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A Phase 2 Study of Tapentadol Extended-Release (JNS024ER) ) in Japanese Participants With Chronic Pain Due to Diabetic Neuropathic Pain or Postherpetic Neuralgia

Phase II Study of JNS024ER in Japanese Subjects With Chronic Pain Due to Diabetic Neuropathic Pain or Postherpetic Neuralgia

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01124617
Enrollment
91
Registered
2010-05-17
Start date
2010-06-30
Completion date
2011-04-30
Last updated
2014-01-13

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

Conditions

Diabetic Neuropathies, Neuralgia, Pain, Postherpetic Neuralgia

Keywords

Chronic pain, Diabetic Neuropathic Pain, Neuralgia, Postherpetic, Tapentadol hydrochloride extended-release, JNS024ER, Placebo

Brief summary

The purpose of this study is to investigate the efficacy and safety of tapentadol extended-release (ER) tablets in Japanese participants with moderate to severe chronic (lasting a long time) pain due to painful diabetic peripheral neuropathy (pain in the extremities related to diabetes-induced nerve damage) or postherpetic neuralgia (pain lasting after condition has healed).

Detailed description

This is a randomized (study drug assigned by chance), multi-center (when more than one hospital or medical school team works on a medical research study), double-blind (neither physician nor participant knows the name of the assigned drug), placebo-control (participants are randomly assigned to a test treatment or to an identical-appearing treatment that does not contain the test drug), and parallel-group (each group of participant will be treated at the same time) comparison study in Japanese participants with chronic pain due to painful diabetic peripheral neuropathy or postherpetic neuralgia. The duration of study will be 14 weeks. The study consists of 3 parts: Screening (1 Week before study commences on Day 1); Treatment (12 weeks and will include titration period \[from the initiation of the study treatment to determination of the individual's maintenance dose\] and maintenance period \[from completion of the titration period up to12 week\]); and Follow-up (1 Week). Tapentadol hydrochloride ER oral tablet or matching placebo will be administered twice daily for 12 weeks. Efficacy of the participants will primarily be evaluated through Numerical Rating Scale (NRS). Participants' safety will be monitored throughout the study.

Interventions

Tapentadol hydrochloride extended-release(ER) will be administered as oral tablet at dose ranging from 25 milligram (mg) to 250 mg twice daily for 12 weeks.

DRUGPlacebo

Matching Placebo will be administered as oral tablet at dose ranging from 25 mg to 250 mg twice daily for 12 weeks.

Sponsors

Janssen Pharmaceutical K.K.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participants with chronic pain due to painful diabetic neuropathy or postherpetic neuralgia continuing for at least 12 weeks before consent * Participants with adjuvant analgesics (antidepressants, antiepileptics and diabetic peripheral neuropathy drugs) or non-opioid treatment and dissatisfied with current treatment (in sense of efficacy and/or safety) for at least consecutive 14 days during the 12 weeks before consent * Participants have not experienced treatment with conventional opioids, except for the following cases: Short term use of opioid analgesics for treatment of post-operative acute pain more than 30 days before consent; and temporal use of codeine phosphate or dihydrocodeine phosphate for purposes other than pain relief (for example, for antitussive) more than 2 days before consent * Mean pain intensity score of greater than or equal to 5 on an 11-point Numerical Rating Scale during 48 hours before consent and the Investigator or Sub-investigator considers that the participant should be treated with an opioid analgesic * HbA1c within 4 weeks before consent less than or equal to 11percent (in participants with diabetic neuropathic pain)

Exclusion criteria

* Participants have been treated or treated with a monoamine oxidase inhibitor within 14 days before consent * Current or a history of epilepsy or convulsive disorders or hypersensitivity to opioid analgesics * Suggested of intracranial hypertension (for example, traumatic encephalopathy) * Participants who have complicated condition with uncontrolled or clinically significant arrhythmia, or neuropsychiatric disorders * Participants with moderately to severely impaired hepatic function, or severely impaired renal function

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Average Numerical Rating Scale (NRS) Score at Week 12Baseline and Week 12Participants were asked to assess the average pain intensity on an 11-point NRS ranging from 0 (no pain) to 10 (maximum pain imaginable) by selecting a number on the scale applicable to their pain. Baseline pain score is defined as the average pain intensity score over the last 3 days prior to the randomization. Change from Baseline in NRS score is the mean NRS score at Week 12 minus mean NRS score at Baseline.

Secondary

MeasureTime frameDescription
Percentage of Participants With Treatment Response Based on Numerical Rating Scale (NRS)Week 12Percentage of participants with treatment response in mean NRS score by greater than equal to 30 or 50 percent (%) in the last week from baseline were considered as responders. Participants were asked to assess the average pain intensity on an 11-point NRS ranging from 0 (no pain) to 10 (maximum pain imaginable) by selecting a number applicable to their pain on the scale.
Number of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8 and Week 12The PGIC is a 7-point scale that requires the participants to assess how much their illness has improved or worsened relative to a Baseline state at the beginning of the intervention. The response options are 1 = very much improved, 2 = much improved, 3 = minimally improve, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse.
Number of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 8 and Week 12Physician's Global Assessment Scale assesses the therapeutic efficacy (effectiveness) of the study drug for pain control on a 2-point scale of effective and ineffective.
Change From Baseline in Pain Interference Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleBaseline and Week 12The BPI-sf consists of 15 Items (Item 1:presence of pain; Item 2:pain location; Items 3 to 6:pain severity; Item 7:status of pain treatment; Item 8:efficacy of pain treatment; and Items 9a to 9g: interference of pain with daily life). Pain interference sub-scale score ranges from 0 (do not interfere) to 10 (completely interferes). Higher scores indicates worsening. Total score is defined as the mean scores from Items 3, 4, 5, 6 and 9 recorded on an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. Lower score indicates an improvement in pain.
Change From Baseline in Pain Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleBaseline and Week 12The BPI-sf consists of 15 Items (Item 1:presence of pain; Item 2:pain location; Items 3 to 6:pain severity; Item 7:status of pain treatment; Item 8:efficacy of pain treatment; and Items 9a to 9g: interference of pain with daily life). Pain Sub-scale score ranges from 0 (absent \[no pain\]) to 10 (extreme \[pain as bad as you can image\]). Higher scores indicates worsening. Total score is defined as the mean scores from Items 3, 4, 5, 6 and 9 recorded on an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. Lower score indicates an improvement in pain.
Change From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Baseline, Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11Participants were asked to assess the average pain intensity on an 11-point NRS ranging from 0 (no pain) to 10 (maximum pain imaginable) by selecting a number on the scale applicable to their pain. Baseline pain score is defined as the average pain intensity score over the last 3 days prior to the randomization. Change from Baseline in NRS score is the mean NRS score at corresponding week minus mean NRS score at Baseline.
Change From Baseline in Sleep Latency Based on Sleep Questionnaire at Week 12Baseline and Week 12Sleep Latency was related to How long after bedtime or lights out did the participant fall asleep last night . Decrease in time indicates an improvement.
Change From Baseline in Time Slept Based on Sleep Questionnaire at Week 12Baseline and Week 12Time slept was related to How long did the participant sleep last night. The mean change for the time in hours slept during the last night was reported.
Number of Participants With Awakenings Based on Sleep QuestionnaireBaseline and Week 12Number of awakenings was related to How many times did the participant wake up during the night. Lesser number signifies better sleep.
Number of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline and Week 12Participants rated the overall quality of sleep last night as excellent, good, fair and poor.
Change From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Baseline and Week 12The SF-36v2 is 36-item form related to 8 health concepts (physical functioning, role physical, role emotional, general health, social functioning, bodily pain, vitality, mental health) and 2 summary scores (physical and mental component summary). Physical functioning, role physical and bodily pain contribute to physical component; role emotional, social functioning and mental health contribute to mental component; and social functioning, vitality, and general health contribute to both. All scores are based on a scale from 0 to 100, with higher scores defining more favorable health state.
Change From Baseline in Brief Pain Inventory (Short Form) (BPI-sf) Total Score at Week 12Baseline and Week 12The BPI-sf consists of 15 Items (Item 1:presence of pain; Item 2:pain location; Items 3 to 6:pain severity; Item 7:status of pain treatment; Item 8:efficacy of pain treatment; and Items 9a to 9g: interference of pain with daily life). Total score is defined as the mean scores from Items 3, 4, 5, 6 and 9 recorded on an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. Lower score indicates an improvement in pain.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Tapentadol
Tapentadol hydrochloride extended-release(ER) was administered as oral tablet at dose ranging from 25 milligram (mg) to 250 mg twice daily for 12 weeks.
60
Placebo
Matching Placebo was administered as oral tablet at dose ranging from 25 mg to 250 mg twice daily for 12 weeks.
31
Total91

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event52
Overall StudyLack of Efficacy21
Overall StudyOther21
Overall StudyProtocol Violation11
Overall StudyWithdrawal by Subject91

Baseline characteristics

CharacteristicTapentadolPlaceboTotal
Age, Continuous64.6 Years
STANDARD_DEVIATION 12.98
68.6 Years
STANDARD_DEVIATION 11.6
65.9 Years
STANDARD_DEVIATION 12.61
Sex: Female, Male
Female
26 Participants14 Participants40 Participants
Sex: Female, Male
Male
34 Participants17 Participants51 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
52 / 6026 / 31
serious
Total, serious adverse events
4 / 603 / 31

Outcome results

Primary

Change From Baseline in Average Numerical Rating Scale (NRS) Score at Week 12

Participants were asked to assess the average pain intensity on an 11-point NRS ranging from 0 (no pain) to 10 (maximum pain imaginable) by selecting a number on the scale applicable to their pain. Baseline pain score is defined as the average pain intensity score over the last 3 days prior to the randomization. Change from Baseline in NRS score is the mean NRS score at Week 12 minus mean NRS score at Baseline.

Time frame: Baseline and Week 12

Population: Full Analysis Set (FAS) included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data. Last observation carried forward (LOCF) method was used to impute missing values.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 12Baseline6.7 Units on a scaleStandard Deviation 1.15
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 12Change at Week 12-2.6 Units on a scaleStandard Deviation 2.23
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 12Baseline6.9 Units on a scaleStandard Deviation 1.35
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 12Change at Week 12-2.6 Units on a scaleStandard Deviation 2.65
Secondary

Change From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11

Participants were asked to assess the average pain intensity on an 11-point NRS ranging from 0 (no pain) to 10 (maximum pain imaginable) by selecting a number on the scale applicable to their pain. Baseline pain score is defined as the average pain intensity score over the last 3 days prior to the randomization. Change from Baseline in NRS score is the mean NRS score at corresponding week minus mean NRS score at Baseline.

Time frame: Baseline, Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 4-1.8 Units on a scaleStandard Deviation 1.88
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 7-2.3 Units on a scaleStandard Deviation 2.1
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 3-1.5 Units on a scaleStandard Deviation 1.75
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 8-2.4 Units on a scaleStandard Deviation 2.12
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 5-2.1 Units on a scaleStandard Deviation 1.87
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 9-2.5 Units on a scaleStandard Deviation 2.2
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 2-1.1 Units on a scaleStandard Deviation 1.47
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 10-2.6 Units on a scaleStandard Deviation 2.22
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 6-2.3 Units on a scaleStandard Deviation 1.97
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 11-2.6 Units on a scaleStandard Deviation 2.25
TapentadolChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 1-0.7 Units on a scaleStandard Deviation 1.15
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 11-2.4 Units on a scaleStandard Deviation 2.66
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 1-0.2 Units on a scaleStandard Deviation 0.52
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 2-0.9 Units on a scaleStandard Deviation 1.47
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 3-1.1 Units on a scaleStandard Deviation 1.59
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 4-1.6 Units on a scaleStandard Deviation 1.78
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 5-1.7 Units on a scaleStandard Deviation 2.09
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 6-2.0 Units on a scaleStandard Deviation 2.41
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 7-2.2 Units on a scaleStandard Deviation 2.55
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 8-2.4 Units on a scaleStandard Deviation 2.5
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 9-2.4 Units on a scaleStandard Deviation 2.56
PlaceboChange From Baseline in Average Numerical Rating Scale (NRS) Score at Week 1 to 11Change at Week 10-2.6 Units on a scaleStandard Deviation 2.51
Secondary

Change From Baseline in Brief Pain Inventory (Short Form) (BPI-sf) Total Score at Week 12

The BPI-sf consists of 15 Items (Item 1:presence of pain; Item 2:pain location; Items 3 to 6:pain severity; Item 7:status of pain treatment; Item 8:efficacy of pain treatment; and Items 9a to 9g: interference of pain with daily life). Total score is defined as the mean scores from Items 3, 4, 5, 6 and 9 recorded on an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. Lower score indicates an improvement in pain.

Time frame: Baseline and Week 12

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data. 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Brief Pain Inventory (Short Form) (BPI-sf) Total Score at Week 12Baseline (n=60,31)5.2 Units on a scaleStandard Deviation 1.58
TapentadolChange From Baseline in Brief Pain Inventory (Short Form) (BPI-sf) Total Score at Week 12Change at Week 12 (n=40,25)-2.7 Units on a scaleStandard Deviation 1.64
PlaceboChange From Baseline in Brief Pain Inventory (Short Form) (BPI-sf) Total Score at Week 12Baseline (n=60,31)5.2 Units on a scaleStandard Deviation 1.52
PlaceboChange From Baseline in Brief Pain Inventory (Short Form) (BPI-sf) Total Score at Week 12Change at Week 12 (n=40,25)-2.3 Units on a scaleStandard Deviation 2.29
Secondary

Change From Baseline in Pain Interference Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) Scale

The BPI-sf consists of 15 Items (Item 1:presence of pain; Item 2:pain location; Items 3 to 6:pain severity; Item 7:status of pain treatment; Item 8:efficacy of pain treatment; and Items 9a to 9g: interference of pain with daily life). Pain interference sub-scale score ranges from 0 (do not interfere) to 10 (completely interferes). Higher scores indicates worsening. Total score is defined as the mean scores from Items 3, 4, 5, 6 and 9 recorded on an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. Lower score indicates an improvement in pain.

Time frame: Baseline and Week 12

Population: FAS included all participants who received study drug \& had at least 1 post-randomization efficacy data. 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Pain Interference Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleBaseline (n=60, 31)4.7 Units on a scaleStandard Deviation 2.13
TapentadolChange From Baseline in Pain Interference Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleWeek 12 (n=25,40)-2.6 Units on a scaleStandard Deviation 1.92
PlaceboChange From Baseline in Pain Interference Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleBaseline (n=60, 31)4.6 Units on a scaleStandard Deviation 2.2
PlaceboChange From Baseline in Pain Interference Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleWeek 12 (n=25,40)-2.1 Units on a scaleStandard Deviation 2.48
Secondary

Change From Baseline in Pain Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) Scale

The BPI-sf consists of 15 Items (Item 1:presence of pain; Item 2:pain location; Items 3 to 6:pain severity; Item 7:status of pain treatment; Item 8:efficacy of pain treatment; and Items 9a to 9g: interference of pain with daily life). Pain Sub-scale score ranges from 0 (absent \[no pain\]) to 10 (extreme \[pain as bad as you can image\]). Higher scores indicates worsening. Total score is defined as the mean scores from Items 3, 4, 5, 6 and 9 recorded on an 11-point scale where 0 = no pain and 10 = pain as bad as you can imagine. Lower score indicates an improvement in pain.

Time frame: Baseline and Week 12

Population: FAS included all participants who received study drug \& had at least 1 post-randomization efficacy data. 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Pain Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleBaseline (n=60, 31)6.2 Units on a scaleStandard Deviation 1.19
TapentadolChange From Baseline in Pain Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleWeek 12 (n=25,40)-3.0 Units on a scaleStandard Deviation 1.72
PlaceboChange From Baseline in Pain Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleBaseline (n=60, 31)6.3 Units on a scaleStandard Deviation 1.22
PlaceboChange From Baseline in Pain Subscale Score Based on Brief Pain Inventory (Short Form) (BPI-sf) ScaleWeek 12 (n=25,40)-2.6 Units on a scaleStandard Deviation 2.35
Secondary

Change From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12

The SF-36v2 is 36-item form related to 8 health concepts (physical functioning, role physical, role emotional, general health, social functioning, bodily pain, vitality, mental health) and 2 summary scores (physical and mental component summary). Physical functioning, role physical and bodily pain contribute to physical component; role emotional, social functioning and mental health contribute to mental component; and social functioning, vitality, and general health contribute to both. All scores are based on a scale from 0 to 100, with higher scores defining more favorable health state.

Time frame: Baseline and Week 12

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data. 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Functioning: Baseline (n=60,31)68.6 Units on a scaleStandard Deviation 21.88
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Physical: Baseline (n=60,31)70.1 Units on a scaleStandard Deviation 27.95
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Bodily Pain: Baseline (n=60,31)36.2 Units on a scaleStandard Deviation 16.74
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12General Health: Baseline (n=60,31)45.7 Units on a scaleStandard Deviation 16.73
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Vitality: Baseline (n=60,31)48.8 Units on a scaleStandard Deviation 23.49
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Social Functioning: Baseline (n=60,31)72.9 Units on a scaleStandard Deviation 26.66
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Emotional: Baseline (n=60,31)68.9 Units on a scaleStandard Deviation 30.91
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Health: Baseline (n=60,31)57.6 Units on a scaleStandard Deviation 24.54
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Summary: Baseline (n=60,31)43.9 Units on a scaleStandard Deviation 12.27
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Summary: Baseline (n=60,31)36.0 Units on a scaleStandard Deviation 16.11
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Functioning: Change at Week 12 (n=40,25)5.4 Units on a scaleStandard Deviation 13.65
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Physical: Change at Week 12 (n=40,25)6.6 Units on a scaleStandard Deviation 21.74
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Bodily Pain: Change at Week 12 (n=40,25)10.5 Units on a scaleStandard Deviation 15.43
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12General Health: Change at Week 12 (n=40,25)-0.4 Units on a scaleStandard Deviation 10.74
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Vitality: Change at Week 12 (n=40,25)9.4 Units on a scaleStandard Deviation 19.09
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Social Functioning: Change at Week 12 (n=40,25)8.1 Units on a scaleStandard Deviation 21.47
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Emotional: Change at Week 12 (n=40,25)6.0 Units on a scaleStandard Deviation 27.02
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Health: Change at Week 12 (n=40,25)7.8 Units on a scaleStandard Deviation 17.02
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Summary: Change at Week 12 (n=40,25)4.5 Units on a scaleStandard Deviation 7.85
TapentadolChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Summary: Change at Week 12 (n=40,25)4.4 Units on a scaleStandard Deviation 11.22
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Health: Change at Week 12 (n=40,25)9.0 Units on a scaleStandard Deviation 23.98
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Functioning: Baseline (n=60,31)61.0 Units on a scaleStandard Deviation 24.2
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Functioning: Change at Week 12 (n=40,25)4.8 Units on a scaleStandard Deviation 14.89
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Physical: Baseline (n=60,31)64.3 Units on a scaleStandard Deviation 28.15
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Social Functioning: Change at Week 12 (n=40,25)2.0 Units on a scaleStandard Deviation 37.27
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Bodily Pain: Baseline (n=60,31)38.8 Units on a scaleStandard Deviation 14.5
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Physical: Change at Week 12 (n=40,25)4.8 Units on a scaleStandard Deviation 22.26
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12General Health: Baseline (n=60,31)44.7 Units on a scaleStandard Deviation 17.51
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Summary: Change at Week 12 (n=40,25)2.8 Units on a scaleStandard Deviation 11.56
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Vitality: Baseline (n=60,31)50.4 Units on a scaleStandard Deviation 22.47
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Bodily Pain: Change at Week 12 (n=40,25)7.0 Units on a scaleStandard Deviation 15.57
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Social Functioning: Baseline (n=60,31)80.2 Units on a scaleStandard Deviation 27.72
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Emotional: Change at Week 12 (n=40,25)5.7 Units on a scaleStandard Deviation 25.65
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Role-Emotional: Baseline (n=60,31)68.5 Units on a scaleStandard Deviation 28.19
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12General Health: Change at Week 12 (n=40,25)0.2 Units on a scaleStandard Deviation 11.83
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Health: Baseline (n=60,31)61.8 Units on a scaleStandard Deviation 22.04
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Summary: Change at Week 12 (n=40,25)3.3 Units on a scaleStandard Deviation 11.48
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Mental Summary: Baseline (n=60,31)47.6 Units on a scaleStandard Deviation 10.65
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Vitality: Change at Week 12 (n=40,25)6.8 Units on a scaleStandard Deviation 22.31
PlaceboChange From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Scores at Week 12Physical Summary: Baseline (n=60,31)31.7 Units on a scaleStandard Deviation 16.48
Secondary

Change From Baseline in Sleep Latency Based on Sleep Questionnaire at Week 12

Sleep Latency was related to How long after bedtime or lights out did the participant fall asleep last night . Decrease in time indicates an improvement.

Time frame: Baseline and Week 12

Population: FAS included all participants who received study drug \& had at least 1 post-randomization efficacy data. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure \& 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Sleep Latency Based on Sleep Questionnaire at Week 12Baseline (n=60, 30)45.4 MinutesStandard Deviation 65.78
TapentadolChange From Baseline in Sleep Latency Based on Sleep Questionnaire at Week 12Change at Week 12 (n=40, 24)-11.1 MinutesStandard Deviation 49.15
PlaceboChange From Baseline in Sleep Latency Based on Sleep Questionnaire at Week 12Baseline (n=60, 30)34.7 MinutesStandard Deviation 28.62
PlaceboChange From Baseline in Sleep Latency Based on Sleep Questionnaire at Week 12Change at Week 12 (n=40, 24)-3.1 MinutesStandard Deviation 30.17
Secondary

Change From Baseline in Time Slept Based on Sleep Questionnaire at Week 12

Time slept was related to How long did the participant sleep last night. The mean change for the time in hours slept during the last night was reported.

Time frame: Baseline and Week 12

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data. 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
TapentadolChange From Baseline in Time Slept Based on Sleep Questionnaire at Week 12Baseline (n=60, 31)5.8 HoursStandard Deviation 1.29
TapentadolChange From Baseline in Time Slept Based on Sleep Questionnaire at Week 12Change at Week 12 (n=40,25)0.3 HoursStandard Deviation 1.71
PlaceboChange From Baseline in Time Slept Based on Sleep Questionnaire at Week 12Baseline (n=60, 31)6.4 HoursStandard Deviation 1.97
PlaceboChange From Baseline in Time Slept Based on Sleep Questionnaire at Week 12Change at Week 12 (n=40,25)0.3 HoursStandard Deviation 1.58
Secondary

Number of Participants With Awakenings Based on Sleep Questionnaire

Number of awakenings was related to How many times did the participant wake up during the night. Lesser number signifies better sleep.

Time frame: Baseline and Week 12

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure and 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (NUMBER)
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 0 awakening (n=60,30)17 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 1 awakening (n=60,30)16 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 2 awakenings (n=60,30)10 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 3 awakenings (n=60,30)8 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 4 awakenings (n=60,30)5 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: > or = 5 awakenings (n=60,30)4 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 0 awakening (n=40,25)12 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 1 awakening (n=40,25)14 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 2 awakenings (n=40,25)9 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 3 awakenings (n=40,25)1 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 4 awakenings (n=40,25)3 Participants
TapentadolNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : > or = 5 awakenings (n=40,25)1 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 4 awakenings (n=40,25)2 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 0 awakening (n=60,30)3 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 0 awakening (n=40,25)3 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 1 awakening (n=60,30)9 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 3 awakenings (n=40,25)4 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 2 awakenings (n=60,30)10 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 1 awakening (n=40,25)8 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 3 awakenings (n=60,30)6 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : > or = 5 awakenings (n=40,25)1 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: 4 awakenings (n=60,30)1 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireWeek 12 : 2 awakenings (n=40,25)7 Participants
PlaceboNumber of Participants With Awakenings Based on Sleep QuestionnaireBaseline: > or = 5 awakenings (n=60,30)1 Participants
Secondary

Number of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) Scale

The PGIC is a 7-point scale that requires the participants to assess how much their illness has improved or worsened relative to a Baseline state at the beginning of the intervention. The response options are 1 = very much improved, 2 = much improved, 3 = minimally improve, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse.

Time frame: Week 8 and Week 12

Population: FAS included all participants who received study drug \& had at least 1 post-randomization efficacy data. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure \& 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (NUMBER)
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Very Much Improved (n = 46, 26)7 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Much Improved (n = 46, 26)16 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Minimally Improved (n = 46, 26)16 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: No Change (n = 46, 26)6 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Minimally Worse (n = 46, 26)1 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Much Worse (n = 46, 26)1 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Very Much Worse (n = 46, 26)0 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12: Very Much Improved (n = 40, 25)6 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Much Improved (n = 40, 25)18 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Minimally Improved (n = 40, 25)13 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : No Change (n = 40, 25)2 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Minimally Worse (n = 40, 25)0 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Much Worse (n = 40, 25)1 Participants
TapentadolNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Very Much Worse (n = 40, 25)0 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : No Change (n = 40, 25)2 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Very Much Improved (n = 46, 26)4 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12: Very Much Improved (n = 40, 25)2 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Much Improved (n = 46, 26)7 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Much Worse (n = 40, 25)1 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Minimally Improved (n = 46, 26)10 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Much Improved (n = 40, 25)9 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: No Change (n = 46, 26)2 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Minimally Worse (n = 40, 25)0 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Minimally Worse (n = 46, 26)2 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Minimally Improved (n = 40, 25)11 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Much Worse (n = 46, 26)1 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 12 : Very Much Worse (n = 40, 25)0 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Impression of Change (PGIC) ScaleWeek 8: Very Much Worse (n = 46, 26)0 Participants
Secondary

Number of Participants With Categorical Scores on Physician's Global Assessment Scale

Physician's Global Assessment Scale assesses the therapeutic efficacy (effectiveness) of the study drug for pain control on a 2-point scale of effective and ineffective.

Time frame: Week 8 and Week 12

Population: FAS included all participants who received study drug \& had at least 1 post-randomization efficacy data. 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure \& 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (NUMBER)
TapentadolNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 8: Effective (n = 46, 26)41 Participants
TapentadolNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 8: Ineffective (n = 46, 26)5 Participants
TapentadolNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 12: Effective (n = 40, 25)35 Participants
TapentadolNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 12 : Ineffective (n = 40, 25)5 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 12 : Ineffective (n = 40, 25)5 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 8: Effective (n = 46, 26)19 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 12: Effective (n = 40, 25)20 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment ScaleWeek 8: Ineffective (n = 46, 26)7 Participants
Secondary

Number of Participants With Response Based on Overall Quality of Sleep Questionnaire

Participants rated the overall quality of sleep last night as excellent, good, fair and poor.

Time frame: Baseline and Week 12

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data. 'n' signifies those participants who were evaluable for this measure at given time points.

ArmMeasureGroupValue (NUMBER)
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Excellent (n=60,31)0 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Fair (n=60,31)22 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Good (n=40,25)28 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Good (n=60,31)35 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Fair (n=40,25)6 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Poor (n=60,31)3 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Poor (n=40,25)2 Participants
TapentadolNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Excellent (n=60,31)4 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Poor (n=40,25)0 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Excellent (n=60,31)1 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Good (n=60,31)12 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Fair (n=60,31)16 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireBaseline: Poor (n=60,31)2 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Excellent (n=60,31)0 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Good (n=40,25)17 Participants
PlaceboNumber of Participants With Response Based on Overall Quality of Sleep QuestionnaireWeek 12 : Fair (n=40,25)8 Participants
Secondary

Percentage of Participants With Treatment Response Based on Numerical Rating Scale (NRS)

Percentage of participants with treatment response in mean NRS score by greater than equal to 30 or 50 percent (%) in the last week from baseline were considered as responders. Participants were asked to assess the average pain intensity on an 11-point NRS ranging from 0 (no pain) to 10 (maximum pain imaginable) by selecting a number applicable to their pain on the scale.

Time frame: Week 12

Population: FAS included all the randomly assigned participants who received at least 1 dose of study drug and had at least 1 post-randomization efficacy data.

ArmMeasureGroupValue (NUMBER)
TapentadolPercentage of Participants With Treatment Response Based on Numerical Rating Scale (NRS)Greater than or equal to 30% treatment response48.3 Percentage of participants
TapentadolPercentage of Participants With Treatment Response Based on Numerical Rating Scale (NRS)Greater than or equal to 50% treatment response33.3 Percentage of participants
PlaceboPercentage of Participants With Treatment Response Based on Numerical Rating Scale (NRS)Greater than or equal to 30% treatment response41.9 Percentage of participants
PlaceboPercentage of Participants With Treatment Response Based on Numerical Rating Scale (NRS)Greater than or equal to 50% treatment response38.7 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026