A Double-Blind, Randomized, Active- and Placebo-Controlled, Multiple-Dose Multi-Center Phase 3 Study of the Safety and Efficacy of CL-108 in the Treatment of Moderate to Severe Acute Pain and Opioid-Induced Nausea and Vomiting (OINV)

NCT ID: NCT02462811

Last Updated: 2016-11-03

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

552 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2015-08-31

Brief Summary

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The objectives of this study are to compare the occurrence and severity of opioid-induced nausea and vomiting (OINV) associated with CL-108 to Norco®, and to demonstrate the efficacy of CL-108 when compared to placebo for the relief of moderate to severe pain In patients with moderate to severe pain following bunionectomy (osteotomy with fixation of the head of the first metatarsal bone).

Detailed Description

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Conditions

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Pain Nausea Vomiting

Keywords

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Pain Nausea Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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CL-108

CL-108 hydrocodone 7.5 mg, acetaminophen 325 mg, Promethazine 12.5 mg

Group Type EXPERIMENTAL

CL-108 (hydrocodone 7.5 mg, acetaminophen 325 mg, promethazine 12.5 mg)

Intervention Type DRUG

Active Comparator: Norco

Commercial product containing hydrocodone 7.5 mg, acetaminophen 325 mg

Group Type ACTIVE_COMPARATOR

Norco (hyrdocodone 7,5 mg, acetaminophen 325 mg)

Intervention Type DRUG

Placebo

CL-108 formulation without API

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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CL-108 (hydrocodone 7.5 mg, acetaminophen 325 mg, promethazine 12.5 mg)

Intervention Type DRUG

Placebo

Intervention Type DRUG

Norco (hyrdocodone 7,5 mg, acetaminophen 325 mg)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed Consent: Signed consent obtained at screening prior to any procedures being performed.
* Gender: Male or non-pregnant and non-lactating female. A female of child-bearing potential is eligible to participate in this study if she has a negative urine pregnancy test and is using an acceptable method of birth control (i.e., oral, transdermal, or implanted contraceptives, intrauterine device, diaphragm, condom, abstinence, or surgical sterilization)
* Age: 18 years or older
* OINV Status: At risk of OINV on the Nausea Prone Questionnaire (NPQ)
* Foot Condition: Surgical extraction of a unilateral first metatarsal bunion confirmed by foot x-ray (assessed by surgeon prior to surgery)
* Pain Severity: Presence of moderate or severe pain (i.e., ≥ 4 on the baseline numerical pain intensity rating scale \[PI-NRS\])
* Pain Confirm: Rating ≥ 50 mm on the baseline visual analog pain intensity scale (PI-VAS)
* Diary Completion: Be willing and able to record safety and efficacy information in the In-patient and Outpatient Diaries
* Safe Transportation: Patient must have arrangements for transportation home from the research center accompanied by a responsible adult

EXLUSION CRITERIA

* Medical Condition: Presence of a serious medical condition (e.g., poorly controlled hypertension or diabetes, neurological disease including Parkinson's or other condition associated with a movement disorder, significantly impaired cardiac, renal, hepatic, respiratory, or thyroid function)
* Infection: Acute local infection at the time of surgery that could confound post-surgical evaluation.
* Drug Allergy: History of hypersensitivity or allergy to an opioid drug such as hydrocodone, promethazine, acetaminophen, ondansetron, NSAID (such as ibuprofen, including aspirin) or ketorolac or history of a dystonic/dyskinetic reaction to prior anti-emetic or anti-psychotic medication
* Contraindicated Drugs: Use (within 24 hours of the surgical procedure) of any confounding prescription or non-prescription drug (e.g., analgesic, anti-emetic, sedating antihistamine, sedative, alcohol, CNS/psychotropic agent, including sleep aides, benzodiazepines, performance/attention enhancers, marijuana, anti-depressants) or any drug contraindicated with hydrocodone, acetaminophen, or promethazine (except for pre-op medications). Antibiotic prophylaxis for endocarditis (except if known to cause nausea) and ASA 62.5 mg for cardiovascular prophylaxis are permitted during the study.
* History of drug or alcohol abuse
* Caffeine Use: Ingestion of any caffeine-containing beverage or chocolate since mid-night before the operation
* Investigation Drug Use: Use of an investigational drug within the past 30 days
* Participated in Study:Previous participation in this study
* Pregnancy, Lactation: Women who are pregnant or lactating
* Participant Relation: Employee at the research center or of Charleston Laboratories or relative of the Principal Investigator, Sub-Investigators, or research staff who is directly involved in this study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Joseph Hazelton

INDUSTRY

Sponsor Role lead

Responsible Party

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Joseph Hazelton

Vice President, Regulatory Affairs

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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CLCL-003

Identifier Type: -

Identifier Source: org_study_id