Trial Outcomes & Findings for Efficacy and Safety Study of Buprenorphine HCl Buccal Film in Subjects With Low Back Pain (NCT NCT01256450)

NCT ID: NCT01256450

Last Updated: 2017-02-27

Results Overview

Change in pain intensity = average of daily pain scores from the last 7 days prior to week 12 visit - average of daily pain scores for the last 7 days prior to randomization. Average pain intensity over the last 24 hours was rated on an 11-point numeric rating scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

334 participants

Primary outcome timeframe

Baseline, Week 12

Results posted on

2017-02-27

Participant Flow

Of 334 subjects who were enrolled in the open-label (OL) titration phase; a total of 235 completed the open-label titration phase and were randomized in the double-blind (DB) treatment phase.

Participant milestones

Participant milestones
Measure
OL Buprenorphine HCl Buccal Film
Buprenorphine hydrochloride (HCl) buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for up to 4 weeks in the open-label titration period
DB Buprenorphine HCl Buccal Film
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Open-label Titration
STARTED
334
0
0
Open-label Titration
COMPLETED
235
0
0
Open-label Titration
NOT COMPLETED
99
0
0
Double-blind Treatment
STARTED
0
117
118
Double-blind Treatment
COMPLETED
0
89
81
Double-blind Treatment
NOT COMPLETED
0
28
37

Reasons for withdrawal

Reasons for withdrawal
Measure
OL Buprenorphine HCl Buccal Film
Buprenorphine hydrochloride (HCl) buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for up to 4 weeks in the open-label titration period
DB Buprenorphine HCl Buccal Film
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Open-label Titration
Adverse Event
39
0
0
Open-label Titration
Lost to Follow-up
7
0
0
Open-label Titration
Lack of analgesic effect
30
0
0
Open-label Titration
Non-compliance
9
0
0
Open-label Titration
Screen failure
1
0
0
Open-label Titration
Other
13
0
0
Double-blind Treatment
Adverse Event
0
8
6
Double-blind Treatment
Lost to Follow-up
0
1
7
Double-blind Treatment
Withdrawal by Subject
0
0
1
Double-blind Treatment
Lack of analgesic effect
0
5
6
Double-blind Treatment
Non-compliance
0
5
4
Double-blind Treatment
Opioid withdrawal symptoms
0
0
1
Double-blind Treatment
Other
0
9
12

Baseline Characteristics

Efficacy and Safety Study of Buprenorphine HCl Buccal Film in Subjects With Low Back Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Total
n=235 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
Age, Categorical
Between 18 and 65 years
100 Participants
n=5 Participants
100 Participants
n=7 Participants
200 Participants
n=5 Participants
Age, Categorical
>=65 years
17 Participants
n=5 Participants
18 Participants
n=7 Participants
35 Participants
n=5 Participants
Age, Continuous
52.0 years
n=5 Participants
51.5 years
n=7 Participants
52.0 years
n=5 Participants
Gender
Female
62 Participants
n=5 Participants
66 Participants
n=7 Participants
128 Participants
n=5 Participants
Gender
Male
55 Participants
n=5 Participants
52 Participants
n=7 Participants
107 Participants
n=5 Participants
Region of Enrollment
United States
117 participants
n=5 Participants
118 participants
n=7 Participants
235 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 12

Population: Analysis based on Intent-to-Treat (ITT) population; all randomized subjects who received at least 1 dose of double-blind study medication.

Change in pain intensity = average of daily pain scores from the last 7 days prior to week 12 visit - average of daily pain scores for the last 7 days prior to randomization. Average pain intensity over the last 24 hours was rated on an 11-point numeric rating scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Change in Pain Intensity From Baseline to Week 12
0.33 units on a scale
Standard Deviation 1.944
0.46 units on a scale
Standard Deviation 2.093

SECONDARY outcome

Timeframe: Baseline; Day 14, Day 28, Day 42, Day 56, Day 70, and Day 84

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

Change in pain intensity = average of daily pain scores from the last 7 days prior to each visit - average of daily pain scores for the last 7 days prior to randomization. Average pain intensity over the last 24 hours was rated on an 11-point numeric rating scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Change From Baseline in Pain Intensity Over Time Using NRS Scale
Day 14
0.21 units on a scale
Standard Deviation 1.469
0.25 units on a scale
Standard Deviation 1.624
Change From Baseline in Pain Intensity Over Time Using NRS Scale
Day 28
0.20 units on a scale
Standard Deviation 1.539
0.29 units on a scale
Standard Deviation 1.877
Change From Baseline in Pain Intensity Over Time Using NRS Scale
Day 42
0.13 units on a scale
Standard Deviation 1.535
0.25 units on a scale
Standard Deviation 1.840
Change From Baseline in Pain Intensity Over Time Using NRS Scale
Day 56
0.21 units on a scale
Standard Deviation 1.709
0.23 units on a scale
Standard Deviation 1.926
Change From Baseline in Pain Intensity Over Time Using NRS Scale
Day 70
0.15 units on a scale
Standard Deviation 1.783
0.35 units on a scale
Standard Deviation 2.056
Change From Baseline in Pain Intensity Over Time Using NRS Scale
Day 84
0.29 units on a scale
Standard Deviation 1.984
0.38 units on a scale
Standard Deviation 2.058

SECONDARY outcome

Timeframe: Week 12

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

Responses are defined as the relative improvement in pain score at week 12 from baseline, calculated from ratings of average pain intensity over the last 24 hours on an 11-point numeric rating scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥90% Response
5 participants
7 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥0% Response
117 participants
118 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥10% Response
48 participants
32 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥20% Response
37 participants
30 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥30% Response
28 participants
27 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥40% Response
19 participants
23 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥50% Response
13 participants
20 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥60% Response
11 participants
16 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥70% Response
8 participants
13 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥80% Response
5 participants
9 participants
Number of Participants With Response to Treatment as Assessed by an NRS Scale
≥100% Response
3 participants
6 participants

SECONDARY outcome

Timeframe: Baseline to treatment failure or end of double-blind treatment phase (up to 12 weeks)

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

Treatment failure is defined as study discontinuation due to lack of efficacy or due to adverse event in the double-blind treatment phase.

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Percentage of Participants With Treatment Failure in the Double-blind Treatment Phase (up to 12 Weeks)
9.4 percentage of participants
11.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

Subjects assessed changes in activity, limitations, symptoms, and overall quality of life related to their painful condition since beginning treatment using the Patient Global Impression of Change (PGIC), a balanced 7-point scale from 1 (no change or condition got worse) to 7 (a great deal better and considerable improvement that has made all the difference).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Subject Impression of Change in Pain Intensity From Baseline to Week 12 Using PGIC Scale
-0.32 units on a scale
Standard Deviation 2.091
-0.92 units on a scale
Standard Deviation 2.110

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

The Treatment Satisfaction Questionnaire for Medication (TSQM) is a 14-item instrument used to assess the subject's satisfaction with the ability of the study medication to prevent or treat the condition of chronic low back pain (CLBP) for effectiveness, side effects, convenience, and global satisfaction. Scores range from 0 to 100, where a higher score indicates less dissatisfaction (ie, greater satisfaction).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Change From Baseline to Week 12 in Treatment Satisfaction Using TSQM
Effectiveness
-2.06 units on a scale
Standard Deviation 25.172
-9.03 units on a scale
Standard Deviation 27.804
Change From Baseline to Week 12 in Treatment Satisfaction Using TSQM
Side effects
3.09 units on a scale
Standard Deviation 14.137
10.88 units on a scale
Standard Deviation 18.243
Change From Baseline to Week 12 in Treatment Satisfaction Using TSQM
Convenience
-3.12 units on a scale
Standard Deviation 13.294
-0.00 units on a scale
Standard Deviation 14.081
Change From Baseline to Week 12 in Treatment Satisfaction Using TSQM
Global satisfaction
-8.19 units on a scale
Standard Deviation 26.146
-11.73 units on a scale
Standard Deviation 26.829

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication

Subjects assess disability due to back pain using the Roland Morris Disability Questionnaire (RMDQ) consisting of 24 statements of disability. The score of the RMDQ is the total number of items checked, ranging from 0 to 24 with higher scores indicating greater disability.

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Change From Baseline to Week 12 in Roland Morris Disability Questionnaire
0.09 units on a scale
Standard Deviation 5.606
1.00 units on a scale
Standard Deviation 4.319

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

Subjects were asked to rate their overall satisfaction with their study drug on a 5-point scale ranging from 1 (poor) to 5 (excellent).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Change From Baseline to Week 12 in Subject's Overall Satisfaction With Study Drug
-0.30 units on a scale
Standard Deviation 1.409
-0.48 units on a scale
Standard Deviation 1.329

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication.

Investigators rated their overall satisfaction with the study drug administered to a given subject on a 5-point scale ranging from 1 (poor) to 5 (excellent).

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Change From Baseline to Week 12 in Investigator's Overall Satisfaction With Study Drug
-0.27 units on a scale
Standard Deviation 1.312
-0.37 units on a scale
Standard Deviation 1.369

SECONDARY outcome

Timeframe: Day 7, 14, 28, 42, 56, 70, 84, and 91 within double-blind treatment phase

Population: Analysis based on ITT population; all randomized subjects who received at least 1 dose of double-blind study medication

Calculated from the use of rescue medication recorded in subject diary as the sum of all rescue medication tablets used in the last 7 days previous to the derived visit, divided by the number of days in this duration where the amount was reported.

Outcome measures

Outcome measures
Measure
DB Buprenorphine HCl Buccal Film
n=117 Participants
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
DB Placebo Film
n=118 Participants
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind treatment period
Use of Rescue Medication
Day 7
0.87 Tablets per day
Standard Deviation 1.143
0.82 Tablets per day
Standard Deviation 1.103
Use of Rescue Medication
Day 14
0.93 Tablets per day
Standard Deviation 1.135
1.03 Tablets per day
Standard Deviation 1.289
Use of Rescue Medication
Day 28
0.93 Tablets per day
Standard Deviation 1.239
1.02 Tablets per day
Standard Deviation 1.325
Use of Rescue Medication
Day 42
0.97 Tablets per day
Standard Deviation 1.250
1.04 Tablets per day
Standard Deviation 1.358
Use of Rescue Medication
Day 56
0.89 Tablets per day
Standard Deviation 1.245
0.99 Tablets per day
Standard Deviation 1.364
Use of Rescue Medication
Day 70
0.83 Tablets per day
Standard Deviation 1.197
0.98 Tablets per day
Standard Deviation 1.611
Use of Rescue Medication
Day 84
0.97 Tablets per day
Standard Deviation 1.277
0.91 Tablets per day
Standard Deviation 1.276
Use of Rescue Medication
Follow-up Day 91
0.79 Tablets per day
Standard Deviation 1.143
1.07 Tablets per day
Standard Deviation 1.370

Adverse Events

OL Buprenorphine HCl Buccal Film

Serious events: 1 serious events
Other events: 163 other events
Deaths: 0 deaths

DB Buprenorphine HCl Buccal Film

Serious events: 1 serious events
Other events: 36 other events
Deaths: 0 deaths

DB Placebo Film

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
OL Buprenorphine HCl Buccal Film
n=330 participants at risk
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for up to 4 weeks in the open-label titration period
DB Buprenorphine HCl Buccal Film
n=117 participants at risk
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind period
DB Placebo Film
n=118 participants at risk
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind period
Infections and infestations
PNEUMONIA
0.30%
1/330 • Number of events 1 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/117 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/118 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Investigations
BLOOD CREATININE INCREASED
0.30%
1/330 • Number of events 1 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/117 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/118 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Nervous system disorders
CEREBROVASCULAR ACCIDENT
0.00%
0/330 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.85%
1/117 • Number of events 1 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/118 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Respiratory, thoracic and mediastinal disorders
ACUTE RESPIRATORY FAILURE
0.30%
1/330 • Number of events 1 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/117 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.00%
0/118 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.

Other adverse events

Other adverse events
Measure
OL Buprenorphine HCl Buccal Film
n=330 participants at risk
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for up to 4 weeks in the open-label titration period
DB Buprenorphine HCl Buccal Film
n=117 participants at risk
Buprenorphine HCl buccal film, 60, 120, 180, or 240 µg, applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind period
DB Placebo Film
n=118 participants at risk
Placebo buccal film applied to the buccal mucosa every 12 hours for 12 weeks in the double-blind period
Gastrointestinal disorders
CONSTIPATION
10.9%
36/330 • Number of events 37 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
6.0%
7/117 • Number of events 7 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
2.5%
3/118 • Number of events 4 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Gastrointestinal disorders
NAUSEA
32.7%
108/330 • Number of events 118 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
9.4%
11/117 • Number of events 11 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
8.5%
10/118 • Number of events 11 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Gastrointestinal disorders
VOMITING
5.8%
19/330 • Number of events 19 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
5.1%
6/117 • Number of events 7 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
3.4%
4/118 • Number of events 4 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Infections and infestations
NASOPHARYNGITIS
2.1%
7/330 • Number of events 7 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
2.6%
3/117 • Number of events 3 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
5.9%
7/118 • Number of events 7 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Nervous system disorders
DIZZINESS
9.1%
30/330 • Number of events 35 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
3.4%
4/117 • Number of events 4 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
0.85%
1/118 • Number of events 1 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Nervous system disorders
HEADACHE
11.8%
39/330 • Number of events 45 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
10.3%
12/117 • Number of events 14 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
4.2%
5/118 • Number of events 6 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
Psychiatric disorders
INSOMNIA
2.4%
8/330 • Number of events 9 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
6.0%
7/117 • Number of events 7 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.
2.5%
3/118 • Number of events 3 • From study drug dispensing in open-label titration phase to about 1 week after last dose (Day 91/follow-up visit) in the double-blind phase, up to 17 weeks
Analysis for open-label titration phase based on Safety population; all enrolled subjects who receive at least 1 dose of study drug. Analysis for double-blind treatment phase is based on Randomized population; all subjects who were randomized into double-blind treatment, even if study drug was not taken.

Additional Information

Clinical Trial Coordinator

Endo Pharmaceuticals Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee The oral or written use of study results by the Investigator is not permitted without the express written consent from the Sponsor.
  • Publication restrictions are in place

Restriction type: OTHER