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A randomized withdrawal, active- and placebo-controlled, double-blind, multi-center Phase III trial assessing safety and efficacy of oral CG5503 PR* in subjects with moderate to severe chronic malignant tumor-related pain *PR means Prolonged Release and is the recommended nomenclature for use in EU. ER means Extended Release and is the recommended nomenclature for use in USA. "PR" is synonymous with "ER" and is interchangeable in the protocol.

A randomized withdrawal, active- and placebo-controlled, double-blind, multi-center Phase III trial assessing safety and efficacy of oral CG5503 PR* in subjects with moderate to severe chronic malignant tumor-related pain *PR means Prolonged Release and is the recommended nomenclature for use in EU. ER means Extended Release and is the recommended nomenclature for use in USA. "PR" is synonymous with "ER" and is interchangeable in the protocol.

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2007-001985-34-FR
Enrollment
573
Registered
2007-11-12
Start date
2008-01-08
Completion date
Unknown
Last updated
2022-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

The treatment of chronic tumor-related pain. MedDRA version: 9.1 Level: LLT Classification code 10033371 Term: Pain MedDRA version: 9.1 Level: PT Classification code 10033371 Term: Pain

Interventions

Product Name: CG5503, R331333, BN200 Product Code: CG5503, R331333, BN200 Pharmaceutical Form: Prolonged-release tablet INN or Proposed INN: Tapentadol hydrochloride CAS Number: 175591-09-0 Other desc

Sponsors

Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Subjects must have signed an informed consent document indicating that they understand the purpose of and procedures required for the trial and are willing to participate in the trial. • Male and non-pregnant, non-lactating female subjects. Sexually active women must be post menopausal, surgically sterile, or practicing an effective method of birth control (e.g. prescription oral contraceptives, contraceptive injections, intrauterine device, double barrier method, contraceptive patch, male partner sterilization) before entry and throughout the trial. Female subjects must have a negative pregnancy test at Screening. • At least 18 years of age. • Chronic malignant tumor-related pain. • Subjects who are opioid-naïve or pretreated with an equianalgesic dose range equivalent of up to 160 mg oral morphine per day and are dissatisfied with prior treatment. • Subjects with a mean pain intensity = 5 points (11-point NRS) on the day of randomization at the start of Titration phase. • Expected course of the disease and the pain that will permit compliance with the trial protocol over the entire trial period. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: History of alcohol and/or drug abuse in the investigator’s judgment, based on patient history and physical examination. • The subject has a clinically significant disease other than cancer which in the investigator's opinion may affect efficacy or safety assessments e.g. significant unstable cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurological, psychiatric (resulting in disorientation, memory impairment or inability to report accurately) or metabolic disturbances. • Any scheduled surgery during the trial. • Any painful procedure during the trial that may, in the opinion of the Investigator, affect the efficacy or safety assessments. • Employees of the investigator or trial center, with direct involvement in the proposed trial or other trials under the direction of that investigator or trial center, as well as family members of the employees or the investigator. • Known to or suspected of not being able to comply with the protocol and the use of CG5503 or morphine. • Have received an experimental drug or used an experimental medical device within 30 days before the planned start of treatment. • Participation in another trial concurrently. • Subjects who have participated in previous trials of CG5503.

Design outcomes

Primary

MeasureTime frame
Primary end point(s): The primary efficacy endpoint is the proportion of subjects classified as responders at the end of the 4-week Maintenance phase. Responders are subjects who meet all of the following criteria: • Complete 28 days of the Maintenance phase. • Have a mean pain intensity < 5.0 point on an 11-point NRS during the Maintenance phase (the twice daily current pain score averaged over Days 18 to 43). • Do not use more than 2.0 doses of rescue medication/day on average during the Maintenance phase (Days 18 to 43). ;Main Objective: The primary objective of this trial is to evaluate the safety and efficacy orally administered CG5503 PR tablets BID over 4 weeks (Maintenance phase) in subjects with moderate to severe chronic malignant tumor-related pain in comparison with placebo. ;Secondary Objective: • To compare efficacy and safety of CG5503 PR with morphine sulfate CR during the Titration phase as well as over the whole treatment phase. • To collect pharmacokinetic information for dose verification and population pharmacokinetic analyses.

Countries

France, Latvia

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026