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Pain, PostoperativePhase 3Morpheus IINCT01280591

Evaluate Analgesic/Sedative Efficacy of Naproxen Sodium and Diphenhydramine in Patients With Postsurgical Dental Pain

A Phase 3 study testing Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111), Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111) and Naproxen sodium 440 mg (BAYH6689) in people with Pain, Postoperative, run by Bayer at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of the study is to evaluate the efficacy and safety of a single oral dose of two dose combinations of naproxen sodium and diphenhydramine (DPH) to demonstrate that naproxen sodium/DPH combination provides added clinical benefit to sleep improvement than either single ingredient alone in subjects with… Read more about this study

Who is it for?
Ages 12 to 45 years
Conditions the study is for
Pain, Postoperative
What is being tested?
Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111), Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111) and Naproxen sodium 440 mg (BAYH6689)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
712 participants
Where
2 sitesUnited States
Study dates
Oct 2010to Feb 2011
Phase
Phase 3
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 12 to 45 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Healthy, ambulatory, male and female volunteers ages 12 and older
  • Scheduled to undergo surgical removal of a minimum of two third molars of which at least one has to be a mandibular third molar. The mandibular extraction(s) required by each subject must meet one of the following scenarios:
  • one full bony impaction
  • two partial bony impactions
  • one full bony impaction and one partial bony impaction
  • one full bony impaction and one soft tissue impaction
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  • one full bony impaction and one erupted third molar. Two full bony mandibular impactions are not allowed. Maxillary third molars may be removed regardless of impaction level.
  • Have moderate to severe postoperative pain on the Categorical Pain Rating Scale and a score of ≥ 50 mm on the 100-mm visual analog Pain Severity Rating Scale between 1600 hour and 1830 hour on the day of surgery
  • Female subjects of childbearing potential must be using a medically acceptable form of birth control for at least 1 month prior to screening (3 months on oral contraceptives), e.g., oral or patch contraceptives, intrauterine device, Depo-Provera, or double-barrier and have a negative pregnancy test at Screening and prior to surgery. Female subjects of nonchildbearing potential must be amenorrheic for at least 2 years or had a hysterectomy and/or bilateral oophorectomy
  • Provide a personally signed and dated informed consent indicating that the subject has been informed of all pertinent aspects of the trial, (subjects <18 years of age must sign a written assent and have parental or guardian consent).

Who cannot join

  • History of hypersensitivity to naproxen, diphenhydramine, nonsteroidal anti-inflammatory drug (NSAIDS), tramadol, aspirin or any other antihistamine and similar pharmacological agents or components of the products
  • Evidence or history of clinically significant (in the judgment of the investigator) hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic diseases, or malignancies within the last 5 years
  • Relevant concomitant disease such as asthma (exercise induced asthma is permitted), chronic sinusitis or nasal structural abnormalities causing greater than 50 percent obstruction (polyposis nasi, marked septal deviation) that can interfere with the conduct of the study in the judgment of the investigator
  • Current or past history of bleeding disorder(s)
  • Acute illness or local infection prior to surgery that can interfere with the conduct of the study in the judgment of the investigator
  • Chronic use of antihistamines defined as using 5 or more times a week for 2 or more consecutive weeks during the past 3 months
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  • Positive alcohol breathalyzer test and positive urine drug test prior to surgery
  • Females who are pregnant or lactating
  • Chronic or severe sleep problems that do not respond to / Over the Counter (OTC) medication and requires a prescription hypnotic or sedative
  • Habitually spends less than 6.5 hours in bed

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Study site

    Austin, Texas, 78744

  • Study site

    Salt Lake City, Utah, 84124

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-Blind, Parallel Group Trial Assessing the Efficacy of Naproxen Sodium and Diphenhydramine Combination in Postsurgical Dental Pain With Phase Advanced Sleep

The objective of the study is to evaluate the efficacy and safety of a single oral dose of two dose combinations of naproxen sodium and diphenhydramine (DPH) to demonstrate that naproxen sodium/DPH combination provides added clinical benefit to sleep improvement than either single ingredient alone in subjects with post-surgical dental pain and phase advanced sleep.

Being tested
Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111), Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111), Naproxen sodium 440 mg (BAYH6689), DPH 50 mg
Keywords
Naproxen sodium, Diphenhydramine
Medical subject headings
Pain, Postoperative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111)Drug

    Participants received two Naproxen sodium 220 mg / DPH (Diphenhydramine hydrochloride) 25 mg tablets orally, single dose

  • Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111)Drug

    Participants received one Naproxen sodium 220 mg / DPH 50 mg tablet and one matching placebo capsule orally, single dose

  • Naproxen sodium 440 mg (BAYH6689)Drug

    Participants received two Naproxen sodium 220 mg tablets orally, single dose

  • DPH 50 mgDrug

    Participants received two DPH (Diphenhydramine hydrochloride) 25mg tablets orally, single dose

Study groups in NCT01280591
Study groupRoleWhat they receive
Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111)ExperimentalNot described
Receives: Drug: Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111)
Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111)ExperimentalNot described
Receives: Drug: Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111)
Naproxen sodium 440 mg (BAYH6689)Active comparatorNot described
Receives: Drug: Naproxen sodium 440 mg (BAYH6689)
DPH 50 mgActive comparatorNot described
Receives: Drug: DPH 50 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Wake Time After Sleep Onset (WASO) Measured by Actigraphy

    WASO was defined as Total wake time (in minutes) after sleep onset during the 10 hours in-bed period as measured by actigraphy. Actigraphy is a non-intrusive tool that measures an individual's movement during sleep. Actigraphy was used to obtain data in discriminating between sleep and wake states in the subjects.

    Measured: Up to 10 hours

  2. Sleep Latency Measured by Actigraphy

    Sleep latency was defined as the time to sleep onset from the time of dosing as measured by actigraphy. Actigraphy is a non-intrusive tool that measures an individual's movement during sleep. Actigraphy was used to obtain data in discriminating between sleep and wake states in the subjects.

    Measured: Up to 10 hours

Secondary outcomes (19)
  1. Total Sleep Time Measured by Actigraphy

    Total time time was measured as total time spent sleeping (not to exceed 600 minutes) during the in-bed period as measured by actigraphy. Actigraphy is a non-intrusive tool that measures an individual's movement during sleep. Actigraphy was used to obtain data in discriminating between sleep and wake states in the subjects.

    Measured: Up to 10 hours

  2. Sleep Efficiency Measured by Actigraphy

    Sleep efficiency was calculated as (total sleep time/total time in-bed time) × 100; total in-bed time was fixed at 10 hours. Actigraphy is a non-intrusive tool that measures an individual's movement during sleep. Actigraphy was used to obtain data in discriminating between sleep and wake states in the subjects.

    Measured: Up to 10 hours

  3. Global Assessment of Investigational Product as a Sleep Aid

    The Global Assessment of Investigational Product as a Sleep-Aid was rated using a 5-point categorical scale for which the potential response was poor (0), fair, (1), good (2), very good (3), or excellent (4).

    Measured: Up to 10 hours

  4. Karolinska Sleep Diary - Sleep Quality

    Subjects responded to the following question: How was your sleep? very poor (1); rather poor (2); neither poor nor good (3); rather good (4); very good (5)

    Measured: Up to 10 hours

  5. Karolinska Sleep Diary - Calmness of Sleep

    Subjects responded to the following question: How calm was your sleep? very restless (1); rather restless (2); neither restless nor calm (3); rather calm (4); very calm (5)

    Measured: Up to 10 hours

  6. Karolinska Sleep Diary - Easiness to Fall Asleep

    Subjects responded to the following question: How easy was it to fall asleep? very difficult (1); rather difficult (2); neither difficult nor easy (3); rather easy (4); very easy (5)

    Measured: Up to 10 hours

  7. Karolinska Sleep Diary - Premature Awakening

    Subjects responded to the following question: Premature awakening? woke up much too early (1); woke up somewhat too early (2); no (3)

    Measured: Up to 10 hours

  8. Karolinska Sleep Diary - Ease of Awakening

    Subjects responded to the following question: Ease of awakening? (1) very difficult; (2) rather difficult; (3) neither difficult nor easy; (4) rather easy; very easy (5)

    Measured: Up to 10 hours

  9. Karolinska Sleep Diary - Well Rested

    Subjects responded to the following question: Well Rested? not rested at all (1); somewhat unrested (2); completely rested (3)

    Measured: Up to 10 hours

  10. Karolinska Sleep Diary - Sufficient Sleep

    Subjects responded to the following question: Did you get enough (sufficient) sleep? no, definitely too little (1); no, much too little (2); no, somewhat too little (3); yes, almost enough (4); yes, definitely enough (5)

    Measured: Up to 10 hours

  11. Subjective Sleep Questionnaire - Quality of Your Sleep Last Night

    Subjects responded to Quality of sleep (10-point scale, where 1 was poor and 10 was excellent)

    Measured: Up to 10 hours

  12. Subjective Sleep Questionnaire - Refreshing Nature of Your Sleep Last Night

    Subjects responded to Refreshing nature of sleep (10-point scale, where 1 was not refreshing and 10 was very refreshing)

    Measured: Up to 10 hours

  13. Subjective Sleep Questionnaire - Time to Fall Asleep Last Night

    Subjects responded to Estimate of how long it took to fall asleep (minutes)

    Measured: Up to 10 hours

  14. Subjective Sleep Questionnaire - Number of Minutes You Think That You Were Awake From the Time You Fell Asleep Until the Time You Got Out of Bed

    Subjects responded to Estimate of the amount of time the subject was awake from the time he or she fell asleep until the time he or she got out of bed (hours and minutes)

    Measured: Up to 10 hours

  15. Change From Baseline in Pain Intensity

    Pain Severity was collected on a 4-point categorical scale: 0=no pain, 1=mild pain, 2=moderate pain, 4=severe pain

    Measured: Baseline and up to 10 hours

  16. Overall Rating of Pain Relief

    The Pain Relief Rating Scale was a 5-point categorical scale which included the following possible responses to the request to finish statement "Overall, the relief from my starting pain was": no relief (0); a little relief (1); some relief (2); a lot of relief (3); complete relief (4).

    Measured: Up to 10 hours

  17. Time to Rescue Medication

    If rescue medication was taken by a subject for pain, then the time of rescue medication administration was recorded

    Measured: Up to 10 hours

  18. Cumulative Proportion of Subjects Taking Rescue Medication by Hour

    If rescue medication was taken by a subject for pain, then the time of rescue medication administration was recorded

    Measured: Up to 10 hours

  19. Global Assessment of Investigational Product as a Pain Reliever

    The Global Assessment of Investigational Product as a Pain Reliever was a 5- point categorical scale which included the following possible responses: poor (0); fair (1); good (2); very good (3); excellent (4).

    Measured: Up to 10 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jan 2011 (estimated)
  2. Study startOct 2010
  3. Primary completionJan 2011
  4. Study completionFeb 2011

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
712 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01280591
Sponsor's protocol ID
14837
Acronym
Morpheus II
Status last verified
May 2015
First submitted
20 Jan 2011
Last updated
8 Jun 2015
Data monitoring committee
No

Publications

  • Cooper S, Laurora I, Wang Y, Venkataraman P, An R, Roth T. Efficacy and tolerability studies evaluating a sleep aid and analgesic combination of naproxen sodium and diphenhydramine in the dental impaction pain model in subjects with induced transient insomnia. Int J Clin Pract. 2015 Oct;69(10):1149-58. doi: 10.1111/ijcp.12669. Epub 2015 May 21.

    PubMed 25996289

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Naproxen sodium 440 mg / DPH 50 mg (BAY98-7111), Naproxen sodium 220 mg / DPH 50 mg (BAY98-7111) and Naproxen sodium 440 mg (BAYH6689) in people with Pain, Postoperative, run by Bayer at 2 sites in United States.

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 10 inclusion and 10 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 8 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 17 Jun 2014). 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?

Wake Time After Sleep Onset (WASO) Measured by Actigraphy (time frame: Up to 10 hours). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01280591, which also lists 1 linked publication.

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 8 Jun 2015.

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