Trial Outcomes & Findings for Evaluation of the Efficacy and Safety of Diclofenac HPBCD 75mg/ml in Treatment of Pain Following Dental Surgery (NCT NCT00943098)

NCT ID: NCT00943098

Last Updated: 2013-01-28

Results Overview

Pain intensity difference (PID) was derived by subtracting each pain intensity score (PI) from the baseline PI score (t0), where PI was assessed by the patient on a 0-100 mm VAS (from 0 = no pain to 100 = worst pain imaginable).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

142 participants

Primary outcome timeframe

1.5 hours

Results posted on

2013-01-28

Participant Flow

Patients already scheduled for the surgical extraction of a single fully or partially impacted mandibular 3rd molar requiring bone removal underwent a screening visit within 30 days from the scheduled date of surgery.

Participant milestones

Participant milestones
Measure
Diclofenac HPBCD s.c. 75mg/ml
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
Overall Study
STARTED
70
72
Overall Study
COMPLETED
70
72
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of the Efficacy and Safety of Diclofenac HPBCD 75mg/ml in Treatment of Pain Following Dental Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
Total
n=141 Participants
Total of all reporting groups
Age Continuous
28.1 years
STANDARD_DEVIATION 6.88 • n=5 Participants
28.7 years
STANDARD_DEVIATION 7.08 • n=7 Participants
28.49 years
STANDARD_DEVIATION 6.96 • n=5 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
32 Participants
n=7 Participants
74 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
39 Participants
n=7 Participants
67 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1.5 hours

Population: Analysed patients are those included in the PP population: all patients included in the ITT population who also met all inclusion/exclusion criteria and who did not have any major protocol violation, and with post-surgical pain assessment at the primary endpoint.

Pain intensity difference (PID) was derived by subtracting each pain intensity score (PI) from the baseline PI score (t0), where PI was assessed by the patient on a 0-100 mm VAS (from 0 = no pain to 100 = worst pain imaginable).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=64 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=65 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
Pain Intensity Difference (PID)
44.8 mm
95% Confidence Interval 40.5 to 49.1 • Interval 40.5 to 49.1
45.5 mm
Interval 41.2 to 49.8

PRIMARY outcome

Timeframe: 1.5 hours

Population: Analysed patients are those included in the ITT population: defined as all randomised patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose.

Pain intensity difference (PID) was derived by subtracting each pain intensity score (PI) from the baseline PI score (t0), where PI was assessed by the patient on a 0-100 mm VAS (from 0 = no pain to 100 = worst pain imaginable).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
Pain Intensity Difference (PID)
44.2 mm
Interval 40.0 to 48.3
44.7 mm
Interval 40.6 to 48.8

SECONDARY outcome

Timeframe: at 15 minutes post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
7.37 mm
Standard Deviation 13.1
6.83 mm
Standard Deviation 15.6

SECONDARY outcome

Timeframe: at 30 minutes post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
19.8 mm
Standard Deviation 17.1
18.4 mm
Standard Deviation 18.9

SECONDARY outcome

Timeframe: at 45 minutes post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
31.2 mm
Standard Deviation 18.8
37.9 mm
Standard Deviation 19.6

SECONDARY outcome

Timeframe: at 60 minutes post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
37.6 mm
Standard Deviation 18.8
37.9 mm
Standard Deviation 19.6

SECONDARY outcome

Timeframe: at 90 minutes post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
44.0 mm
Standard Deviation 18.4
45.0 mm
Standard Deviation 17.9

SECONDARY outcome

Timeframe: at 2 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
49.0 mm
Standard Deviation 16.0
50.3 mm
Standard Deviation 16.1

SECONDARY outcome

Timeframe: at 3 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
49.7 mm
Standard Deviation 17.0
53.3 mm
Standard Deviation 15.0

SECONDARY outcome

Timeframe: at 4 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
50.6 mm
Standard Deviation 14.6
53.9 mm
Standard Deviation 15.5

SECONDARY outcome

Timeframe: at 5 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
48.7 mm
Standard Deviation 15.7
52.3 mm
Standard Deviation 15.6

SECONDARY outcome

Timeframe: at 6 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
47.5 mm
Standard Deviation 14.4
51.2 mm
Standard Deviation 16.3

SECONDARY outcome

Timeframe: at 7 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
42.8 mm
Standard Deviation 17.2
49.6 mm
Standard Deviation 18.2

SECONDARY outcome

Timeframe: at 8 hours post-dose.

Population: Analysed patients were included in the ITT population: all randomized patients who received the study medication and with at least one post-baseline efficacy evaluation within 1.5 hours post-dose (primary endpoint).

Outcome measures

Outcome measures
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 Participants
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=71 Participants
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
PIDs
43.7 mm
Standard Deviation 15.8
47.1 mm
Standard Deviation 17.9

Adverse Events

Diclofenac HPBCD s.c. 75mg/ml

Serious events: 0 serious events
Other events: 49 other events
Deaths: 0 deaths

Voltarol 75mg/3ml i.m.

Serious events: 0 serious events
Other events: 41 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Diclofenac HPBCD s.c. 75mg/ml
n=70 participants at risk
Diclofenac HPBCD s.c. 75mg/ml : 1 single injection at day of dental surgical extraction
Voltarol 75mg/3ml i.m.
n=72 participants at risk
Voltarol 75mg/3ml i.m. : 1 single injection at day of dental surgical extraction
Gastrointestinal disorders
Nausea
18.6%
13/70 • Number of events 14 • Adverse events were reported from the signature o fthe informed consent to study end.
4.2%
3/72 • Number of events 3 • Adverse events were reported from the signature o fthe informed consent to study end.
Gastrointestinal disorders
Vomiting
7.1%
5/70 • Number of events 5 • Adverse events were reported from the signature o fthe informed consent to study end.
0.00%
0/72 • Adverse events were reported from the signature o fthe informed consent to study end.
General disorders
injection site haematoma
17.1%
12/70 • Number of events 12 • Adverse events were reported from the signature o fthe informed consent to study end.
5.6%
4/72 • Number of events 4 • Adverse events were reported from the signature o fthe informed consent to study end.
General disorders
Injection site pain
15.7%
11/70 • Number of events 11 • Adverse events were reported from the signature o fthe informed consent to study end.
11.1%
8/72 • Number of events 8 • Adverse events were reported from the signature o fthe informed consent to study end.
General disorders
Injection site reaction
10.0%
7/70 • Number of events 7 • Adverse events were reported from the signature o fthe informed consent to study end.
11.1%
8/72 • Number of events 8 • Adverse events were reported from the signature o fthe informed consent to study end.
Infections and infestations
Alveolar osteitis
8.6%
6/70 • Number of events 7 • Adverse events were reported from the signature o fthe informed consent to study end.
5.6%
4/72 • Number of events 4 • Adverse events were reported from the signature o fthe informed consent to study end.
Infections and infestations
Nasopharyngitis
2.9%
2/70 • Number of events 2 • Adverse events were reported from the signature o fthe informed consent to study end.
5.6%
4/72 • Number of events 4 • Adverse events were reported from the signature o fthe informed consent to study end.
Infections and infestations
wound infection
4.3%
3/70 • Number of events 3 • Adverse events were reported from the signature o fthe informed consent to study end.
6.9%
5/72 • Number of events 5 • Adverse events were reported from the signature o fthe informed consent to study end.
Nervous system disorders
Headache
15.7%
11/70 • Number of events 12 • Adverse events were reported from the signature o fthe informed consent to study end.
9.7%
7/72 • Number of events 7 • Adverse events were reported from the signature o fthe informed consent to study end.

Additional Information

Barbara Gugliotta, Clincial Research Manager

IBSA Institut Biochimique

Phone: +41 58 360 10 00

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60