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The effect of tapentadol and oxycodone on the human pain system

The effect of tapentadol on the human pain system: A study based on advanced neurophysiology and imaging techniques to illustrate the mechanism of tapentadol and oxycodone in the central, autonomic and enteric nervous systems

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2017-000141-52-DK
Enrollment
21
Registered
2017-02-10
Start date
2017-04-03
Completion date
Unknown
Last updated
2021-08-24

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

Conditions

Healthy volunteers - pain MedDRA version: 20.1 Level: LLT Classification code 10049475 Term: Chronic pain System Organ Class: 100000004867

Interventions

Trade Name: Palexia Depot Product Name: Palexia Depot Pharmaceutical Form: Modified-release tablet INN or Proposed INN: Tapentadol CAS Number: 175591-23-8 Other descriptive name: TAPENTADOL Concentrat

Sponsors

Asbjørn Mohr Drewes
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: • Signed informed consent before any study specific procedures • Able to read and understand Danish. • The researcher believes that the participant understands what the study entails, are capable of following instructions, are able to attend when needed, are expected to complete the study • Male • Between 20 and 45 years of age • Scandinavian descent • Healthy • Opioid naïve subjects (who have not taken opioid doses for 1 week or longer) 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 21 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: • • Female • Known allergy towards pharmaceutical compounds similar to those used in the study • Participation in other studies within 14 days of first visit • Expected need of medical/surgical treatment during the course of the study • History of psychiatric illness • History of persistent or recurring pain conditions • Nicotine consumption • Daily alcohol consumption • History of substance abuse • Family history of substance abuse • Use of any analgesic medication within 48 hours before start as well as for the duration of the study period • Use of any medication (herbal as well as any over-the-counter drugs) within 48 hours before start of the study period • Intake of alcohol within 24 hours before start of the study period • Use of prescription medicine and/or herbal medicine • Need to drive motor vehicle within the treatment periods • Severe respiratory depression • Increased intracranial pressure • Paralytic ileus • Severe decreased renal or hepatic function • Treatment with MAO-inhibitors • Cor pulmonale • Severe COPD or acute severe asthma

Design outcomes

Primary

MeasureTime frame
Main Objective: The main objectives are to investigate the effect of tapentadol on the central, the autonomic and the enteric nervous systems.;Secondary Objective: Secondary objectives are to show that tapentadol has less effect on the autonomic and enteric nervous system in comparison with oxycodone.;Primary end point(s): The primary end points will be to evaluate potential changes in pain sensitivity (as measured from the withdrawal reflex, spinal EPs, etc.) towards electrical, mechanical and thermal stimulation and to assess the effect on the autonomic (measured from brainstem parasympathetic efferent activity, known as cardiac vagal tone) and enteric (measured by assassing the gut transit time and MR colonography) nervous systems. ;Timepoint(s) of evaluation of this end point: At baseline and after 14 days of treatment. Gut transit is evaluated after 4 days of treatment.

Secondary

MeasureTime frame
Secondary end point(s): To evaluate changes in subjective pain experience (as measured by numerical rating scales) towards nociceptive stimulation between placebo and active medications. To evaluate changes in subjective experience of the effect on the enteric nervous system (measured by questionnaires) between placebo and active medications. ;Timepoint(s) of evaluation of this end point: At baseline and after 14 days of treatment.

Countries

Denmark

Contacts

Public ContactRasmus Bach Nedergaard

Mech-Sense, Aalborg University Hospital

r.nedergaard@rn.dk+4597663524

Outcome results

None listed

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