MRX-7EAT Etodolac-Lidocaine Topical Patch in the Treatment of Ankle Sprains

NCT ID: NCT01198834

Last Updated: 2018-01-17

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

PHASE3

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2011-06-30

Brief Summary

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A Randomized, Multi-Center, Double-Blind, Factorial, Comparator and Placebo-Controlled Phase III Trial to Evaluate the Efficacy, Tolerability and Safety of MRX-7EAT Etodolac-Lidocaine Topical Patch in the Treatment of Ankle Sprains

Detailed Description

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Conditions

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Ankle Sprains

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo Patch

Treatment with Placebo Patch

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Application of up to two patches at the discretion of the investigator for up to 7 days.

MRX-7EAT Patch

Treatment with MRX-7EAT Patch

Group Type EXPERIMENTAL

MRX-7EAT

Intervention Type DRUG

Application of up to two patches at the discretion of the investigator for up to 7 days.

Lidocaine Patch

Treatment with Lidocaine Patch

Group Type EXPERIMENTAL

Lidocaine

Intervention Type DRUG

Application of up to two patches at the discretion of the investigator for up to 7 days.

Etodolac Patch

Treatment with Etodolac Patch

Group Type EXPERIMENTAL

Etodolac

Intervention Type DRUG

Application of up to two patches at the discretion of the investigator for up to 7 days.

Interventions

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MRX-7EAT

Application of up to two patches at the discretion of the investigator for up to 7 days.

Intervention Type DRUG

Placebo

Application of up to two patches at the discretion of the investigator for up to 7 days.

Intervention Type DRUG

Lidocaine

Application of up to two patches at the discretion of the investigator for up to 7 days.

Intervention Type DRUG

Etodolac

Application of up to two patches at the discretion of the investigator for up to 7 days.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

A subject will be eligible for inclusion in this study if all of the following criteria apply:

1. Subject has signed an informed consent form.
2. Subject is 14 years of age or older (with assent according to state law).
3. Females of child bearing potential must have a negative pregnancy test and be using an adequate method of birth control. Adequate is defined as either hormonal or partner vasectomy for at least three months, or , condoms, IUD, abstinence or other prescribed birth control. Females may be considered non-childbearing if post-menopausal at least 1 year or surgically sterile.
4. Subject has a diagnosis of uncomplicated acute soft tissue inversion injury of the ankle, Grade II classification (as defined by the American Academy of Orthopaedic Surgeons (AAOS), "partial tearing of the ligament") that has occurred ≥ 6 hours to ≤ 48 hours before study entry.
5. Subject has a Current Pain Intensity during point and flex with the ankle unwrapped rated prior to study entry as ≥ 5 but ≤ 8 on an NPRS (11 point; range 0 to 10; anchors to be "none" and "severe").
6. Subject is willing and able to comply with the protocol.

Exclusion Criteria

A subject will not be eligible for inclusion in this study if any of the following criteria apply:

1. Females of child bearing potential that are not using an adequate method of birth control or are breastfeeding (adequate defined as either hormonal or partner vasectomy for at least three months, or other prescribed birth control, condoms, IUD, abstinence or other prescribed birth control).
2. Subject has a Grade I ("slight stretching and some damage to the fibers (fibrils) of the ligament") or Grade III ("complete tear of the ligament") sprain or strain, bilateral sprain or strain, or concomitant fracture or open wound at the site of the sprain or strain, or has a serious injury, as determined by the investigator (e.g., nerve damage, joint instability, or tendon rupture); or surgical treatment is required. Diagnosis of Grade III is indicated by a positive anterior drawer test or positive talar tilt test is exclusionary (inability to perform test(s) is exclusionary when in the opinion of the investigator a Grade III sprain is suspected).
3. Subject has a history of a previous injury to the same area within two months prior to current injury or previous surgery in the same area.
4. Subject has used non-pharmacologic treatments for the injury within 2 hours prior to the baseline visit (e.g. ice or acupuncture) that may interfere with pain assessments. Subjects on any therapeutic exercise regimen should continue based on the investigator's discretion. Use of iontophoresis is prohibited.
5. Subject has used oral pharmacologic treatments (NSAIDs or analgesic medications) for the injury less than three half-lives before the baseline assessments; ibuprofen is permitted prior to baseline as long as it is not within six hours of the baseline assessment aspirin (81-325 mg daily) taken prophylactically for cardiovascular reasons is permitted.
6. Subject has used any form of opioid within 24 hours of study entry or used opioids for five or more consecutive days within the 30 days preceding the screening visit.
7. Subject has received systemic corticosteroids in the 30 days preceding the screening visit (e.g., intra-articular, peritendinous, oral, or parenteral administration); topical corticosteroid use is acceptable unless applied to the target joint; and inhaled steroids are acceptable (e.g. Flonase®).
8. Subject recently initiated sleep medications, muscle relaxants, anticonvulsants or antidepressants (within the past 30 days); if using any of these, subject must be on a stable dose and regimen for 30 days prior to study enrollment.
9. Subject has used TNF alpha blockers or Class 1 anti-arrhythmic drugs within the 60 days preceding the screening visit.
10. Subject has a history or physical assessment finding of clinically significant GI ulcers or abnormal bleeding, anemia, kidney disease, liver disease, poorly controlled lung, stomach, heart, or other vital organ disease as determined by the study investigator/physician.
11. Subject has a history or physical assessment finding that is not compatible with safe participation in the study as determined by the study investigator.
12. Subject has any form of inflammatory arthritis, spondyloarthropathies (sPA), fibromyalgia, or is currently undergoing treatment for chronic pain; or has a history of, or evidence for, underlying disease in the injured area, such as osteoarthritis or gout.
13. Subject has any pain or medical problem that, in the investigator's opinion, may interfere with pain measurement of the target joint.
14. Subject has active skin lesions or disease at the intended site of application of the study medication. Skin lesions include open wounds, rash, papules and vesicles; abrasions, lacerations or any break in skin at the intended site of patch application.
15. Subject has a history of allergy to etodolac, other NSAIDs, lidocaine, or adhesives (e.g. adhesive tape).
16. Subject has a history of prior failed treatment with topical NSAIDs (Flector® Patch or Voltaren® Gel) defined as repeated attempts within the three months preceding the screening visit.
17. Subject has a history of drug or alcohol abuse within the past two years preceding the screening visit.
18. Subject has received an investigational drug or product or participated in an investigational drug study within a period of 30 days prior to receiving study medication.
19. Subject has scheduled elective surgery or other invasive procedures during the period of study participation.
20. Subject is on workman's compensation or has pending legal hearings associated with any injury.
21. Subject refuses to provide informed consent or is unwilling or unable to follow study procedures.
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MEDRx USA, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martine Francis

Role: STUDY_DIRECTOR

IL Pharma

Locations

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Phoenix, Arizona, United States

Site Status

North Little Rock, Arkansas, United States

Site Status

Chico, California, United States

Site Status

Palm Springs, California, United States

Site Status

San Diego, California, United States

Site Status

Aurora, Colorado, United States

Site Status

Colorado Springs, Colorado, United States

Site Status

Denver, Colorado, United States

Site Status

Daytona Beach, Florida, United States

Site Status

Fort Lauderdale, Florida, United States

Site Status

Gulf Breeze, Florida, United States

Site Status

Orlando, Florida, United States

Site Status

West Palm Beach, Florida, United States

Site Status

Boise, Idaho, United States

Site Status

Avon, Indiana, United States

Site Status

Fishers, Indiana, United States

Site Status

Franklin, Indiana, United States

Site Status

Greenfield, Indiana, United States

Site Status

Muncie, Indiana, United States

Site Status

Dubuque, Iowa, United States

Site Status

Wichita, Kansas, United States

Site Status

Erlanger, Kentucky, United States

Site Status

Henderson, Nevada, United States

Site Status

Charlotte, North Carolina, United States

Site Status

Fargo, North Dakota, United States

Site Status

Cincinnati, Ohio, United States

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Oklahoma City, Oklahoma, United States

Site Status

Georgetown, Texas, United States

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Lubbock, Texas, United States

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San Antonio, Texas, United States

Site Status

Temple, Texas, United States

Site Status

Riverton, Utah, United States

Site Status

Danville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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MRX-7EAT-1005

Identifier Type: -

Identifier Source: org_study_id

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