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The purpose of the study is to evaluate the efficacy and safety of acetaminophen ER 1500 mg (two 750 mg tablets) over 10 to 12 hours in the dental pain model following third molar extraction(s) and to evaluate the pharmacokinetics of acetaminophen ER 1500 mg (two 750 mg tablets) in a sub-group of subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acetaminophen ER | Experimental |
| |
| Placebo | Placebo Comparator | Single dose (2 tablets) Acetaminophen ER 750 mg matching placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acetaminophen ER | Drug | Single dose (2 tablets) Acetaminophen ER 750 mg |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time Weighted Sum of Pain Intensity Difference (PID) Over 10 Hours (SPID 0-10) | Time weighted sum of pain intensity difference scores from baseline over 10 hours. Pain intensity was evaluated using a 0-10 numerical rating scale (NRS) where 0 = no pain and 10 = very severe pain. SPID 0-10 = 0.25 x (PID at 15 min + PID at 30 min + PID at 45 min + PID at 60 min + PID at 75 min + PID at 90 min) + 0.5 x (PID at 120 min) + PID at 3 h + PID at 4 h + PID at 5 h + PID at 6 h + PID at 7 h + PID at 8 h + PID at 9 h + PID at 10 h. | 10 Hours |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Confirmed First Perceptible Pain Relief | Minutes until confirmed first perceptible pain relief was achieved. Stopwatch was started after the subject took the study medication. The subject was instructed to stop the stopwatch when they first began to feel any pain relief. The first perceptible pain relief was confirmed if the subject also stopped the second stopwatch indicating meaningful pain relief. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| McNeil Study Director | McNeil Consumer Healthcare Division of McNEIL-PPC, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jean Brown Research | Salt Lake City | Utah | 84124 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo (two matching placebo tablets) |
| FG001 | ACE ER 1500 mg | Acetaminophen ER 1500 mg (two 750 mg ER tablets) |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo (two matching placebo tablets) |
| BG001 | ACE ER 1500 mg | Acetaminophen ER 1500 mg (two 750 mg ER tablets) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Time Weighted Sum of Pain Intensity Difference (PID) Over 10 Hours (SPID 0-10) | Time weighted sum of pain intensity difference scores from baseline over 10 hours. Pain intensity was evaluated using a 0-10 numerical rating scale (NRS) where 0 = no pain and 10 = very severe pain. SPID 0-10 = 0.25 x (PID at 15 min + PID at 30 min + PID at 45 min + PID at 60 min + PID at 75 min + PID at 90 min) + 0.5 x (PID at 120 min) + PID at 3 h + PID at 4 h + PID at 5 h + PID at 6 h + PID at 7 h + PID at 8 h + PID at 9 h + PID at 10 h. | Analysis was based on the Intent-to-Treat (ITT) population, which included all subjects who were randomized. | Posted | Least Squares Mean | Standard Error | units on a scale | 10 Hours |
|
Day 5-7 for non-serious adverse events, until 30 days after the last study site visit for serious adverse events.
Adverse events were systematically collected at each study visit through the Follow Up Telephone Call (Day 5-7). Serious adverse events were reported through 30 days after the participant's last study site visit. Spontaneously reported adverse events collected outside of the regularly scheduled visits were also recorded.
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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 | Placebo | Placebo (two matching placebo tablets) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA 16.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Rajesh Mishra, MD, PhD/Vice President, Medical/Clinical Affairs, Global OTC | McNeil Consumer Healthcare | 215-273-8569 USA EST | rmishr16@its.jnj.com |
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| ID | Term |
|---|---|
| D014098 | Toothache |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D005157 | Facial Pain |
| D010146 | Pain |
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| Placebo |
| Drug |
Single dose (2 tablets) Acetaminophen ER 750 mg matching placebo |
|
| Within 12 Hours |
| Time to Meaningful Pain Relief | Minutes until meaningful pain relief was achieved. Stopwatch was started after the subject took the study medication. The subjects were instructed to stop the stopwatch when the relief from the starting pain was meaningful to them. | Within 12 Hours |
| Duration of Pain Relief | Minutes until rescue medication was given. | Within 12 Hours |
| Patient Global Evaluation | Patient Assessment of the pain medication - Number of subjects rating the medication they received as a pain reliever on a score of 0-4, where 0=poor, 1=fair, 2=good, 3=very good, 4=excellent. | 12 Hours |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| ACE ER 1500 mg |
Acetaminophen ER 1500 mg (two 750 mg ER tablets) |
|
|
|
| Secondary | Time to Confirmed First Perceptible Pain Relief | Minutes until confirmed first perceptible pain relief was achieved. Stopwatch was started after the subject took the study medication. The subject was instructed to stop the stopwatch when they first began to feel any pain relief. The first perceptible pain relief was confirmed if the subject also stopped the second stopwatch indicating meaningful pain relief. | Analysis was based on the Intent-to-Treat (ITT) population, which included all subjects who were randomized. | Posted | Median | 95% Confidence Interval | Minutes | Within 12 Hours |
|
|
|
|
| Secondary | Time to Meaningful Pain Relief | Minutes until meaningful pain relief was achieved. Stopwatch was started after the subject took the study medication. The subjects were instructed to stop the stopwatch when the relief from the starting pain was meaningful to them. | Analysis was based on the Intent-to-Treat (ITT) population, which included all subjects who were randomized. | Posted | Median | 95% Confidence Interval | Minutes | Within 12 Hours |
|
|
|
|
| Secondary | Duration of Pain Relief | Minutes until rescue medication was given. | Analysis was based on the Intent-to-Treat (ITT) population, which included all subjects who were randomized. | Posted | Median | 95% Confidence Interval | Minutes | Within 12 Hours |
|
|
|
|
| Secondary | Patient Global Evaluation | Patient Assessment of the pain medication - Number of subjects rating the medication they received as a pain reliever on a score of 0-4, where 0=poor, 1=fair, 2=good, 3=very good, 4=excellent. | Analysis was based on the Intent-to-Treat (ITT) population, which included all subjects who were randomized. | Posted | Number | percentage of participants | 12 Hours |
|
|
|
|
| 0 |
| 134 |
| 14 |
| 134 |
| EG001 | ACE ER 1500 mg | Acetaminophen ER 1500 mg (two 750 mg ER tablets) | 0 | 268 | 26 | 268 |
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| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| Good (2) |
|
| Very Good (3) |
|
| Excellent (4) |
|