Postoperative Dental PainPhase 2NCT01529346
Efficacy Of PF-05089771 In Treating Postoperative Dental Pain
A Phase 2 study testing PF-05089771 and Ibuprofen in people with Postoperative Dental Pain, run by Pfizer at 3 sites in United States.
Trial summary
The objective of this study is to evaluate the overall pain relief of a single dose of PF-05089771 against placebo following third molar extraction. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Postoperative Dental Pain
- What is being tested?
- PF-05089771 and Ibuprofen
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 235 participants
- Where
- 3 sitesUnited States
- Study dates
- 12 Dec 2011to 25 Jun 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
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Oral surgery having removed 2 unilateral third molar teeth.
- Pre-dose pain intensity score (100 mm VAS [VAS]) of at least 50mm within 5 hours of oral surgery
- Pre-dose pain intensity score of moderate or severe within 5 hours of oral surgery
Who cannot join
- Presence or known history of any clinically significant hematological, hepatic, renal, endocrine, cardiovascular, neurological, psychiatric, gastrointestinal, pulmonary, allergic (including known drug hypersensitivities or allergies, but excluding untreated asymptomatic seasonal allergy) or any metabolic disorder that may increase risk associated with study participation, investigational drug administration or may interfere with interpretation of study results.
- Prior use of any type of analgesic or NSAID within 5-half lives of that drug or less before taking the first dose of study medication, except for anesthesia for the procedure.
- Active dental infection at the time of surgery.
- Recent (within the previous 12 months) history of chronic analgesic or tranquiliser dependency.
- Any significant oral surgery complication at the time of surgery or in the immediate postoperative period, or oral surgery that has lasted more than 30 minutes (time from first incision to last suture placement).
- Subjects who smoke more than 1 pack (20 cigarettes) per day, more than 3 cigars per day or use smokeless tobacco on a daily basis are excluded from the study.
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Central Texas Oral Surgery Associates
Austin, Texas, 78705
Premier Research Group Limited
Austin, Texas, 78705
PPD Development, LP
Austin, Texas, 78744
About this study
Official title: A Randomized, Double-blind, Double-dummy, Parallel Group, Placebo Controlled Study Assessing The Efficacy Of Single Doses Of Pf-05089771 For The Treatment Of Postoperative Dental Pain Using Ibuprofen 400 Mg As Positive Control
The objective of this study is to evaluate the overall pain relief of a single dose of PF-05089771 against placebo following third molar extraction.
- Conditions
- Postoperative Dental Pain
- Being tested
- PF-05089771, Placebo, Ibuprofen
- Keywords
- Postoperative dental pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PF-05089771Drug
A single dose of PF-05089771 1600 mg oral solution administered once to the subject on Day 1 postoperatively
PlaceboOther
Placebo tablets for ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively
PF-05089771Drug
A single dose of PF-05089771 450 mg oral solution administered once to the subject on Day 1 postoperatively
PlaceboOther
Placebo tablets for ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively
PF-05089771Drug
A single dose of PF-05089771 150 mg oral solution administered once to the subject on Day 1 postoperatively
PlaceboOther
Placebo tablets for ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively
IbuprofenDrug
2 X 200 mg tablets of ibuprofen administered orally once to the subject on Day 1 postoperatively
PlaceboOther
Placebo solution for PF-05089771: A single dose of Placebo solution administered once to the subject on Day 1 postoperatively
PlaceboOther
Placebo solution for PF-05089771:A single dose of Placebo solution administered once to the subject on Day 1 postoperatively
PlaceboOther
Placebo tablets for Ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively
| Study group | Role | What they receive |
|---|---|---|
| PF-05089771 1600 mg | Experimental | Not described Receives: Drug: PF-05089771; Other: Placebo |
| PF-05089771 450 mg | Experimental | Not described Receives: Drug: PF-05089771; Other: Placebo |
| PF-05089771 150 mg | Experimental | Not described Receives: Drug: PF-05089771; Other: Placebo |
| Ibuprofen 400 mg | Active comparator | Not described Receives: Drug: Ibuprofen; Other: Placebo |
| Placebo | Placebo comparator | Not described Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Total Pain Relief From 0 to 6 Hours (TOTPAR[6])
TOTPAR(6) was defined as the total area under pain relief (PR) curve through first 6 hours after dosing, calculated using trapezoidal rule. PR was assumed to be 0 at 0 hour. PR assessed on a 5-point categorical scale: 0(none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete), at different time points during study up to 6 hours. Total score range for TOTPAR(6): 0 (worst) to 24 (best), higher value indicated greater degree of PR. Posterior mean, standard deviation were estimated based on analysis of covariance (ANCOVA) model with non-informative priors within outlier robust Bayesian framework.
Measured: 0 to 6 hours
Secondary outcomes (16)
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
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).
Measured: 15, 30, 45, 60, 90 minutes, 2, 3, 4, 6, 8, 24 hours
Pain Intensity Difference (PID)
PID was calculated as pain intensity at baseline (baseline pain severity score range 2 [moderate] to 3 [severe]) minus pain intensity at the respective post-baseline visit (pain severity score range 0 [none] to 3 [severe]). Total possible score range for PID: -1 (worst) to 3 (best).
Measured: 15, 30, 45, 60, 90 minutes, 2, 3, 4, 6, 8, 24 hours
Summed Pain Intensity Difference (SPID)
SPID: area under the PID effect curve from 0 to 6 hours (SPID[6]) and 0 to 24 hours (SPID[24]). AUC was calculated using the trapezoidal rule. Total score range: -6 (worst) to 18 (best) for SPID(6), and -24 (worst) to 72 (best) for SPID(24). Higher value of SPID indicated greater degree of pain relief. PID was calculated as pain intensity at baseline minus pain intensity at the respective post-baseline visit. Pain intensity was assessed on a categorical scale ranging from 0 (none), 1 (mild), 2 (moderate) and 3 (severe).
Measured: 0 to 6 hours; 0 to 24 hours
Total Pain Relief From 0 to 24 Hours (TOTPAR[24])
TOTPAR(24) was defined as the total area under the PR curve through the first 24 hours after dosing, calculated using trapezoidal rule. PR was assumed to be 0 at 0 hour. PR assessed on a 5-point categorical scale: 0 (none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete), at different time points during the study up to 6 hours. Total score range for TOTPAR (24): 0 (worst) to 96 (best), higher value indicated greater degree of PR. The least square mean and standard error are based on ANCOVA model with treatment as a fixed effect and baseline pain intensity as a covariate
Measured: 0 to 24 hours
Time to Onset of First Perceptible Pain Relief
Participants evaluated the time to first perceptible pain relief by stopping a stopwatch labeled 'first perceptible pain relief' at the moment they first began to experience any relief.
Measured: 0 to 24 hours
Time to Onset of Meaningful Pain Relief
Participants evaluated the time to first meaningful relief by stopping a stopwatch labeled 'meaningful pain relief' at the moment they first began to experience meaningful relief.
Measured: 0 to 24 hours
Time to First Use of Rescue Medication
Time to first use of rescue medication (acetaminophen 500 mg or hydrocodone 5 mg) was calculated by subtracting time of first administration of study medication from the rescue medication administration time.
Measured: 0 to 24 hours
Number of Participants With Global Evaluation of Study Medication
Participant rated the study medication at 6 hours, 24 hours and immediately prior to rescue medication intake (only for participants who took rescue medication[RM]), on 5-point categorical scale: 1=poor, 2=fair, 3=good, 4=very good, and 5=excellent.
Measured: 6, 24 hours, prior to rescue medication (assessed up to 24 hours)
Number of Participants With Study Medication Satisfaction
Participants provided assessment regarding satisfaction with study medication (SM) for pain relief (PR) and overall performance (OP) on a 5-point categorical scale, 1=very dissatisfied (VD), 2=somewhat dissatisfied (SD), 3=neither satisfied nor dissatisfied (NSND), 4=somewhat satisfied (SS) and 5=very satisfied (VS).
Measured: 6, 24 hours, prior to rescue medication (assessed up to 24 hours)
Plasma PF-05089771 Concentration
Measured: 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 10, 24 hours post-dose
Plasma Ibuprofen Concentration
Ibuprofen concentration was reported separately for 2 isomers of ibuprofen: (S)-Ibuprofen, and (R)-Ibuprofen, where S implied sinister (clockwise configuration) and R implied rectus (anti-clockwise configuration).
Measured: 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 10, 24 hours post-dose
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 or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between administration of study drug and up to 28 days that were absent before treatment or that worsened relative to pretreatment state.
Measured: Baseline up to Day 28 (follow-up)
Number of Participants With Clinically Significant Laboratory Findings
Hematology (hemoglobin, hematocrit, red blood cell count, platelets, leukocytes, total neutrophils, eosinophils, basophils, lymphocytes, monocytes), blood chemistry (total bilirubin, direct bilirubin, indirect bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, creatinine, blood urea nitrogen, fasting glucose, uric acid, sodium, potassium, chloride, bicarbonate, calcium, albumin, total protein, creatine kinase), and urinalysis (urine white blood cells, urine red blood cells) were performed.
Measured: Baseline up to Day 7 to 10 (follow-up)
Number of Participants With Clinically Significant Vital Signs
Clinically significant vital signs: supine/sitting pulse rate (PR) less than (<) 40 or more than (>) 120 beats per minute (bpm), standing PR <40 or >140 bpm; systolic blood pressure (BP) >=30 millimeters of mercury (mmHg) change from baseline; absolute systolic BP <90 mmHg; diastolic BP >=20 mmHg change from baseline; absolute systolic BP <50 mmHg.
Measured: Baseline up to Day 7 to 10 (follow-up)
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Clinically significant ECG abnormalities: PR interval >=300 milliseconds (msec); 25% increase from baseline in PR interval when baseline PR was >200 msec; an increase from baseline of >=50% in PR interval when baseline PR was <=200 msec; QRS interval >=140 msec; an increase from baseline of >=50% in QRS interval; corrected QT interval (QTc) >=500 msec.
Measured: Baseline up to Day 7 to 10 (follow-up)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2012 (estimated)
- Study start12 Dec 2011
- Primary completion25 Jun 2012
- Study completion25 Jun 2012
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 Postoperative Dental PainStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 235 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01529346
- Sponsor's protocol ID
- B3291009
- Status last verified
- May 2018
- First submitted
- 13 Dec 2011
- Last updated
- 1 Jun 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Double-dummy, Parallel Group, Placebo Controlled Study Assessing The Efficacy Of Single Doses Of Pf-05089771 For The Treatment Of Postoperative Dental Pain Using Ibuprofen 400 Mg As Positive Control
- ClinicalTrials.gov ID
- NCT01529346
- Acronym / sponsor ID
- B3291009
- Conditions
- Postoperative Dental Pain
- Keywords
- Postoperative dental pain
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 235 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 12 Dec 2011 (actual)
- Primary completion
- 25 Jun 2012 (actual)
- Study completion
- 25 Jun 2012 (actual)
- First posted
- 8 Feb 2012 (estimated)
- Results
- Posted 1 Jun 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to evaluate the overall pain relief of a single dose of PF-05089771 against placebo following third molar extraction.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| PF-05089771 1600 mg | Experimental | Drug: PF-05089771, Other: Placebo |
| PF-05089771 450 mg | Experimental | Drug: PF-05089771, Other: Placebo |
| PF-05089771 150 mg | Experimental | Drug: PF-05089771, Other: Placebo |
| Ibuprofen 400 mg | Active comparator | Drug: Ibuprofen, Other: Placebo |
| Placebo | Placebo comparator | Other: Placebo |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Oral surgery having removed 2 unilateral third molar teeth.
- Pre-dose pain intensity score (100 mm VAS [VAS]) of at least 50mm within 5 hours of oral surgery
- Pre-dose pain intensity score of moderate or severe within 5 hours of oral surgery
Key exclusion criteria (6 listed)
- Presence or known history of any clinically significant hematological, hepatic, renal, endocrine, cardiovascular, neurological, psychiatric, gastrointestinal, pulmonary, allergic (including known drug hypersensitivities or allergies, but excluding untreated asymptomatic seasonal allergy) or any metabolic disorder that may increase risk associated with study participation, investigational drug administration or may interfere with interpretation of study results.
- Prior use of any type of analgesic or NSAID within 5-half lives of that drug or less before taking the first dose of study medication, except for anesthesia for the procedure.
- Active dental infection at the time of surgery.
- Recent (within the previous 12 months) history of chronic analgesic or tranquiliser dependency.
- Any significant oral surgery complication at the time of surgery or in the immediate postoperative period, or oral surgery that has lasted more than 30 minutes (time from first incision to last suture placement).
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 |
|---|---|---|
| PF-05089771A single dose of PF-05089771 1600 mg oral solution administered once to the subject on Day 1 postoperatively | Drug | PF-05089771 1600 mg |
| PlaceboPlacebo tablets for ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively | Other | PF-05089771 1600 mg |
| PF-05089771A single dose of PF-05089771 450 mg oral solution administered once to the subject on Day 1 postoperatively | Drug | PF-05089771 450 mg |
| PlaceboPlacebo tablets for ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively | Other | PF-05089771 450 mg |
| PF-05089771A single dose of PF-05089771 150 mg oral solution administered once to the subject on Day 1 postoperatively | Drug | PF-05089771 150 mg |
| PlaceboPlacebo tablets for ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively | Other | PF-05089771 150 mg |
| Ibuprofen2 X 200 mg tablets of ibuprofen administered orally once to the subject on Day 1 postoperatively | Drug | Ibuprofen 400 mg |
| PlaceboPlacebo solution for PF-05089771: A single dose of Placebo solution administered once to the subject on Day 1 postoperatively | Other | Ibuprofen 400 mg |
| PlaceboPlacebo solution for PF-05089771:A single dose of Placebo solution administered once to the subject on Day 1 postoperatively | Other | Placebo |
| PlaceboPlacebo tablets for Ibuprofen: 2 X 200 mg placebo tablets administered orally once to the subject on Day 1 postoperatively | Other | Placebo |
Primary outcome
Total Pain Relief From 0 to 6 Hours (TOTPAR[6])
Time frame: 0 to 6 hours
TOTPAR(6) was defined as the total area under pain relief (PR) curve through first 6 hours after dosing, calculated using trapezoidal rule. PR was assumed to be 0 at 0 hour. PR assessed on a 5-point categorical scale: 0(none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete), at different time points during study up to 6 hours. Total score range for TOTPAR(6): 0 (worst) to 24 (best), higher value indicated greater degree of PR. Posterior mean, standard deviation were estimated based on analysis of covariance (ANCOVA) model with non-informative priors within outlier robust Bayesian framework.
16 secondary outcomes
Number of Participants With Peak Pain Relief (PPR)
Time frame: 0 to 24 hours
Pain Relief (PR) Score
Time frame: 15, 30, 45, 60, 90 minutes, 2, 3, 4, 6, 8, 24 hours
Pain Intensity Difference (PID)
Time frame: 15, 30, 45, 60, 90 minutes, 2, 3, 4, 6, 8, 24 hours
Summed Pain Intensity Difference (SPID)
Time frame: 0 to 6 hours; 0 to 24 hours
Total Pain Relief From 0 to 24 Hours (TOTPAR[24])
Time frame: 0 to 24 hours
Time to Onset of First Perceptible Pain Relief
Time frame: 0 to 24 hours
Time to Onset of Meaningful Pain Relief
Time frame: 0 to 24 hours
Time to First Use of Rescue Medication
Time frame: 0 to 24 hours
Number of Participants With Global Evaluation of Study Medication
Time frame: 6, 24 hours, prior to rescue medication (assessed up to 24 hours)
Number of Participants With Study Medication Satisfaction
Time frame: 6, 24 hours, prior to rescue medication (assessed up to 24 hours)
Plasma PF-05089771 Concentration
Time frame: 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 10, 24 hours post-dose
Plasma Ibuprofen Concentration
Time frame: 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 10, 24 hours post-dose
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Time frame: Baseline up to Day 28 (follow-up)
Number of Participants With Clinically Significant Laboratory Findings
Time frame: Baseline up to Day 7 to 10 (follow-up)
Number of Participants With Clinically Significant Vital Signs
Time frame: Baseline up to Day 7 to 10 (follow-up)
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Time frame: Baseline up to Day 7 to 10 (follow-up)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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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.
Pfizer CT.gov Call Center study director
Pfizer
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PF-05089771 and Ibuprofen in people with Postoperative Dental Pain, run by Pfizer at 3 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 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: finished, as of the sponsor's last update on 1 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 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. 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 1 Jun 2018). 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 From 0 to 6 Hours (TOTPAR[6]) (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 1 Jun 2018.