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Post-surgical Dental PainPhase 2NCT01512160

Efficacy Of Pf-04531083 In Treating Post-Surgical Dental Pain

A Phase 2 study testing PF-04531083 and Ibuprofen in people with Post-surgical Dental Pain, run by Pfizer at 1 site in United States.

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 evaluate the overall pain relief of a single dose of PF-04531083 against placebo following third molar extraction. Read more about this study

Who is it for?
Ages 18 to 55 years, men only
Conditions the study is for
Post-surgical Dental Pain
What is being tested?
PF-04531083 and Ibuprofen
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
90 participants
Where
1 siteUnited States
Study dates
Oct 2011to May 2012
Phase
Phase 2
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 to 55 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Oral surgical procedure having removed 2 third molars (unilateral).
  • Pre-dose pain intensity score (100 mm Visual Analog Scale [VAS]) >50 mm within 5 hours of oral surgery.
  • Pre-dose pain intensity score of moderate or within 5 hours of oral surgery.

Who cannot join

  • Presence or history of any significant hepatic, renal, endocrine, cardiovascular, neurological (including subjects with a history of frequent moderate to severe headaches or subjects with episodic migraines more than twice per month), psychiatric, gastrointestinal, pulmonary, hematologic, or metabolic disorder.
  • Prior use of any type of analgesic or NSAID within five half-lives of that drug or less before taking the first dose of study medication, except for anesthesia for the procedure.
  • Recent history of chronic analgesic or tranquilizer dependency.
  • Active dental infection at the time of surgery.
  • Any significant oral surgery complication at the time of surgery or in the immediate postoperative period or dental surgery lasting > 30 minutes.
  • Subjects who are smokers.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Pfizer Investigational Site

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Randomized, Double-Blind Third Party Open, Double-Dummy, Parallel Group, Placebo Controlled Study Assessing The Efficacy Of Single Doses Of Pf-04531083 For The Treatment Of Post-Surgical Dental Pain Using Ibuprofen 400 Mg As A Positive Control

The purpose of this study is to evaluate the overall pain relief of a single dose of PF-04531083 against placebo following third molar extraction.

Being tested
PF-04531083, Placebo, Ibuprofen
Keywords
Post-surgical dental pain

What participants receive

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

  • PF-04531083Drug

    2000 mg oral solution

  • PlaceboOther

    Placebo tablets for Ibuprofen

  • PF-04531083Drug

    1000 mg oral solution

  • PlaceboOther

    Placebo tablets for Ibuprofen

  • IbuprofenDrug

    2 x 200 mg tablets

  • PlaceboOther

    Placebo solution for PF-04531083

  • PlaceboOther

    Placebo solution for PF-04531083

  • PlaceboOther

    Placebo tablets for Ibuprofen

Study groups in NCT01512160
Study groupRoleWhat they receive
PF-04531083 2000 mgExperimentalNot described
Receives: Drug: PF-04531083; Other: Placebo
PF-04531083 1000 mgExperimentalNot described
Receives: Drug: PF-04531083; Other: Placebo
Ibuprofen 400 mgActive comparatorNot described
Receives: Drug: Ibuprofen; Other: Placebo
PlaceboPlacebo comparatorNot described
Receives: Other: Placebo

What is being measured

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

  1. Total Pain Relief (TOTPAR) Score From 0 to 6 Hours

    TOTPAR [6] was defined as the area under the pain relief (PR) curve through the first 6 hours after dosing. Area under the curve (AUC) was calculated using the trapezoid rule with PR was assumed to be 0 at time=0. PR assessed on a 5-point categorical scale; 0 (none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete), at 15, 30, 45, minutes and at different time points during the study up to 6 hours post-dose. Total score range for TOTPAR [6]: 0 (worst) - 24 (best), higher value of TOTPAR indicated greater degree of PR.

    Measured: 0 to 6 hours

Secondary outcomes (25)
  1. Number of Participants With Peak Pain Relief (PPR)

    PPR was defined as the highest PR score achieved at any time point during the evaluation period, prior to rescue medication. PR was assessed on a 5-point categorical scale; 0 (none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete).

    Measured: 0 to 24 hours

  2. Time-specific Pain Relief (PR) Score

    PR was assessed on a 5-point categorical scale; 0 (none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete) at each relevant time points.

    Measured: 0, 15, 30, 45 minutes, 1, 1.5, 2, 3, 4, 6, 8, 24 hours, prior to rescue medication (RM)

  3. Time-specific Pain Intensity Difference (PID) Score

    Pain intensity was assessed on a categorical scale ranging from 0 (none), 1 (mild), 2 (moderate) and 3 (severe). PID was calculated as pain intensity at baseline minus pain intensity at the respective post-baseline visit.

    Measured: 15, 30, 45 minutes, 1, 1.5, 2, 3, 4, 6, 8, 24 hours, prior to RM

  4. Summed Pain Intensity Difference (SPID) Score at 6 Hours and 24 Hours

    Pain intensity was assessed on a categorical scale ranging from 0 (none), 1 (mild), 2 (moderate) and 3 (severe). PID was calculated as pain intensity at baseline minus pain intensity at the respective post-baseline visit. The SPID at 6 and 24 hours was derived by calculating the area under the PID effect curve through the first 6 or 24 hours post-dose respectively. The AUC was calculated using the trapezoid rule. Total score range: -6 (worst) to 18 (best) for SPID 0-6, and -24 (worst) to 72 (best) for SPID 0-24. Higher value of SPID indicated greater degree of pain relief.

    Measured: 0 to 6, 0 to 24 hours

  5. Total Pain Relief (TOTPAR) Score From 0 to 24 Hours

    TOTPAR [24] was defined as the area under the pain relief (PR) curve through the 24 hours after dosing. Area under the curve (AUC) was calculated using the trapezoid rule with PR assumed to be 0 at time=0. PR was assessed on a 5-point categorical scale; 0 (none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete), at 15, 30, 45, minutes and at different time points during the study up to 24 hours post-dose. Total score range for TOTPAR [24]: 0 (worst) - 96 (best), higher value of TOTPAR indicated greater degree of PR.

    Measured: 0 to 24 hours

  6. Time to Onset of First Perceptible Pain Relief (PR)

    Participants evaluated the time to first perceptible relief by stopping a stopwatch labeled 'first perceptible relief' at the moment they first began to experience any relief.

    Measured: 0 to 24 hours

  7. Time to Onset of First Meaningful Pain Relief (PR)

    Participants evaluated the time to first meaningful relief by stopping a second stopwatch labeled 'meaningful relief' at the moment they first began to experience meaningful relief.

    Measured: 0 to 24 hours

  8. Time to First Use of Rescue Medication

    Time to first use of rescue medication (2 tablets of acetaminophen 500 mg as starting dose) was calculated by subtracting time of first administration of study medication from the rescue medication administration time.

    Measured: 1.5 to 24 hours

  9. Number of Participants With Rescue Medication

    Participants who did not experience adequate pain relief after 90 minutes post-dose of study medication had received 2 tablets of acetaminophen 500 mg as rescue medication.

    Measured: 0 to 24 hours

  10. Participant Global Evaluation of Study Medication

    Participant rated the study medication that they received during the study, at both the 6 hour and 24 hour observations or at time of rescue medication, whichever occurs first, by answering the following question on 6-point categorical scale: how would you rate the study medication you received for pain? 5=excellent, 4=very good, 3=good, 2=fair and 1=poor.

    Measured: 6, 24 hours, prior to RM

  11. Participant Satisfaction Questionnaire

    Participant's response to 2 questions about "how satisfied or dissatisfied they were with the study medication for PR and overall performance (OP)" was obtained on a 5 point categorical scale, 1=very dissatisfied, 2=somewhat dissatisfied, 3=neither satisfied nor dissatisfied, 4=somewhat satisfied and 5=very satisfied.

    Measured: 6, 24 hours, prior to RM

  12. Maximum Observed Plasma Concentration (Cmax) of PF-04531083

    Measured: 0 (pre-dose), 1, 2, 4, 6, 24 hours post-dose

  13. Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-04531083

    Measured: 0 (pre-dose), 1, 2, 4, 6, 24 hours post-dose

  14. Area Under the Curve From Time Zero to 6 Hour [AUC (0-6)] of PF-04531083

    AUC (0-6)= Area under the plasma concentration versus time curve from time zero (pre-dose) to 6 hours post-dose concentration.

    Measured: 0 (pre-dose), 1, 2, 4, 6 hours post-dose

  15. Area Under the Curve From Time Zero to 24 Hour [AUC (0-24)] of PF-04531083

    AUC (0-24)= Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose concentration.

    Measured: 0 (pre-dose), 1, 2, 4, 6, 24 hours post-dose

  16. Maximum Observed Plasma Concentration (Cmax) of Ibuprofen

    Measured: 0 (pre-dose), 1, 2, 4, 6, 24 hours post-dose

  17. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Ibuprofen

    Measured: 0 (pre-dose), 1, 2, 4, 6, 24 hours post-dose

  18. Area Under the Curve From Time Zero to 6 Hour [AUC (0-6)] of Ibuprofen

    AUC (0-6)= Area under the plasma concentration versus time curve from time zero (pre-dose) to 6 hours post-dose concentration.

    Measured: 0 (pre-dose), 1, 2, 4, 6 hours post-dose

  19. Area Under the Curve From Time Zero to 24 Hour [AUC (0-24)] of Ibuprofen

    AUC (0-24)= Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose concentration.

    Measured: 0 (pre-dose), 1, 2, 4, 6, 24 hours post-dose

  20. Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Day 10 to 14.

    Measured: Baseline up to Day 10-14 (Follow-up)

  21. Number of Participants With Clinically Significant Laboratory Test Abnormality

    Hematology (hemoglobin, hematocrit, red blood cell count, platelets, leukocytes, total neutrophils, eosinophils, basophils, lymphocytes, monocytes); liver function (total bilirubin, direct bilirubin, indirect bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, albumin, total protein); renal function (creatinine, blood urea nitrogen, uric acid, sodium, potassium, chloride, bicarbonate, calcium); urinalysis (urine pH, glucose, ketones, protein, blood, nitrite, leukocyte esterase), and clinical chemistry (glucose) were performed.

    Measured: Baseline up to Day 10-14 (Follow-up)

  22. Supine Systolic and Diastolic Blood Pressure (BP)

    Supine systolic and diastolic BP was measured after the participant has been rested in the supine position for at least 5 minutes with the participant's arm supported at the level of the heart, and recorded to the nearest millimeters of mercury (mmHg). The same arm and position and same size BP cuff was used throughout the study.

    Measured: Screening, Day 0, 1 (pre-dose), 2, 10-14 (Follow-up)

  23. 12-Lead Electrocardiogram (ECG) Parameters (PR, QRS, QT, QTcF Intervals)

    Standard 12-lead ECG was performed after the participant has rested quietly for at least 10 minutes in a supine position. ECG intervals included PR interval (time between the onset of atrial depolarization and the onset of ventricular depolarization), QRS interval (represented ventricular depolarization) and QT interval (time corresponding to the beginning of depolarization to repolarization of the ventricles) corrected using Fridericia's formula (QTcF = QT divided by cube root of RR interval).

    Measured: Screening, Day 1, 2, 10-14 (Follow-up)

  24. 12-Lead Electrocardiogram (ECG) Parameter (Heart Rate)

    Standard 12-lead ECG was performed after the participant has rested quietly for at least 10 minutes in a supine position. The time interval between consecutive heart beats (RR interval) was used to calculate heart rate.

    Measured: Screening, Day 1, 2, 10-14 (Follow-up)

  25. Supine Pulse Rate

    Supine pulse rate was measured in the brachial/radial artery for at least 30 seconds.

    Measured: Screening, Day 0, 1 (pre-dose), 2, 10-14 (Follow-up)

Timeline

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

  1. First posted19 Jan 2012 (estimated)
  2. Study startOct 2011
  3. Primary completionMar 2012
  4. Study completionMay 2012

Why it stopped: See termination reason in detailed description.

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01512160
Sponsor's protocol ID
B1351010
Status last verified
May 2013
First submitted
30 Aug 2011
Last updated
28 Jun 2013
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-04531083 and Ibuprofen in people with Post-surgical Dental Pain, run by Pfizer at 1 site 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 3 inclusion and 6 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 28 Jun 2013. 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 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 28 Jun 2013). 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?

Total Pain Relief (TOTPAR) Score From 0 to 6 Hours (time frame: 0 to 6 hours). 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 28 Jun 2013.

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