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To Evaluate the Safety and Efficacy of Acetaminophen 650 mg and 1000mg in Dental Pain After Surgery

A Single-Center, Randomized, Double-Blind, Placebo-Controlled, Single-Dose, Safety and Efficacy Study of Acetaminophen 1000 mg and Acetaminophen 650 mg in Post Operative Dental Pain

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01115673
Enrollment
540
Registered
2010-05-04
Start date
2010-06-30
Completion date
2011-01-31
Last updated
2012-05-28

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

Conditions

Pain

Brief summary

The objective of this study is to evaluate the safety and efficacy of acetaminophen 650 mg and acetaminophen 1000 mg in dental surgery.

Detailed description

This trial is to assess the relative efficacy of acetaminophen 1000 mg versus acetaminophen 650 mg over a six-hour period, in subjects experiencing at least moderate post-operative dental pain.

Interventions

DRUGAcetaminophen

Acetaminophen Caplet - single dose

DRUGPlacebo Control

0 mg Caplet - single dose

Sponsors

McNeil Consumer Healthcare Division of McNEIL-PPC, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
16 Years to 50 Years
Healthy volunteers
No

Inclusion criteria

* Must be at least 16 and less than 51 years of age * Must weigh at least 100 lbs with a body mass index of at least 18 and less than 30 * Must have up to four of their back teeth (third-molars) pulled

Exclusion criteria

* Cannot be allergic to acetaminophen (Tylenol) * Cannot be pregnant (or planning to be pregnant) or nursing a baby * Cannot have any other medical conditions that the investigator determines might compromise your safety or the study results

Design outcomes

Primary

MeasureTime frameDescription
Overall Analgesic Efficacy - Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6)6 HoursWeighted Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6) - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief. For SPRID6, the total possible minimum value is -300 (worst) and the total possible maximum value is 1200 (best). The weights used in the calculation of weighted sums were equal to the elapsed time (hour) between the time point of interest and the preceding time point.

Secondary

MeasureTime frameDescription
Sum of Pain Intensity Difference Over Six Hours (SPID6)6 HoursWeighted Sum of the Pain Intensity Difference from Baseline Over Six Hours (SPID6) - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain. The total possible minimum value is -300 (worst) and the total possible maximum value is 600 (best). The weights used in the calculation of weighted sums were equal to the elapsed time (hour) between the time point of interest and the preceding time point.
Sum of Pain Relief Scores Over Six Hours (TOTPAR6)6 HoursWeighted Sum of the Pain Relief Scores Over Six Hours (TOTPAR6) - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief. The total possible minimum value is 0 (worst) and the total possible maximum value is 600 (best). The weights used in the calculation of weighted sums were equal to the elapsed time (hour) between the time point of interest and the preceding time point.
Pain Intensity Difference (PID) at 15 Minutes15 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 30 Minutes30 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 45 Minutes45 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 60 Minutes60 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 75 Minutes75 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time Point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 90 Minutes90 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 120 Minutes120 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 180 Minutes180 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 240 Minutes240 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 300 Minutes300 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Intensity Difference (PID) at 360 Minutes360 MinutesPain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.
Pain Relief (PAR) Scores at 15 Minutes15 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 30 Minutes30 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 45 Minutes45 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 60 Minutes60 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 75 Minutes75 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 120 Minutes120 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 180 Minutes180 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 240 Minutes240 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 300 Minutes300 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Pain Relief (PAR) Scores at 360 Minutes360 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 15 Minutes15 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 30 Minutes30 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 45 Minutes45 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 60 Minutes60 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 75 Minutes75 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 90 Minutes90 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 120 Minutes120 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 180 Minutes180 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 240 Minutes240 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 300 Minutes300 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 360 Minutes360 MinutesSum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief
Time to Meaningful Pain Reliefwithin 6 HoursMinutes until meaningful pain relief was achieved. A stopwatch was provided to the subject after ingestion of the study medication. The subject was instructed to stop the stopwatch when the relief from the starting pain was meaningful to them.
Time to Confirmed Perceptible Pain Reliefwithin 6 HoursMinutes until confirmed perceptible pain relief was achieved. A stopwatch was provided to the subject after ingestion of the study medication. The subject was instructed to stop the stopwatch when they first began to feel any pain relieving effect whatsoever of the drug, that was when they first felt any pain relief. It did not necessarily mean they felt completely better, although they might have, but when they first felt any difference in the pain.
Pain Relief (PAR) Scores at 90 Minutes90 MinutesPain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100
Rescue Rates Through Four Hoursthrough 4 HoursPercentage of subjects using rescue medication.
Rescue Rates Through Six Hoursthrough 6 HoursPercentage of subjects using rescue medication.
Percentage of Subjects With >50% of the Maximum Possible TOTPAR6 Score6 HoursPercentage of Subjects with \>50% of the Maximum Possible TOTPAR6 Score - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 600 so \>50% is \>300 out of 600
Patient Global Evaluation6 HoursPatient 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
Duration of Analgesia - Time to Rescuewithin 6 HoursMinutes until rescue medication was given.

Countries

United States

Participant flow

Participants by arm

ArmCount
ACE-1000
1000 mg Acetaminophen Caplet
239
ACE-650
650 mg Acetaminophen Caplet
241
ACE-0
0 mg Acetaminophen Caplet
60
Total540

Baseline characteristics

CharacteristicACE-1000ACE-650ACE-0Total
Age Continuous18.5 years
STANDARD_DEVIATION 2.24
18.3 years
STANDARD_DEVIATION 1.96
18.1 years
STANDARD_DEVIATION 2.02
18.4 years
STANDARD_DEVIATION 2.09
Region of Enrollment
United States
239 participants241 participants60 participants540 participants
Sex: Female, Male
Female
131 Participants120 Participants31 Participants282 Participants
Sex: Female, Male
Male
108 Participants121 Participants29 Participants258 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
45 / 23942 / 24113 / 60
serious
Total, serious adverse events
0 / 2390 / 2410 / 60

Outcome results

Primary

Overall Analgesic Efficacy - Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6)

Weighted Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6) - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief. For SPRID6, the total possible minimum value is -300 (worst) and the total possible maximum value is 1200 (best). The weights used in the calculation of weighted sums were equal to the elapsed time (hour) between the time point of interest and the preceding time point.

Time frame: 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Overall Analgesic Efficacy - Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6)529.4 units on a scaleStandard Error 22.31
ACE-650Overall Analgesic Efficacy - Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6)427.3 units on a scaleStandard Error 22.21
ACE-0Overall Analgesic Efficacy - Sum of Pain Intensity Difference and Pain Relief Scores Over Six Hours (SPRID6)60.0 units on a scaleStandard Error 44.51
Comparison: First test H1: acetaminophen 1000 mg vs placebo at the alpha = 0.025 one-tail level; If H1 was rejected then, Test H2: acetaminophen 1000 mg vs acetaminophen 650 mg, and Test H3: acetaminophen 650 mg vs placebo; H2 and H3 were each tested at the alpha = 0.025 one-tail level.p-value: <0.001ANOVA
Comparison: First test H1: acetaminophen 1000 mg vs placebo at the alpha = 0.025 one-tail level; If H1 was rejected then, Test H2: acetaminophen 1000 mg vs acetaminophen 650 mg, and Test H3: acetaminophen 650 mg vs placebo; H2 and H3 were each tested at the alpha = 0.025 one-tail level.p-value: 0.001ANOVA
Comparison: First test H1: acetaminophen 1000 mg vs placebo at the alpha = 0.025 one-tail level; If H1 was rejected then, Test H2: acetaminophen 1000 mg vs acetaminophen 650 mg, and Test H3: acetaminophen 650 mg vs placebo; H2 and H3 were each tested at the alpha = 0.025 one-tail level.p-value: <0.001ANOVA
Secondary

Duration of Analgesia - Time to Rescue

Minutes until rescue medication was given.

Time frame: within 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (MEDIAN)
ACE-1000Duration of Analgesia - Time to RescueNA Minutes
ACE-650Duration of Analgesia - Time to RescueNA Minutes
ACE-0Duration of Analgesia - Time to Rescue99.5 Minutes
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups. Subjects not rescuing during the 6-hour study period had their time to rescue set to 6 hours and were censored.p-value: <0.001Log Rank
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups. Subjects not rescuing during the 6-hour study period had their time to rescue set to 6 hours and were censored.p-value: <0.001Log Rank
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups. Subjects not rescuing during the 6-hour study period had their time to rescue set to 6 hours and were censored.p-value: <0.001Log Rank
Secondary

Pain Intensity Difference (PID) at 120 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 120 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, and did not vomit within 60 minutes after dosing, had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 120 Minutes44.8 units on a scaleStandard Error 2
ACE-650Pain Intensity Difference (PID) at 120 Minutes35.7 units on a scaleStandard Error 1.99
ACE-0Pain Intensity Difference (PID) at 120 Minutes-2.7 units on a scaleStandard Error 3.99
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 15 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 15 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 15 Minutes5.6 units on a scaleStandard Error 0.92
ACE-650Pain Intensity Difference (PID) at 15 Minutes6.9 units on a scaleStandard Error 0.91
ACE-0Pain Intensity Difference (PID) at 15 Minutes1.3 units on a scaleStandard Error 1.83
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.037ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.294ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.006ANOVA
Secondary

Pain Intensity Difference (PID) at 180 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 180 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 180 Minutes40.8 units on a scaleStandard Error 2.03
ACE-650Pain Intensity Difference (PID) at 180 Minutes31.9 units on a scaleStandard Error 2.02
ACE-0Pain Intensity Difference (PID) at 180 Minutes-2.6 units on a scaleStandard Error 4.05
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 240 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 240 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 240 Minutes40.8 units on a scaleStandard Error 2.11
ACE-650Pain Intensity Difference (PID) at 240 Minutes30.3 units on a scaleStandard Error 2.1
ACE-0Pain Intensity Difference (PID) at 240 Minutes-1.1 units on a scaleStandard Error 4.2
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 300 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 300 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, and did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 300 Minutes37.9 units on a scaleStandard Error 2.17
ACE-650Pain Intensity Difference (PID) at 300 Minutes27.1 units on a scaleStandard Error 2.16
ACE-0Pain Intensity Difference (PID) at 300 Minutes-0.1 units on a scaleStandard Error 4.32
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 30 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 30 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 30 Minutes21.3 units on a scaleStandard Error 1.48
ACE-650Pain Intensity Difference (PID) at 30 Minutes21.5 units on a scaleStandard Error 1.47
ACE-0Pain Intensity Difference (PID) at 30 Minutes0.5 units on a scaleStandard Error 2.95
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.946ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 360 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 360 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 360 Minutes33.4 units on a scaleStandard Error 2.19
ACE-650Pain Intensity Difference (PID) at 360 Minutes23.8 units on a scaleStandard Error 2.18
ACE-0Pain Intensity Difference (PID) at 360 Minutes1.0 units on a scaleStandard Error 4.37
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 45 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 45 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 45 Minutes33.9 units on a scaleStandard Error 1.71
ACE-650Pain Intensity Difference (PID) at 45 Minutes32.8 units on a scaleStandard Error 1.71
ACE-0Pain Intensity Difference (PID) at 45 Minutes0.2 units on a scaleStandard Error 3.42
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.661ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 60 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 60 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 60 Minutes40.4 units on a scaleStandard Error 1.82
ACE-650Pain Intensity Difference (PID) at 60 Minutes36.6 units on a scaleStandard Error 1.81
ACE-0Pain Intensity Difference (PID) at 60 Minutes-0.1 units on a scaleStandard Error 3.62
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.13ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 75 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time Point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 75 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 75 Minutes43.1 units on a scaleStandard Error 1.88
ACE-650Pain Intensity Difference (PID) at 75 Minutes37.6 units on a scaleStandard Error 1.87
ACE-0Pain Intensity Difference (PID) at 75 Minutes-0.9 units on a scaleStandard Error 3.74
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.041ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Intensity Difference (PID) at 90 Minutes

Pain Intensity Difference (PID) from Baseline at Each Assessment Time point - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain with a highest possible score of 100. The pain intensity difference was calculated at each time point as the pain intensity score at baseline minus the pain intensity score at the stated time point.

Time frame: 90 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Intensity Difference (PID) at 90 Minutes44.4 units on a scaleStandard Error 1.93
ACE-650Pain Intensity Difference (PID) at 90 Minutes38.0 units on a scaleStandard Error 1.92
ACE-0Pain Intensity Difference (PID) at 90 Minutes-0.6 units on a scaleStandard Error 3.85
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.02ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 120 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 120 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 120 Minutes60.3 units on a scaleStandard Error 2.25
ACE-650Pain Relief (PAR) Scores at 120 Minutes50.8 units on a scaleStandard Error 2.24
ACE-0Pain Relief (PAR) Scores at 120 Minutes8.0 units on a scaleStandard Error 4.49
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.003ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 15 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 15 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 15 Minutes8.3 units on a scaleStandard Error 1.09
ACE-650Pain Relief (PAR) Scores at 15 Minutes9.4 units on a scaleStandard Error 1.09
ACE-0Pain Relief (PAR) Scores at 15 Minutes3.0 units on a scaleStandard Error 2.18
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.028ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.462ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.008ANOVA
Secondary

Pain Relief (PAR) Scores at 180 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 180 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 180 Minutes56.3 units on a scaleStandard Error 2.31
ACE-650Pain Relief (PAR) Scores at 180 Minutes46.3 units on a scaleStandard Error 2.3
ACE-0Pain Relief (PAR) Scores at 180 Minutes9.5 units on a scaleStandard Error 4.61
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 240 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 240 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 240 Minutes56.2 units on a scaleStandard Error 2.41
ACE-650Pain Relief (PAR) Scores at 240 Minutes44.3 units on a scaleStandard Error 2.4
ACE-0Pain Relief (PAR) Scores at 240 Minutes12.3 units on a scaleStandard Error 4.81
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 300 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 300 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 300 Minutes52.2 units on a scaleStandard Error 2.49
ACE-650Pain Relief (PAR) Scores at 300 Minutes40.5 units on a scaleStandard Error 2.48
ACE-0Pain Relief (PAR) Scores at 300 Minutes13.8 units on a scaleStandard Error 4.97
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 30 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 30 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 30 Minutes29.6 units on a scaleStandard Error 1.84
ACE-650Pain Relief (PAR) Scores at 30 Minutes29.9 units on a scaleStandard Error 1.83
ACE-0Pain Relief (PAR) Scores at 30 Minutes4.8 units on a scaleStandard Error 3.66
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.907ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 360 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 360 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 360 Minutes48.0 units on a scaleStandard Error 2.51
ACE-650Pain Relief (PAR) Scores at 360 Minutes36.6 units on a scaleStandard Error 2.5
ACE-0Pain Relief (PAR) Scores at 360 Minutes14.0 units on a scaleStandard Error 5.02
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 45 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 45 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 45 Minutes46.1 units on a scaleStandard Error 2.1
ACE-650Pain Relief (PAR) Scores at 45 Minutes44.8 units on a scaleStandard Error 2.09
ACE-0Pain Relief (PAR) Scores at 45 Minutes7.9 units on a scaleStandard Error 4.18
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.655ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 60 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 60 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 60 Minutes54.4 units on a scaleStandard Error 2.16
ACE-650Pain Relief (PAR) Scores at 60 Minutes50.1 units on a scaleStandard Error 2.15
ACE-0Pain Relief (PAR) Scores at 60 Minutes8.3 units on a scaleStandard Error 4.3
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.155ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 75 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 75 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 75 Minutes58.0 units on a scaleStandard Error 2.18
ACE-650Pain Relief (PAR) Scores at 75 Minutes52.0 units on a scaleStandard Error 2.17
ACE-0Pain Relief (PAR) Scores at 75 Minutes8.4 units on a scaleStandard Error 4.35
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.05ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Pain Relief (PAR) Scores at 90 Minutes

Pain Relief Scores at each Assessment Timepoint - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 100

Time frame: 90 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Pain Relief (PAR) Scores at 90 Minutes59.9 units on a scaleStandard Error 2.22
ACE-650Pain Relief (PAR) Scores at 90 Minutes53.1 units on a scaleStandard Error 2.21
ACE-0Pain Relief (PAR) Scores at 90 Minutes10.1 units on a scaleStandard Error 4.43
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.032ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
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

Time frame: 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Patient Global Evaluation2.28 Units on a scaleStandard Error 0.073
ACE-650Patient Global Evaluation1.95 Units on a scaleStandard Error 0.073
ACE-0Patient Global Evaluation0.60 Units on a scaleStandard Error 0.146
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Percentage of Subjects With >50% of the Maximum Possible TOTPAR6 Score

Percentage of Subjects with \>50% of the Maximum Possible TOTPAR6 Score - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief with a highest possible score of 600 so \>50% is \>300 out of 600

Time frame: 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (NUMBER)
ACE-1000Percentage of Subjects With >50% of the Maximum Possible TOTPAR6 Score56.9 Percentage of Participants
ACE-650Percentage of Subjects With >50% of the Maximum Possible TOTPAR6 Score44.4 Percentage of Participants
ACE-0Percentage of Subjects With >50% of the Maximum Possible TOTPAR6 Score6.7 Percentage of Participants
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.006Cochran-Mantel-Haenszel
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Rescue Rates Through Four Hours

Percentage of subjects using rescue medication.

Time frame: through 4 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (NUMBER)
ACE-1000Rescue Rates Through Four Hours20.1 Percentage of Participants
ACE-650Rescue Rates Through Four Hours32.4 Percentage of Participants
ACE-0Rescue Rates Through Four Hours80.0 Percentage of Participants
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002Cochran-Mantel-Haenszel
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Rescue Rates Through Six Hours

Percentage of subjects using rescue medication.

Time frame: through 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (NUMBER)
ACE-1000Rescue Rates Through Six Hours29.3 Percentage of Participants
ACE-650Rescue Rates Through Six Hours45.6 Percentage of Participants
ACE-0Rescue Rates Through Six Hours80.0 Percentage of Participants
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 120 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 120 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 120 Minutes105.1 units on a scaleStandard Error 4.2
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 120 Minutes86.5 units on a scaleStandard Error 4.18
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 120 Minutes5.3 units on a scaleStandard Error 8.38
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 15 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 15 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 15 Minutes13.9 units on a scaleStandard Error 1.95
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 15 Minutes16.4 units on a scaleStandard Error 1.94
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 15 Minutes4.2 units on a scaleStandard Error 3.89
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.027ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.365ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.005ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 180 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 180 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 180 Minutes97.1 units on a scaleStandard Error 4.29
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 180 Minutes78.2 units on a scaleStandard Error 4.27
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 180 Minutes6.9 units on a scaleStandard Error 8.56
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 240 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 240 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 240 Minutes97.0 units on a scaleStandard Error 4.47
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 240 Minutes74.6 units on a scaleStandard Error 4.46
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 240 Minutes11.2 units on a scaleStandard Error 8.93
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 300 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 300 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 300 Minutes90.1 units on a scaleStandard Error 4.62
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 300 Minutes67.6 units on a scaleStandard Error 4.6
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 300 Minutes13.7 units on a scaleStandard Error 9.22
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 30 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 30 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 30 Minutes50.9 units on a scaleStandard Error 3.26
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 30 Minutes51.3 units on a scaleStandard Error 3.24
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 30 Minutes5.2 units on a scaleStandard Error 6.5
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.923ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 360 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 360 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 360 Minutes81.4 units on a scaleStandard Error 4.66
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 360 Minutes60.4 units on a scaleStandard Error 4.64
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 360 Minutes15.0 units on a scaleStandard Error 9.31
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 45 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 45 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 45 Minutes80.0 units on a scaleStandard Error 3.76
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 45 Minutes77.6 units on a scaleStandard Error 3.74
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 45 Minutes8.1 units on a scaleStandard Error 7.49
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.653ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 60 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 60 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 60 Minutes94.9 units on a scaleStandard Error 3.92
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 60 Minutes86.7 units on a scaleStandard Error 3.9
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 60 Minutes8.2 units on a scaleStandard Error 7.81
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.138ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 75 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 75 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 75 Minutes101.1 units on a scaleStandard Error 4
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 75 Minutes89.6 units on a scaleStandard Error 3.99
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 75 Minutes7.4 units on a scaleStandard Error 7.99
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.043ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 90 Minutes

Sum of PID and PAR Scores (PRID) at each Assessment Time point - pain intensity and pain relief were evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain for pain intensity and 0 = no relief and 100 = complete relief for pain relief

Time frame: 90 Minutes

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 90 Minutes104.2 units on a scaleStandard Error 4.1
ACE-650Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 90 Minutes91.2 units on a scaleStandard Error 4.08
ACE-0Sum of Pain Intensity Difference and Pain Relief Scores (PRID) at 90 Minutes9.4 units on a scaleStandard Error 8.18
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.024ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Intensity Difference Over Six Hours (SPID6)

Weighted Sum of the Pain Intensity Difference from Baseline Over Six Hours (SPID6) - pain intensity was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no pain and 100 = very severe pain. The total possible minimum value is -300 (worst) and the total possible maximum value is 600 (best). The weights used in the calculation of weighted sums were equal to the elapsed time (hour) between the time point of interest and the preceding time point.

Time frame: 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Intensity Difference Over Six Hours (SPID6)222.5 units on a scaleStandard Error 10.49
ACE-650Sum of Pain Intensity Difference Over Six Hours (SPID6)174.3 units on a scaleStandard Error 10.44
ACE-0Sum of Pain Intensity Difference Over Six Hours (SPID6)-4.2 units on a scaleStandard Error 20.93
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Sum of Pain Relief Scores Over Six Hours (TOTPAR6)

Weighted Sum of the Pain Relief Scores Over Six Hours (TOTPAR6) - pain relief was evaluated using a 0-100 mm visual analog scale (VAS) where 0 = no relief and 100 = complete relief. The total possible minimum value is 0 (worst) and the total possible maximum value is 600 (best). The weights used in the calculation of weighted sums were equal to the elapsed time (hour) between the time point of interest and the preceding time point.

Time frame: 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ACE-1000Sum of Pain Relief Scores Over Six Hours (TOTPAR6)306.9 units on a scaleStandard Error 12.02
ACE-650Sum of Pain Relief Scores Over Six Hours (TOTPAR6)253.0 units on a scaleStandard Error 11.96
ACE-0Sum of Pain Relief Scores Over Six Hours (TOTPAR6)64.3 units on a scaleStandard Error 23.98
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.002ANOVA
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001ANOVA
Secondary

Time to Confirmed Perceptible Pain Relief

Minutes until confirmed perceptible pain relief was achieved. A stopwatch was provided to the subject after ingestion of the study medication. The subject was instructed to stop the stopwatch when they first began to feel any pain relieving effect whatsoever of the drug, that was when they first felt any pain relief. It did not necessarily mean they felt completely better, although they might have, but when they first felt any difference in the pain.

Time frame: within 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (MEDIAN)
ACE-1000Time to Confirmed Perceptible Pain Relief22.2 Minutes
ACE-650Time to Confirmed Perceptible Pain Relief22.2 Minutes
ACE-0Time to Confirmed Perceptible Pain ReliefNA Minutes
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Wilcoxon test, from SAS PROC LIFETEST
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.934Wilcoxon test, from SAS PROC LIFETEST
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Wilcoxon test, from SAS PROC LIFETEST
Secondary

Time to Meaningful Pain Relief

Minutes until meaningful pain relief was achieved. A stopwatch was provided to the subject after ingestion of the study medication. The subject was instructed to stop the stopwatch when the relief from the starting pain was meaningful to them.

Time frame: within 6 Hours

Population: Analysis is based on the Intent-to-Treat (ITT) set, which included all subjects who were randomized, took study medication, did not vomit within 60 minutes after dosing, and had a baseline pain score and at least one post-randomization assessment.

ArmMeasureValue (MEDIAN)
ACE-1000Time to Meaningful Pain Relief53.7 Minutes
ACE-650Time to Meaningful Pain Relief56.1 Minutes
ACE-0Time to Meaningful Pain ReliefNA Minutes
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Wilcoxon test, from SAS PROC LIFETEST
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: 0.26Wilcoxon test, from SAS PROC LIFETEST
Comparison: The null hypothesis was no difference between groups. The alternative hypothesis was a difference between groups.p-value: <0.001Wilcoxon test, from SAS PROC LIFETEST

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026