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The primary objective of this study is to evaluate the safety of hydrocodone extended-release tablets when used over a 12-month period in patients with chronic pain, as assessed by adverse events, clinical laboratory results, vital signs measurements, electrocardiogram results, physical examination findings, pure tone audiometry, and concomitant medication usage.
This was a Phase 3, open-label, nonrandomized study that consisted of a screening period, an open label titration period, and a 52 week, long term, open-label treatment period in patients with chronic pain. Patients were eligible to participate in this study if they had completed study C33237/3079 (NCT01240863) (these patients are hereafter referred to as rollover patients) or if they had not participated in study 3079 (these patients are hereafter referred to as either new opioid naïve or new opioid experienced patients).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hydrocodone ER | Experimental | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of extended-release hydrocodone tablets at dosages of 15, 30, 45, 60, or 90 mg orally every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at the successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hydrocodone ER | Drug | Hydrocodone bitartrate extended-release tablets were administered at doses of 15, 30, 45, 60, and 90 mg orally every 12 hours. During the open-label titration period, doses were adjusted until a stable pain control was achieved. In general, the dose of hydrocodone extended release tablets could be adjusted for efficacy or tolerability, as necessary, at any time during the open-label treatment period; however, participants were required to visit the study center before increasing the dose of study drug. |
| Measure | Description | Time Frame |
|---|---|---|
| Participants With Adverse Experiences | An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. | Day 1 of open-label titration period - Week 52 of the open-label treatment period |
| Participants With Potentially Clinically Significant (PCS) Abnormal Laboratory Values During the Open-Label Treatment Period by Participant Status | Data represents participants with PCS abnormal serum chemistry, hematology and urinalysis values. Significance criteria:
| Day 1 - Week 52 of the open-label treatment period |
| Participants With Potentially Clinically Significant Abnormal Vital Signs Values by Participant Status | Data represents participants with potentially clinically significant (PCS) vital sign values. Significance criteria
|
| Measure | Description | Time Frame |
|---|---|---|
| Participant Global Assessment (PGA) of the Method of Pain Control by Participant Status | The PGA of the method of pain control consisted of a asking patients a single question to assess their method of pain control during the previous 24 hours as either poor, fair, good, or excellent (Rothman et al 2009). | Baseline for new participants was Day 1, i.e. the first day of open-label titration. Baseline for rollover participants was the baseline in study 3079. Week 4 (end of titration, start of open-label treatment), Week 52, last visit up to Week 52 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sponsor's Medical Expert, MD | Cephalon | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Horizon Research Group, LLC | Mobile | Alabama | United States | |||
| Physician Alliance Research Center |
330 enrolled patients came from 61 centers in the US: 166 rolled-over from study 3079, 52 were new opioid-naïve participants and 112 were new opioid-experienced participants. One enrolled patient was withdrawn before taking any study drug.
365 patients with chronic pain were screened for enrollment into this study: 25 patients were excluded on the basis of exclusion criteria, 6 withdrew consent, 2 were lost to follow up before the baseline visit, 1 patient did not meet an inclusion criteria, and 1 patient had an opioid violation because of self increasing analgesic medication.
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| ID | Title | Description |
|---|---|---|
| FG000 | Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at the successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Open-label Titration Period |
|
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|
|
| Day 1 of open-label titration period - Week 52 of the open-label treatment period |
| Shifts in Electrocardiogram (ECG) Findings From Baseline to Overall Study by Participant Status | A 12-lead ECG was conducted at screening, week 24, and week 52 or at the last postbaseline observation. For rollover participants, the ECG performed at the final visit of study 3079 served as the 1st ECG in study 3080. A qualified physician was responsible for interpreting the ECG. Any ECG finding that was judged by the investigator as a clinically meaningful change (worsening) compared with baseline was considered an adverse event. For overall results, the worst postbaseline finding for the participant was summarized. Results below are formatted as Baseline ECG result - Overall ECG result. | Baseline for new participants was between Day -7 and -14 (the study 3080 screening visit); baseline for rollover participants was the last ECG in study 3079. During study ECGs were performed on weeks 24 and 52 of the open-label treatment period |
| Participants With Clinically Significant (CS) Hearing Changes From Baseline in Pure Tone Audiometry Test Results by Patient Status | Pure tone audiometry was performed by trained personnel. During the test, the patient wore headphones and was seated in a quiet room; trained personnel manipulated the audiometry equipment to test the patient's hearing. For serial audiograms, the criteria for a clinically significant (CS) hearing change were based on the guidance from the American Speech-Language Hearing Association (ASHA) 1994 (Konrad-Martin et al 2005). These criteria included the following: greater than 20 decibels (dB) pure tone threshold shift at 1 frequency; greater than 10 dB shift at 2 consecutive test frequencies; or threshold response shifting to "no response" at 3 consecutive test frequencies. | Baseline for new participants was between Day -7 and -14 (study 3080 screening visit); baseline for rollover participants was the baseline test in study 3079. During study covers both open-label titration and 52-week treatment periods |
| Participants by Risk Category for Aberrant Drug Misuse Based on the Total Score in the Screener and Opioid Assessment for Patients With Pain - Revised (SOAPP-R) | SOAPP-R is a clinician-rated scale used to assess each patient's risk of developing aberrant drug use behaviors while on long term opioid therapy. SOAPP-R consists of 24 questions that address 8 concepts: substance abuse history, medication related behaviors, antisocial behaviors/history, psychosocial problems, psychiatric history, physician patient relationship factors, emotional attachment to pain medications, and personal care and lifestyle issues (Butler et al 2008). Each question is answered using a 5 point Likert-like scale, with 0=never, 1=seldom, 2=sometimes, 3=often, and 4=very often for a total range of 0-96. The higher the overall score, the greater the probability the patient is at risk for displaying aberrant behaviors consistent with drug use. An overall score of 18 or higher is considered positive for predicting aberrant drug related behavior, therefore the reported risk categories are
| End of Open-label Titration Period. Weeks 4 and 24 of the Open-label Treatment Period |
| Addiction Behavior Checklist (ABC) Total Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status | The ABC was a clinician rated scale that consisted of a brief (21 item) questionnaire designed to track behaviors characteristic of addiction related to prescription opioid medications in chronic pain populations. Items were focused on observable behaviors noted both during and between clinic visits. Each affirmative response was counted as 1 point, and points were added to calculate the total score. All but 1 of the 21 items (the provider's impression) was used in calculating the total score, consequently resulting in scores ranging from 0 to 20 (0=no addiction-related behaviors seen and higher scores indicating an increasing number of addition-related behaviors seen). Participants with a total score of 3 or greater were classified as exhibiting inappropriate opioid use during the study. | Baseline for new participants was Day 1 of open-label titration; rollover participants baseline was in study 3079. End of Open-label Titration: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 40, 44, 48, 52 and last visit up to week 52 |
| Current Opioid Misuse Measure (COMM) Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status | The COMM was a clinician-rated scale developed as a brief self-report measure of current aberrant drug-related behavior for patients with chronic pain who were already on long-term opioid therapy. A total score was calculated as the sum of the 17 questions. The total score ranged from 0 to 68. A score of 0 indicates no aberrant drug-related behaviors were seen. Patients with a total score of 9 or greater were classified as exhibiting aberrant drug-related behavior. | Baseline for new participants was Day 1 of open-label titration; rollover participants baseline was in study 3079. End of Open-label Titration Period. Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 40, 44, 48, 52 and last visit up to week 52 |
| Anaheim |
| California |
| United States |
| Adam D. Karns, MD | Beverly Hills | California | United States |
| Associated Pharmaceutical Research Center, Inc. | Buena Park | California | United States |
| Providence Clinical Research | Burbank | California | United States |
| Research Center of Fresno, Inc. | Fresno | California | United States |
| Pacific Coast Pain Management Center | Laguna Hills | California | United States |
| South Orange County Surgical Medical Group | Laguna Hills | California | United States |
| Accelovance, Inc. | San Diego | California | United States |
| Bayview Research Group, LLC | Valley Village | California | United States |
| Clinical Research of West Florida, Inc. | Clearwater | Florida | United States |
| Avail Clinical Research, LLC | DeLand | Florida | United States |
| Compass Research, LLC | Orlando | Florida | United States |
| Sarasota Pain Medicine Research LLC | Sarasota | Florida | United States |
| Gold Coast Research LLC | Weston | Florida | United States |
| Drug Studies America | Marietta | Georgia | United States |
| Georgia Institute for Clinical Research, LLC | Marietta | Georgia | United States |
| Taylor Research, LLC | Marietta | Georgia | United States |
| Better Health Clinical Research, Inc. | Newnan | Georgia | United States |
| Millennium Pain Center | Bloomington | Illinois | United States |
| Rehabilitation Associates of Indiana | Indianapolis | Indiana | United States |
| International Clinical Research, Inc. | Overland Park | Kansas | United States |
| Community Research | Crestview Hills | Kentucky | United States |
| Willis Knighton River Cities Clinical Research Center | Shreveport | Louisiana | United States |
| MidAtlantic Pain Medicine Center | Pikesville | Maryland | United States |
| Beacon Clinical Research, LLC | Brockton | Massachusetts | United States |
| HealthCare Research | Florissant | Missouri | United States |
| Sundance Clinical Research, LLC | St Louis | Missouri | United States |
| Meridian Clinical Research | Omaha | Nebraska | United States |
| Clinical Research Center of Nevada | Las Vegas | Nevada | United States |
| Advanced Pain Consultants | Voorhees Township | New Jersey | United States |
| Upstate Clinical Research Associates | Williamsville | New York | United States |
| Wake Research Associates | Raleigh | North Carolina | United States |
| Sterling Research Group, Ltd. | Cincinnati | Ohio | United States |
| Columbus Clinical Research | Columbus | Ohio | United States |
| SP Research | Oklahoma City | Oklahoma | United States |
| Pain Research of Oregon | Eugene | Oregon | United States |
| Summit Research Network Inc. | Portland | Oregon | United States |
| Brandywine Clinical Research | Downingtown | Pennsylvania | United States |
| AMH Feasterville Family Health Care Center | Feasterville-Trevose | Pennsylvania | United States |
| Tipton Medical and Diagnostic Center | Tipton | Pennsylvania | United States |
| Clinical Research Center of Reading, LLP | West Reading | Pennsylvania | United States |
| Omega Medical Research | Warwick | Rhode Island | United States |
| Greenville Pharmaceutical Research | Greenville | South Carolina | United States |
| Trident Institute of Medical Research, LLC | North Charleston | South Carolina | United States |
| S. Carolina Pharmaceutical Research | Spartanburg | South Carolina | United States |
| KRK Medical Research | Dallas | Texas | United States |
| Radiant Research | Dallas | Texas | United States |
| Renaissance Clinical Research & Hypertension of Texas, PLLC | Dallas | Texas | United States |
| Medstar Clinical Research | Houston | Texas | United States |
| Benchmark Research | San Angelo | Texas | United States |
| DCT-Sugarland, LLC dba Discovery Clinical Trials | Sugar Land | Texas | United States |
| Hillcrest Family Health Centers | Waco | Texas | United States |
| Aspen Clinical Research, LLC | Orem | Utah | United States |
| Safety Analysis Set |
|
| Achieved Stable Pain Relief |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Open-label Treatment Period |
|
|
Enrolled patients
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| ID | Title | Description |
|---|---|---|
| BG000 | Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at th3 successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| ||||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| ||||||||||||||||||
| Weight | one participant data was missing the value | Mean | Standard Deviation | kg |
| ||||||||||||||||
| Height | one participant data was missing the value | Mean | Standard Deviation | cm |
| ||||||||||||||||
| Body Mass Index | one participant data was missing the value | Mean | Standard Deviation | kg/m^2 |
| ||||||||||||||||
| Type of Pain | Count of Participants | Participants |
| ||||||||||||||||||
| Duration Since Diagnosis | Mean | Standard Deviation | years |
| |||||||||||||||||
| Duration on Opioid Therapy | Mean | Standard Deviation | years |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Participants With Adverse Experiences | An adverse event (AE) was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes. | Safety analysis set | Posted | Count of Participants | Participants | Day 1 of open-label titration period - Week 52 of the open-label treatment period |
|
|
| |||||||||||||||||||||||||||||||||||
| Primary | Participants With Potentially Clinically Significant (PCS) Abnormal Laboratory Values During the Open-Label Treatment Period by Participant Status | Data represents participants with PCS abnormal serum chemistry, hematology and urinalysis values. Significance criteria:
| Posttitration Safety Analysis set. The posttitration safety analysis set included all patients who successfully completed the open label titration period and received 1 or more doses of study drug treatment in the open label treatment period. | Posted | Count of Participants | Participants | Day 1 - Week 52 of the open-label treatment period |
| |||||||||||||||||||||||||||||||||||||
| Primary | Participants With Potentially Clinically Significant Abnormal Vital Signs Values by Participant Status | Data represents participants with potentially clinically significant (PCS) vital sign values. Significance criteria
| Safety analysis set. One rollover participant did not have vital signs values. | Posted | Count of Participants | Participants | Day 1 of open-label titration period - Week 52 of the open-label treatment period |
| |||||||||||||||||||||||||||||||||||||
| Primary | Shifts in Electrocardiogram (ECG) Findings From Baseline to Overall Study by Participant Status | A 12-lead ECG was conducted at screening, week 24, and week 52 or at the last postbaseline observation. For rollover participants, the ECG performed at the final visit of study 3079 served as the 1st ECG in study 3080. A qualified physician was responsible for interpreting the ECG. Any ECG finding that was judged by the investigator as a clinically meaningful change (worsening) compared with baseline was considered an adverse event. For overall results, the worst postbaseline finding for the participant was summarized. Results below are formatted as Baseline ECG result - Overall ECG result. | Post-titration Safety analysis set. Only those participants with both baseline and visit electrocardiogram findings were summarized. | Posted | Count of Participants | Participants | Baseline for new participants was between Day -7 and -14 (the study 3080 screening visit); baseline for rollover participants was the last ECG in study 3079. During study ECGs were performed on weeks 24 and 52 of the open-label treatment period |
| |||||||||||||||||||||||||||||||||||||
| Primary | Participants With Clinically Significant (CS) Hearing Changes From Baseline in Pure Tone Audiometry Test Results by Patient Status | Pure tone audiometry was performed by trained personnel. During the test, the patient wore headphones and was seated in a quiet room; trained personnel manipulated the audiometry equipment to test the patient's hearing. For serial audiograms, the criteria for a clinically significant (CS) hearing change were based on the guidance from the American Speech-Language Hearing Association (ASHA) 1994 (Konrad-Martin et al 2005). These criteria included the following: greater than 20 decibels (dB) pure tone threshold shift at 1 frequency; greater than 10 dB shift at 2 consecutive test frequencies; or threshold response shifting to "no response" at 3 consecutive test frequencies. | Safety analysis set. The endpoint value is from the post-titration safety set (n=42, 92, 157, 291) | Posted | Count of Participants | Participants | Baseline for new participants was between Day -7 and -14 (study 3080 screening visit); baseline for rollover participants was the baseline test in study 3079. During study covers both open-label titration and 52-week treatment periods |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Participant Global Assessment (PGA) of the Method of Pain Control by Participant Status | The PGA of the method of pain control consisted of a asking patients a single question to assess their method of pain control during the previous 24 hours as either poor, fair, good, or excellent (Rothman et al 2009). | Full analysis set included all patients in the safety analysis set who had at least 1 postbaseline efficacy assessment. Participants contributing to each time point are listed in the time point label. | Posted | Count of Participants | Participants | Baseline for new participants was Day 1, i.e. the first day of open-label titration. Baseline for rollover participants was the baseline in study 3079. Week 4 (end of titration, start of open-label treatment), Week 52, last visit up to Week 52 |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Participants by Risk Category for Aberrant Drug Misuse Based on the Total Score in the Screener and Opioid Assessment for Patients With Pain - Revised (SOAPP-R) | SOAPP-R is a clinician-rated scale used to assess each patient's risk of developing aberrant drug use behaviors while on long term opioid therapy. SOAPP-R consists of 24 questions that address 8 concepts: substance abuse history, medication related behaviors, antisocial behaviors/history, psychosocial problems, psychiatric history, physician patient relationship factors, emotional attachment to pain medications, and personal care and lifestyle issues (Butler et al 2008). Each question is answered using a 5 point Likert-like scale, with 0=never, 1=seldom, 2=sometimes, 3=often, and 4=very often for a total range of 0-96. The higher the overall score, the greater the probability the patient is at risk for displaying aberrant behaviors consistent with drug use. An overall score of 18 or higher is considered positive for predicting aberrant drug related behavior, therefore the reported risk categories are
| Safety analysis set | Posted | Count of Participants | Participants | End of Open-label Titration Period. Weeks 4 and 24 of the Open-label Treatment Period |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Addiction Behavior Checklist (ABC) Total Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status | The ABC was a clinician rated scale that consisted of a brief (21 item) questionnaire designed to track behaviors characteristic of addiction related to prescription opioid medications in chronic pain populations. Items were focused on observable behaviors noted both during and between clinic visits. Each affirmative response was counted as 1 point, and points were added to calculate the total score. All but 1 of the 21 items (the provider's impression) was used in calculating the total score, consequently resulting in scores ranging from 0 to 20 (0=no addiction-related behaviors seen and higher scores indicating an increasing number of addition-related behaviors seen). Participants with a total score of 3 or greater were classified as exhibiting inappropriate opioid use during the study. | Post-titration Safety Analysis set | Posted | Mean | Standard Deviation | units on a scale | Baseline for new participants was Day 1 of open-label titration; rollover participants baseline was in study 3079. End of Open-label Titration: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 40, 44, 48, 52 and last visit up to week 52 |
| ||||||||||||||||||||||||||||||||||||
| Secondary | Current Opioid Misuse Measure (COMM) Scores During Both the Open-Label Titration and Open-Label Treatment Periods by Participant Status | The COMM was a clinician-rated scale developed as a brief self-report measure of current aberrant drug-related behavior for patients with chronic pain who were already on long-term opioid therapy. A total score was calculated as the sum of the 17 questions. The total score ranged from 0 to 68. A score of 0 indicates no aberrant drug-related behaviors were seen. Patients with a total score of 9 or greater were classified as exhibiting aberrant drug-related behavior. | Post titration Safety Analysis set | Posted | Mean | Standard Deviation | units on a scale | Baseline for new participants was Day 1 of open-label titration; rollover participants baseline was in study 3079. End of Open-label Titration Period. Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36 40, 44, 48, 52 and last visit up to week 52 |
|
Day 1 of Open-label Titration period - Week 52 of the Open-label Treatment period
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | New Opioid Naïve Subpopulation | The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid naïve (ie, those who were taking less than 10 mg/day of oxycodone or equivalent for the 14 days immediately before screening). | 4 | 52 | 47 | 52 | ||
| EG001 | New Opioid Experienced Subpopulation | The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid experienced (ie, those who were taking 10 mg/day or more of oxycodone or equivalent, but not more than 135 mg/day, including around-the-clock medication and rescue medications, for the 14 days immediately before screening). | 16 | 112 | 83 | 112 | ||
| EG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. | 7 | 165 | 109 | 165 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Abdominal adhesions | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Death | General disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Appendicitis perforated | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Infected cyst | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Listeria sepsis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Lobar pneumonia | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Pneumonia cryptococcal | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Postoperative abscess | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Subcutaneous abscess | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Diabetic ketoacidosis | Metabolism and nutrition disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Breast cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.0) | Systematic Assessment |
| |
| Colon neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.0) | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.0) | Systematic Assessment |
| |
| Hemiparesis | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Lumbar radiculopathy | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Sedation | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Speech disorder | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Impulsive behaviour | Psychiatric disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Panic attack | Psychiatric disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA (15.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (15.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (15.0) | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Mental impairment | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (15.0) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (15.0) | Systematic Assessment |
|
Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products, R&D Inc. | 215-591-3000 | ustevatrials@tevapharm.com |
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D051474 | Neuralgia, Postherpetic |
| D014947 | Wounds and Injuries |
| D020918 | Complex Regional Pain Syndromes |
| D001416 | Back Pain |
| D019547 | Neck Pain |
| D010003 | Osteoarthritis |
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009437 | Neuralgia |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D001342 | Autonomic Nervous System Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
Not provided
Not provided
| Protocol Violation |
|
| Lost to Follow-up |
|
| Noncompliance with study drug admin |
|
| Noncompliance with study procedures |
|
| Moved out of area |
|
| Negative urine drug screen when on treat |
|
| "Out of window" |
|
| Starting physical therapy |
|
| Physician Decision |
|
|
| Asian |
|
|
| Pacific Islander |
|
|
| Other |
|
|
|
|
| Unknown |
|
|
|
| Osteoarthritis |
|
|
| Diabetic peripheral neuropathy |
|
|
| Postherpetic neuralgia |
|
|
| Traumatic injury |
|
|
| Neck pain |
|
|
| Complex regional pain syndrome |
|
|
| Rheumatoid arthritis |
|
|
| Other |
|
|
| Treatment-related adverse event |
|
| Death |
|
| Serious adverse event |
|
| Withdrawals from treatment due to adverse event |
|
The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid experienced (ie, those who were taking 10 mg/day or more of oxycodone or equivalent, but not more than 135 mg/day, including around-the-clock medication and rescue medications, for the 14 days immediately before screening). |
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid experienced (ie, those who were taking 10 mg/day or more of oxycodone or equivalent, but not more than 135 mg/day, including around-the-clock medication and rescue medications, for the 14 days immediately before screening).
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid experienced (ie, those who were taking 10 mg/day or more of oxycodone or equivalent, but not more than 135 mg/day, including around-the-clock medication and rescue medications, for the 14 days immediately before screening). |
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
| OG001 |
| New Opioid Experienced Subpopulation |
The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid experienced (ie, those who were taking 10 mg/day or more of oxycodone or equivalent, but not more than 135 mg/day, including around-the-clock medication and rescue medications, for the 14 days immediately before screening). |
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
| New Opioid Experienced Subpopulation |
The subpopulation of participants who enrolled in this study without previous participation in study C33237/3079 (NCT01240863) and were categorized as opioid experienced (ie, those who were taking 10 mg/day or more of oxycodone or equivalent, but not more than 135 mg/day, including around-the-clock medication and rescue medications, for the 14 days immediately before screening). |
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
|
| OG002 | Rollover Subpopulation | The subpopulation of participants who completed study C33237/3079 (NCT01240863) and 'rolled over' to participate in this study. |
| OG003 | Total Hydrocodone ER | Participants were titrated (or re-titrated for roll-over participants) at escalating dosages of hydrocodone ER tablets at dosages of 15, 30, 45, 60, or 90 mg every 12 hours until deemed successful for managing their pain during the open-label titration period. Once a successful dose was identified, participants entered the 52 week open-label treatment period in which hydrocodone ER was administered at a successful dose (15, 30, 45, 60, or 90 mg) every 12 hours. |
|
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