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Chronic Low Back PainPhase 2NCT02262754

PF-06372865 In Subjects With Chronic Low Back Pain

A Phase 2 study testing PF-06372865 and Naproxen in people with Chronic Low Back Pain, run by Pfizer at 46 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

PF-06372865 In Subjects With Chronic Low Back Pain Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Chronic Low Back Pain
What is being tested?
PF-06372865 and Naproxen
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
302 participants
Where
46 sitesUnited States
Study dates
Oct 2014to Aug 2015
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • -

Who cannot join

  • -

Trial locations and contacts

46 sites in 1 country.

46 sites in 1 country

United States46 sites
  • Global Research

    Anaheim, California, 92804

  • Better Health Clinical Research, Inc.

    Atlanta, Georgia, 30344

  • River Birch Research Alliance, LLC

    Blue Ridge, Georgia, 30513

  • Boston Clinical Trials

    Boston, Massachusetts, 02131

  • Chicago Anesthesia Associates

    Chicago, Illinois, 60657

  • Family Medicine center

    Columbus, Georgia, 31901

  • Columbus Regional Research Institute

    Columbus, Georgia, 31904

  • Avail Clinical Research, LLC

    DeLand, Florida, 32720

  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

  • S&W Clinical Research

    Fort Lauderdale, Florida, 33306

  • Neuro-Pain Medical Center

    Fresno, California, 93710

  • Florida Research Network, LLC

    Gainesville, Florida, 32605

  • Drug Trials America

    Hartsdale, New York, 10530

  • Broward Research Group

    Hollywood, Florida, 33024

  • Clinical Trial Network

    Houston, Texas, 77074

  • CRC of Jackson

    Jackson, Mississippi, 39202

  • Physician's Surgery Center

    Jackson, Mississippi, 39202

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida, 32216

  • Centex Studies, Inc

    Lake Charles, Louisiana, 70601

  • Drug Studies America

    Marietta, Georgia, 30060

  • Agave Clinical Research, LLC

    Mesa, Arizona, 85202

  • ActivMed Practices & Research, Inc.

    Methuen, Massachusetts, 01844

  • Better Health Clinical Research, Inc./Georgia Pain & Spine Care, Inc.

    Newnan, Georgia, 30265

  • Better Health Clinical Research, Inc.

    Newnan, Georgia, 30265

  • National Clinical Research - Norfolk, Inc.

    Norfolk, Virginia, 23502

  • Providence Clinical Research

    North Hollywood, California, 91606

  • Compass Research, LLC

    Orlando, Florida, 32806

  • Pines Clinical Research Inc.

    Pembroke Pines, Florida, 33028

  • Arizona Research Center, Inc.

    Phoenix, Arizona, 85023

  • Accord Clinical Research, LLC

    Port Orange, Florida, 32129

  • Summit Research Network (Oregon), Inc.

    Portland, Oregon, 97210

  • Wake Internal Medicine Consultants, Inc.

    Raleigh, North Carolina, 27612

  • Wake Research Associates, LLC

    Raleigh, North Carolina, 27612

  • AAIR Research Center

    Rochester, New York, 14618

  • Lee Medical Associates, PA

    San Antonio, Texas, 78229

  • Progressive Clinical Research

    San Antonio, Texas, 78229

  • Southeast Regional Research Group

    Savannah, Georgia, 31405

  • Summit Research Network (Seattle) LLC

    Seattle, Washington, 98104

  • Arthritis & Rheumatic Care Center

    South Miami, Florida, 33143

  • Miami Research Associates

    South Miami, Florida, 33143

  • Stamford Therapeutics Consortium

    Stamford, Connecticut, 06905

  • Omega Medical Research

    Warwick, Rhode Island, 02886

  • Elite Clinical Trials, Incorporate

    Wildomar, California, 92595

  • The Center for Clinical Research

    Winston-Salem, North Carolina, 27103

  • North Georgia Clinical Research

    Woodstock, Georgia, 30189

  • North Georgia Internal medicine

    Woodstock, Georgia, 30189

Other trials in United States

About this study

Official title: A Randomized, Double Blind, Placebo- And Active-controlled, 4 Week, Multi-center, Parallel Group Study Assessing The Analgesic Effect, Safety And Tolerability Of Pf-06372865 In Subjects With Chronic Low Back Pain Using Naproxen As Positive Control

PF-06372865 In Subjects With Chronic Low Back Pain

Being tested
PF-06372865, Placebo, Naproxen

What participants receive

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

  • PF-06372865Drug

    Dose level 1 daily dosing BID for 1 week followed by dose level 2 daily BID for 3 weeks

  • PlaceboDrug

    Placebo for PF-06372865 and placebo for naproxen daily

  • NaproxenDrug

    500 mg BID for 4 weeks

Study groups in NCT02262754
Study groupRoleWhat they receive
PF-06372865ExperimentalDaily BID dosing for 4 weeks
Receives: Drug: PF-06372865
PlaceboPlacebo comparatorDaily BID dosing for 4 weeks
Receives: Drug: Placebo
NaproxenActive comparatorDaily BID dosing for 4 weeks
Receives: Drug: Naproxen

What is being measured

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

  1. Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4

    Daily average low back pain was assessed on an 11-point numeric rating scale (NRS). Participants described their average low back pain during the past 24 hours on a scale ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicate higher pain. Baseline value was calculated as the mean of the scores over the last 7 days in the placebo run-in period, prior to randomization. Post-baseline weekly scores were calculated based on the mean of the scores over the 7 days prior to and including the day at the end of the corresponding week.

    Measured: Baseline, Week 4

  2. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. The 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 or incapacity, congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious adverse events.

    Measured: Baseline up to 28 days after the last dose of study treatment (Day 56)

  3. Number of Participants With Laboratory Abnormalities

    Abnormality criteria included: hemoglobin, hematocrit and red blood cells (RBCs) (less than [<] 0.8*lower limit of normal [LLN]); white blood cells (WBC) (<0.6*LLN, greater than [>] 1.5*upper limit of normal [ULN]); MCV, MCH, MCHC (<0.9*LLN, >1.1*ULN); platelets (<0.5*LLN>, >1.75*ULN); neutrophils, lymphocytes(<0.8*LLN, >1.2*ULN); eosinophils, basophils, monocytes (>1.2*ULN); total bilirubin (>1.5*ULN); aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase (>3*ULN); total protein, albumin (<0.8*LLN, >1.2*ULN); creatinine, blood urea nitrogen (>1.3*ULN); glucose (<0.6*LLN, >1.5*ULN); uric acid (>1.2*ULN); sodium, potassium, chloride, calcium, bicarbonate (<0.9*LLN, >1.1*ULN); urine pH (<4.5, >8); qualitative urine glucose, ketones, protein, blood values (greater than or equal to [>=] 1) in urine dipstick test; urine RBC, WBC (>=20); hyaline casts (>1), bacteria (>20).

    Measured: Baseline up to 28 days after the last dose of study treatment (Day 56)

  4. Number of Participants With Vital Sign Abnormalities

    Participants who met the criteria for abnormal findings in vital signs data were reported. Criteria for abnormalities in vital signs: supine systolic blood pressure (SBP) <90 millimeter of mercury (mmHg), supine diastolic BP (DBP) <50 mmHg, supine pulse rate <40 beats per minute (bpm) or >120 bpm. Maximum increase or decrease from baseline in supine SBP >=30 mmHg and maximum increase or decrease from baseline in supine DBP >=20 mmHg.

    Measured: Baseline up to Follow-up (44 days)

  5. Number of Participants With Electrocardiogram (ECG) Abnormalities

    Participants with abnormal ECG findings were reported. Criteria for potential clinical concern in ECG parameters: maximum (max.) PR interval of >=300 milliseconds (msec), maximum QRS interval >=140 msec, maximum QTCF interval (Fridericia's Correction) of 450 to <480 msec, 480 to <500 msec and >=500 msec, maximum of >=25 percent (%) increase from baseline (IFB) value of >200 msec and >=50% for baseline value of less than or equal to (<=) 200 msec for PR interval, maximum increase from baseline of >=50% for QRS interval, maximum increase from baseline of >=30 msec to <60 msec and maximum increase from baseline of >60 msec in QTCF interval (Fridericia's Correction).

    Measured: Baseline up to Follow-up (44 days)

  6. Number of Participants With Categorical Scores on the Columbia Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS (mapped to Columbia Classification Algorithm of Suicide Assessment [C-CASA]) is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. C-SSRS assessed whether participant experienced following: completed suicide =1, suicide attempt =2 (response of "Yes" on "actual attempt"), preparatory acts toward imminent suicidal behavior =3 ("Yes" on "preparatory acts or behavior"), suicidal ideation =4 ("Yes" on "wish to be dead", "non-specific active suicidal thoughts", "active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent), any suicidal behavior or ideation, self-injurious behavior =7 ("Yes" on "Has participant engaged in non-suicidal self-injurious behavior").

    Measured: Screening, Baseline, Week 1, 2, 3, 4

  7. Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit

    PWC is a 20 item physician rated interview to measure anxiolytic drug withdrawal-related signs and symptoms. Each individual item score ranges from 0 (not present) to 3 (severe), where higher scores = more affected condition. PWC total score range from 0 (not present) to 60 (severe), where higher score = more affected condition. Change: score at follow-up visit minus score at the end of treatment visit.

    Measured: End of treatment (Day 30), follow-up (Day 44)

Secondary outcomes (17)
  1. Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4

    Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10.

    Measured: Baseline, Week 1, 2, 3, 4

  2. Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4

    Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10.

    Measured: Baseline, Week 1, 2, 3, 4

  3. Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline

    Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10. Percentage of reduction from baseline in the daily average LBPI NRS score was calculated as: ([daily value - baseline value] divided by baseline value) multiplied by 100. Number of participants with sustained response rates (for a minimum of 4 consecutive days) in the daily average LBPI NRS scores that were at >=30 percent and >=50 percent reduced from baseline were reported.

    Measured: Baseline up to Week 4

  4. Number of Participants Withdrawn Due to Lack of Efficacy

    Participants withdrew from the study due to lack of efficacy (insufficient clinical response) were reported.

    Measured: Baseline up to Week 4

  5. Time to Withdrawal Due to Lack of Efficacy

    Kaplan Meier and Cox Proportional Hazards analyses were to be used to compute the time to withdrawal due to lack of efficacy. Withdrawal due to lack of efficacy was identified from the participant summary case report form (CRF) page and where reason was identified as "Insufficient Clinical Response". Time to withdrawal was calculated as Date of withdrawal - Date of Randomization.

    Measured: Baseline up to Week 4

  6. Number of Participants Using Rescue Medication

    Participants were permitted to use any commercial product (tablet/caplet/capsule) of acetaminophen (paracetamol) 500 mg as a rescue medication. Number of participants who used rescue medication were reported.

    Measured: Week 1, 2, 3, 4

  7. Number of Days Participants Used the Rescue Medication

    The number of days for which the participants used the rescue medication were reported. Participants recorded the usage of acetaminophen rescue medication in the daily diary.

    Measured: Week 1, 2, 3, 4

  8. Amount of Rescue Medication Used by the Participants

    The amount of rescue medication (Acetaminophen [paracetamol]) used was reported. Participants were permitted to use any commercial product of acetaminophen tablet/caplet/capsule.

    Measured: Week 1, 2, 3, 4

  9. Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3

    Each participant assessed his or her own disability due to low back pain using the RMDQ worksheet. The RMDQ total score was calculated as the total number of statements that were checked; the RMDQ total possible scores ranges from 0 to 24, with higher scores indicating greater disability.

    Measured: Baseline, Week 1, 2, 3

  10. Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 4

    Each participant assessed his or her own disability due to low back pain using the RMDQ worksheet. The RMDQ total score was calculated as the total number of statements that were checked; the RMDQ total possible scores ranges from 0 to 24, with higher scores indicating greater disability.

    Measured: Baseline, Week 4

  11. Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4

    This test assesses verbal learning and memory. Participants are given a list of 12 words and asked to repeat as many words as they can recall during 3 separate learning trials. The total recall score ranges from 0 (no memory) to 36 (best memory) while the delayed recall trial score ranges from 0 (no memory) to 12 (best memory); higher scores indicated greater verbal learning and recall.

    Measured: Baseline, Week 2, Week 4

  12. Chronic Low Back Pain (CLBP) Responder Index Analysis

    Participants were successful responders if they had any of the following: >=30 percent reduction in mean daily average LBPI from baseline to particular week; decrease of >=30 percent in participant's global assessment of low back pain (disease activity) from baseline to particular week or no worsening (increase) in RMDQ total score from baseline to particular week.

    Measured: Week 1, 2, 3, 4

  13. Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4

    Participant rated 5-point Likert scale ranging from 0 (no pain) to 4 (worst possible pain) with a higher score indicating greater level of pain.

    Measured: Baseline, Week 1, 2, 3, 4

  14. Patient Global Impression of Change (PGI-C) Score

    PGI-C was a participant rated instrument to measure participant's assessment of change in his or her overall status since the previous visit on a 7-point scale; ranging from 1 (very much improved) to 7 (very much worse), where higher scores indicated more worsening.

    Measured: Week 1, 2, 3, 4

  15. Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4

    Participants rated their study treatment by GESM questionnaire. It was a qualitative measure of efficacy utilizing a 4-point Likert scale ranging from 1 (poor) to 4 (excellent), where higher score indicated a better overall response to the treatment. Number of participants who reported a particular score had been reported.

    Measured: Week 4

  16. Plasma Concentration of PF-06372865

    Data was calculated by setting concentration values below the lower limit of quantification (LLOQ) to zero. The LLOQ was <0.0100 nanogram per milliliter (ng/mL).

    Measured: Baseline, Week 1, 2, 3, 4

  17. Plasma Concentration of Naproxen

    Data was calculated by setting concentration values below the LLOQ to zero. The LLOQ was <1000 ng/mL.

    Measured: Baseline, Week 1, 2, 3, 4

Timeline

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

  1. First posted13 Oct 2014 (estimated)
  2. Study startOct 2014
  3. Primary completionAug 2015
  4. Study completionAug 2015

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
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02262754
Sponsor's protocol ID
B7431006
Status last verified
Nov 2016
First submitted
9 Oct 2014
Last updated
4 Jan 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-06372865 and Naproxen in people with Chronic Low Back Pain, run by Pfizer at 46 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 1 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: finished, as of the sponsor's last update on 4 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 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 4 Jan 2017). 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?

Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4 (time frame: Baseline, Week 4). The study lists 7 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 4 Jan 2017.

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