Opioid AnalgesiaPhase 1NCT01160614
Pharmacokinetics and Safety of ORF Tablets in Pediatric Patients
A Phase 1 study of Opioid Analgesia, run by Purdue Pharma LP at 17 sites in 4 countries.
Trial summary
The purpose of this study is to characterize the pharmacokinetics (PK) of single-dose ORF tablets in pediatric patients aged 6 to 16 years, inclusive. Read more about this study
- Who is it for?
- Ages 6 to 16 years
- Conditions the study is for
- Opioid Analgesia
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 17 sitesin 4 countries
- Study dates
- Jul 2010to Aug 2011
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 to 16 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Written informed consent provided by the parent or legal guardian and patient assent, when appropriate.
- Children of either gender, aged 6 to 16 years, inclusive.
- Have or are expected to have moderate to severe pain for an extended period of time requiring inpatient opioid analgesic treatment for at least 12 hours as this is the minimum duration of study period treatment.
- In order to receive the first oral dose, patients must have respiratory stability, including a sustained SpO2 of at least 92% with or without supplemental oxygen during the 15 minute period just prior to dosing.
- Must be inpatient for the treatment period of the study.
- The patient's anticipated opioid analgesic requirement over the first 12 hours that will follow administration of ORF must be equivalent to at least 10 mg of intravenous (IV) morphine.
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- Have adequate pain control during the 6 hours prior to study drug administration, based on appropriate clinical assessment.
- Must be sufficiently alert to communicate and complete the faces pain scales-revised (FPS-R) or 100-mm visual analogue scale (VAS).
- Females who are of child bearing potential must be using an adequate and reliable method of contraception (e.g., barrier with additional spermicidal foam or jelly, intra-uterine device, hormonal contraception) or be abstinent.
- If female, must have a negative pregnancy test and be non-lactating.
- Must be able to swallow tablets whole.
- Must have stable vital signs.
- Must have vascular access to facilitate blood draws.
- Must be willing and able to participate in all aspects of this study involving use of oral medications, patient evaluation, and phlebotomy, as evidenced by written informed consent from the parent or legal guardian and written patient assent when required by the local IRB/EC.
- Must be willing to have up to 10 milliliters (mL) of blood collected for blood analysis (7 mL for primary PK and 3 mL for secondary PK analysis); and up to 10 mL of blood for pre-specified safety laboratory tests, without safety concerns.
- Must be treated with an opioid for a minimum of 96 hours prior to first dose of ORF.
Who cannot join
- Any history of hypersensitivity or medical contraindication for the use of oxycodone (this does not exclude patients with a history of expected opioid-related adverse events (AEs), such as light-headedness, dizziness, sedation, nausea, or vomiting).
- Any current history of medical or surgical conditions that might significantly interfere with the gastrointestinal absorption, distribution, metabolism, or excretion of oxycodone (this includes any history of serious disease+ of the gastrointestinal tract, liver, kidneys, and/or blood-forming organs).
- Received oxycodone in the 24 hours prior to study drug administration. .
- Received epidural (or regional) anesthesia < 12 hours prior to the first oral dose of ORF.
- A current history of malabsorption syndrome.
- A current diagnosis of sleep apnea within the last year.
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- Reduced renal function (serum creatinine > 1.8 X the upper limit of normal for age).
- Hepatic impairment as evidenced by serum alanine amino transferase (ALT) or serum aspartate amino transferase (AST) > 5 times the upper limit of normal (ULN) for age.
- Currently taking any medications which are CYP3A4 inhibitors.
- Impaired respiratory reserve including severe acute or chronic lung disease, or patients receiving mechanical respiratory support, including mechanical ventilation, BIPAP, or CPAP 6 hours prior to the first oral dose and during the entire oral treatment period.
- Impaired cardiovascular stability (e.g., the day of surgery for cardiac surgery patients).
- Participated in a clinical drug study within 30 days preceding the initial dose in this study.
- Patients who have had surgery within 96 hours prior to the day of the first dose of study drug.
- Deemed to be unsuitable by the investigator for reason(s) not specifically stated in the exclusion criteria.
Trial locations and contacts
17 sites in 4 countries.
17 sites in 4 countries
United States13 sites
Akron Children's Hospital
Akron, Ohio, 44308
F3900 C.S. Mott Children's Hospital
Ann Arbor, Michigan, 48109
The Children's Hospital Association
Aurora, Colorado, 80045
Children's Med Center of Dallas
Dallas, Texas, 75235
Arkansas Childrens Hospital
Little Rock, Arkansas, 72202-3591
Research Facility
Miami, Florida, 33136
Children's Hospital of Wisconsin
Milwaukee, Wisconsin, 53226
The Children's Hospital at OUMC
Oklahoma City, Oklahoma, 73104-5070
LS Packard Children's Hospital
Palo Alto, California, 94304
Maricopa Medical Center
Phoenix, Arizona, 85008
Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224
University of Washington School of Medicine - Harborview Medical Center
Seattle, Washington, 98104-2420
Scott & White Memorial Hospital & Clinic
Temple, Texas, 76508
Finland2 sites
Helsinki University Central Hospital/Children and Adolescent Hospital
Helsinki, 00290
Kuopio University Hospital/Operative Services and Intensive Care
Kuopio, 70211
About this study
Official title: An Open-label Study to Characterize the Pharmacokinetics and Safety of Oxycodone Hydrochloride q12h Controlled-Release (ORF) Tablets in Pediatric Patients Aged 6 to 16 Years Inclusive, Who Require Opioid Analgesia
The purpose of this study is to characterize the pharmacokinetics (PK) of single-dose ORF tablets in pediatric patients aged 6 to 16 years, inclusive.
- Conditions
- Opioid Analgesia
- Being tested
- Oxycodone hydrochloride controlled-release (ORF) tablets
- Keywords
- Pediatric, Post-operative, Nonsurgical, patients, Opioid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Oxycodone hydrochloride controlled-release (ORF) tabletsDrug
Oxycodone hydrochloride controlled-release (ORF) tablets (10 mg, 15 mg or 20 mg) taken every 12 hours
| Study group | Role | What they receive |
|---|---|---|
| ORF Tablets | Experimental | ORF Tablets Receives: Drug: Oxycodone hydrochloride controlled-release (ORF) tablets |
What is being measured
The primary outcome is the main question the study is designed to answer.
Single-dose PK Metric: Area Under the Plasma Concentration-time Curve From Hour 0 to the Last Measurable Plasma Concentration [AUCt]
Measured: Up to 24 hours
Single-dose PK Metric: Area Under the Plasma Concentration-time Curve Extrapolated to Infinity (AUCinf)
Due to insufficient sampling, AUCinf was not estimated.
Measured: Up to 24 hours
Single-dose PK Metric: Maximum Observed Plasma Concentration (Cmax)
Measured: Up to 24 hours
Single-dose PK Metric: Time to Maximum Plasma Concentration (Tmax)
Measured: Up to 24 hours
Single-dose PK Metric: Apparent Terminal Phase Rate Constant (Lamda z)
Due to insufficient sampling, Lamda z was not estimated.
Measured: Up to 24 hours
Single-dose PK Metric: Apparent Plasma Terminal Phase Half/Life (t1/2z)
Due to insufficient sampling, t1/2z was not estimated.
Measured: Up to 24 hours
Single-dose PK Metric: Lag Time Was Estimated as the Time Point Immediately Prior to the First Measurable Plasma Concentration Value (Tlag)
Due to insufficient sampling, tlag was not estimated.
Measured: Up to 24 hours
Single- and Multiple-dose PK Metric: Mean Area Under the Plasma Concentration During Each Dosing Interval-time Curve From Hour 0 to 12 Hours of the First Dose of ORF (AUC 0-12)
Measured: Up to 12 hours
Single- and Multiple-dose PK Metric: Maximum Observed Plasma Concentration From Hour 0 to 12 Hours of the First Dose of ORF (Cmax 0-12)
Measured: Up to 12 hours
Single- and Multiple-dose PK Metric: Time to Maximum Plasma Concentration From Hour 0 to 12 Hours of the First Dose of ORF (Tmax 0-12)
Measured: Up to 12 hours
Single- and Multiple-dose PK Metric: Lag Time Estimated as the Time Point Immediately Prior to the First Measurable Plasma Concentration Value From Hour 0 to 12 Hours of the First Dose of ORF (Tlag 0-12)
Due to insufficient sampling, tlag 0-12 was not estimated.
Measured: Up to 12 hours
The Number of Patients With Adverse Events as a Measure of Safety
Measured: Adverse events (AEs) & serious adverse events (SAEs) were reported from start of study participation through the period beyond study completion (AEs) & through 30 days following last study drug dose, or until last study visit, whichever was later (SAEs).
Secondary outcomes (1)
Multiple-dose PK Metric: Minimum Observed Plasma Concentration Just Prior to the Next Dose (Cmin)
Measured: Up to 72 hours if all 5 doses were administered
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2010 (estimated)
- Study startJul 2010
- Primary completionAug 2011
- Study completionAug 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Opioid AnalgesiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Purdue Pharma LP
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01160614
- Sponsor's protocol ID
- OTR1020
- Other IDs
- 2010-020510-29
- Status last verified
- Oct 2012
- First submitted
- 8 Jul 2010
- Last updated
- 15 Oct 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label Study to Characterize the Pharmacokinetics and Safety of Oxycodone Hydrochloride q12h Controlled-Release (ORF) Tablets in Pediatric Patients Aged 6 to 16 Years Inclusive, Who Require Opioid Analgesia
- ClinicalTrials.gov ID
- NCT01160614
- Acronym / sponsor ID
- OTR1020
- Conditions
- Opioid Analgesia
- Keywords
- Pediatric, Post-operative, Nonsurgical, patients, Opioid
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Purdue Pharma LPIndustry (pharma, biotech, devices)
- Study start
- Jul 2010
- Primary completion
- Aug 2011 (actual)
- Study completion
- Aug 2011 (actual)
- First posted
- 12 Jul 2010 (estimated)
- Results
- Posted 21 Aug 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to characterize the pharmacokinetics (PK) of single-dose ORF tablets in pediatric patients aged 6 to 16 years, inclusive.
Study design
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ORF Tablets | Experimental | Drug: Oxycodone hydrochloride controlled-release (ORF) tabletsORF Tablets |
Who may qualify
- Ages
- 6 to 16 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (16 listed)
- Written informed consent provided by the parent or legal guardian and patient assent, when appropriate.
- Children of either gender, aged 6 to 16 years, inclusive.
- Have or are expected to have moderate to severe pain for an extended period of time requiring inpatient opioid analgesic treatment for at least 12 hours as this is the minimum duration of study period treatment.
- In order to receive the first oral dose, patients must have respiratory stability, including a sustained SpO2 of at least 92% with or without supplemental oxygen during the 15 minute period just prior to dosing.
- Must be inpatient for the treatment period of the study.
Key exclusion criteria (14 listed)
- Any history of hypersensitivity or medical contraindication for the use of oxycodone (this does not exclude patients with a history of expected opioid-related adverse events (AEs), such as light-headedness, dizziness, sedation, nausea, or vomiting).
- Any current history of medical or surgical conditions that might significantly interfere with the gastrointestinal absorption, distribution, metabolism, or excretion of oxycodone (this includes any history of serious disease+ of the gastrointestinal tract, liver, kidneys, and/or blood-forming organs).
- Received oxycodone in the 24 hours prior to study drug administration. .
- Received epidural (or regional) anesthesia < 12 hours prior to the first oral dose of ORF.
- A current history of malabsorption syndrome.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Oxycodone hydrochloride controlled-release (ORF) tabletsOxycodone hydrochloride controlled-release (ORF) tablets (10 mg, 15 mg or 20 mg) taken every 12 hours | Drug | ORF Tablets |
Primary outcome
Single-dose PK Metric: Area Under the Plasma Concentration-time Curve From Hour 0 to the Last Measurable Plasma Concentration [AUCt]
Time frame: Up to 24 hours
Single-dose PK Metric: Area Under the Plasma Concentration-time Curve Extrapolated to Infinity (AUCinf)
Time frame: Up to 24 hours
Due to insufficient sampling, AUCinf was not estimated.
Single-dose PK Metric: Maximum Observed Plasma Concentration (Cmax)
Time frame: Up to 24 hours
Single-dose PK Metric: Time to Maximum Plasma Concentration (Tmax)
Time frame: Up to 24 hours
Single-dose PK Metric: Apparent Terminal Phase Rate Constant (Lamda z)
Time frame: Up to 24 hours
Due to insufficient sampling, Lamda z was not estimated.
Single-dose PK Metric: Apparent Plasma Terminal Phase Half/Life (t1/2z)
Time frame: Up to 24 hours
Due to insufficient sampling, t1/2z was not estimated.
Single-dose PK Metric: Lag Time Was Estimated as the Time Point Immediately Prior to the First Measurable Plasma Concentration Value (Tlag)
Time frame: Up to 24 hours
Due to insufficient sampling, tlag was not estimated.
Single- and Multiple-dose PK Metric: Mean Area Under the Plasma Concentration During Each Dosing Interval-time Curve From Hour 0 to 12 Hours of the First Dose of ORF (AUC 0-12)
Time frame: Up to 12 hours
Single- and Multiple-dose PK Metric: Maximum Observed Plasma Concentration From Hour 0 to 12 Hours of the First Dose of ORF (Cmax 0-12)
Time frame: Up to 12 hours
Single- and Multiple-dose PK Metric: Time to Maximum Plasma Concentration From Hour 0 to 12 Hours of the First Dose of ORF (Tmax 0-12)
Time frame: Up to 12 hours
Single- and Multiple-dose PK Metric: Lag Time Estimated as the Time Point Immediately Prior to the First Measurable Plasma Concentration Value From Hour 0 to 12 Hours of the First Dose of ORF (Tlag 0-12)
Time frame: Up to 12 hours
Due to insufficient sampling, tlag 0-12 was not estimated.
The Number of Patients With Adverse Events as a Measure of Safety
Time frame: Adverse events (AEs) & serious adverse events (SAEs) were reported from start of study participation through the period beyond study completion (AEs) & through 30 days following last study drug dose, or until last study visit, whichever was later (SAEs).
1 secondary outcome
Multiple-dose PK Metric: Minimum Observed Plasma Concentration Just Prior to the Next Dose (Cmin)
Time frame: Up to 72 hours if all 5 doses were administered
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
17 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study of Opioid Analgesia, run by Purdue Pharma LP at 17 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in United States, Finland, Australia, New Zealand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 21 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Single-dose PK Metric: Area Under the Plasma Concentration-time Curve From Hour 0 to the Last Measurable Plasma Concentration [AUCt] (time frame: Up to 24 hours). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2012; AzTrials last refreshed its copy on 8 Nov 2026.