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Acute PainPhase 3DAVID-artNCT01902134

Oral Treatment for Orthopaedic Post-operative Pain With Dexketoprofen Trometamol and Tramadol Hydrochloride

A Phase 3 study testing Tramadol-single dose, Dexketoprofen-single dose and Dexketoprofen/Tramadol-single dose in people with Acute Pain, run by Menarini Group at 37 sites in 10 countries.

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

This study aims to evaluate the analgesic efficacy of single and repeated doses of fixed combination of dexketoprofen trometamol (DKP) and tramadol hydrochloride (TRAM) in comparison to the single agents (and placebo for the single dose phase only) Approximately 600 male and female patients presenting moderate to… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Acute Pain
What is being tested?
Tramadol-single dose, Dexketoprofen-single dose and Dexketoprofen/Tramadol-single dose
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
641 participants
Where
37 sitesin 10 countries
Study dates
Apr 2013to Feb 2014
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 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients aged 18 to 80 years. Females participating in the study must be either of non-childbearing potential, or willing to use a highly effective contraceptive method.
  • Scheduled to undergo standard primary (first-time) one-sided total hip replacement surgery due to primary osteoarthritis.
  • Patients experiencing pain at rest of at least moderate intensity the day after surgery.

Who cannot join

  • Patients not suitable for study treatments and rescue medication (RM) or those for whom non-steroidal anti-inflammatory drugs (NSAIDs), opioids, acetyl salicylic acid, pyrazolones or pyrazolidines are contraindicated.
  • Patients with clinically significant abnormalities in vital signs, safety laboratory tests and 12-lead ECG at screening.
  • Patients with history of any illness or condition that might pose a risk to the patient or confound the efficacy and safety study results.
  • Patients using and not suitable to withdraw analgesics other than those specified in the protocol.
  • Patients using and not suitable for withdrawing any of the prohibited medication specified in the protocol.
  • Pregnant and breastfeeding women.

Trial locations and contacts

37 sites in 10 countries.

37 sites in 10 countries

Poland6 sites
  • Uniwersytecki Szpital Klioniczny w Bialymstoku

    Bialystok, 15-276

  • Warminskie Centrum Ortopedyczne

    Elblag, 82-300

  • Medical University of Lodz

    Lodz, Łódź Voivodeship, 91-002

  • Wojewodzki Szpital Specjalistyczny

    Lublin, 20-718

  • Specjalistyczny Szpital im. E. Szczeklika

    Tarnów, 33-100

  • Urazowo - Ortopedycznej Wojewodzkiego Szpitala Specjalistycznego we Wrocławiu

    Wroclaw, 51-128

Other trials in Poland

Czechia5 sites
  • Fakultni nemocnice Brno

    Brno, 625 00

  • Urazova nemocnice v Brne

    Brno, 662 50

  • Nemocnice Jihlava, p.o.

    Jihlava, 586 33

  • Oblastni nemocnice Kladno

    Kladno, 272 59

  • Oblastni nemocnice Mlada Boleslav a.s.

    Mladá Boleslav, 293 50

Other trials in Czechia

Hungary5 sites
  • Uzsoki Hospital, Department of Orthopaedics

    Budapest, 1145

  • University of Debrecen

    Debrecen, H-4012

  • PTE KK Trauma Központ-Balesetsebészeti és Kézsebésze

    Pécs, 7632

  • Fejér Megyei Szent György Kórház

    Székesfehérvár, 8000

  • MÁV Kórház és Rendelőintézet, Ortopédiai osztály

    Szolnok, 5000

Other trials in Hungary

Latvia4 sites
  • Liepaja Regional Hospital

    Liepāja, LV-3414

  • Riga's 2nd Hospital

    Riga, LV-1004

  • Hospital of Traumatology and Orthopaedics

    Riga, LV-1005

  • Vidzemes Hospital

    Valmiera, LV-4201

Other trials in Latvia

Lithuania4 sites
  • Kaunas Clinical Hospital

    Kaunas, LT-44320

  • Hospital of Lithuanian University of Health Sciences Kaunas

    Kaunas, LT-50009

  • Klaipedos Universitetine ligonine

    Klaipėda, 92288

  • Respublikine Vilniaus universitetine ligonine

    Vilnius, LT-04130

Other trials in Lithuania

Serbia4 sites
  • Clinical Center of Serbia

    Belgrade, 11000

  • Institute for orthopedic Surgery Banjica [Ortopedic Surgery

    Belgrade, 11000

  • Clinical Center Kragujevac

    Kragujevac, 34000

  • Clinic for Orthopedic Surgery and Trauma Bul. Dr Zorana Djindjica

    Niš, 18000

Other trials in Serbia

Ukraine4 sites
  • Cherkaska oblasna likarnia

    Cherkasy, 18009

  • Instytut patologii khrebta ta suglobiv im. prof. M.I. Sytenka NAMN Ukraine

    Kharkiv, 61024

  • Kyivska oblasna klinichna likarnia

    Kyiv, 04107

  • Sevastopolska miska likarnia №9

    Sevastopol, 99018

Other trials in Ukraine

Spain2 sites
  • Hospital L'Esperança. Parc de Salut Mar.

    Barcelona, 08024

  • Hospital Universitario Puerta del Mar

    Cadiz, 11009

Other trials in Spain

Taiwan2 sites
  • China Medical University Hospital [Orthopedic]

    Taichung, 404

  • Kuang Tien General Hospital

    Taichung, 433

Other trials in Taiwan

Germany1 site
  • Klinikum Frankfurt Höchst GmbH

    Frankfurt am Main, 65929

Other trials in Germany

About this study

Official title: A Randomized, Double-blind, Placebo and Active-controlled, Parallel-group Study to Evaluate the Analgesic Efficacy and Safety of Dexketoprofen Trometamol and Tramadol Hydrochloride Oral Fixed Combination on Moderate to Severe Acute Pain After Elective Unilateral Total Hip Arthroplasty

This study aims to evaluate the analgesic efficacy of single and repeated doses of fixed combination of dexketoprofen trometamol (DKP) and tramadol hydrochloride (TRAM) in comparison to the single agents (and placebo for the single dose phase only) Approximately 600 male and female patients presenting moderate to severe pain after an elective primary hip arthroplasty are eligible to be randomised provided that they experience moderate to severe pain on the day after surgery.

Read the detailed description

In this clinical trial patients were randomized to the described 6 treatment arms, where each arm define the treatment to be received in the first single dose phase (lasting 8 hours after the 1st treatment intake) and in the subsequent multiple-dose phase (lasting from the second treatment intake up to the 8 hours after the last intake). Namely:

  • DKP/TRAM followed by DKP/TRAM;
  • DKP followed by DKP;
  • TRAM followed by TRAM;
  • placebo followed by DKP;
  • placebo followed by TRAM;
  • placebo followed by DKP/TRAM;

The analyses of endpoints pertinent to the single dose phase were performed combining all the 3 treatment arms including placebo into one group, which resulted in the following 4 analysis groups: DKP/TRAM, DEXKETOPROFEN, TRAMADOL, and Placebo.

The analysis of endpoints pertinent to the multiple dose phase were performed combining the treatment arms including the same active treatment, which resulted in the following 3 analysis groups: DKP/TRAM, DEXKETOPROFEN, and TRAMADOL.

Conditions
Acute Pain
Being tested
Placebo, Tramadol-single dose, Dexketoprofen-single dose, Dexketoprofen/Tramadol-single dose, Tramadol-multiple doses
Keywords
Moderate to severe acute pain, Postoperative pain, Hip arthroplasty, Analgesics, Dexketoprofen, Tramadol
Medical subject headings
Acute Pain, Pain, Postoperative

What participants receive

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

  • PlaceboDrug

    Placebo single oral dose (first 8 hours)

  • Tramadol-single doseDrug

    Tramadol single oral dose (first 8 hours)

  • Dexketoprofen-single doseDrug

    Dexketoprofen single oral dose (first 8 hours)

  • Dexketoprofen/Tramadol-single doseDrug

    Dexketoprofen/Tramadol oral single dose (first 8 hours)

  • Tramadol-multiple dosesDrug

    Tramadol multiple oral doses t.i.d. for 5 days (total 12 doses)

  • Dexketoprofen-multiple dosesDrug

    Dexketoprofen multiple oral doses t.i.d. for 5 days (total 12 doses)

  • Dexketoprofen/Tramadol-multiple dosesDrug

    Dexketoprofen/Tramadol multiple oral doses t.i.d. for 5 days (total 12 doses)

Study groups in NCT01902134
Study groupRoleWhat they receive
DKP/TRAM followed by DKP/TRAMExperimentalDexketoprofen/Tramadol-single dose followed by Dexketoprofen/Tramadol-multiple doses
Receives: Drug: Dexketoprofen/Tramadol-single dose; Drug: Dexketoprofen/Tramadol-multiple doses
DKP followed by DKPActive comparatorDexketoprofen-single dose followed by Dexketoprofen-multiple doses
Receives: Drug: Dexketoprofen-single dose; Drug: Dexketoprofen-multiple doses
TRAM followed by TRAMActive comparatorTramadol-single dose followed by Tramadol-multiple doses
Receives: Drug: Tramadol-single dose; Drug: Tramadol-multiple doses
Placebo followed by DKP/TRAMOtherPlacebo single dose followed by Dexketoprofen/Tramadol-multiple doses
Receives: Drug: Placebo; Drug: Dexketoprofen/Tramadol-multiple doses
Placebo followed by DKPOtherPlacebo single dose followed by Dexketoprofen-multiple doses
Receives: Drug: Placebo; Drug: Dexketoprofen-multiple doses
Placebo followed by TRAMOtherPlacebo single dose followed by Tramadol-multiple doses
Receives: Drug: Placebo; Drug: Tramadol-multiple doses

What is being measured

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

  1. SPID8 (Sum of Pain Intensity Differences Over 8 Hours)

    Sum of Pain Intensity Differences calculated as the weighted sum of the PI-VAS differences over 8 hour period. PI-VAS corresponds to the pain intensity measured by a 0-100 visual analogue scale (0=no pain to 100=worst pain imaginable) which was measured at 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, and 8h after the first dose. A higher value in SPID indicates greater pain relief.

    The analysis was performed combining all randomization arms including placebo into one group, which resulted in the following 4 analysis groups: DKP/TRAM, DEXKETOPROFEN, TRAMADOL, and Placebo.

    Measured: over 8 hours after the first dose

Secondary outcomes (3)
  1. SPID48 (Sum of Pain Intensity Differences Over First 48 Hours of the Multiple-dose Phase)

    Sum of Pain Intensity Differences calculated as the weighted sum of the PI-VAS differences over 48 hours of the multiple-dose phase.

    PI-VAS corresponds to the pain intensity measured by a 0-100 visual analogue scale (0=no pain to 100=worst pain imaginable) which was measured every two hours over the first 48 hours of the multiple-dose phase. A higher value in SPID indicates greater pain relief.

    The analysis was performed combining all randomization arms including the same active treatment, which resulted in the following 3 analysis groups: DKP/TRAM, DEXKETOPROFEN, and TRAMADOL.

    Measured: over 48 hours of the multiple-dose phase

  2. Percentage of Responders According to PI-VAS (Pain Intensity - Visual Analogue Scale)

    Percentage of responders; response defined as achievement a mean pain intensity, PI-VAS < 40 mm (PI-VAS corresponds to the pain intensity measured by a 0-100 visual analogue scale, 0=no pain to 100=worst pain imaginable),over 48 hours of the multiple-dose phase.

    The analysis was performed combining all randomization arms including the same active treatment, which resulted in the following 3 analysis groups: DKP/TRAM, DEXKETOPROFEN, and TRAMADOL.

    Measured: over 48 hours of the multiple-dose phase

  3. Percentage of Responders According to 50% Max TOTPAR (Total Pain Relief)

    Percentage of responders over 8 hours after first dose, according to the 50% maximum total pain relief rule: maximum TOTPAR calculated as the theoretical maximum weighted sum of PAR-VRS (Pain Relief - Verbal Rating Scale: pain relief 0=none, 4=complete) scores.

    The analysis was performed combining all randomization arms including placebo into one group, which resulted in the following 4 analysis groups: DKP/TRAM, DEXKETOPROFEN, TRAMADOL, and Placebo.

    Measured: over 8 hours after the first dose

Timeline

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

  1. First posted18 Jul 2013 (estimated)
  2. Study startApr 2013
  3. Primary completionFeb 2014
  4. Study completionFeb 2014

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
641 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01902134
Sponsor's protocol ID
DEX-TRA-05
Other IDs
2012-004548-31
Acronym
DAVID-art
Status last verified
Feb 2016
First submitted
15 Jul 2013
Last updated
7 Mar 2016
Data monitoring committee
No

Publications

  • McQuay HJ, Moore RA, Berta A, Gainutdinovs O, Fulesdi B, Porvaneckas N, Petronis S, Mitkovic M, Bucsi L, Samson L, Zegunis V, Ankin ML, Bertolotti M, Piza-Vallespir B, Cuadripani S, Contini MP, Nizzardo A. Randomized clinical trial of dexketoprofen/tramadol 25 mg/75 mg in moderate-to-severe pain after total hip arthroplasty. Br J Anaesth. 2016 Feb;116(2):269-76. doi: 10.1093/bja/aev457.

    PubMed 26787797

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tramadol-single dose, Dexketoprofen-single dose and Dexketoprofen/Tramadol-single dose in people with Acute Pain, run by Menarini Group at 37 sites in 10 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 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 7 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in Poland, Czechia, Hungary, Latvia, Lithuania and 5 more countries. 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 1 Apr 2015). 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?

SPID8 (Sum of Pain Intensity Differences Over 8 Hours) (time frame: over 8 hours after the first dose). 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 NCT01902134, 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 7 Mar 2016.

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