Trial Outcomes & Findings for Safety and Efficacy of Sufentanil NanoTab for Management of Acute Pain Following Bunionectomy (NCT NCT01710345)

NCT ID: NCT01710345

Last Updated: 2015-01-26

Results Overview

The primary outcome measure is the summed pain intensity difference over the 12-hour study period (SPID-12). A pain intensity score ranging from 0 (no pain) to 10 (worst possible pain) is obtained at baseline and throughout the 12 hour study period. The SPID-12 is calculated by summing the difference between baseline pain score and pain score at each assessment time point. The SPID-12 ranges from -120 (indicative of an increase in pain) to 120 (indicative of a decrease in pain). A higher SPID-12 score is better.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

101 participants

Primary outcome timeframe

12 hours

Results posted on

2015-01-26

Participant Flow

Participant milestones

Participant milestones
Measure
Sufentanil NanoTab 20 mcg
Sufentanil NanoTab 20 mcg as needed every 60 minutes for 12 hours
Sufentanil NanoTab 30 mcg
Sufentanil NanoTab 30 mcg as needed every 60 minutes for 12 hours
Placebo NanoTab
Placebo NanoTab as needed every 60 minutes for 12 hours
Overall Study
STARTED
40
40
20
Overall Study
COMPLETED
37
35
19
Overall Study
NOT COMPLETED
3
5
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Sufentanil NanoTab 20 mcg
Sufentanil NanoTab 20 mcg as needed every 60 minutes for 12 hours
Sufentanil NanoTab 30 mcg
Sufentanil NanoTab 30 mcg as needed every 60 minutes for 12 hours
Placebo NanoTab
Placebo NanoTab as needed every 60 minutes for 12 hours
Overall Study
Adverse Event
0
2
0
Overall Study
Lack of Efficacy
2
3
1
Overall Study
Drug Dosing Error
1
0
0

Baseline Characteristics

Safety and Efficacy of Sufentanil NanoTab for Management of Acute Pain Following Bunionectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sufentanil NanoTab 20 mcg
n=40 Participants
Sufentanil NanoTab 20 mcg as needed every 60 minutes for 12 hours
Sufentanil NanoTab 30 mcg
n=40 Participants
Sufentanil NanoTab 30 mcg as needed every 60 minutes for 12 hours
Placebo NanoTab
n=20 Participants
Placebo NanoTab as needed every 60 minutes for 12 hours
Total
n=100 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
Age, Categorical
Between 18 and 65 years
39 Participants
n=5 Participants
38 Participants
n=7 Participants
19 Participants
n=5 Participants
96 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
20 Participants
n=7 Participants
10 Participants
n=5 Participants
49 Participants
n=4 Participants
Sex: Female, Male
Male
21 Participants
n=5 Participants
20 Participants
n=7 Participants
10 Participants
n=5 Participants
51 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
12 Participants
n=7 Participants
4 Participants
n=5 Participants
23 Participants
n=4 Participants
Race (NIH/OMB)
White
30 Participants
n=5 Participants
26 Participants
n=7 Participants
15 Participants
n=5 Participants
71 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
17 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=5 Participants
35 Participants
n=7 Participants
16 Participants
n=5 Participants
83 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
40 participants
n=5 Participants
40 participants
n=7 Participants
20 participants
n=5 Participants
100 participants
n=4 Participants

PRIMARY outcome

Timeframe: 12 hours

The primary outcome measure is the summed pain intensity difference over the 12-hour study period (SPID-12). A pain intensity score ranging from 0 (no pain) to 10 (worst possible pain) is obtained at baseline and throughout the 12 hour study period. The SPID-12 is calculated by summing the difference between baseline pain score and pain score at each assessment time point. The SPID-12 ranges from -120 (indicative of an increase in pain) to 120 (indicative of a decrease in pain). A higher SPID-12 score is better.

Outcome measures

Outcome measures
Measure
Sufentanil NanoTab 20 mcg
n=40 Participants
Sufentanil NanoTab 20 mcg as needed every 60 minutes for 12 hours
Sufentanil NanoTab 30 mcg
n=40 Participants
Sufentanil NanoTab 30 mcg as needed every 60 minutes for 12 hours
Placebo NanoTab
n=20 Participants
Placebo NanoTab as needed every 60 minutes for 12 hours
SPID-12
-5.65 units on a scale
Standard Error 2.55
6.53 units on a scale
Standard Error 2.56
-7.12 units on a scale
Standard Error 3.64

Adverse Events

Sufentanil NanoTab 20 mcg

Serious events: 2 serious events
Other events: 23 other events
Deaths: 0 deaths

Sufentanil NanoTab 30 mcg

Serious events: 0 serious events
Other events: 30 other events
Deaths: 0 deaths

Placebo NanoTab

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

Serious adverse events

Serious adverse events
Measure
Sufentanil NanoTab 20 mcg
n=40 participants at risk
Sufentanil NanoTab 20 mcg as needed every 60 minutes for 12 hours
Sufentanil NanoTab 30 mcg
n=40 participants at risk
Sufentanil NanoTab 30 mcg as needed every 60 minutes for 12 hours
Placebo NanoTab
n=20 participants at risk
Placebo NanoTab as needed every 60 minutes for 12 hours
Musculoskeletal and connective tissue disorders
Osteomyeolitis
2.5%
1/40 • Number of events 1 • 12 hours and then time discharge
0.00%
0/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge
Infections and infestations
Cellulitis
2.5%
1/40 • Number of events 40 • 12 hours and then time discharge
0.00%
0/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge

Other adverse events

Other adverse events
Measure
Sufentanil NanoTab 20 mcg
n=40 participants at risk
Sufentanil NanoTab 20 mcg as needed every 60 minutes for 12 hours
Sufentanil NanoTab 30 mcg
n=40 participants at risk
Sufentanil NanoTab 30 mcg as needed every 60 minutes for 12 hours
Placebo NanoTab
n=20 participants at risk
Placebo NanoTab as needed every 60 minutes for 12 hours
Gastrointestinal disorders
Nausea
35.0%
14/40 • 12 hours and then time discharge
62.5%
25/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge
Gastrointestinal disorders
Vomiting
27.5%
11/40 • 12 hours and then time discharge
32.5%
13/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge
General disorders
Feeling hot
7.5%
3/40 • 12 hours and then time discharge
2.5%
1/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge
Nervous system disorders
Dizziness
12.5%
5/40 • 12 hours and then time discharge
20.0%
8/40 • 12 hours and then time discharge
5.0%
1/20 • 12 hours and then time discharge
Nervous system disorders
Somnolence
5.0%
2/40 • 12 hours and then time discharge
22.5%
9/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge
Skin and subcutaneous tissue disorders
Pruritis
12.5%
5/40 • 12 hours and then time discharge
10.0%
4/40 • 12 hours and then time discharge
0.00%
0/20 • 12 hours and then time discharge

Additional Information

Pamela Palmer, MD, PhD

AcelRx Pharmaceuticals, Inc.

Phone: 650-216-3504

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must be able to review and approve all published
  • Publication restrictions are in place

Restriction type: OTHER