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A Study to Characterize the Abuse Liability of ALO-02 in Healthy, Non-Dependent, Recreational Opioid Abusers

A Randomized, Double-blind, Double-dummy, Placebo Controlled, Single-dose, 6-way Crossover Study To Determine The Relative Abuse Potential Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride Extended-release Capsules) Compared To Oxycodone Immediate Release And Placebo When Administered Orally To Nondependent,Recreational Opioid Users.

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01746901
Enrollment
81
Registered
2012-12-11
Start date
2013-02-28
Completion date
2013-08-09
Last updated
2018-10-19

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

Conditions

Healthy

Keywords

Relative abuse potential study; oxycodone; nalteone; Opioid-related disorders; drug abusers, Chronic pain

Brief summary

The main purpose of this study is to determine if oxycodone and naltrexone combination capsules (ALO-02) have the potential to be abused.

Detailed description

Abuse Liability Study

Interventions

DRUGPlacebo

Placebo solution + Placebo ALO-02 (intact)

DRUGintact ALO-02 60 mg/7.2 mg

Placebo solution + ALO-02 60 mg/7.2 mg (intact)

DRUGcrushed ALO-02 60 mg/7.2 mg

crushed ALO-02 60 mg/7.2 mg in solution + placebo ALO-02 (intact)

DRUGcrushed oxycodone IR 60 mg

crushed oxycodone immediate-release (IR) 60 mg in solution + placebo ALO-02 (intact)

DRUGcrushed ALO-02 40 mg/4.8 mg

crushed ALO-02 40 mg/4.8 mg in solution + placebo ALO-02 (intact)

DRUGcrushed oxycodone IR 40 mg

crushed oxycodone immediate-release (IR) 40 mg in solution + placebo ALO-02 (intact)

Sponsors

Syneos Health
CollaboratorOTHER
Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy subjects. * Non-dependent, recreational opioid users. (Must use opioid for non-therapeutic purposes on at least 10 occassions within the last year before Screening Visit, and at least once in 8 weeks before the Screening Visit.

Exclusion criteria

* Diagnosis of substance and/or alcohol dependence. * Subject has participated in, is currently participating in, or is seeking treatment for substance and/or alcohol related disorder. * History of sleep apnea. * Positive urine drug screen (UDS) for other that marijuana. * Positive for Hepatitis B or C and HIV on Screening.

Design outcomes

Primary

MeasureTime frameDescription
Drug Liking: Peak Effect (Emax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phaseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). Peak Effect (Emax) = Maximum observed score.
High: Area Under Effect Curve (AUE) From 0-2 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.
High: Peak Effect (Emax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phaseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour0.25, 0.5, 1, 1.5, 2 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Secondary

MeasureTime frameDescription
Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dosePupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Feel Sick: Peak Effect (Emax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseFeel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseFeel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Feel Sick: Time to Maximum (Peak) Effect (TEmax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseFeel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Nausea: Peak Effect (Emax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseNausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseNausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Nausea: Time to Maximum (Peak) Effect (TEmax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseNausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Sleepy: Peak Effect (Emax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseSleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseSleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Sleepy: Time to Maximum (Peak) Effect (TEmax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseSleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm)to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Dizzy: Peak Effect (Emax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseDizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseDizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Dizzy: Time to Maximum (Peak) Effect (TEmax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseDizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Pupillometry: Peak Effect (Emax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dosePupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score.
Pupillometry: Time to Maximum (Peak) Effect (TEmax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dosePupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodonepre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseParticipants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Take Drug Again: Peak Effect (Emax)12, 24, 36 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.
Take Drug Again: Mean Effect (Emean)12, 24, 36 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.
Take Drug Again: Minimum Effect (Emin)12, 24, 36 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.
Take Drug Again Effect at Hours 12, 24 and 3612, 24, 36 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.
Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseGood Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Overall Drug Liking: Peak Effect (Emax)12, 24, 36 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emax = Maximum observed score.
Overall Drug Liking: Mean Effect (Emean)12, 24, 36 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emean = Average observed score.
Overall Drug Liking: Minimum Effect (Emin)12, 24, 36 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emin= Average observed score.
Overall Drug Liking Effect at Hours 12, 24 and 3612, 24, 36 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking).
Any Drug Effects: Peak Effect (Emax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseAny Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseAny Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseAny Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Good Drug Effects: Peak Effect (Emax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseGood Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseGood Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Bad Drug Effects: Peak Effect (Emax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseBad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseBad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseBad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Other

MeasureTime frameDescription
Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexolpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseParticipants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexolpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseParticipants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Plasma Terminal Half-Life (t1/2) of Oxycodonepre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseParticipants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of Oxycodonepre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseAUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone were reported.
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodonepre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseArea under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone were reported.
Dose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodonepre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose\[AUC (0 - ∞)dn\]= Dose normalized area under the plasma concentration versus time curve \[AUC(dn)\] from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0- t) plus AUC (t - ∞). Participants who received oxycodone were reported. Participants who received oxycodone were reported.
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Screening up to 28 days after last study drug administration (Day 29)An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial.
Number of Participants With Clinically Significant Change in Vital Sign ExaminationsScreening up to 7 days following last study drug administration (Day 8)Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, respiratory rate and oral temperature. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion.
Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5 hours post-dose in drug discrimination phase; pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in intervention periodEnd-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion.
Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)pre-dose up to 5 hours in drug discrimination phase; pre-dose up to 12 hours in intervention periodOxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurements was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator might had administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported.
Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).
High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hourpre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).
Drug Liking: Time to Maximum (Peak) Effect (TEmax)0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score.
Dose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and Noroxycodonepre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseCmax\[dn\]=Dose normalized maximum observed plasma concentration of participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
High: Time to Maximum (Peak) Effect (TEmax)pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Countries

Canada

Participant flow

Recruitment details

Recreational opioid users who were not dependent on opioids based on Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR) criteria, were recruited in this study.

Pre-assignment details

After successful naloxone challenge test, all participants underwent training sessions involving complete pharmacodynamics test battery before the drug discrimination phase, to ensure that participants fully understood how to perform the tests, were comfortable, and attained a stable level of performance on the various performance-based measures.

Participants by arm

ArmCount
Entire Study Population
Included all participants enrolled in the study.
75
Total75

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Drug Discrimination Phase: Day 1Adverse Event030000000
Drug Discrimination Phase: Day 2Adverse Event021000000
Drug Discrimination Phase: Day 2Did not met entrance criteria0910000000
Drug Discrimination Phase: Day 2Protocol Violation033000000
Naloxone Challenge PhaseAdverse Event200000000
Naloxone Challenge PhaseDid not meet entrance criteria100000000
Treatment Phase: First InterventionProtocol Violation000000100
Treatment Phase: Fourth InterventionAdverse Event000001001
Treatment Phase: Fourth InterventionLost to Follow-up000100000
Treatment Phase: Fourth InterventionProtocol Violation000000101
Treatment Phase: Second InterventionWithdrawal by Subject000000010
Treatment Phase: Third InterventionProtocol Violation000001100

Baseline characteristics

CharacteristicEntire Study Population
Age, Continuous38.6 years
STANDARD_DEVIATION 9.1
Sex: Female, Male
Female
18 Participants
Sex: Female, Male
Male
57 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 7570 / 727 / 3728 / 3637 / 3726 / 3833 / 3736 / 3610 / 69
serious
Total, serious adverse events
0 / 751 / 720 / 370 / 360 / 370 / 380 / 370 / 360 / 69

Outcome results

Primary

Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Time frame: 0.25, 0.5, 1, 1.5, 2 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour100.004 hours*mmStandard Deviation 5.1468
ALO-02 40 Mg-CDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour118.480 hours*mmStandard Deviation 28.7707
OXY 40 mgDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour141.305 hours*mmStandard Deviation 32.9203
ALO-02 60 Mg-IDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour100.188 hours*mmStandard Deviation 10.6437
ALO-02 60 mg- CDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour127.320 hours*mmStandard Deviation 31.2906
OXY 60 mgDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour149.484 hours*mmStandard Deviation 24.1907
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [39.2, 59.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.999495% CI: [-10.1, 10.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [12.1, 32.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [17, 37.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [12.8, 33.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000595% CI: [8.1, 28.4]Mixed Models Analysis
Primary

Drug Liking: Peak Effect (Emax)

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). Peak Effect (Emax) = Maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboDrug Liking: Peak Effect (Emax)51.6 mmStandard Deviation 3.74
ALO-02 40 Mg-CDrug Liking: Peak Effect (Emax)70.1 mmStandard Deviation 19.23
OXY 40 mgDrug Liking: Peak Effect (Emax)85.5 mmStandard Deviation 16.11
ALO-02 60 Mg-IDrug Liking: Peak Effect (Emax)59.3 mmStandard Deviation 15.09
ALO-02 60 mg- CDrug Liking: Peak Effect (Emax)74.4 mmStandard Deviation 18.1
OXY 60 mgDrug Liking: Peak Effect (Emax)89.7 mmStandard Deviation 13.59
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [24.4, 36.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.013295% CI: [1.6, 13.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [9.3, 21.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [16.8, 28.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [9.3, 21.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 18.595% CI: [12.5, 24.6]Mixed Models Analysis
Primary

High: Area Under Effect Curve (AUE) From 0-2 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboHigh: Area Under Effect Curve (AUE) From 0-2 Hour2.496 hours*mmStandard Deviation 8.3003
ALO-02 40 Mg-CHigh: Area Under Effect Curve (AUE) From 0-2 Hour55.250 hours*mmStandard Deviation 54.128
OXY 40 mgHigh: Area Under Effect Curve (AUE) From 0-2 Hour112.082 hours*mmStandard Deviation 43.7
ALO-02 60 Mg-IHigh: Area Under Effect Curve (AUE) From 0-2 Hour9.902 hours*mmStandard Deviation 21.1911
ALO-02 60 mg- CHigh: Area Under Effect Curve (AUE) From 0-2 Hour71.254 hours*mmStandard Deviation 55.9812
OXY 60 mgHigh: Area Under Effect Curve (AUE) From 0-2 Hour117.578 hours*mmStandard Deviation 42.2152
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [91.6, 124.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.412595% CI: [-9.6, 23.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [29.6, 62.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [52.4, 85.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [40.3, 73.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [36.2, 69]Mixed Models Analysis
Primary

High: Peak Effect (Emax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboHigh: Peak Effect (Emax)10.9 mmStandard Deviation 20.6
ALO-02 40 Mg-CHigh: Peak Effect (Emax)47.3 mmStandard Deviation 36.88
OXY 40 mgHigh: Peak Effect (Emax)77.9 mmStandard Deviation 25.46
ALO-02 60 Mg-IHigh: Peak Effect (Emax)21.7 mmStandard Deviation 35.36
ALO-02 60 mg- CHigh: Peak Effect (Emax)53.4 mmStandard Deviation 34.68
OXY 60 mgHigh: Peak Effect (Emax)84.7 mmStandard Deviation 23.67
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [51.5, 74.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.040295% CI: [0.6, 24.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [21.1, 44.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [30.9, 54.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [20.3, 43.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [24.6, 48.1]Mixed Models Analysis
Secondary

Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)23.324 hours*mmStandard Deviation 98.1331
PlaceboAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)5.949 hours*mmStandard Deviation 16.4695
PlaceboAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)3.090 hours*mmStandard Deviation 10.1113
PlaceboAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)5.949 hours*mmStandard Deviation 16.4695
PlaceboAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)1.105 hours*mmStandard Deviation 5.6058
PlaceboAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)13.762 hours*mmStandard Deviation 46.7425
ALO-02 40 Mg-CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)140.152 hours*mmStandard Deviation 147.5551
ALO-02 40 Mg-CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)157.059 hours*mmStandard Deviation 175.7028
ALO-02 40 Mg-CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)20.129 hours*mmStandard Deviation 23.9971
ALO-02 40 Mg-CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)57.504 hours*mmStandard Deviation 57.6543
ALO-02 40 Mg-CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)156.652 hours*mmStandard Deviation 175.1035
ALO-02 40 Mg-CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)157.059 hours*mmStandard Deviation 175.7028
OXY 40 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)345.488 hours*mmStandard Deviation 260.3746
OXY 40 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)345.301 hours*mmStandard Deviation 260.4659
OXY 40 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)40.199 hours*mmStandard Deviation 20.3489
OXY 40 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)317.270 hours*mmStandard Deviation 218.4262
OXY 40 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)283.770 hours*mmStandard Deviation 173.4241
OXY 40 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)112.910 hours*mmStandard Deviation 41.6661
ALO-02 60 Mg-IAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)10.734 hours*mmStandard Deviation 23.0043
ALO-02 60 Mg-IAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)107.180 hours*mmStandard Deviation 190.7655
ALO-02 60 Mg-IAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)53.242 hours*mmStandard Deviation 99.4186
ALO-02 60 Mg-IAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)235.117 hours*mmStandard Deviation 424.9088
ALO-02 60 Mg-IAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)4.539 hours*mmStandard Deviation 11.9639
ALO-02 60 Mg-IAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)218.805 hours*mmStandard Deviation 379.7129
ALO-02 60 mg- CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)186.387 hours*mmStandard Deviation 173.5877
ALO-02 60 mg- CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)167.137 hours*mmStandard Deviation 152.8249
ALO-02 60 mg- CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)26.566 hours*mmStandard Deviation 24.8693
ALO-02 60 mg- CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)69.059 hours*mmStandard Deviation 55.0442
ALO-02 60 mg- CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)176.199 hours*mmStandard Deviation 165.0887
ALO-02 60 mg- CAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)184.137 hours*mmStandard Deviation 172.7494
OXY 60 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)402.703 hours*mmStandard Deviation 244.275
OXY 60 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)48.328 hours*mmStandard Deviation 19.8494
OXY 60 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)124.617 hours*mmStandard Deviation 41.2197
OXY 60 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)354.391 hours*mmStandard Deviation 184.4799
OXY 60 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)392.828 hours*mmStandard Deviation 229.3565
OXY 60 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)402.516 hours*mmStandard Deviation 244.3471
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [36, 51.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.415495% CI: [-4.6, 11.2]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [13.9, 29.7]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [17.5, 33.3]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [12.3, 28.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [11, 26.8]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [97.1, 131.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.398595% CI: [-9.8, 24.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [38.5, 72.8]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [48.8, 83]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [38.5, 72.7]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [37, 71.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [248.8, 356.8]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.082495% CI: [-6.2, 101.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [134.6, 242.5]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [108, 216]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [87.9, 195.8]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [81.7, 189.6]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [219.1, 356.1]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00495% CI: [32.9, 169.8]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [150, 287]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [102, 239]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [90.1, 227.1]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [83.7, 220.7]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [90.1, 281.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [109.2, 300.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [125.2, 316.7]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [74.1, 265.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [89.9, 281.5]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003395% CI: [49.1, 240.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001795% CI: [65.2, 274.9]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000195% CI: [106.6, 316.2]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [114.5, 324]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.002795% CI: [57.3, 267]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [81.1, 290.7]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.011695% CI: [30.7, 240.4]Mixed Models Analysis
Secondary

Any Drug Effects: Peak Effect (Emax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboAny Drug Effects: Peak Effect (Emax)8.8 mmStandard Deviation 19.43
ALO-02 40 Mg-CAny Drug Effects: Peak Effect (Emax)47.2 mmStandard Deviation 38.45
OXY 40 mgAny Drug Effects: Peak Effect (Emax)82.4 mmStandard Deviation 25.27
ALO-02 60 Mg-IAny Drug Effects: Peak Effect (Emax)27.7 mmStandard Deviation 35.77
ALO-02 60 mg- CAny Drug Effects: Peak Effect (Emax)56.0 mmStandard Deviation 35.9
OXY 60 mgAny Drug Effects: Peak Effect (Emax)88.7 mmStandard Deviation 20.52
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [48.8, 73.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003295% CI: [6.4, 31.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [20.5, 45.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [34.8, 59.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [61.1, 86]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [26, 50.8]Mixed Models Analysis
Secondary

Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.258 hours
ALO-02 40 Mg-CAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 40 mgAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
ALO-02 60 Mg-IAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.758 hours
ALO-02 60 mg- CAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.258 hours
OXY 60 mgAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-4.3, -1.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000195% CI: [1.4, 4.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.700595% CI: [-1.7, 1.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.84495% CI: [-1.3, 1.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.729595% CI: [-1.6, 1.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.875795% CI: [-1.3, 1.5]Mixed Models Analysis
Secondary

Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.652 hours*mmStandard Deviation 3.5995
PlaceboBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)1.270 hours*mmStandard Deviation 5.2494
PlaceboBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)2.527 hours*mmStandard Deviation 7.6234
PlaceboBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)2.527 hours*mmStandard Deviation 7.6234
PlaceboBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)10.340 hours*mmStandard Deviation 44.842
PlaceboBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)19.715 hours*mmStandard Deviation 97.5206
ALO-02 40 Mg-CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)8.164 hours*mmStandard Deviation 18.3516
ALO-02 40 Mg-CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)29.984 hours*mmStandard Deviation 48.2808
ALO-02 40 Mg-CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)30.578 hours*mmStandard Deviation 48.6353
ALO-02 40 Mg-CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.977 hours*mmStandard Deviation 2.9225
ALO-02 40 Mg-CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)28.984 hours*mmStandard Deviation 47.6235
ALO-02 40 Mg-CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)30.203 hours*mmStandard Deviation 48.481
OXY 40 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)85.852 hours*mmStandard Deviation 146.125
OXY 40 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)85.477 hours*mmStandard Deviation 145.5365
OXY 40 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)71.195 hours*mmStandard Deviation 112.5641
OXY 40 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)60.133 hours*mmStandard Deviation 104.8279
OXY 40 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)4.359 hours*mmStandard Deviation 12.9297
OXY 40 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)16.023 hours*mmStandard Deviation 32.3331
ALO-02 60 Mg-IBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)41.570 hours*mmStandard Deviation 88.3012
ALO-02 60 Mg-IBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)2.359 hours*mmStandard Deviation 8.9454
ALO-02 60 Mg-IBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)22.195 hours*mmStandard Deviation 63.1674
ALO-02 60 Mg-IBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)169.352 hours*mmStandard Deviation 379.2034
ALO-02 60 Mg-IBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)138.039 hours*mmStandard Deviation 300.2416
ALO-02 60 Mg-IBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.445 hours*mmStandard Deviation 2.4294
ALO-02 60 mg- CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.918 hours*mmStandard Deviation 2.4707
ALO-02 60 mg- CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)50.348 hours*mmStandard Deviation 111.5406
ALO-02 60 mg- CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)4.840 hours*mmStandard Deviation 10.928
ALO-02 60 mg- CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)38.191 hours*mmStandard Deviation 83.7177
ALO-02 60 mg- CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)46.691 hours*mmStandard Deviation 105.0132
ALO-02 60 mg- CBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)51.473 hours*mmStandard Deviation 113.3471
OXY 60 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)96.715 hours*mmStandard Deviation 157.0901
OXY 60 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)81.777 hours*mmStandard Deviation 124.7723
OXY 60 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)102.434 hours*mmStandard Deviation 167.6105
OXY 60 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)102.621 hours*mmStandard Deviation 167.6904
OXY 60 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)17.059 hours*mmStandard Deviation 28.6213
OXY 60 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)3.621 hours*mmStandard Deviation 7.2682
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.035195% CI: [0.2, 6.3]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.875195% CI: [-3.3, 2.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.079595% CI: [-0.3, 5.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.838295% CI: [-2.7, 3.4]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.028995% CI: [0.4, 6.4]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.787895% CI: [-2.6, 3.5]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001995% CI: [5.6, 24]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.82195% CI: [-8.1, 10.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.009495% CI: [3.1, 21.5]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.445495% CI: [-5.6, 12.8]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.093495% CI: [-1.3, 17.1]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.135895% CI: [-2.2, 16.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000495% CI: [27, 92.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.236595% CI: [-13.1, 52.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.009195% CI: [11.1, 76.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.033595% CI: [2.8, 68.5]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.066195% CI: [-2.1, 63.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.107495% CI: [-5.9, 59.8]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.006495% CI: [15.8, 94.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.054395% CI: [-0.7, 78.3]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.013195% CI: [10.7, 89.7]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.029795% CI: [4.4, 83.5]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.040795% CI: [1.8, 80.8]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.17195% CI: [-12, 67.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.336295% CI: [-106.7, 36.7]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [55.2, 198.5]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.144995% CI: [-18.5, 124.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.288295% CI: [-33, 110.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.131495% CI: [-16.6, 126.7]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.580895% CI: [-51.6, 91.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.141595% CI: [-154.6, 22.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001195% CI: [60.7, 237.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.242395% CI: [-35.9, 140.9]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.49895% CI: [-58, 118.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.225395% CI: [-33.9, 142.9]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.794595% CI: [-76.8, 100.1]Mixed Models Analysis
Secondary

Bad Drug Effects: Peak Effect (Emax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboBad Drug Effects: Peak Effect (Emax)5.8 mmStandard Deviation 15.46
ALO-02 40 Mg-CBad Drug Effects: Peak Effect (Emax)16.4 mmStandard Deviation 26.76
OXY 40 mgBad Drug Effects: Peak Effect (Emax)26.5 mmStandard Deviation 36.6
ALO-02 60 Mg-IBad Drug Effects: Peak Effect (Emax)20.6 mmStandard Deviation 35.67
ALO-02 60 mg- CBad Drug Effects: Peak Effect (Emax)16.9 mmStandard Deviation 28.85
OXY 60 mgBad Drug Effects: Peak Effect (Emax)31.4 mmStandard Deviation 32.67
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.088395% CI: [-1.7, 23.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.024195% CI: [2, 27.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.023595% CI: [2, 27.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.090195% CI: [-1.7, 23.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.131395% CI: [-3, 22.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.098295% CI: [-2, 23.6]Mixed Models Analysis
Secondary

Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.250 hours
ALO-02 40 Mg-CBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
OXY 40 mgBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.517 hours
ALO-02 60 Mg-IBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.308 hours
ALO-02 60 mg- CBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
OXY 60 mgBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.758 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.012995% CI: [-5.1, -0.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000395% CI: [2, 6.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.548395% CI: [-1.6, 2.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.528495% CI: [-1.5, 2.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.133195% CI: [-0.5, 3.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.873295% CI: [-2.1, 2.4]Mixed Models Analysis
Secondary

Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.125 hours*mmStandard Deviation 0.5425
PlaceboDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)0.922 hours*mmStandard Deviation 3.0851
PlaceboDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)1.844 hours*mmStandard Deviation 6.2523
PlaceboDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)1.906 hours*mmStandard Deviation 6.2536
PlaceboDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)10.094 hours*mmStandard Deviation 49.8279
PlaceboDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)19.844 hours*mmStandard Deviation 102.7158
ALO-02 40 Mg-CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)24.008 hours*mmStandard Deviation 41.3549
ALO-02 40 Mg-CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)48.422 hours*mmStandard Deviation 85.1544
ALO-02 40 Mg-CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)50.109 hours*mmStandard Deviation 88.1834
ALO-02 40 Mg-CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)7.117 hours*mmStandard Deviation 15.3098
ALO-02 40 Mg-CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)47.297 hours*mmStandard Deviation 82.8121
ALO-02 40 Mg-CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)49.922 hours*mmStandard Deviation 88.2865
OXY 40 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)85.859 hours*mmStandard Deviation 136.2835
OXY 40 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)85.484 hours*mmStandard Deviation 136.4813
OXY 40 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)83.266 hours*mmStandard Deviation 131.6787
OXY 40 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)75.828 hours*mmStandard Deviation 117.4212
OXY 40 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)10.117 hours*mmStandard Deviation 15.909
OXY 40 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)28.758 hours*mmStandard Deviation 39.5123
ALO-02 60 Mg-IDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)47.684 hours*mmStandard Deviation 145.0991
ALO-02 60 Mg-IDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)2.738 hours*mmStandard Deviation 10.8592
ALO-02 60 Mg-IDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)23.934 hours*mmStandard Deviation 82.1109
ALO-02 60 Mg-IDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)135.559 hours*mmStandard Deviation 386.0688
ALO-02 60 Mg-IDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)120.934 hours*mmStandard Deviation 324.0852
ALO-02 60 Mg-IDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)1.238 hours*mmStandard Deviation 4.8747
ALO-02 60 mg- CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)6.207 hours*mmStandard Deviation 12.4631
ALO-02 60 mg- CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)43.754 hours*mmStandard Deviation 81.6192
ALO-02 60 mg- CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)18.402 hours*mmStandard Deviation 33.2777
ALO-02 60 mg- CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)41.410 hours*mmStandard Deviation 79.02
ALO-02 60 mg- CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)42.160 hours*mmStandard Deviation 79.5674
ALO-02 60 mg- CDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)44.129 hours*mmStandard Deviation 81.4783
OXY 60 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)122.551 hours*mmStandard Deviation 150.8804
OXY 60 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)117.738 hours*mmStandard Deviation 146.9677
OXY 60 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)122.895 hours*mmStandard Deviation 150.666
OXY 60 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)123.457 hours*mmStandard Deviation 150.3432
OXY 60 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)35.691 hours*mmStandard Deviation 44.1487
OXY 60 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)14.043 hours*mmStandard Deviation 17.1328
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [7.1, 17.4]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.686895% CI: [-4.1, 6.2]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.005895% CI: [2.2, 12.5]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.022995% CI: [0.8, 11.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.216895% CI: [-1.9, 8.3]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.009695% CI: [1.7, 11.9]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [20, 45.9]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.800995% CI: [-11.2, 14.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.008695% CI: [4.5, 30.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.008995% CI: [4.4, 30]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.422495% CI: [-7.6, 18]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [9.8, 35.5]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [57.9, 134.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.25395% CI: [-15.8, 59.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [40.5, 116.8]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.041495% CI: [1.6, 77.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.132995% CI: [-8.9, 66.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.018795% CI: [7.7, 83.2]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000995% CI: [31.9, 121.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.045695% CI: [0.9, 89.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000495% CI: [37.8, 127.7]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.081295% CI: [-5, 84.1]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.117495% CI: [-9, 80]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.042795% CI: [1.5, 90.6]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.931895% CI: [-66.9, 73]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00295% CI: [41.2, 179.6]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.022695% CI: [11.6, 151.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.362995% CI: [-37.3, 101.2]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.307795% CI: [-33.4, 105.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.266295% CI: [-30.1, 108.4]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.787595% CI: [-94.7, 71.9]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.006695% CI: [32.6, 197.4]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.05495% CI: [-1.4, 164.9]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.601495% CI: [-60.6, 104.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.388595% CI: [-46.3, 118.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.480195% CI: [-52.9, 112]Mixed Models Analysis
Secondary

Dizzy: Peak Effect (Emax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboDizzy: Peak Effect (Emax)3.6 mmStandard Deviation 12.27
ALO-02 40 Mg-CDizzy: Peak Effect (Emax)23.4 mmStandard Deviation 32.63
OXY 40 mgDizzy: Peak Effect (Emax)30.6 mmStandard Deviation 36.58
ALO-02 60 Mg-IDizzy: Peak Effect (Emax)12.0 mmStandard Deviation 28.21
ALO-02 60 mg- CDizzy: Peak Effect (Emax)19.5 mmStandard Deviation 31.56
OXY 60 mgDizzy: Peak Effect (Emax)39.3 mmStandard Deviation 37.92
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [16.8, 39.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.142195% CI: [-2.8, 19.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000495% CI: [9.5, 32.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.006495% CI: [4.5, 27]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.197495% CI: [-3.9, 18.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000895% CI: [8.3, 30.8]Mixed Models Analysis
Secondary

Dizzy: Time to Maximum (Peak) Effect (TEmax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboDizzy: Time to Maximum (Peak) Effect (TEmax)0.250 hours
ALO-02 40 Mg-CDizzy: Time to Maximum (Peak) Effect (TEmax)0.758 hours
OXY 40 mgDizzy: Time to Maximum (Peak) Effect (TEmax)0.767 hours
ALO-02 60 Mg-IDizzy: Time to Maximum (Peak) Effect (TEmax)0.258 hours
ALO-02 60 mg- CDizzy: Time to Maximum (Peak) Effect (TEmax)0.292 hours
OXY 60 mgDizzy: Time to Maximum (Peak) Effect (TEmax)0.758 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.549495% CI: [-2.5, 1.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.062695% CI: [-0.1, 3.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.721695% CI: [-1.6, 2.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.364795% CI: [-1, 2.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.445695% CI: [-2.7, 1.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.0595% CI: [0, 3.9]Mixed Models Analysis
Secondary

Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.539 hours*mmStandard Deviation 3.0494
PlaceboFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)0.727 hours*mmStandard Deviation 4.0198
PlaceboFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)0.984 hours*mmStandard Deviation 4.2307
PlaceboFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)0.984 hours*mmStandard Deviation 4.2307
PlaceboFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)8.797 hours*mmStandard Deviation 44.3081
PlaceboFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)18.359 hours*mmStandard Deviation 97.2004
ALO-02 40 Mg-CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)6.582 hours*mmStandard Deviation 19.7796
ALO-02 40 Mg-CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)5.176 hours*mmStandard Deviation 17.2686
ALO-02 40 Mg-CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)3.004 hours*mmStandard Deviation 14.4372
ALO-02 40 Mg-CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)5.176 hours*mmStandard Deviation 17.2686
ALO-02 40 Mg-CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)5.645 hours*mmStandard Deviation 18.1099
ALO-02 40 Mg-CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.629 hours*mmStandard Deviation 3.0605
OXY 40 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)13.387 hours*mmStandard Deviation 40.8525
OXY 40 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)13.387 hours*mmStandard Deviation 40.8525
OXY 40 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)4.160 hours*mmStandard Deviation 16.6354
OXY 40 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)13.387 hours*mmStandard Deviation 40.8525
OXY 40 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)13.387 hours*mmStandard Deviation 40.8525
OXY 40 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.957 hours*mmStandard Deviation 3.3182
ALO-02 60 Mg-IFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)83.449 hours*mmStandard Deviation 267.7102
ALO-02 60 Mg-IFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)64.699 hours*mmStandard Deviation 196.345
ALO-02 60 Mg-IFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)1.051 hours*mmStandard Deviation 4.5067
ALO-02 60 Mg-IFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)12.324 hours*mmStandard Deviation 61.4559
ALO-02 60 Mg-IFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)12.949 hours*mmStandard Deviation 63.8914
ALO-02 60 Mg-IFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.035 hours*mmStandard Deviation 0.1463
ALO-02 60 mg- CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)7.406 hours*mmStandard Deviation 22.7994
ALO-02 60 mg- CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)7.594 hours*mmStandard Deviation 22.9559
ALO-02 60 mg- CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)0.758 hours*mmStandard Deviation 2.656
ALO-02 60 mg- CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)5.281 hours*mmStandard Deviation 17.1483
ALO-02 60 mg- CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)6.156 hours*mmStandard Deviation 19.8004
ALO-02 60 mg- CFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.039 hours*mmStandard Deviation 0.1435
OXY 60 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)21.855 hours*mmStandard Deviation 43.9416
OXY 60 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.996 hours*mmStandard Deviation 3.2217
OXY 60 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)2.762 hours*mmStandard Deviation 6.8438
OXY 60 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)15.449 hours*mmStandard Deviation 36.7603
OXY 60 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)19.137 hours*mmStandard Deviation 42.386
OXY 60 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)19.605 hours*mmStandard Deviation 42.5054
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.177195% CI: [-0.4, 2.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.394495% CI: [-1.7, 0.7]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.177895% CI: [-0.4, 2.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.39695% CI: [-1.7, 0.7]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.612595% CI: [-0.9, 1.5]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.905995% CI: [-1.1, 1.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.458595% CI: [-2.9, 6.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.898695% CI: [-4.2, 4.8]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.364195% CI: [-2.5, 6.7]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.967495% CI: [-4.6, 4.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.574495% CI: [-3.2, 5.8]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.345795% CI: [-2.4, 6.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.666495% CI: [-13.3, 20.8]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.194995% CI: [-5.8, 28]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.200995% CI: [-6, 28.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.659595% CI: [-13.1, 20.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.317695% CI: [-8.3, 25.5]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.642395% CI: [-12.9, 20.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.435895% CI: [-10.5, 24.2]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.178995% CI: [-5.4, 28.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.113195% CI: [-3.3, 31.3]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.596595% CI: [-12.6, 21.8]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.317595% CI: [-8.5, 25.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.655195% CI: [-13.3, 21]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.035495% CI: [-87.5, -3.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.0195% CI: [13.4, 97]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.537995% CI: [-29, 55.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.876895% CI: [-45.1, 38.5]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.703195% CI: [-33.8, 49.9]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.850795% CI: [-45.8, 37.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.038195% CI: [-121.2, -3.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.031895% CI: [5.7, 122.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.609595% CI: [-43.6, 74.1]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.64795% CI: [-71.9, 44.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.813695% CI: [-51.4, 65.4]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.669995% CI: [-71, 45.7]Mixed Models Analysis
Secondary

Feel Sick: Peak Effect (Emax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboFeel Sick: Peak Effect (Emax)3.1 mmStandard Deviation 10.8
ALO-02 40 Mg-CFeel Sick: Peak Effect (Emax)5.4 mmStandard Deviation 15.14
OXY 40 mgFeel Sick: Peak Effect (Emax)8.8 mmStandard Deviation 25.63
ALO-02 60 Mg-IFeel Sick: Peak Effect (Emax)10.1 mmStandard Deviation 26.35
ALO-02 60 mg- CFeel Sick: Peak Effect (Emax)2.6 mmStandard Deviation 7.06
OXY 60 mgFeel Sick: Peak Effect (Emax)11.7 mmStandard Deviation 28.16
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.455595% CI: [-5.9, 13.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.149595% CI: [-2.5, 16.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.0295% CI: [1.8, 20.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.866895% CI: [-10.3, 8.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.390495% CI: [-5.3, 13.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.652495% CI: [-7.3, 11.6]Mixed Models Analysis
Secondary

Feel Sick: Time to Maximum (Peak) Effect (TEmax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.250 hours
ALO-02 40 Mg-CFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
OXY 40 mgFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 60 Mg-IFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 60 mg- CFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
OXY 60 mgFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.172895% CI: [-3.9, 0.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.261695% CI: [-1, 3.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.730795% CI: [-1.9, 2.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.547395% CI: [-3, 1.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.499995% CI: [-3.1, 1.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.559295% CI: [-3, 1.6]Mixed Models Analysis
Secondary

Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)9.063 hours*mmStandard Deviation 24.0659
PlaceboGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)26.844 hours*mmStandard Deviation 101.2648
PlaceboGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.805 hours*mmStandard Deviation 3.6598
PlaceboGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)17.469 hours*mmStandard Deviation 51.3009
PlaceboGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)3.055 hours*mmStandard Deviation 10.014
PlaceboGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)9.250 hours*mmStandard Deviation 24.0378
ALO-02 40 Mg-CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)56.352 hours*mmStandard Deviation 55.7819
ALO-02 40 Mg-CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)130.758 hours*mmStandard Deviation 152.6257
ALO-02 40 Mg-CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)20.727 hours*mmStandard Deviation 23.7958
ALO-02 40 Mg-CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)148.195 hours*mmStandard Deviation 183.1627
ALO-02 40 Mg-CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)148.883 hours*mmStandard Deviation 183.8413
ALO-02 40 Mg-CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)148.883 hours*mmStandard Deviation 183.8413
OXY 40 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)261.813 hours*mmStandard Deviation 163.8714
OXY 40 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)297.656 hours*mmStandard Deviation 240.6821
OXY 40 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)40.992 hours*mmStandard Deviation 19.3835
OXY 40 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)110.430 hours*mmStandard Deviation 42.2789
OXY 40 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)282.875 hours*mmStandard Deviation 205.0344
OXY 40 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)297.844 hours*mmStandard Deviation 240.6209
ALO-02 60 Mg-IGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)10.543 hours*mmStandard Deviation 22.1051
ALO-02 60 Mg-IGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)171.355 hours*mmStandard Deviation 394.6735
ALO-02 60 Mg-IGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)5.254 hours*mmStandard Deviation 12.3129
ALO-02 60 Mg-IGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)40.418 hours*mmStandard Deviation 87.9945
ALO-02 60 Mg-IGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)161.043 hours*mmStandard Deviation 349.4292
ALO-02 60 Mg-IGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)77.855 hours*mmStandard Deviation 172.2503
ALO-02 60 mg- CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)71.305 hours*mmStandard Deviation 58.734
ALO-02 60 mg- CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)159.750 hours*mmStandard Deviation 156.8189
ALO-02 60 mg- CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)180.875 hours*mmStandard Deviation 212.9759
ALO-02 60 mg- CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)168.688 hours*mmStandard Deviation 173.4909
ALO-02 60 mg- CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)28.234 hours*mmStandard Deviation 25.4785
ALO-02 60 mg- CGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)180.875 hours*mmStandard Deviation 212.9759
OXY 60 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)44.656 hours*mmStandard Deviation 19.306
OXY 60 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)380.414 hours*mmStandard Deviation 261.099
OXY 60 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)380.602 hours*mmStandard Deviation 261.1626
OXY 60 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)372.414 hours*mmStandard Deviation 248.2861
OXY 60 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)114.953 hours*mmStandard Deviation 41.8081
OXY 60 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)332.352 hours*mmStandard Deviation 193.5146
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.400395% CI: [-9.8, 24.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [26.6, 60.7]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [31.8, 47.2]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.273995% CI: [-3.4, 12]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [8.7, 24.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [19.7, 35]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [12.8, 28.2]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [12, 27.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [87.7, 121.8]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [51.3, 85.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [37.3, 71.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [36, 70.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [240, 345.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.227795% CI: [-20.3, 84.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [120.5, 225.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [99.1, 204.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [77.2, 182.3]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [70, 175.1]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [228.3, 362.2]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.041695% CI: [2.7, 136.5]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [137.5, 271.3]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [93.5, 227.4]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000195% CI: [66.1, 199.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [73.1, 207]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [127.6, 311.3]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.002295% CI: [53.2, 236.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [108.4, 292]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000595% CI: [72.4, 256.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001995% CI: [54.8, 238.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.004995% CI: [40.8, 224.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [108.3, 310.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00595% CI: [44.7, 246.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000195% CI: [99.7, 301.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00395% CI: [53.3, 255.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.004695% CI: [45.9, 247.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.017195% CI: [22.3, 224.3]Mixed Models Analysis
Secondary

Good Drug Effects: Peak Effect (Emax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboGood Drug Effects: Peak Effect (Emax)11.6 mmStandard Deviation 24.91
ALO-02 40 Mg-CGood Drug Effects: Peak Effect (Emax)48.1 mmStandard Deviation 38.53
OXY 40 mgGood Drug Effects: Peak Effect (Emax)81.8 mmStandard Deviation 24.54
ALO-02 60 Mg-IGood Drug Effects: Peak Effect (Emax)24.2 mmStandard Deviation 34.68
ALO-02 60 mg- CGood Drug Effects: Peak Effect (Emax)54.7 mmStandard Deviation 36.16
OXY 60 mgGood Drug Effects: Peak Effect (Emax)84.3 mmStandard Deviation 22.53
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [47.4, 72.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.051495% CI: [-0.1, 25.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [17, 42.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [30.3, 55.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [21, 46.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [23.7, 49.1]Mixed Models Analysis
Secondary

Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.258 hours
ALO-02 40 Mg-CGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 40 mgGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
ALO-02 60 Mg-IGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.517 hours
ALO-02 60 mg- CGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 60 mgGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)1.017 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001695% CI: [-3.7, -0.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.010595% CI: [0.4, 3.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.725995% CI: [-1.7, 1.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.781395% CI: [-1.6, 1.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.523595% CI: [-1.9, 1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.851295% CI: [-1.6, 1.3]Mixed Models Analysis
Secondary

Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)1.551 hours*mmStandard Deviation 8.727
PlaceboNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)3.309 hours*mmStandard Deviation 16.0847
PlaceboNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)5.801 hours*mmStandard Deviation 21.1576
PlaceboNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)5.801 hours*mmStandard Deviation 21.1576
PlaceboNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)13.613 hours*mmStandard Deviation 54.7055
PlaceboNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)22.988 hours*mmStandard Deviation 105.8442
ALO-02 40 Mg-CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)6.938 hours*mmStandard Deviation 18.5123
ALO-02 40 Mg-CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)17.656 hours*mmStandard Deviation 40.3906
ALO-02 40 Mg-CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)17.844 hours*mmStandard Deviation 40.3199
ALO-02 40 Mg-CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)1.313 hours*mmStandard Deviation 4.2183
ALO-02 40 Mg-CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)17.656 hours*mmStandard Deviation 40.3906
ALO-02 40 Mg-CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)17.656 hours*mmStandard Deviation 40.3906
OXY 40 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)52.508 hours*mmStandard Deviation 132.8214
OXY 40 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)52.508 hours*mmStandard Deviation 132.8214
OXY 40 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)40.602 hours*mmStandard Deviation 97.633
OXY 40 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)34.102 hours*mmStandard Deviation 88.764
OXY 40 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)3.867 hours*mmStandard Deviation 13.3986
OXY 40 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)11.500 hours*mmStandard Deviation 30.788
ALO-02 60 Mg-INausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)16.340 hours*mmStandard Deviation 58.2244
ALO-02 60 Mg-INausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)0.520 hours*mmStandard Deviation 2.3602
ALO-02 60 Mg-INausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)12.465 hours*mmStandard Deviation 46.6764
ALO-02 60 Mg-INausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)94.777 hours*mmStandard Deviation 325.6554
ALO-02 60 Mg-INausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)76.402 hours*mmStandard Deviation 243.7336
ALO-02 60 Mg-INausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.043 hours*mmStandard Deviation 0.151
ALO-02 60 mg- CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.281 hours*mmStandard Deviation 1.0395
ALO-02 60 mg- CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)21.203 hours*mmStandard Deviation 45.1793
ALO-02 60 mg- CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)3.813 hours*mmStandard Deviation 11.0316
ALO-02 60 mg- CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)15.453 hours*mmStandard Deviation 33.4096
ALO-02 60 mg- CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)18.828 hours*mmStandard Deviation 41.2148
ALO-02 60 mg- CNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)21.391 hours*mmStandard Deviation 45.4013
OXY 60 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)41.523 hours*mmStandard Deviation 78.2852
OXY 60 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)39.648 hours*mmStandard Deviation 75.0136
OXY 60 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)42.992 hours*mmStandard Deviation 80.0147
OXY 60 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)43.742 hours*mmStandard Deviation 79.9894
OXY 60 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)9.398 hours*mmStandard Deviation 19.9006
OXY 60 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)2.797 hours*mmStandard Deviation 8.7018
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.182895% CI: [-1.1, 5.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.390895% CI: [-5, 1.9]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.251395% CI: [-1.5, 5.5]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.503595% CI: [-4.6, 2.3]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.145295% CI: [-0.9, 6]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.930395% CI: [-3.6, 3.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.028395% CI: [0.9, 16.7]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.486195% CI: [-10.5, 5]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.180995% CI: [-2.5, 13.2]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.85695% CI: [-7.1, 8.5]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.238595% CI: [-3.1, 12.4]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.347995% CI: [-4.1, 11.5]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.018595% CI: [4.7, 50.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.547195% CI: [-15.8, 29.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.036795% CI: [1.5, 47.4]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.379795% CI: [-12.6, 32.9]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.155795% CI: [-6.3, 39.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.290495% CI: [-10.5, 34.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.046795% CI: [0.4, 51.6]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.405695% CI: [-14.6, 36]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.073895% CI: [-2.3, 48.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.298795% CI: [-12, 38.7]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.076395% CI: [-2.4, 48.2]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.339695% CI: [-13.1, 37.6]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.242595% CI: [-89.1, 22.7]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.028195% CI: [6.8, 117.5]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.418995% CI: [-33, 78.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.83195% CI: [-49.4, 61.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.216195% CI: [-20.6, 90.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.890595% CI: [-51.5, 59.2]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.159795% CI: [-124.2, 20.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.052595% CI: [-0.8, 142.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.529495% CI: [-49.3, 95.4]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.912695% CI: [-75.7, 67.7]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.341895% CI: [-37.1, 106.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.883395% CI: [-77, 66.4]Mixed Models Analysis
Secondary

Nausea: Peak Effect (Emax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboNausea: Peak Effect (Emax)6.1 mmStandard Deviation 18.9
ALO-02 40 Mg-CNausea: Peak Effect (Emax)11.5 mmStandard Deviation 25.07
OXY 40 mgNausea: Peak Effect (Emax)17.8 mmStandard Deviation 32.11
ALO-02 60 Mg-INausea: Peak Effect (Emax)9.5 mmStandard Deviation 26.18
ALO-02 60 mg- CNausea: Peak Effect (Emax)11.3 mmStandard Deviation 23.47
OXY 60 mgNausea: Peak Effect (Emax)22.0 mmStandard Deviation 33.25
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.021795% CI: [2, 24.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.551395% CI: [-7.8, 14.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.046995% CI: [0.2, 22.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.360495% CI: [-6, 16.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.272595% CI: [-5, 17.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.346195% CI: [-5.8, 16.6]Mixed Models Analysis
Secondary

Nausea: Time to Maximum (Peak) Effect (TEmax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboNausea: Time to Maximum (Peak) Effect (TEmax)0.250 hours
ALO-02 40 Mg-CNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
OXY 40 mgNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 60 Mg-INausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 60 mg- CNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
OXY 60 mgNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.004195% CI: [-6.1, -1.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [1.9, 6.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.876595% CI: [-2.7, 2.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.474695% CI: [-1.6, 3.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.460795% CI: [-3.3, 1.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.231695% CI: [-1, 3.9]Mixed Models Analysis
Secondary

Overall Drug Liking Effect at Hours 12, 24 and 36

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking).

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboOverall Drug Liking Effect at Hours 12, 24 and 36Hour 3649.7 mmStandard Deviation 11.41
PlaceboOverall Drug Liking Effect at Hours 12, 24 and 36Hour 2450.3 mmStandard Deviation 11.84
PlaceboOverall Drug Liking Effect at Hours 12, 24 and 36Hour 1250.6 mmStandard Deviation 12.78
ALO-02 40 Mg-COverall Drug Liking Effect at Hours 12, 24 and 36Hour 2462.7 mmStandard Deviation 23.25
ALO-02 40 Mg-COverall Drug Liking Effect at Hours 12, 24 and 36Hour 1261.2 mmStandard Deviation 26.16
ALO-02 40 Mg-COverall Drug Liking Effect at Hours 12, 24 and 36Hour 3659.9 mmStandard Deviation 25.2
OXY 40 mgOverall Drug Liking Effect at Hours 12, 24 and 36Hour 3673.2 mmStandard Deviation 25.03
OXY 40 mgOverall Drug Liking Effect at Hours 12, 24 and 36Hour 1278.5 mmStandard Deviation 20.86
OXY 40 mgOverall Drug Liking Effect at Hours 12, 24 and 36Hour 2475.5 mmStandard Deviation 24.26
ALO-02 60 Mg-IOverall Drug Liking Effect at Hours 12, 24 and 36Hour 1251.8 mmStandard Deviation 21.57
ALO-02 60 Mg-IOverall Drug Liking Effect at Hours 12, 24 and 36Hour 3646.6 mmStandard Deviation 23.35
ALO-02 60 Mg-IOverall Drug Liking Effect at Hours 12, 24 and 36Hour 2444.8 mmStandard Deviation 23.62
ALO-02 60 mg- COverall Drug Liking Effect at Hours 12, 24 and 36Hour 2470.1 mmStandard Deviation 24.53
ALO-02 60 mg- COverall Drug Liking Effect at Hours 12, 24 and 36Hour 1269.8 mmStandard Deviation 23.19
ALO-02 60 mg- COverall Drug Liking Effect at Hours 12, 24 and 36Hour 3669.9 mmStandard Deviation 25.43
OXY 60 mgOverall Drug Liking Effect at Hours 12, 24 and 36Hour 3677.6 mmStandard Deviation 23.79
OXY 60 mgOverall Drug Liking Effect at Hours 12, 24 and 36Hour 1278.1 mmStandard Deviation 23.99
OXY 60 mgOverall Drug Liking Effect at Hours 12, 24 and 36Hour 2478.1 mmStandard Deviation 22.95
Secondary

Overall Drug Liking: Mean Effect (Emean)

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emean = Average observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboOverall Drug Liking: Mean Effect (Emean)50.19 mmStandard Deviation 11.962
ALO-02 40 Mg-COverall Drug Liking: Mean Effect (Emean)61.26 mmStandard Deviation 24.489
OXY 40 mgOverall Drug Liking: Mean Effect (Emean)75.70 mmStandard Deviation 21.304
ALO-02 60 Mg-IOverall Drug Liking: Mean Effect (Emean)47.72 mmStandard Deviation 20.715
ALO-02 60 mg- COverall Drug Liking: Mean Effect (Emean)69.94 mmStandard Deviation 23.37
OXY 60 mgOverall Drug Liking: Mean Effect (Emean)77.90 mmStandard Deviation 23.077
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [21.1, 38.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.595195% CI: [-11.2, 6.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.084195% CI: [-1.1, 16.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [11, 28.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001495% CI: [5.7, 23.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.017295% CI: [1.9, 19.6]Mixed Models Analysis
Secondary

Overall Drug Liking: Minimum Effect (Emin)

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emin= Average observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboOverall Drug Liking: Minimum Effect (Emin)49.6 mmStandard Deviation 11.4
ALO-02 40 Mg-COverall Drug Liking: Minimum Effect (Emin)58.5 mmStandard Deviation 24.82
OXY 40 mgOverall Drug Liking: Minimum Effect (Emin)71.1 mmStandard Deviation 25.28
ALO-02 60 Mg-IOverall Drug Liking: Minimum Effect (Emin)43.6 mmStandard Deviation 23.55
ALO-02 60 mg- COverall Drug Liking: Minimum Effect (Emin)65.6 mmStandard Deviation 25.87
OXY 60 mgOverall Drug Liking: Minimum Effect (Emin)74.3 mmStandard Deviation 23.53
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [21, 39.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.216695% CI: [-15.4, 3.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.077795% CI: [-1, 18]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001195% CI: [6.5, 25.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.008695% CI: [3.3, 22.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.077595% CI: [-0.9, 18]Mixed Models Analysis
Secondary

Overall Drug Liking: Peak Effect (Emax)

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emax = Maximum observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboOverall Drug Liking: Peak Effect (Emax)50.8 mmStandard Deviation 12.8
ALO-02 40 Mg-COverall Drug Liking: Peak Effect (Emax)64.3 mmStandard Deviation 24
OXY 40 mgOverall Drug Liking: Peak Effect (Emax)80.8 mmStandard Deviation 19.51
ALO-02 60 Mg-IOverall Drug Liking: Peak Effect (Emax)52.9 mmStandard Deviation 21.33
ALO-02 60 mg- COverall Drug Liking: Peak Effect (Emax)74.0 mmStandard Deviation 22.44
OXY 60 mgOverall Drug Liking: Peak Effect (Emax)81.6 mmStandard Deviation 23.15
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003695% CI: [4.4, 22.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [19.6, 37.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.620995% CI: [-6.7, 11.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.099795% CI: [-1.4, 16.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [14.4, 32.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000395% CI: [7.7, 25.5]Mixed Models Analysis
Secondary

Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)5.160 hours*mmStandard Deviation 0.7979
PlaceboPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)10.164 hours*mmStandard Deviation 1.589
PlaceboPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)41.088 hours*mmStandard Deviation 6.4135
PlaceboPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)62.550 hours*mmStandard Deviation 9.6352
PlaceboPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)125.791 hours*mmStandard Deviation 19.2063
PlaceboPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)188.828 hours*mmStandard Deviation 29.4183
ALO-02 40 Mg-CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)7.564 hours*mmStandard Deviation 1.3695
ALO-02 40 Mg-CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)47.586 hours*mmStandard Deviation 9.5615
ALO-02 40 Mg-CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)162.961 hours*mmStandard Deviation 29.2071
ALO-02 40 Mg-CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)4.022 hours*mmStandard Deviation 0.7658
ALO-02 40 Mg-CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)30.129 hours*mmStandard Deviation 5.7346
ALO-02 40 Mg-CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)103.711 hours*mmStandard Deviation 19.5429
OXY 40 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)149.454 hours*mmStandard Deviation 25.4599
OXY 40 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)91.216 hours*mmStandard Deviation 17.4729
OXY 40 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)38.713 hours*mmStandard Deviation 7.6202
OXY 40 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)23.795 hours*mmStandard Deviation 4.0637
OXY 40 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)3.599 hours*mmStandard Deviation 0.6554
OXY 40 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)6.226 hours*mmStandard Deviation 1.0741
ALO-02 60 Mg-IPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)46.155 hours*mmStandard Deviation 8.8631
ALO-02 60 Mg-IPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)9.889 hours*mmStandard Deviation 1.6078
ALO-02 60 Mg-IPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)33.605 hours*mmStandard Deviation 6.4972
ALO-02 60 Mg-IPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)130.199 hours*mmStandard Deviation 23.0719
ALO-02 60 Mg-IPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)83.530 hours*mmStandard Deviation 14.693
ALO-02 60 Mg-IPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)5.039 hours*mmStandard Deviation 0.7893
ALO-02 60 mg- CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)3.986 hours*mmStandard Deviation 0.6847
ALO-02 60 mg- CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)102.183 hours*mmStandard Deviation 17.7741
ALO-02 60 mg- CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)7.384 hours*mmStandard Deviation 1.2278
ALO-02 60 mg- CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)29.298 hours*mmStandard Deviation 5.4769
ALO-02 60 mg- CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)46.136 hours*mmStandard Deviation 8.9456
ALO-02 60 mg- CPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)161.977 hours*mmStandard Deviation 26.8529
OXY 60 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)35.088 hours*mmStandard Deviation 6.406
OXY 60 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)21.913 hours*mmStandard Deviation 3.6297
OXY 60 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)83.832 hours*mmStandard Deviation 17.641
OXY 60 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)141.638 hours*mmStandard Deviation 28.1687
OXY 60 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)5.927 hours*mmStandard Deviation 1.031
OXY 60 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)3.489 hours*mmStandard Deviation 0.6738
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.75, -1.42]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.330995% CI: [-0.24, 0.08]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-0.74, -0.42]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.25, -0.92]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-0.59, -0.26]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.21, -0.88]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-4.37, -3.69]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.247595% CI: [-0.54, 0.14]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.96, -1.27]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-2.96, -2.27]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.68, -1]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-2.76, -2.08]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-13.21, -10.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-8.54, -5.93]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-9.2, -6.59]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-12.55, -9.94]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-7.65, -5.05]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-11.67, -9.05]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-13.16, -9.58]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-17.86, -14.28]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-13.53, -9.93]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-17.51, -13.91]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-10.67, -7.09]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-15.99, -12.39]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.878495% CI: [-3.63, 3.11]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-45.02, -38.29]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-23.01, -16.25]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-25.67, -18.9]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-15.86, -9.14]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-23.98, -17.21]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [5.75, 15.54]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-62.63, -52.85]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-27.09, -17.27]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-29.83, -20]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-18.41, -8.64]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-28.62, -18.78]Mixed Models Analysis
Secondary

Pupillometry: Peak Effect (Emax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboPupillometry: Peak Effect (Emax)-0.8 mmStandard Deviation 0.38
ALO-02 40 Mg-CPupillometry: Peak Effect (Emax)-2.0 mmStandard Deviation 0.71
OXY 40 mgPupillometry: Peak Effect (Emax)-2.7 mmStandard Deviation 0.72
ALO-02 60 Mg-IPupillometry: Peak Effect (Emax)-2.4 mmStandard Deviation 0.71
ALO-02 60 mg- CPupillometry: Peak Effect (Emax)-2.1 mmStandard Deviation 0.63
OXY 60 mgPupillometry: Peak Effect (Emax)-3.0 mmStandard Deviation 0.76
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-0.69, -0.34]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.86, -1.52]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-0.97, -0.63]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.58, -1.23]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-0.91, -0.56]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-1.46, -1.11]Mixed Models Analysis
Secondary

Pupillometry: Time to Maximum (Peak) Effect (TEmax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboPupillometry: Time to Maximum (Peak) Effect (TEmax)2.275 hours
ALO-02 40 Mg-CPupillometry: Time to Maximum (Peak) Effect (TEmax)1.517 hours
OXY 40 mgPupillometry: Time to Maximum (Peak) Effect (TEmax)1.517 hours
ALO-02 60 Mg-IPupillometry: Time to Maximum (Peak) Effect (TEmax)12.050 hours
ALO-02 60 mg- CPupillometry: Time to Maximum (Peak) Effect (TEmax)1.775 hours
OXY 60 mgPupillometry: Time to Maximum (Peak) Effect (TEmax)1.533 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-11.9, -7.57]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [2.99, 7.32]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.976695% CI: [-2.13, 2.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-6.78, -2.44]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.724295% CI: [-2.55, 1.78]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-6.62, -2.28]Mixed Models Analysis
Secondary

Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)3.660 hours*mmStandard Deviation 11.1947
PlaceboSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)17.809 hours*mmStandard Deviation 35.0786
PlaceboSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)57.035 hours*mmStandard Deviation 117.1422
PlaceboSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)68.785 hours*mmStandard Deviation 151.3384
PlaceboSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)107.254 hours*mmStandard Deviation 299.1972
PlaceboSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)135.941 hours*mmStandard Deviation 402.8944
ALO-02 40 Mg-CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)44.152 hours*mmStandard Deviation 38.4132
ALO-02 40 Mg-CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)239.566 hours*mmStandard Deviation 244.9626
ALO-02 40 Mg-CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)299.316 hours*mmStandard Deviation 316.187
ALO-02 40 Mg-CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)9.160 hours*mmStandard Deviation 12.4734
ALO-02 40 Mg-CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)196.691 hours*mmStandard Deviation 178.559
ALO-02 40 Mg-CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)295.941 hours*mmStandard Deviation 314.6515
OXY 40 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)414.008 hours*mmStandard Deviation 349.3465
OXY 40 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)407.820 hours*mmStandard Deviation 342.4604
OXY 40 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)352.289 hours*mmStandard Deviation 260.5164
OXY 40 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)295.727 hours*mmStandard Deviation 204.5401
OXY 40 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)17.555 hours*mmStandard Deviation 18.6009
OXY 40 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)66.906 hours*mmStandard Deviation 46.9339
ALO-02 60 Mg-ISleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)195.418 hours*mmStandard Deviation 271.9999
ALO-02 60 Mg-ISleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)27.512 hours*mmStandard Deviation 43.9712
ALO-02 60 Mg-ISleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)127.855 hours*mmStandard Deviation 188.5158
ALO-02 60 Mg-ISleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)382.012 hours*mmStandard Deviation 585.0876
ALO-02 60 Mg-ISleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)346.949 hours*mmStandard Deviation 494.5935
ALO-02 60 Mg-ISleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)9.004 hours*mmStandard Deviation 18.9625
ALO-02 60 mg- CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)10.789 hours*mmStandard Deviation 17.0139
ALO-02 60 mg- CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)341.922 hours*mmStandard Deviation 407.7011
ALO-02 60 mg- CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)49.125 hours*mmStandard Deviation 49.5132
ALO-02 60 mg- CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)223.984 hours*mmStandard Deviation 196.8453
ALO-02 60 mg- CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)270.109 hours*mmStandard Deviation 253.5547
ALO-02 60 mg- CSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)362.922 hours*mmStandard Deviation 486.019
OXY 60 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)440.809 hours*mmStandard Deviation 232.3446
OXY 60 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)378.309 hours*mmStandard Deviation 195.1978
OXY 60 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)487.559 hours*mmStandard Deviation 284.8306
OXY 60 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)493.559 hours*mmStandard Deviation 290.1531
OXY 60 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-2)79.848 hours*mmStandard Deviation 46.1185
OXY 60 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)22.590 hours*mmStandard Deviation 19.7659
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [6.4, 18.6]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.25595% CI: [-2.6, 9.6]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00195% CI: [4.3, 16.4]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.066795% CI: [-0.4, 11.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.007595% CI: [2.3, 14.4]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.135495% CI: [-1.5, 10.7]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [34.2, 67.5]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.390595% CI: [-9.4, 24]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000995% CI: [11.9, 45.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [12.9, 46.3]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.007295% CI: [6.3, 39.5]Mixed Models Analysis
Comparison: AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003595% CI: [8.4, 41.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [188.6, 308.3]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.026395% CI: [8.2, 128.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [91.3, 211.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [105.6, 225.3]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001595% CI: [38.3, 157.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [78.7, 198.2]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [162.8, 319.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.002895% CI: [42.4, 199.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [85.8, 243.1]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [119.4, 276.6]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.005795% CI: [32.8, 189.4]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [89.7, 246.6]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.03695% CI: [8.5, 248.3]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000495% CI: [101.2, 341.7]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.038895% CI: [6.6, 246.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000395% CI: [103.2, 343.2]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.078795% CI: [-12.4, 226.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003395% CI: [61.5, 301]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.168895% CI: [-41.2, 233.3]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001995% CI: [82.6, 358]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.129895% CI: [-31.5, 243.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.002995% CI: [73, 347.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.118995% CI: [-28.3, 245.7]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.028495% CI: [16.4, 290.8]Mixed Models Analysis
Secondary

Sleepy: Peak Effect (Emax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboSleepy: Peak Effect (Emax)24.7 mmStandard Deviation 34.06
ALO-02 40 Mg-CSleepy: Peak Effect (Emax)56.8 mmStandard Deviation 35.54
OXY 40 mgSleepy: Peak Effect (Emax)72.0 mmStandard Deviation 30.57
ALO-02 60 Mg-ISleepy: Peak Effect (Emax)38.3 mmStandard Deviation 38.32
ALO-02 60 mg- CSleepy: Peak Effect (Emax)59.2 mmStandard Deviation 36.76
OXY 60 mgSleepy: Peak Effect (Emax)76.1 mmStandard Deviation 25.88
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [26.4, 51.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.013695% CI: [3.3, 28.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003995% CI: [6.1, 31]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [23.6, 48.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.015795% CI: [2.9, 27.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [20.5, 45.3]Mixed Models Analysis
Secondary

Sleepy: Time to Maximum (Peak) Effect (TEmax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm)to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboSleepy: Time to Maximum (Peak) Effect (TEmax)0.758 hours
ALO-02 40 Mg-CSleepy: Time to Maximum (Peak) Effect (TEmax)2.025 hours
OXY 40 mgSleepy: Time to Maximum (Peak) Effect (TEmax)2.508 hours
ALO-02 60 Mg-ISleepy: Time to Maximum (Peak) Effect (TEmax)2.000 hours
ALO-02 60 mg- CSleepy: Time to Maximum (Peak) Effect (TEmax)2.017 hours
OXY 60 mgSleepy: Time to Maximum (Peak) Effect (TEmax)2.033 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.032795% CI: [-3.4, -0.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001995% CI: [1, 4.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.750895% CI: [-1.9, 1.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.186895% CI: [-0.5, 2.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.994495% CI: [-1.6, 1.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.232295% CI: [-0.6, 2.6]Mixed Models Analysis
Secondary

Take Drug Again Effect at Hours 12, 24 and 36

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboTake Drug Again Effect at Hours 12, 24 and 36Hour 2441.8 mmStandard Deviation 21.79
PlaceboTake Drug Again Effect at Hours 12, 24 and 36Hour 1244.0 mmStandard Deviation 20.63
PlaceboTake Drug Again Effect at Hours 12, 24 and 36Hour 3642.9 mmStandard Deviation 20.4
ALO-02 40 Mg-CTake Drug Again Effect at Hours 12, 24 and 36Hour 2455.5 mmStandard Deviation 32.73
ALO-02 40 Mg-CTake Drug Again Effect at Hours 12, 24 and 36Hour 1254.7 mmStandard Deviation 33.56
ALO-02 40 Mg-CTake Drug Again Effect at Hours 12, 24 and 36Hour 3653.9 mmStandard Deviation 32.84
OXY 40 mgTake Drug Again Effect at Hours 12, 24 and 36Hour 2476.9 mmStandard Deviation 26.77
OXY 40 mgTake Drug Again Effect at Hours 12, 24 and 36Hour 1279.7 mmStandard Deviation 22.37
OXY 40 mgTake Drug Again Effect at Hours 12, 24 and 36Hour 3676.8 mmStandard Deviation 25.12
ALO-02 60 Mg-ITake Drug Again Effect at Hours 12, 24 and 36Hour 2441.0 mmStandard Deviation 28.73
ALO-02 60 Mg-ITake Drug Again Effect at Hours 12, 24 and 36Hour 1245.8 mmStandard Deviation 27.53
ALO-02 60 Mg-ITake Drug Again Effect at Hours 12, 24 and 36Hour 3641.1 mmStandard Deviation 28.95
ALO-02 60 mg- CTake Drug Again Effect at Hours 12, 24 and 36Hour 2469.6 mmStandard Deviation 28.34
ALO-02 60 mg- CTake Drug Again Effect at Hours 12, 24 and 36Hour 1268.7 mmStandard Deviation 30.31
ALO-02 60 mg- CTake Drug Again Effect at Hours 12, 24 and 36Hour 3668.1 mmStandard Deviation 31.99
OXY 60 mgTake Drug Again Effect at Hours 12, 24 and 36Hour 1278.9 mmStandard Deviation 25.21
OXY 60 mgTake Drug Again Effect at Hours 12, 24 and 36Hour 3676.8 mmStandard Deviation 25.17
OXY 60 mgTake Drug Again Effect at Hours 12, 24 and 36Hour 2478.3 mmStandard Deviation 25.17
Secondary

Take Drug Again: Mean Effect (Emean)

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboTake Drug Again: Mean Effect (Emean)42.90 mmStandard Deviation 20.002
ALO-02 40 Mg-CTake Drug Again: Mean Effect (Emean)54.71 mmStandard Deviation 32.635
OXY 40 mgTake Drug Again: Mean Effect (Emean)77.80 mmStandard Deviation 22.88
ALO-02 60 Mg-ITake Drug Again: Mean Effect (Emean)42.63 mmStandard Deviation 26.293
ALO-02 60 mg- CTake Drug Again: Mean Effect (Emean)68.78 mmStandard Deviation 29.883
OXY 60 mgTake Drug Again: Mean Effect (Emean)78.02 mmStandard Deviation 24.868
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [24, 46]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.981195% CI: [-11.1, 10.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.108395% CI: [-2, 19.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [14.9, 36.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [12.3, 34.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.040895% CI: [0.5, 22.4]Mixed Models Analysis
Secondary

Take Drug Again: Minimum Effect (Emin)

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboTake Drug Again: Minimum Effect (Emin)41.1 mmStandard Deviation 21.6
ALO-02 40 Mg-CTake Drug Again: Minimum Effect (Emin)50.9 mmStandard Deviation 32.46
OXY 40 mgTake Drug Again: Minimum Effect (Emin)73.2 mmStandard Deviation 26.92
ALO-02 60 Mg-ITake Drug Again: Minimum Effect (Emin)37.8 mmStandard Deviation 28.72
ALO-02 60 mg- CTake Drug Again: Minimum Effect (Emin)66.3 mmStandard Deviation 31.57
OXY 60 mgTake Drug Again: Minimum Effect (Emin)75.2 mmStandard Deviation 24.85
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [25.2, 48.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.596895% CI: [-14.9, 8.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.147195% CI: [-3.1, 20.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.113695% CI: [-2.3, 21.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [10.6, 34.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.113695% CI: [-2.3, 21.3]Mixed Models Analysis
Secondary

Take Drug Again: Peak Effect (Emax)

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.

Time frame: 12, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEAN)Dispersion
PlaceboTake Drug Again: Peak Effect (Emax)45.7 mmStandard Deviation 19.05
ALO-02 40 Mg-CTake Drug Again: Peak Effect (Emax)57.9 mmStandard Deviation 33.58
OXY 40 mgTake Drug Again: Peak Effect (Emax)83.4 mmStandard Deviation 20.26
ALO-02 60 Mg-ITake Drug Again: Peak Effect (Emax)48.1 mmStandard Deviation 28.14
ALO-02 60 mg- CTake Drug Again: Peak Effect (Emax)72.0 mmStandard Deviation 28.31
OXY 60 mgTake Drug Again: Peak Effect (Emax)81.3 mmStandard Deviation 25.23
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [21.8, 43.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.643495% CI: [-8.4, 13.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.107295% CI: [-2, 20]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [15.4, 37.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [14.7, 36.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.033595% CI: [0.9, 22.9]Mixed Models Analysis
Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.

ArmMeasureGroupValue (MEDIAN)
PlaceboTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.03 hours
PlaceboTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.03 hours
PlaceboTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 37, 37, 35)0.559 hours
ALO-02 40 Mg-CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 37, 37, 35)0.567 hours
ALO-02 40 Mg-CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.03 hours
ALO-02 40 Mg-CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.07 hours
OXY 40 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 37, 37, 35)14.0 hours
OXY 40 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)12.1 hours
OXY 40 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)14.1 hours
ALO-02 60 Mg-ITime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)0.583 hours
ALO-02 60 Mg-ITime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)0.600 hours
ALO-02 60 Mg-ITime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 37, 37, 35)0.567 hours
ALO-02 60 mg- CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 37, 37, 35)0.550 hours
ALO-02 60 mg- CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.04 hours
ALO-02 60 mg- CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.05 hours
Other Pre-specified

Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of Oxycodone

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone were reported.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-12)319.6 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 87.905
PlaceboArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-1)45.21 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 19.256
PlaceboArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-24)356.2 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 104.68
PlaceboArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-2)103.5 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 29.463
PlaceboArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-8)276.8 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 72.686
ALO-02 40 Mg-CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-1)37.60 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 13.292
ALO-02 40 Mg-CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-8)265.0 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 55.929
ALO-02 40 Mg-CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-2)88.12 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 20.159
ALO-02 40 Mg-CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-12)314.1 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 72.753
ALO-02 40 Mg-CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-24)355.9 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 91.851
OXY 40 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-8)79.08 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 19.9
OXY 40 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-1)0.02102 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.05715
OXY 40 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-2)0.7834 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.42296
OXY 40 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-12)181.6 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 43.706
OXY 40 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-24)455.3 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 118.5
ALO-02 60 Mg-IArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-24)513.9 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 143.01
ALO-02 60 Mg-IArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-1)72.25 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 24.141
ALO-02 60 Mg-IArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-12)464.8 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 121.19
ALO-02 60 Mg-IArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-8)405.5 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 98.993
ALO-02 60 Mg-IArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-2)157.5 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 37.317
ALO-02 60 mg- CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-8)366.5 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 88.598
ALO-02 60 mg- CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-12)451.5 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 116.62
ALO-02 60 mg- CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-1)53.38 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 19.223
ALO-02 60 mg- CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-24)527.8 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 149.84
ALO-02 60 mg- CArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of OxycodoneAUC (0-2)120.0 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 34.767
Other Pre-specified

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone

Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone were reported.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureValue (MEAN)Dispersion
PlaceboArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone361.6 ng*hr/mLStandard Deviation 108.39
ALO-02 40 Mg-CArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone361.6 ng*hr/mLStandard Deviation 95.617
OXY 40 mgArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone575.8 ng*hr/mLStandard Deviation 150.15
ALO-02 60 Mg-IArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone521.0 ng*hr/mLStandard Deviation 147.32
ALO-02 60 mg- CArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone538.6 ng*hr/mLStandard Deviation 155.71
Other Pre-specified

Dose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone

\[AUC (0 - ∞)dn\]= Dose normalized area under the plasma concentration versus time curve \[AUC(dn)\] from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0- t) plus AUC (t - ∞). Participants who received oxycodone were reported. Participants who received oxycodone were reported.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
PlaceboDose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone9.079 ng*hr/mL/mgStandard Deviation 2.712
ALO-02 40 Mg-CDose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone9.085 ng*hr/mL/mgStandard Deviation 2.3977
OXY 40 mgDose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone10.88 ng*hr/mL/mgStandard Deviation 2.9327
ALO-02 60 Mg-IDose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone8.718 ng*hr/mL/mgStandard Deviation 2.4635
ALO-02 60 mg- CDose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone9.018 ng*hr/mL/mgStandard Deviation 2.6095
Other Pre-specified

Dose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and Noroxycodone

Cmax\[dn\]=Dose normalized maximum observed plasma concentration of participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the Pharmacokinetic (PK) parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.989 nanogram/milliliter/milligramStandard Deviation 0.62042
PlaceboDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.295 nanogram/milliliter/milligramStandard Deviation 0.37231
PlaceboDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 38, 37, 35)0.03271 nanogram/milliliter/milligramStandard Deviation 0.0155
ALO-02 40 Mg-CDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 38, 37, 35)0.02847 nanogram/milliliter/milligramStandard Deviation 0.0149
ALO-02 40 Mg-CDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.672 nanogram/milliliter/milligramStandard Deviation 0.40716
ALO-02 40 Mg-CDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.123 nanogram/milliliter/milligramStandard Deviation 0.29543
OXY 40 mgDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 38, 37, 35)0.0068 nanogram/milliliter/milligramStandard Deviation 0.00365
OXY 40 mgDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)0.4978 nanogram/milliliter/milligramStandard Deviation 0.15863
OXY 40 mgDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)0.3672 nanogram/milliliter/milligramStandard Deviation 0.18111
ALO-02 60 Mg-IDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.923 nanogram/milliliter/milligramStandard Deviation 0.54296
ALO-02 60 Mg-IDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.343 nanogram/milliliter/milligramStandard Deviation 0.36175
ALO-02 60 Mg-IDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 38, 37, 35)0.03182 nanogram/milliliter/milligramStandard Deviation 0.0161
ALO-02 60 mg- CDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n= 36, 36, 38, 37, 35)0.02419 nanogram/milliliter/milligramStandard Deviation 0.0118
ALO-02 60 mg- CDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n= 36, 37, 38, 37, 36)1.514 nanogram/milliliter/milligramStandard Deviation 0.42099
ALO-02 60 mg- CDose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n= 36, 37, 38, 37, 36)1.026 nanogram/milliliter/milligramStandard Deviation 0.33231
Other Pre-specified

Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)1202.863 hours*mmStandard Deviation 9.1566
PlaceboDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)399.957 hours*mmStandard Deviation 8.2973
PlaceboDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)50.020 hours*mmStandard Deviation 2.7443
PlaceboDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)1805.113 hours*mmStandard Deviation 11.7017
PlaceboDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)600.645 hours*mmStandard Deviation 8.198
ALO-02 40 Mg-CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)431.973 hours*mmStandard Deviation 80.0157
ALO-02 40 Mg-CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)1267.410 hours*mmStandard Deviation 197.164
ALO-02 40 Mg-CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)57.770 hours*mmStandard Deviation 11.2102
ALO-02 40 Mg-CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)1893.848 hours*mmStandard Deviation 298.919
ALO-02 40 Mg-CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)640.223 hours*mmStandard Deviation 111.0897
OXY 40 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)492.578 hours*mmStandard Deviation 112.1774
OXY 40 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)1337.016 hours*mmStandard Deviation 241.1654
OXY 40 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)1955.953 hours*mmStandard Deviation 326.5777
OXY 40 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)704.328 hours*mmStandard Deviation 140.9602
OXY 40 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)64.820 hours*mmStandard Deviation 14.3058
ALO-02 60 Mg-IDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)616.203 hours*mmStandard Deviation 130.7196
ALO-02 60 Mg-IDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)50.703 hours*mmStandard Deviation 3.2294
ALO-02 60 Mg-IDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)404.578 hours*mmStandard Deviation 71.1457
ALO-02 60 Mg-IDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)1203.828 hours*mmStandard Deviation 289.324
ALO-02 60 Mg-IDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)1783.578 hours*mmStandard Deviation 361.8779
ALO-02 60 mg- CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)1285.289 hours*mmStandard Deviation 209.4193
ALO-02 60 mg- CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)61.125 hours*mmStandard Deviation 12.7119
ALO-02 60 mg- CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)1907.414 hours*mmStandard Deviation 310.0402
ALO-02 60 mg- CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)465.945 hours*mmStandard Deviation 110.9382
ALO-02 60 mg- CDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)677.320 hours*mmStandard Deviation 147.0075
OXY 60 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)69.734 hours*mmStandard Deviation 12.6273
OXY 60 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)1398.836 hours*mmStandard Deviation 237.2094
OXY 60 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)531.586 hours*mmStandard Deviation 110.7145
OXY 60 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)2024.711 hours*mmStandard Deviation 347.2035
OXY 60 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)758.336 hours*mmStandard Deviation 160.5459
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [14.6, 23.5]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.804895% CI: [-3.9, 5]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [4.2, 13.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [6.5, 15.4]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001995% CI: [2.7, 11.6]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00195% CI: [3.2, 12.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [93.6, 161.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.783795% CI: [-29.1, 38.5]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [32, 99.6]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [32.5, 100.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000695% CI: [26.5, 94.1]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.06495% CI: [-1.9, 65.7]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [94.5, 190.7]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.516995% CI: [-32.3, 63.9]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001195% CI: [33.2, 129.3]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001895% CI: [29.1, 125.2]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.009895% CI: [15.6, 111.7]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.107895% CI: [-8.7, 87.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [116.9, 275.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.972695% CI: [-77.7, 80.5]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.00595% CI: [35, 193.2]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.039295% CI: [4.2, 162.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.088395% CI: [-10.4, 147.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.1195% CI: [-14.7, 143.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [138.6, 347.2]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.690695% CI: [-125.3, 83.2]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.025995% CI: [14.5, 223]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.052595% CI: [-1.1, 207.5]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.255895% CI: [-44.1, 164.4]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.095295% CI: [-15.7, 192.9]Mixed Models Analysis
Other Pre-specified

Drug Liking: Time to Maximum (Peak) Effect (TEmax)

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboDrug Liking: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 40 Mg-CDrug Liking: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 40 mgDrug Liking: Time to Maximum (Peak) Effect (TEmax)1.017 hours
ALO-02 60 Mg-IDrug Liking: Time to Maximum (Peak) Effect (TEmax)0.758 hours
ALO-02 60 mg- CDrug Liking: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 60 mgDrug Liking: Time to Maximum (Peak) Effect (TEmax)1.008 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.029895% CI: [-3.3, -0.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000895% CI: [1.1, 4.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.64595% CI: [-2, 1.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.096295% CI: [-0.2, 2.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.19395% CI: [-2.6, 0.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.03195% CI: [0.2, 3.3]Mixed Models Analysis
Other Pre-specified

High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)34.137 hours*mmStandard Deviation 110.6283
PlaceboHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)24.199 hours*mmStandard Deviation 69.6362
PlaceboHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)6.512 hours*mmStandard Deviation 16.7072
PlaceboHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)6.512 hours*mmStandard Deviation 16.7072
PlaceboHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)0.785 hours*mmStandard Deviation 4.1738
ALO-02 40 Mg-CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)131.805 hours*mmStandard Deviation 168.5472
ALO-02 40 Mg-CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)131.930 hours*mmStandard Deviation 168.8668
ALO-02 40 Mg-CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)132.305 hours*mmStandard Deviation 170.0009
ALO-02 40 Mg-CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)119.055 hours*mmStandard Deviation 142.308
ALO-02 40 Mg-CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)20.203 hours*mmStandard Deviation 22.8004
OXY 40 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)277.715 hours*mmStandard Deviation 201.686
OXY 40 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)282.902 hours*mmStandard Deviation 215.7112
OXY 40 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)282.902 hours*mmStandard Deviation 215.7112
OXY 40 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)40.801 hours*mmStandard Deviation 20.3235
OXY 40 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)257.527 hours*mmStandard Deviation 163.9543
ALO-02 60 Mg-IHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)78.582 hours*mmStandard Deviation 166.6578
ALO-02 60 Mg-IHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)4.473 hours*mmStandard Deviation 11.7536
ALO-02 60 Mg-IHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)39.145 hours*mmStandard Deviation 85.5494
ALO-02 60 Mg-IHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)161.613 hours*mmStandard Deviation 319.3473
ALO-02 60 Mg-IHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)168.176 hours*mmStandard Deviation 337.3448
ALO-02 60 mg- CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)171.129 hours*mmStandard Deviation 180.2282
ALO-02 60 mg- CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)27.465 hours*mmStandard Deviation 24.2206
ALO-02 60 mg- CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)173.379 hours*mmStandard Deviation 181.7041
ALO-02 60 mg- CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)153.941 hours*mmStandard Deviation 150.3297
ALO-02 60 mg- CHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)160.004 hours*mmStandard Deviation 160.4458
OXY 60 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-1)45.836 hours*mmStandard Deviation 20.4802
OXY 60 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-24)362.531 hours*mmStandard Deviation 252.5074
OXY 60 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-8)322.250 hours*mmStandard Deviation 187.7896
OXY 60 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-36)362.531 hours*mmStandard Deviation 252.5074
OXY 60 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 HourAUE (0-12)355.250 hours*mmStandard Deviation 237.6863
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [232.9, 335.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [33.9, 49]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.376395% CI: [-4.2, 10.9]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [10.7, 25.8]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [19.1, 34.1]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [13.1, 28.2]Mixed Models Analysis
Comparison: AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [11.8, 26.8]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.233695% CI: [-20.4, 82.8]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [115.7, 218.9]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [96.8, 199.7]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [84, 187.2]Mixed Models Analysis
Comparison: AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [62.1, 165]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [213.2, 343.3]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.032295% CI: [6.1, 136.5]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [130.2, 260.5]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [89.2, 219.3]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [78, 208.4]Mixed Models Analysis
Comparison: AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [61.7, 191.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [118.4, 286.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001595% CI: [53.3, 221.8]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [108.7, 277.2]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000795% CI: [63, 231.1]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000795% CI: [63.9, 232.4]Mixed Models Analysis
Comparison: AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.01195% CI: [25.5, 193.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [107.4, 284.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.003495% CI: [45, 222.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [102.1, 279.8]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.002395% CI: [50.3, 227.6]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001395% CI: [59, 236.7]Mixed Models Analysis
Comparison: AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.027395% CI: [11.3, 188.6]Mixed Models Analysis
Other Pre-specified

High: Time to Maximum (Peak) Effect (TEmax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.

ArmMeasureValue (MEDIAN)
PlaceboHigh: Time to Maximum (Peak) Effect (TEmax)0.250 hours
ALO-02 40 Mg-CHigh: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 40 mgHigh: Time to Maximum (Peak) Effect (TEmax)1.017 hours
ALO-02 60 Mg-IHigh: Time to Maximum (Peak) Effect (TEmax)0.767 hours
ALO-02 60 mg- CHigh: Time to Maximum (Peak) Effect (TEmax)1.017 hours
OXY 60 mgHigh: Time to Maximum (Peak) Effect (TEmax)1.017 hours
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-5, -1.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000495% CI: [1.3, 4.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.847895% CI: [-1.7, 1.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.619295% CI: [-1.9, 1.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.885795% CI: [-1.7, 1.4]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.509295% CI: [-2.1, 1]Mixed Models Analysis
Other Pre-specified

Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexolNaltrexone1.389 nanogram per milliliter (ng/mL)Standard Deviation 1.4633
PlaceboMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol8.516 nanogram per milliliter (ng/mL)Standard Deviation 2.4847
ALO-02 40 Mg-CMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexolNaltrexone0.01808 nanogram per milliliter (ng/mL)Standard Deviation 0.11145
ALO-02 40 Mg-CMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol0.3012 nanogram per milliliter (ng/mL)Standard Deviation 1.8325
OXY 40 mgMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexolNaltrexone2.331 nanogram per milliliter (ng/mL)Standard Deviation 2.4498
OXY 40 mgMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol13.70 nanogram per milliliter (ng/mL)Standard Deviation 3.1369
Other Pre-specified

Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)

End-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion.

Time frame: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5 hours post-dose in drug discrimination phase; pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in intervention period

Population: Safety analysis set included all participants who received at least 1 dose of study drug. This outcome measure was not planned to be analyzed in Naloxone Challenge Phase, as pre-specified in protocol.

ArmMeasureValue (NUMBER)
PlaceboNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
ALO-02 40 Mg-CNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
OXY 40 mgNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
ALO-02 60 Mg-INumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
ALO-02 60 mg- CNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
OXY 60 mgNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
ALO-02 60 Mg-INumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
ALO-02 60 mg- CNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
Other Pre-specified

Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)

Oxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurements was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator might had administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported.

Time frame: pre-dose up to 5 hours in drug discrimination phase; pre-dose up to 12 hours in intervention period

Population: Safety analysis set included all participants who received at least 1 dose of study drug. This outcome measure was not planned to be analyzed in Naloxone Challenge Phase, as pre-specified in protocol.

ArmMeasureValue (NUMBER)
PlaceboNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 40 Mg-CNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
OXY 40 mgNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 60 Mg-INumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 60 mg- CNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
OXY 60 mgNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 60 Mg-INumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 60 mg- CNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
Other Pre-specified

Number of Participants With Clinically Significant Change in Vital Sign Examinations

Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, respiratory rate and oral temperature. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion.

Time frame: Screening up to 7 days following last study drug administration (Day 8)

Population: Safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
PlaceboNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 40 Mg-CNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
OXY 40 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 60 Mg-INumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 60 mg- CNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
OXY 60 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 60 Mg-INumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 60 mg- CNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
OXY 60 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
Other Pre-specified

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial.

Time frame: Screening up to 28 days after last study drug administration (Day 29)

Population: Safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs5 participants
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
ALO-02 40 Mg-CNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs70 participants
ALO-02 40 Mg-CNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs1 participants
OXY 40 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs14 participants
OXY 40 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
ALO-02 60 Mg-INumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs12 participants
ALO-02 60 Mg-INumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
ALO-02 60 mg- CNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs29 participants
ALO-02 60 mg- CNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
OXY 60 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
OXY 60 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs37 participants
ALO-02 60 Mg-INumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
ALO-02 60 Mg-INumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs27 participants
ALO-02 60 mg- CNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs34 participants
ALO-02 60 mg- CNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
OXY 60 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs36 participants
OXY 60 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Other Pre-specified

Plasma Terminal Half-Life (t1/2) of Oxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEDIAN)
PlaceboPlasma Terminal Half-Life (t1/2) of Oxycodone4.470 hours
ALO-02 40 Mg-CPlasma Terminal Half-Life (t1/2) of Oxycodone4.240 hours
OXY 40 mgPlasma Terminal Half-Life (t1/2) of Oxycodone9.340 hours
ALO-02 60 Mg-IPlasma Terminal Half-Life (t1/2) of Oxycodone4.300 hours
ALO-02 60 mg- CPlasma Terminal Half-Life (t1/2) of Oxycodone4.195 hours
Other Pre-specified

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.

ArmMeasureGroupValue (MEDIAN)
PlaceboTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexolNaltrexone (n= 36, 1, 37)0.550 hour
PlaceboTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol (n= 36, 19, 37)0.567 hour
ALO-02 40 Mg-CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexolNaltrexone (n= 36, 1, 37)1.58 hour
ALO-02 40 Mg-CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol (n= 36, 19, 37)1.55 hour
OXY 40 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexolNaltrexone (n= 36, 1, 37)0.550 hour
OXY 40 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol (n= 36, 19, 37)0.550 hour

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