Trial Outcomes & Findings for An Investigator Initiated, Within-Subject, Proof of Concept Study to Assess the Efficacy and Safety of Voltaren Gel in Subjects With DOMS (NCT NCT02087748)

NCT ID: NCT02087748

Last Updated: 2014-12-10

Results Overview

The primary outcome is the analgesic efficacy of Topical Voltaren® gel compared to placebo in the reduction of the pain associated with DOMS. The statistical comparison of interest will be the mean reduction in DOMS scores upon walking in the leg receiving Topical Voltaren® gel vs the leg receiving placebo over the first 24 hours post treatment. Pain intensity was assessed at predefined time points (Predose, 3, 9, 15, 21, and 24 hours after first drug administration) using an 11-point Numeric Rating Scale (NPRS) where a score of zero indicates "no pain" and "10" indicates "pain as bad as you can imagine". Pain Intensity Differences at each predefined time point (calculated as post-baseline NPRS values - baseline NPRS values) were analyzed. The theoretical maximum range of Sum of pain intensity differences (SPID24) is from -50 (indicative of an increase in pain) to 50 (indicative of a decrease in pain).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

24 participants

Primary outcome timeframe

7 days

Results posted on

2014-12-10

Participant Flow

Dates of recruitment period: First subject was enrolled in March 2014 and the last subject was enrolled in April 2014. Types of location: Investigative site was located at one research center.

Participant milestones

Participant milestones
Measure
1% Diclofenac Sodium Gel
Diclofenac sodium 1% gel 4 grams applied topically Q6 hours for 48 hours to one leg, and placebo to the other leg.
Overall Study
STARTED
24
Overall Study
COMPLETED
24
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An Investigator Initiated, Within-Subject, Proof of Concept Study to Assess the Efficacy and Safety of Voltaren Gel in Subjects With DOMS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1% Diclofenac Sodium Gel
n=24 Participants
Diclofenac sodium 1% gel 4 grams applied topically Q6 hours for 48 hours to one leg, and placebo to the other leg.
Age, Continuous
28.0 years
STANDARD_DEVIATION 3.58 • n=93 Participants
Sex: Female, Male
Female
9 Participants
n=93 Participants
Sex: Female, Male
Male
15 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
2 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=93 Participants
Race (NIH/OMB)
White
13 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants

PRIMARY outcome

Timeframe: 7 days

The primary outcome is the analgesic efficacy of Topical Voltaren® gel compared to placebo in the reduction of the pain associated with DOMS. The statistical comparison of interest will be the mean reduction in DOMS scores upon walking in the leg receiving Topical Voltaren® gel vs the leg receiving placebo over the first 24 hours post treatment. Pain intensity was assessed at predefined time points (Predose, 3, 9, 15, 21, and 24 hours after first drug administration) using an 11-point Numeric Rating Scale (NPRS) where a score of zero indicates "no pain" and "10" indicates "pain as bad as you can imagine". Pain Intensity Differences at each predefined time point (calculated as post-baseline NPRS values - baseline NPRS values) were analyzed. The theoretical maximum range of Sum of pain intensity differences (SPID24) is from -50 (indicative of an increase in pain) to 50 (indicative of a decrease in pain).

Outcome measures

Outcome measures
Measure
1% Diclofenac Sodium Gel
n=24 Participants
Diclofenac sodium 1% gel 4 grams applied topically Q6 hours for 48 hours 1% diclofenac sodium gel
Placebo
n=24 Participants
Placebo gel 4gm applied topically Q6H for 48 hours Placebo: gel manufactured to mimic Diclofenac sodium1% gel
Mean Reduction in SPID Scores of DOMS on Walking Over 24 Hours
34.87 units on a scale
Standard Deviation 22.86
23.62 units on a scale
Standard Deviation 19.38

SECONDARY outcome

Timeframe: 7 days

The secondary outcome is the mean reduction in DOMS scores at rest in the leg receiving Topical Voltaren® gel versus the leg receiving placebo over the first 24 hours post treatment initiation. Pain intensity was assessed at predefined time points (at Predose, 3, 9, 15, 21, and 24 hours after first drug administration) using an 11-point Numeric Rating Scale (NPRS) where a score of zero indicates "no pain" and a score of 10 indicates "pain as bad as you can imagine". Pain Intensity Differences at each predefined time point (calculated as post-baseline NPRS values - baseline NPRS values) were analyzed. The theoretical maximum range of Sum of pain intensity differences (SPID24) is from -50 (indicative of an increase in pain) to 50 (indicative of a decrease in pain).

Outcome measures

Outcome measures
Measure
1% Diclofenac Sodium Gel
n=24 Participants
Diclofenac sodium 1% gel 4 grams applied topically Q6 hours for 48 hours 1% diclofenac sodium gel
Placebo
n=24 Participants
Placebo gel 4gm applied topically Q6H for 48 hours Placebo: gel manufactured to mimic Diclofenac sodium1% gel
Mean Reduction in SPID Scores of DOMS at Rest Over 24 Hours
28.06 units on a scale
Standard Deviation 23.84
24.81 units on a scale
Standard Deviation 20.9

SECONDARY outcome

Timeframe: 7 days

The secondary outcome is the mean reduction in DOMS scores while standing in the leg receiving Topical Voltaren® gel versus the leg receiving placebo over the first 24 hours post treatment initiation. Pain intensity was assessed at predefined time points (at Predose, 3, 9, 15, 21, and 24 hours after first drug administration) using an 11-point Numeric Rating Scale (NPRS) where a score of zero indicates "no pain" and a score of ten indicates "pain as bad as you can imagine". Pain Intensity Differences at each predefined time point (calculated as post-baseline NPRS values - baseline NPRS values) were analyzed. The theoretical maximum range of Sum of pain intensity differences (SPID24) is from -50 (indicative of an increase in pain) to 50 (indicative of a decrease in pain).

Outcome measures

Outcome measures
Measure
1% Diclofenac Sodium Gel
n=24 Participants
Diclofenac sodium 1% gel 4 grams applied topically Q6 hours for 48 hours 1% diclofenac sodium gel
Placebo
n=24 Participants
Placebo gel 4gm applied topically Q6H for 48 hours Placebo: gel manufactured to mimic Diclofenac sodium1% gel
Mean Reduction in SPID Scores of DOMS While Standing Over 24 Hours
33.9 units on a scale
Standard Deviation 23.29
21.62 units on a scale
Standard Deviation 18.8

Adverse Events

1% Diclofenac Sodium Gel

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Anne Arriaga, VP of Clinical Operations

Lotus Clinical Research, LLC

Phone: 626-397-3412

Results disclosure agreements

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