Pain
Conditions
Keywords
Acute Pain following Bunionectomy
Brief summary
The purpose of this study is to evaluate the effectiveness (level of pain control) and safety of the administration of Extended Release Hydrocodone/Acetaminophen and Immediate Release Hydrocodone/Acetaminophen with placebo over a 12 hour dosing period in patients who have had a bunionectomy, and to assess the safety of the drug for 7 days after patients are discharged from the hospital.
Interventions
2 tablets x 1
1 tablet q 4 hours x 3
q 4 hours x 3
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and females ages 18 to 65 * Scheduled to undergo primary, unilateral, first metatarsal osteotomy (bunionectomy) * Must meet specific pain intensity criteria on the morning after surgery * Willing to remain at the study center 2 days following surgery * If female, must be of non-child bearing potential or practicing birth control
Exclusion criteria
* Is allergic to or has a serious reaction to hydrocodone, hydromorphone, oxycodone, acetaminophen, ketorolac, lidocaine, bupivacaine, or mepivacaine * Is allergic to or has a serious reaction to aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) * Has a history of or currently has any active seizure disorder * Has a history of or any disease causing severe gastrointestinal narrowing or slowing down the gastrointestinal tract * Has been diagnosed with cancer within the past 3 years * Requires treatment with certain drugs for depression or psychiatric disorders * Has specific clinically significant illnesses or laboratory abnormalities * Received corticosteroid treatment or any investigational drug within a specific timeframe.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary efficacy variable is the time-interval weighted sum of pain intensity difference (SPID) using the visual analog scale (VAS) for the 0 to 12 hours following study drug administration. | 12 hours |
| Sum of Pain Intensity Difference using a 100mm Visual Analog Scale (VAS) | 12 hours |
Secondary
| Measure | Time frame |
|---|---|
| Time to first noticeable pain relief (i.e., onset of pain relief) | 12 hours |
| Time-interval weighted sum of pain relief (TOTPAR) | 12 hours |
| Proportion of subjects experiencing meaningful pain relief after dosing | 12 hours |
| Time to first meaningful pain relief (i.e. 50% reduction in pain from baseline) | 12 hours |
| Time-interval weighted sum of pain relief and pain intensity difference (SPRID) | 12 hours |