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Peripheral NeuropathyPhase 4NCT01458015

Tapentadol Versus Oxycodone - a Mechanism-based Treatment Approach in Neuropathic Pain

A Phase 4 study testing tapentadol, oxycodone in people with Peripheral Neuropathy, run by University Hospital Schleswig-Holstein at 1 site in Germany.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to elucidate whether the additional mechanism of analgesia, i.e. reuptake inhibition of norepinephrine, of tapentadol leads to a change in different pain signs and symptoms in comparison to oxycodone. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral Neuropathy
What is being tested?
tapentadol, oxycodone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
1 siteGermany
Study dates
Oct 2011to Nov 2013
Phase
Phase 4
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • thermal or mechanical hyperalgesia
  • chronic neuropathic pain (NRS => 6)

Who cannot join

  • non-specific

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Division for Neurological Pain Research and Therapy

    Kiel, Schleswig-Holstein, 24105

Other trials in Germany

About this study

Official title: Phase 4 Study of Tapentadol vs Oxycodone in Neuropathic Pain

The purpose of this study is to elucidate whether the additional mechanism of analgesia, i.e. reuptake inhibition of norepinephrine, of tapentadol leads to a change in different pain signs and symptoms in comparison to oxycodone.

Being tested
tapentadol, oxycodone
Keywords
QST (quantitative sensory testing), neuropathic pain, tapentadol pr, oxycodone
Medical subject headings
Peripheral Nervous System Diseases, Neuralgia

What participants receive

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

  • tapentadol, oxycodoneDrug

    Also called Palexia

    tapentadol pr 100-500 mg oxycodone cr 20-120mg

Study groups in NCT01458015
Study groupRoleWhat they receive
oxycodoneActive comparatorNot described
Receives: Drug: tapentadol, oxycodone
tapentadolActive comparatorNot described
Receives: Drug: tapentadol, oxycodone

What is being measured

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

  1. Mechanical Pain Threshold (MPT)

    Change of Mechanical Pain Threshold from baseline to V6 The mechanical pain threshold (MPT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Logarithmically transformed raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.) A lower z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  2. Heat Pain Threshold (HPT)

    Change of Heat Pain Threshold from V1 to V6 The was Heat Pain Threshold (HPT)measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.) A lower z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (10 weeks)

  3. Wind-Up Ratio (WUR)

    Change of Wind-Up Ratio from V1 to V6 The Wind-Up Ratio (WUR) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Logarithmically transformed raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.) A lower z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (10 weeks)

  4. Cold Pain Threshold (CPT)

    Change of Cold Pain Threshold from baseline to V6 The Cold Pain Threshold (CPT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.) A lower z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (10 weeks)

  5. Pressure Pain Threshold (PPT)

    Change of Pressure Pain Threshold from V1 to V6 The Pressure Pain Threshold (PPT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Logarithmically transformed raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.) A lower z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  6. Mechanical Pain Sensitivity (MPS)

    Change of Mechanical Pain Sensitivity from V1 to V6 The Mechanical Pain Sensitivity (MPS) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Logarithmically transformed raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.) A lower z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  7. Dynamic Mechanical Allodynia (DMA)

    Change of Dynamic Mechanical Allodynia from V1 to V6 The Dynamic Mechanical Allodynia (DMA) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). "Subjects were asked to give a pain rating for each stimulus on a '0-100' numerical rating scale ('0' indicating "no pain", and '100' indicating "most intense pain imaginable")." See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    A lower score indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  8. Pain Upon Numeric Rating Scale

    Change of pain upon Numeric Rating Scale (NRS; 0 = no pain at all; 10 = maximum pain imaginable) from V1 to V6

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

Secondary outcomes (6)
  1. Cold Detection Threshold (CDT)

    Change of Cold Detection Threshold from V1 to V6 The Cold Detection Threshold (CDT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.). A higher z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (10 weeks)

  2. Warmth Detection Threshold (WDT)

    Change of Warmth Detection Threshold from V1 to V6 The Warmth Detection Threshold (WDT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.). A higher z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  3. Thermal Sensory Limen (TSL)

    Change of Thermal Sensory Limen from V1 to V6 The Thermal Sensory Limen (TSL) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Logarithmically trasnformed raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.). A higher z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  4. Mechanical Detection Threshold (MDT)

    Change of Mechanical Detection Threshold from V1 to V6 The Mechanical Detection Threshold (MDT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Logarithmically transformed raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.). A higher z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  5. Vibration Detection Threshold (VDT)

    Change of Vibration Detection Threshold from V1 to V6 The Vibration Detection Threshold (VDT) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    Raw data were z-transformed by subtracting the mean value of the corresponding reference group followed by a division the respective standard deviation. If the resulting z-value exceeds 1.96, it is outside the 95% confidence interval of the standard normal distribution with zero mean and unit variance, independent of the original units of measurement.

    (also see Rolke et. al.). A higher z-value indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

  6. Paradoxical Heat Sensations (PHS)

    Change of Number of Paradoxical Heat Sensations from V1 to V6 The number of Paradoxical Heat Sensations (PHS) was measured according to the established protocol of Deutscher Forschungsverbund Neuropathischer Schmerz (DFNS). See Rolke, R et al. "Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values." Pain vol. 123,3 (2006): 231.

    An occurence of up to three paradoxical heat sensations was possible. The number was assessed. A lower number indicates an improvement.

    Measured: day 0 (baseline) and day 78 (V6; 10 weeks)

Timeline

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

  1. First posted24 Oct 2011 (estimated)
  2. Study startOct 2011
  3. Primary completionNov 2013
  4. Study completionNov 2013

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 4
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01458015
Sponsor's protocol ID
TapOxy01
Status last verified
Dec 2024
First submitted
5 Aug 2011
Last updated
7 Jan 2025
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing tapentadol, oxycodone in people with Peripheral Neuropathy, run by University Hospital Schleswig-Holstein at 1 site in Germany.

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 2 inclusion and 1 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: stopped early, as of the sponsor's last update on 7 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 Dec 2024). 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?

Mechanical Pain Threshold (MPT) (time frame: day 0 (baseline) and day 78 (V6; 10 weeks)). The study lists 8 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 7 Jan 2025.

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