Phase 3 Study of Hydrocodone Bitartrate Controlled-release Capsules in Subjects With Chronic Low Back Pain

NCT ID: NCT01081912

Last Updated: 2022-12-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

510 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2011-10-31

Brief Summary

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The purpose of the study is to evaluate the safety and efficacy of Hydrocodone Bitartrate controlled-release capsules in subjects with chronic low back pain.

Detailed Description

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A randomized Phase 3, placebo-controlled multi-center study to evaluate the safety, efficacy and tolerability of Hydrocodone Bitartrate controlled-release capsules in subjects with chronic low back pain. Subjects will go through an open-label conversion and titration phase followed by a randomized double-blind treatment phase of Hydrocodone (HC)-Controlled-Release (CR) vs. Placebo. The trial will consist of a Screening Phase (up to 14 days), an open-label Conversion and Titration Phase (up to 6 weeks), a 12-week placebo-controlled Treatment Phase, and a 2-week Follow-Up Phone Call

Conditions

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Back Pain Lower Back Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Hydrocodone Bitartrate Capsules

Hydrocodone Bitartrate Controlled-Release Capsules

Group Type ACTIVE_COMPARATOR

Hydrocodone bitartrate

Intervention Type DRUG

dosage form: capsule

Strengths 10mg, 20mg, 30mg, 40mg, 50mg

Placebo comparator

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Capsules, no active substance, shells identical to active comparator capsules

Interventions

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Placebo

Capsules, no active substance, shells identical to active comparator capsules

Intervention Type DRUG

Hydrocodone bitartrate

dosage form: capsule

Strengths 10mg, 20mg, 30mg, 40mg, 50mg

Intervention Type DRUG

Other Intervention Names

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Sugar pill

Eligibility Criteria

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Inclusion Criteria

* Subjects must have a clinical diagnosis of moderate to severe chronic lower back pain (CLBP)
* Subjects must be classified as non-neuropathic, neuropathic, or symptomatic for more than 6 months after lower back pain (LBP) surgery
* Subjects must in the Investigator's opinion qualify for around-the-clock opioid therapy for treatment of their chronic lower back pain (CLBP).
* Subjects must have been taking opioids for at least 5 days/week for the past 4weeks
* Subjects must have an average Clinic Pain Score of ≥ 4 on the 11-point (0-10) numeric rating scale (NRS) as an average for the last 24 hours of Screening
* Subjects, in the opinion of the Investigator, must be considered to be in generally good health other then CLBP at Screening
* Female subjects of childbearing potential must have a negative urine pregnancy test at the Screening Visit, and must consent to use a medically-acceptable method of contraception throughout the entire study period.
* Subjects must voluntarily provide written informed consent.

Exclusion Criteria

* Any clinically significant condition that would, in the opinion of the Investigator, preclude study participation or interfere with the assessment of pain and other symptoms of CLBP or increase the risk of opioid-related adverse events
* A medical condition that, in the opinion of the Investigator, would compromise the subject's ability to swallow, absorb, metabolize, or excrete the study drug
* A surgical procedure for back pain within 6 months
* A nerve or plexus block, including epidural steroid injections or facet blocks
* A history of chemotherapy or confirmed malignancy within past 2 years
* Any other chronic pain condition other than CLBP that, in the Investigator's opinion, would interfere with the assessment of LBP e.g. fibromyalgia, osteoarthritis, rheumatoid arthritis, migraine headaches requiring opioid treatment
* Uncontrolled blood pressure, i.e., subject has a sitting systolic blood pressure \>180 mmHg or \<90 mmHg, and/or a sitting diastolic blood pressure \>120 mmHg or \<50 mmHg at Screening
* A Body Mass Index (BMI) \>45 kg/m2
* A Hospital Anxiety and Depression Scale (HADS) Index score of \>12 in either depression or anxiety subscales or an established history of major depressive disorder that is poorly controlled with medication
* A clinically significant abnormality in clinical chemistry, hematology or urinalysis
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zogenix, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kevin Romanko, DPM

Role: STUDY_DIRECTOR

Zogenix, Inc.

Locations

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Arizona Research Center

Phoenix, Arizona, United States

Site Status

Clopton Clinic

Jonesboro, Arkansas, United States

Site Status

Advanced Clinical Research Institute

Anaheim, California, United States

Site Status

Neuro-Pain Medical Center, Inc.

Fresno, California, United States

Site Status

Pacific Coast Pain Management Center

Laguna Hills, California, United States

Site Status

Clinicos, LLC

Colorado Springs, Colorado, United States

Site Status

Interwest Rehabilitation, LLC

Littleton, Colorado, United States

Site Status

Stamford Therapeutics Consortium

Stamford, Connecticut, United States

Site Status

Clinical Research of West Florida, Inc.

Clearwater, Florida, United States

Site Status

Florida Institute of Medical Research

Jacksonville, Florida, United States

Site Status

Peninsula Research, Inc.

Ormond Beach, Florida, United States

Site Status

Gold Coast Research

Plantation, Florida, United States

Site Status

Clinical Research of West Florida, Inc.

Tampa, Florida, United States

Site Status

Perimeter Institute for Clinical Research, Inc.

Atlanta, Georgia, United States

Site Status

River Birch Research Alliance, LLC

Blue Ridge, Georgia, United States

Site Status

Georgia Institute for Clinical Research, LLC

Marietta, Georgia, United States

Site Status

Georgia Clinical Research

Snellville, Georgia, United States

Site Status

Suburban Clinical Research

Chicago, Illinois, United States

Site Status

Destiny Clinical Research, LLC

Evansville, Indiana, United States

Site Status

Integrated Clinical Trials Services, Inc.

West Des Moines, Iowa, United States

Site Status

International Clinical Research Institute

Leawood, Kansas, United States

Site Status

Clinical Trials Technology, Inc

Prairie Village, Kansas, United States

Site Status

Cotton O'Neil Clinical Research Center

Topeka, Kansas, United States

Site Status

Clinical Trials Management

Metairie, Louisiana, United States

Site Status

Best Clinical Trials, LLC

New Orleans, Louisiana, United States

Site Status

River Cities Clinical Research Center

Shreveport, Louisiana, United States

Site Status

NECCR Internal Medicine & Cardiology Associates, LLC

Fall River, Massachusetts, United States

Site Status

Center for Clinical Trials

Biloxi, Mississippi, United States

Site Status

Research West, LLC

Kalispell, Montana, United States

Site Status

Office of Danka Michaels, MD

Las Vegas, Nevada, United States

Site Status

South Jersey Medical Associates

Blackwood, New Jersey, United States

Site Status

CRI Worldwide, LLC

Willingboro, New Jersey, United States

Site Status

Five Towns Neuroscience Research

Cedarhurst, New York, United States

Site Status

Upstate Clinical Research Associates

Williamsville, New York, United States

Site Status

Center for Clinical Research LLC

Winston-Salem, North Carolina, United States

Site Status

IVA Research

Cincinnati, Ohio, United States

Site Status

Prestige Clinical Research

Franklin, Ohio, United States

Site Status

Neuropsychiatric Research Center

Oklahoma City, Oklahoma, United States

Site Status

Brandywine Clinical Research

Downingtown, Pennsylvania, United States

Site Status

Feasterville Family Health Care Center

Feasterville, Pennsylvania, United States

Site Status

New England Center for Clinical Research

Cranston, Rhode Island, United States

Site Status

Health Concepts

Rapid City, South Dakota, United States

Site Status

Integrity Clinical Research, LLC

Milan, Tennessee, United States

Site Status

InSite Clinical Research

DeSoto, Texas, United States

Site Status

Clinical Trial Network

Houston, Texas, United States

Site Status

Innovative Clinical Trials

San Antonio, Texas, United States

Site Status

Invisions Consultants, LLC

San Antonio, Texas, United States

Site Status

Clinical Trial Network

Spring, Texas, United States

Site Status

Advanced Research Institute

Ogden, Utah, United States

Site Status

Hypothe Test, LLC

Roanoke, Virginia, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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ZX002-0801

Identifier Type: -

Identifier Source: org_study_id

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