A Study to Evaluate the Efficacy and Safety of CG5503 Prolonged Release (PR) in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee

Last updated: October 7, 2019
Sponsor: Grünenthal GmbH
Overall Status: Completed

Phase

3

Condition

Osteoarthritis

Knee Injuries

Chronic Pain

Treatment

N/A

Clinical Study ID

NCT00486811
335862
2006-005783-67
  • Ages > 40
  • All Genders

Study Summary

The purpose of this study is to evaluate whether tapentadol (CG5503) prolonged-release (PR) tablets at doses of 100-250 mg twice daily provide a better pain relief in patients with moderate to severe chronic pain due to osteoarthritis of the knee than a placebo (a medication without active substance). In addition the tolerability of CG5503 PR will be assessed. One third of the patients will receive CG5503 and one third will receive placebo. For further comparison one third of the patients will receive oxycodone controlled release (CR) at doses of 20-50 mg twice daily which is an active approved pain medication. Please note that tapentadol ER (Extended Release) and tapentadol PR (Prolonged Release) are identical and used interchangeably. This is due to United States of America and European naming conventions.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients diagnosed with osteoarthritis of the knee based on the American College ofRheumatology (ACR) criteria and functional capacity class of I- III;

  • Patients taking analgesic medications for at least 3 months prior to screening anddissatisfied with their current therapy;

  • Patients requiring opioid treatment must be taking daily doses of opioid- basedanalgesic, equivalent to <160 mg of oral morphine;

  • Baseline score of >=5 on an 11-point numeric rating scale, calculated as the averagepain intensity during the last 3 days prior to randomization.

Exclusion

Exclusion Criteria:

  • History of alcohol and/or drug abuse in Investigator's judgment;

  • Chronic hepatitis B or C, or HIV, presence of active hepatitis B or C within the past 3 months;

  • Life-long history of seizure disorder or epilepsy;

  • History of malignancy within past 2 years, with exception of basal cell carcinoma thathas been successfully treated;

  • Uncontrolled hypertension;

  • Patients with severely impaired renal function;

  • Patients with moderate to severely impaired hepatic function or with laboratory valuesreflecting inadequate hepatic function,

  • Treatment with neuroleptics, monoamine oxidase inhibitors, serotonin norepinephrinereuptake inhibitors (SNRI), tricyclic antidepressants, anticonvulsants, oranti-parkinsonian drugs, treatment with any other analgesic therapy thaninvestigational medication or rescue medication during the trial.

Study Design

Total Participants: 990
Study Start date:
June 01, 2007
Estimated Completion Date:
July 31, 2008

Study Description

This is a randomized (study medication assigned to patients by chance), double-blind (neither patient nor investigator knows which patient gets which study medication, i.e. CG5503, placebo, oxycodone), placebo and active control study. The primary objective is to evaluate the efficacy and safety of orally administered tapentadol (CG5503) prolonged-release (PR) at doses of 100-250 mg (base) twice daily in patients with moderate to severe chronic pain from osteoarthritis (OA) of the knee. The study will consist of five periods: screening (to assess eligibility), washout (3-7 days with determination of a baseline pain intensity), titration (of dose over 3 weeks to the optimal individual level), maintenance (investigational drug intake for 12 weeks with adjustments allowed), and follow-up (2 weeks after end of treatment). The study hypothesis is that the study drug will be more effective than placebo in reducing patients' pain intensity. The secondary objectives include the collection of pharmacokinetic (related to how the body absorbs, distributes, changes and excretes the drug) information for dose verification. The efficacy objectives will be assessed by comparing the baseline pain level to the pain level during the maintenance period. This will be done by looking at the patients' pain diary information (electronic diaries).

Connect with a study center

  • Site 043005

    Innsbruck,
    Austria

    Site Not Available

  • Site 043006

    Mitterdorf,
    Austria

    Site Not Available

  • Site 043002

    Salzburg,
    Austria

    Site Not Available

  • Site 043001

    Vienna,
    Austria

    Site Not Available

  • Site 043004

    Vienna,
    Austria

    Site Not Available

  • Site 043003

    Wiener Neustadt,
    Austria

    Site Not Available

  • Site 385003

    Karlovac,
    Croatia

    Site Not Available

  • Site 385001

    Osijek,
    Croatia

    Site Not Available

  • Site 385004

    Sisak,
    Croatia

    Site Not Available

  • Seite 385005

    Zagreb,
    Croatia

    Site Not Available

  • Site 385002

    Zagreb,
    Croatia

    Site Not Available

  • Site 049002

    Berlin,
    Germany

    Site Not Available

  • Site 049008

    Berlin,
    Germany

    Site Not Available

  • Site 049010

    Berlin,
    Germany

    Site Not Available

  • Site 049003

    Dresden,
    Germany

    Site Not Available

  • Site 049004

    Frankfurt,
    Germany

    Site Not Available

  • Site 049007

    Hamburg,
    Germany

    Site Not Available

  • Site 049001

    Leipzig,
    Germany

    Site Not Available

  • Site 049005

    Magdeburg,
    Germany

    Site Not Available

  • Site 049009

    Schwerin,
    Germany

    Site Not Available

  • Site 049006

    Wiesbaden,
    Germany

    Site Not Available

  • Site 036003

    Budapest,
    Hungary

    Site Not Available

  • Site 036005

    Budapest,
    Hungary

    Site Not Available

  • Site 036006

    Budapest,
    Hungary

    Site Not Available

  • Site 036009

    Budapest,
    Hungary

    Site Not Available

  • Site 036008

    Debrecen,
    Hungary

    Site Not Available

  • Site 036007

    Györj,
    Hungary

    Site Not Available

  • Site 036007

    Györj,
    Hungary

    Site Not Available

  • Site 036004

    Kecskemet,
    Hungary

    Site Not Available

  • Site 036007

    Kecskemét,
    Hungary

    Site Not Available

  • Site 036002

    Visegrad,
    Hungary

    Site Not Available

  • Site 039002

    Chieti,
    Italy

    Site Not Available

  • Site 039003

    Milano,
    Italy

    Site Not Available

  • Site 039004

    Pavia,
    Italy

    Site Not Available

  • Site 039001

    Perugia,
    Italy

    Site Not Available

  • Site 371002

    Bauska,
    Latvia

    Site Not Available

  • Site 371004

    Riga,
    Latvia

    Site Not Available

  • Site 371005

    Riga,
    Latvia

    Site Not Available

  • Site 031008

    Eindhoven,
    Netherlands

    Site Not Available

  • Site 031003

    Losser,
    Netherlands

    Site Not Available

  • Site 031006

    Oude Pekela,
    Netherlands

    Site Not Available

  • Site 031007

    Spijkenisse,
    Netherlands

    Site Not Available

  • Site 031004

    s'Hertogenbosch,
    Netherlands

    Site Not Available

  • Site 048007

    Bielsko-Biala,
    Poland

    Site Not Available

  • Site 048006

    Katowice,
    Poland

    Site Not Available

  • Site 048005

    Konskie,
    Poland

    Site Not Available

  • Site 048004

    Krakow,
    Poland

    Site Not Available

  • Site 048001

    Lublin,
    Poland

    Site Not Available

  • Site 048008

    Mielec,
    Poland

    Site Not Available

  • Site 048003

    Piekary Slaskie,
    Poland

    Site Not Available

  • Site 048010

    Rzeszow,
    Poland

    Site Not Available

  • Site 048009

    Warszawa,
    Poland

    Site Not Available

  • Site 048002

    Wroclaw,
    Poland

    Site Not Available

  • Site 048011

    Wroclaw,
    Poland

    Site Not Available

  • Site 351001

    Coimbra,
    Portugal

    Site Not Available

  • Site 351003

    Faro,
    Portugal

    Site Not Available

  • Sites 351008

    Funchal,
    Portugal

    Site Not Available

  • Site 351005

    Guimaraes,
    Portugal

    Site Not Available

  • Site 351004

    Lisboa,
    Portugal

    Site Not Available

  • Site 351009

    Lisboa,
    Portugal

    Site Not Available

  • Site 351002

    Ponta Delgada,
    Portugal

    Site Not Available

  • Site 040001

    Bucharest,
    Romania

    Site Not Available

  • Site 040002

    Bucharest,
    Romania

    Site Not Available

  • Site 040005

    Bucharest,
    Romania

    Site Not Available

  • Site 040006

    Bucharest,
    Romania

    Site Not Available

  • Site 040007

    Bucharest,
    Romania

    Site Not Available

  • Site 040008

    Bucharest,
    Romania

    Site Not Available

  • Site 040009

    Bucharest,
    Romania

    Site Not Available

  • Site 040011

    Bucharest,
    Romania

    Site Not Available

  • Site 040004

    Campulung Muscel Arges County,
    Romania

    Site Not Available

  • Site 040010

    Craiova,
    Romania

    Site Not Available

  • Site 040010

    Craiova, Dolj County,
    Romania

    Site Not Available

  • Site 040004

    Câmpulung,
    Romania

    Site Not Available

  • Site 421005

    Banska Bystrica,
    Slovakia

    Site Not Available

  • Site 421001

    Kosice,
    Slovakia

    Site Not Available

  • Site 421003

    Poprad,
    Slovakia

    Site Not Available

  • Site 421004

    Presov,
    Slovakia

    Site Not Available

  • Site 421002

    Rimavska Sobota,
    Slovakia

    Site Not Available

  • Site 034002

    Alicante,
    Spain

    Site Not Available

  • Site 034009

    Benidorm,
    Spain

    Site Not Available

  • Site 034014

    Gran Canaria,
    Spain

    Site Not Available

  • Site 034005

    L'Hospitalet de Llobregat,
    Spain

    Site Not Available

  • Site 034007

    La roca del Valles,
    Spain

    Site Not Available

  • Site 034015

    Malaga,
    Spain

    Site Not Available

  • Site 034008

    Mostoles,
    Spain

    Site Not Available

  • Site 034003

    Oviedo,
    Spain

    Site Not Available

  • Site 034013

    Oviedo,
    Spain

    Site Not Available

  • Site 034002

    Petrer,
    Spain

    Site Not Available

  • Site 034016

    Sevilla,
    Spain

    Site Not Available

  • Site 034001

    Torrelavega,
    Spain

    Site Not Available

  • Site 034012

    Valencia,
    Spain

    Site Not Available

  • Site 034004

    Vic,
    Spain

    Site Not Available

  • Site 044012

    Birmingham,
    United Kingdom

    Site Not Available

  • Site 044004

    Blackpool,
    United Kingdom

    Site Not Available

  • Site 044009

    Bradford,
    United Kingdom

    Site Not Available

  • Site 044013

    Cardiff,
    United Kingdom

    Site Not Available

  • Site 044002

    Chesterfield,
    United Kingdom

    Site Not Available

  • Site 044018

    Chorley,
    United Kingdom

    Site Not Available

  • Site 044005

    Ecclesfield,
    United Kingdom

    Site Not Available

  • Site 044008

    Falkirk,
    United Kingdom

    Site Not Available

  • Site 044016

    Gardens Reading,
    United Kingdom

    Site Not Available

  • Site 044001

    Kenton,
    United Kingdom

    Site Not Available

  • Site 044006

    London,
    United Kingdom

    Site Not Available

  • Site 044011

    London,
    United Kingdom

    Site Not Available

  • Site 044016

    Reading,
    United Kingdom

    Site Not Available

  • Site 044003

    Solihull,
    United Kingdom

    Site Not Available

  • Site 044007

    Woolpit,
    United Kingdom

    Site Not Available

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