall Study
NOT COMPLETED
16
8
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Tramadol OAD 200mg
All Patients who Received 1x200 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 300mg
All Patients who Received 1x300 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 400mg
All Patients who Received 1x400 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 100mg
All Patients who Received 1x100 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Overall Study
Lack of Efficacy
1
0
0
0
Overall Study
Withdrawal by Subject
8
8
3
0
Overall Study
Protocol Violation
1
0
0
1
Overall Study
Adverse Event
6
0
0
1

Baseline Characteristics

A Comparison of the Analgesic Efficacy and Safety of Once Daily Tramadol OAD Tablets to Twice Daily Tramadol BID for the Treatment of Osteoarthritis of the Knee (Extension Protocol) and Open Label Safety Follow-Up

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tramadol OAD 200mg
n=141 Participants
All Patients who Received 1x200 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 300mg
n=70 Participants
All Patients who Received 1x300 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 400mg
n=25 Participants
All Patients who Received 1x400 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 100mg
n=2 Participants
All Patients who Received 1x100 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Total
n=238 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
87 Participants
n=5 Participants
42 Participants
n=7 Participants
16 Participants
n=5 Participants
2 Participants
n=4 Participants
147 Participants
n=21 Participants
Age, Categorical
>=65 years
54 Participants
n=5 Participants
28 Participants
n=7 Participants
9 Participants
n=5 Participants
0 Participants
n=4 Participants
91 Participants
n=21 Participants
Age Continuous
60.1 years
STANDARD_DEVIATION 9.3 • n=5 Participants
60.5 years
STANDARD_DEVIATION 8.8 • n=7 Participants
58.5 years
STANDARD_DEVIATION 10.8 • n=5 Participants
56.0 years
STANDARD_DEVIATION 5.7 • n=4 Participants
60.0 years
STANDARD_DEVIATION 9.3 • n=21 Participants
Sex: Female, Male
Female
123 Participants
n=5 Participants
58 Participants
n=7 Participants
21 Participants
n=5 Participants
1 Participants
n=4 Participants
203 Participants
n=21 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
12 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
35 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Patients who received the same dose for at least 350 days (12 months)

Spontaneous adverse events were recorded for patients who received the same dose for at least 350 days. A treatment emergent adverse event (TEAE) was associated to the dose level on which a patient was 2 days prior to the TEAE. Only TEAEs which could be associated with the dose level on which the patient was for the longest time were considered.

Outcome measures

Outcome measures
Measure
Tramadol OAD 200mg
n=43 Participants
All Patients who Received 1x200 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 300mg
n=24 Participants
All Patients who Received 1x300 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 400mg
n=8 Participants
All Patients who Received 1x400 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 100mg
All Patients who Received 1x100 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Adverse Events: 12-months Safety Population
Somnolence
6 participants
2 participants
0 participants
Adverse Events: 12-months Safety Population
Constipation
14 participants
9 participants
1 participants
Adverse Events: 12-months Safety Population
Dizziness
9 participants
0 participants
0 participants
Adverse Events: 12-months Safety Population
Nausea
10 participants
4 participants
1 participants
Adverse Events: 12-months Safety Population
Headache
7 participants
5 participants
2 participants

Adverse Events

Tramadol OAD 200mg

Serious events: 4 serious events
Other events: 74 other events
Deaths: 0 deaths

Tramadol OAD 300mg

Serious events: 1 serious events
Other events: 34 other events
Deaths: 0 deaths

Tramadol OAD 400mg

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Tramadol OAD 100mg

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

Serious adverse events

Serious adverse events
Measure
Tramadol OAD 200mg
n=141 participants at risk
All Patients who Received 1x200 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 300mg
n=70 participants at risk
All Patients who Received 1x300 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 400mg
n=25 participants at risk
All Patients who Received 1x400 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 100mg
n=2 participants at risk
All Patients who Received 1x100 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Cardiac disorders
Atrial Fibrillation
0.71%
1/141 • Number of events 1
0.00%
0/70
0.00%
0/25
0.00%
0/2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Carcinoid Tumour NOS
0.71%
1/141 • Number of events 1
0.00%
0/70
0.00%
0/25
0.00%
0/2
Nervous system disorders
Cerebrovascular Disorder NOS
0.00%
0/141
1.4%
1/70 • Number of events 1
0.00%
0/25
0.00%
0/2
Vascular disorders
Essential Hypertension
1.4%
2/141 • Number of events 2
0.00%
0/70
4.0%
1/25 • Number of events 1
0.00%
0/2

Other adverse events

Other adverse events
Measure
Tramadol OAD 200mg
n=141 participants at risk
All Patients who Received 1x200 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 300mg
n=70 participants at risk
All Patients who Received 1x300 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 400mg
n=25 participants at risk
All Patients who Received 1x400 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Tramadol OAD 100mg
n=2 participants at risk
All Patients who Received 1x100 mg Tramadol OAD Tablet daily for at Least 350 days. OAD = Once-A-Day.
Gastrointestinal disorders
Abdominal pain upper
3.5%
5/141 • Number of events 6
5.7%
4/70 • Number of events 4
4.0%
1/25 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Constipation
18.4%
26/141 • Number of events 62
22.9%
16/70 • Number of events 33
8.0%
2/25 • Number of events 3
50.0%
1/2 • Number of events 8
Gastrointestinal disorders
Diarrhoea
2.1%
3/141 • Number of events 3
2.9%
2/70 • Number of events 2
8.0%
2/25 • Number of events 2
0.00%
0/2
Nervous system disorders
Dizziness
18.4%
26/141 • Number of events 45
11.4%
8/70 • Number of events 11
4.0%
1/25 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Dry mouth
7.8%
11/141 • Number of events 14
5.7%
4/70 • Number of events 4
8.0%
2/25 • Number of events 2
0.00%
0/2
Nervous system disorders
Dysgeusia
0.71%
1/141 • Number of events 1
1.4%
1/70 • Number of events 1
0.00%
0/25
50.0%
1/2 • Number of events 1
General disorders
Fatigue
2.8%
4/141 • Number of events 5
0.00%
0/70
8.0%
2/25 • Number of events 2
0.00%
0/2
Nervous system disorders
Headache
9.9%
14/141 • Number of events 20
11.4%
8/70 • Number of events 13
12.0%
3/25 • Number of events 3
0.00%
0/2
Gastrointestinal disorders
Nausea
24.1%
34/141 • Number of events 61
14.3%
10/70 • Number of events 20
4.0%
1/25 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Pruritus
2.8%
4/141 • Number of events 6
1.4%
1/70 • Number of events 2
0.00%
0/25
50.0%
1/2 • Number of events 2
Nervous system disorders
Somnolence
18.4%
26/141 • Number of events 51
11.4%
8/70 • Number of events 15
4.0%
1/25 • Number of events 1
50.0%
1/2 • Number of events 2
Skin and subcutaneous tissue disorders
Sweating increased
3.5%
5/141 • Number of events 6
2.9%
2/70 • Number of events 2
8.0%
2/25 • Number of events 2
0.00%
0/2
General disorders
Weakness
7.1%
10/141 • Number of events 16
8.6%
6/70 • Number of events 8
0.00%
0/25
0.00%
0/2

Additional Information

Director of Regulatory Affairs

Labopharm Inc.

Phone: 1 450 686 1017

Results disclosure agreements

  • Principal investigator is a sponsor employee Prior to submitting results communications, the investigator shall allow Labopharm at least 30 days to review the proposed communication. If the proposed publication/disclosure risks Labopharm's ability to patent any invention related to the study, the publication or disclosure will be modified or delayed to allow Labopharm to seek patent protection. This statement does not give Labopharm any editorial rights other than to restrict the disclosure of Labopharm's confidential information.
  • Publication restrictions are in place

Restriction type: OTHER