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Determine the Safety and Efficacy of Oxy/Nal Tablets Compared to Oxy PR in Subjects With Cancer Pain

A Phase III, Randomized, Double-blind, Double-dummy, Parallel Group Study to Determine the Safety and Efficacy of Oxy/Nal Prolonged Release Tablets Compared to Oxy PR in Subjects With Moderate to Severe, Chronic Cancer Pain

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01885182
Enrollment
232
Registered
2013-06-24
Start date
2013-06-01
Completion date
2015-12-30
Last updated
2019-10-04

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

Conditions

Cancer, Pain

Brief summary

To Determine the Safety and Efficacy of Oxycodone / Naloxone Prolonged Release Tablets compared to Oxycodone PR in Subjects with Moderate to Severe, Chronic Cancer Pain

Detailed description

This is a randomised, double-blind, double-dummy, parallel group study using OXN and OXY PR to treat moderate to severe, chronic cancer pain. Subjects with documented history of cancer pain that requires around the clock opioid therapy will be included. Subjects must have a medical history of constipation that was induced by, or worsened by their opioid therapy.

Interventions

DRUGOxycodone

Sponsors

Mundipharma (China) Pharmaceutical Co. Ltd
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

Males & females, at least 18 years or older with a diagnosis of cancer. Females less than one year post-menopausal must have a negative urine pregnancy test recorded prior to the first dose of study medication, be non-lactating, & willing to use adequate & highly effective method of contraception throughout the study. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently correctly such as sterilisation, implants, injectables, combined oral contraceptives, some IUDs (hormonal), sexual abstinence or vasectomised partner. Subjects who are receiving WHO step II or Step III analgesic medication who have constipation induced, or worsened by their opioid medication, as shown by 1. the subject's medical need of regular intake of laxatives to have at least 3 bowel evacuations per week, or having less than 3 bowel evacuations when not taking a laxative, respectively. 2. the subject's self-assessment that their constipation was induced or worsened by their current pre-study opioid medication. Documented history of moderate to severe, chronic cancer pain that requires around the-clock opioid therapy (starting dose of oxycodone PR between 20-80 mg/day) & are likely to benefit from WHO step III opioid therapy for the duration of the study. Subjects must be willing to discontinue their current opioid analgesic routine. Opioid medication continue at a stable or nearly stable dose in the investigator's opinion during the treatment. Subjects are willing to discontinue pre study laxative medication & take study specific laxative medication. Subjects taking daily fibre supplementation or bulking agents are eligible if they can be maintained on a stable dose & regimen throughout the study, & in the investigators opinion are willing & able to maintain adequate hydration. Subjects willing & able (e.g. mental & physical condition) to participate in all aspects of the study, including use of medication, completion of subjective evaluations, attending scheduled clinic visits, completing telephone contacts, & compliance with protocol requirements as evidenced by providing written, informed consent. Subjects already taking non-opioid analgesics & all other concomitant medications (including those for the treatment of depression) are eligible to take part in the study. However, all concomitant medications that are considered necessary for the subject's welfare should be continued at a stable dose throughout the double-blind phase of the study & under the supervision of the investigator. Expected survival time \> 3 months. With capability of reading, understanding & signing inform consent form & compliance with protocol requirements.

Exclusion criteria

Subjects that require a dose \>80 mg/day oxycodone PR at the start of the double-blind phase. Any history of hypersensitivity to oxycodone, naloxone, morphine, bisacodyl, related products & other ingredients. Subjects with any situation in which opioids are contra-indicated, severe respiratory depression with hypoxia & or hypercapnia, severe chronic obstructive pulmonary disease, cor pulmonal, severe bronchial asthma, paralytic ileus. Subjects with evidence of clinically significant gastrointestinal disease (e.g. paralytic ileus, peritoneal carcinosis), significant structural abnormalities of the gastrointestinal tract (e.g. scarring, obstruction etc) either related or not related to the underlying cancer or disease progression. Evidence of clinically significant cardiovascular, renal, hepatic or psychiatric disease, as determined by medical history, clinical laboratory tests, ECG results & physical examination, that would place the subject at risk upon exposure to the study medication or that may confound the analysis & or interpretation of the study results. Abnormal aspartate aminotransferase (AST; SGOT), alanine aminotransferase (ALT; SGPT), r-glutamyltransferase (GGT) or alkaline phosphatase levels (\>3 times the upper limit of normal) or an abnormal total bilirubin & or creatinine level(s) (greater than 1.5 times the upper limit of normal). Cyclic chemotherapy in the two weeks before the screening visit or planned during the core study that has shown in the past to influence bowel function. If subjects are having their first cycle of chemotherapy during the 2 weeks before the screening visit or during the double-blind phase of the study they should be excluded from the study. Radiotherapy that, in the investigators opinion, would influence bowel function or pain during the double-blind phase of the study. Subjects with known or suspected unstable brain metastases or spinal cord compression that may require changes in steroid treatment throughout the duration of the study. Subjects with uncontrolled seizures. Subjects with increased intracranial pressure. In the investigator's opinion, subjects who are receiving hypnotics or other central nervous system (CNS) depressants that may pose a risk of additional CNS depression with opioid study medication. Subjects with myxoedema, not adequately treated hypothyroidism or Addisons disease. Subjects who have a confirmed diagnosis of ongoing irritable bowel syndrome(IBS). Surgery completed within 4 weeks prior to the start of the Screening Period, or planned surgery during the study that would influence pain or bowel function during the study or preclude completion of the study. Subjects receiving opioid substitution therapy for opioid addiction (e.g. methadone or buprenorphine). Active alcohol or drug abuse & or history of opioid abuse. Subjects suffering from diarrhoea & or opioid withdrawal. Subjects presently taking, or who have taken, naloxone ≤30 days prior to the start of the Screening Period. Subjects who participated in a clinical research study involving a new chemical entity or an experimental drug within 30 days of study entry (defined as the start of the Screening Period), unless the subject is on data collection phase for Overall Survival.

Design outcomes

Primary

MeasureTime frameDescription
The Change of BFI-Bowel Function Index at visit8Visit8, visit8 taking place at week 4 or after early discontinuation/withdrawal from studyBFI is the mean of NAS for the following items: * Ease of defecation * Feeling of incomplete bowel evacuation. * Personal judgment of constipation. NAS was a measure of 0-100 where 0 was easy/no difficulty/not at all and 100 was severe difficulty/very strong,total score range is 0-300.Do higher values represent a worse outcome.
The Change of BPI-SF at visit8Visit8, visit8 taking place at week 4 or after early discontinuation/withdrawal from studyBrief pain inventory short-form(BPI-SF) recorded at final visit assesses subject's average pain over the last 24 hours. score range is 0(no pain)-10(pain as bad as you can imagine).Do higher values represent a worse outcome.

Secondary

MeasureTime frameDescription
The Change of Modified Subjective Opiate Withdrawal Scale (SOWS) From Visit1 to visit3,visit1 to visit9Visit1(screening visit) to visit3 (day 1), visit1(screening visit) to visit9 (week 5)to compare the Modified SOWS's Change from Visit 1(day-10-0) to Visit 3(day1),Change from Visit 1 to Visit 9(day35).The SOWS was scored as the total of the 15 symptoms. each symptoms score is 0(not at all)-4(extremely).total score range is 0-60.Do higher values represent a better outcome.
To Assess Quality of Life Based on EQ-5DVisit1(screening visit) to Visit8 (week 4 or after early discontinuation/withdrawal from study)To assess quality of life based on EQ-5D by subjects evaluation via patient dairy.the quality of life based on EQ-5D at Visit1 (day-10-0) and end of treatment Visit8(day28). The scarc range is 0(the best state you can imagine)-100(the worst state you can imagine).Do higher values represent a worse outcome.
The Change of Symptoms of Constipation Based on Laxative Use From visit5 to visit8visit 5 (week 1) to visit8 (week 4 or early discontinue/withdrawal from study)At Visit 5(day7) and visit8(day28) number of bisacodyl taken(Number of laxative tablets took during the last 7 days (per week) and Daily number of laxative tablets took during the last 7 days (per day)\*) for OXN PR and OXY PR groups.
The Change of Bowel Movement by Visitvisit2 (day 0) to visit8 (week 4 or early discontinue/withdrawal from study)Number pf bowel movements(BM) and number of days the subjects had a bowel movement in the last 7 days before the study visit will be summarized at visit2(day0) ,visit5(day7),visit6(day14),visit7(day21), visit8(day28)..
The Chage of Symptoms of Constipation Based on Laxative Use From visit5 to visit8visit 5 taking place at week 1 to visit8 taking place at week 4 or early discontinue/withdrawal from study where applicableAt Visit5(day7) and visit8(day28) number of bisacodyl taken(Number of laxative tablets took during the last 7 days (per week) and Daily number of laxative tablets took during the last 7 days (per day)\*) for OXN PR and OXY PR groups
The Change of Individual Items in BPI-SF(Except for Pain in Average) by Visitvisit2 (day 0) to visit8 (week 4 or early discontinue/withdrawal from study)To compare the change of Brief pain inventory short-form (BPI-SF) 11 indivial items (except for pain in average) at visit2(day0) ,visit5(day7),visit6(day14),visit7(day21), visit8(day28). each item range (except for how much relief from treatment /medication last 24hours is 0-100%,do higher values represent a better outcome.) is 0-10, do higher values represent a worse outcome.
The Change of Rescue Medication Use From visit5 to visit8visit 5 (week 1) to visit8 (week 4 or early discontinue/withdrawal from study)The average daily dose of rescue medication (Morphine Sulfate Tablet) for OXN PR group and OXY PR group at Visit 5(first week of double blind) and at Visit 8(last week of double blind).

Countries

China

Participant flow

Recruitment details

The recruitment period is from 2013 Jun to 2014 Jul and the type of location is medical clinic.

Pre-assignment details

There is no run-in period for this study.

Participants by arm

ArmCount
Oxycodone/Naloxone
5/2.5mg, 10/5mg, 20/10mg or 40/20mg Oxycodone/Naloxone
107
Oxycodone
5mg, 10mg, 20mg or 40mg Oxycodone
106
Total213

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event1113
Overall StudyLack of Efficacy81
Overall StudyLost to Follow-up22
Overall StudyWithdrawal by Subject136

Baseline characteristics

CharacteristicOxycodone/NaloxoneOxycodoneTotal
Age, Continuous57.7 years
STANDARD_DEVIATION 11.5
60.0 years
STANDARD_DEVIATION 11.8
58.8 years
STANDARD_DEVIATION 11.7
Body Mass Index (BMI)21.9 kg/m2
STANDARD_DEVIATION 3.5
21.7 kg/m2
STANDARD_DEVIATION 3.4
21.8 kg/m2
STANDARD_DEVIATION 3.4
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
China
107 participants106 participants213 participants
Sex: Female, Male
Female
52 Participants45 Participants97 Participants
Sex: Female, Male
Male
55 Participants61 Participants116 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
8 / 1144 / 111
other
Total, other adverse events
72 / 11476 / 111
serious
Total, serious adverse events
14 / 11412 / 111

Outcome results

Primary

The Change of BFI-Bowel Function Index at visit8

BFI is the mean of NAS for the following items: * Ease of defecation * Feeling of incomplete bowel evacuation. * Personal judgment of constipation. NAS was a measure of 0-100 where 0 was easy/no difficulty/not at all and 100 was severe difficulty/very strong,total score range is 0-300.Do higher values represent a worse outcome.

Time frame: Visit8, visit8 taking place at week 4 or after early discontinuation/withdrawal from study

Population: below presents the mean BFI at final visit, primary analysis in FAP.

ArmMeasureValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of BFI-Bowel Function Index at visit848.3 score on BFIStandard Deviation 25.7
OxycodoneThe Change of BFI-Bowel Function Index at visit851.2 score on BFIStandard Deviation 26.4
Primary

The Change of BPI-SF at visit8

Brief pain inventory short-form(BPI-SF) recorded at final visit assesses subject's average pain over the last 24 hours. score range is 0(no pain)-10(pain as bad as you can imagine).Do higher values represent a worse outcome.

Time frame: Visit8, visit8 taking place at week 4 or after early discontinuation/withdrawal from study

Population: FAP

ArmMeasureValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of BPI-SF at visit83.7 Score on BPI-Brief Pain IndexStandard Deviation 1.7
OxycodoneThe Change of BPI-SF at visit83.6 Score on BPI-Brief Pain IndexStandard Deviation 2
Secondary

The Chage of Symptoms of Constipation Based on Laxative Use From visit5 to visit8

At Visit5(day7) and visit8(day28) number of bisacodyl taken(Number of laxative tablets took during the last 7 days (per week) and Daily number of laxative tablets took during the last 7 days (per day)\*) for OXN PR and OXY PR groups

Time frame: visit 5 taking place at week 1 to visit8 taking place at week 4 or early discontinue/withdrawal from study where applicable

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Chage of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Daily number of bisacodyl taken at Visit50.9 laxatives/dayStandard Deviation 0.9
Oxycodone/NaloxoneThe Chage of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Daily number of bisacodyl taken at Visit80.9 laxatives/dayStandard Deviation 0.9
OxycodoneThe Chage of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Daily number of bisacodyl taken at Visit51.1 laxatives/dayStandard Deviation 0.9
OxycodoneThe Chage of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Daily number of bisacodyl taken at Visit80.9 laxatives/dayStandard Deviation 0.9
Secondary

The Change of Bowel Movement by Visit

Number pf bowel movements(BM) and number of days the subjects had a bowel movement in the last 7 days before the study visit will be summarized at visit2(day0) ,visit5(day7),visit6(day14),visit7(day21), visit8(day28)..

Time frame: visit2 (day 0) to visit8 (week 4 or early discontinue/withdrawal from study)

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit22.9 Bowel movement/dayStandard Deviation 1.7
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit53.7 Bowel movement/dayStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit64.2 Bowel movement/dayStandard Deviation 3.4
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit74.2 Bowel movement/dayStandard Deviation 2.8
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit83.7 Bowel movement/dayStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit22.8 Bowel movement/dayStandard Deviation 1.5
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit53.1 Bowel movement/dayStandard Deviation 1.7
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit63.4 Bowel movement/dayStandard Deviation 1.6
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit73.6 Bowel movement/dayStandard Deviation 1.7
Oxycodone/NaloxoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit83.3 Bowel movement/dayStandard Deviation 1.8
OxycodoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit63.5 Bowel movement/dayStandard Deviation 1.7
OxycodoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit23.1 Bowel movement/dayStandard Deviation 1.7
OxycodoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit23.0 Bowel movement/dayStandard Deviation 1.6
OxycodoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit53.5 Bowel movement/dayStandard Deviation 2.6
OxycodoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit83.2 Bowel movement/dayStandard Deviation 1.9
OxycodoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit63.9 Bowel movement/dayStandard Deviation 2.3
OxycodoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit53.0 Bowel movement/dayStandard Deviation 1.6
OxycodoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit73.9 Bowel movement/dayStandard Deviation 2.3
OxycodoneThe Change of Bowel Movement by VisitNumber of days with BM in last 7 days-visit73.5 Bowel movement/dayStandard Deviation 1.8
OxycodoneThe Change of Bowel Movement by VisitNumber of BM baseline in last 7 days-visit83.5 Bowel movement/dayStandard Deviation 2.6
Secondary

The Change of Individual Items in BPI-SF(Except for Pain in Average) by Visit

To compare the change of Brief pain inventory short-form (BPI-SF) 11 indivial items (except for pain in average) at visit2(day0) ,visit5(day7),visit6(day14),visit7(day21), visit8(day28). each item range (except for how much relief from treatment /medication last 24hours is 0-100%,do higher values represent a better outcome.) is 0-10, do higher values represent a worse outcome.

Time frame: visit2 (day 0) to visit8 (week 4 or early discontinue/withdrawal from study)

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit24.3 score on BPI-SFStandard Deviation 2.9
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit267.3 score on BPI-SFStandard Deviation 22.7
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit54.0 score on BPI-SFStandard Deviation 3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V75.0 score on BPI-SFStandard Deviation 2.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit63.6 score on BPI-SFStandard Deviation 2.8
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit567.7 score on BPI-SFStandard Deviation 21.4
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit73.8 score on BPI-SFStandard Deviation 2.8
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V72.1 score on BPI-SFStandard Deviation 1.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit84.1 score on BPI-SFStandard Deviation 2.9
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit667.6 score on BPI-SFStandard Deviation 22.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit26.3 score on BPI-SFStandard Deviation 3.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V85.4 score on BPI-SFStandard Deviation 2.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit55.6 score on BPI-SFStandard Deviation 3.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit764.1 score on BPI-SFStandard Deviation 23.9
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit65.1 score on BPI-SFStandard Deviation 3.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V82.0 score on BPI-SFStandard Deviation 1.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit74.7 score on BPI-SFStandard Deviation 3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit864.7 score on BPI-SFStandard Deviation 23.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit85.0 score on BPI-SFStandard Deviation 3.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V55.4 score on BPI-SFStandard Deviation 2.3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit23.8 score on BPI-SFStandard Deviation 2.8
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit25.6 score on BPI-SFStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit53.5 score on BPI-SFStandard Deviation 2.7
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit23.4 score on BPI-SFStandard Deviation 2.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit63.2 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit54.6 score on BPI-SFStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit73.2 score on BPI-SFStandard Deviation 2.7
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V22.0 score on BPI-SFStandard Deviation 1.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit83.4 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit64.4 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit25.0 score on BPI-SFStandard Deviation 2.9
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit53.3 score on BPI-SFStandard Deviation 2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit54.3 score on BPI-SFStandard Deviation 2.7
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit74.4 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit63.8 score on BPI-SFStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V25.9 score on BPI-SFStandard Deviation 2.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit73.8 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit84.6 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit83.8 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit63.1 score on BPI-SFStandard Deviation 2.1
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit25.3 score on BPI-SFStandard Deviation 3.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit25.1 score on BPI-SFStandard Deviation 2.7
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit54.6 score on BPI-SFStandard Deviation 3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V53.4 score on BPI-SFStandard Deviation 2.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit64.4 score on BPI-SFStandard Deviation 3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit54.6 score on BPI-SFStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit74.0 score on BPI-SFStandard Deviation 2.8
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit73.2 score on BPI-SFStandard Deviation 1.9
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit84.6 score on BPI-SFStandard Deviation 2.9
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit64.1 score on BPI-SFStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit25.0 score on BPI-SFStandard Deviation 2.3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V65.3 score on BPI-SFStandard Deviation 2.3
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit54.4 score on BPI-SFStandard Deviation 2.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit73.8 score on BPI-SFStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit64.1 score on BPI-SFStandard Deviation 2.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit83.2 score on BPI-SFStandard Deviation 2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit74.0 score on BPI-SFStandard Deviation 2.2
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit84.3 score on BPI-SFStandard Deviation 2.5
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit84.3 score on BPI-SFStandard Deviation 2.4
Oxycodone/NaloxoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V61.9 score on BPI-SFStandard Deviation 1.5
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit84.7 score on BPI-SFStandard Deviation 2.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V26.3 score on BPI-SFStandard Deviation 2.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V55.3 score on BPI-SFStandard Deviation 2.3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V75.0 score on BPI-SFStandard Deviation 2.3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V85.2 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V22.1 score on BPI-SFStandard Deviation 1.4
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V53.5 score on BPI-SFStandard Deviation 1.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V61.9 score on BPI-SFStandard Deviation 1.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V72.1 score on BPI-SFStandard Deviation 1.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its least last 24hrs-V82.2 score on BPI-SFStandard Deviation 1.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit23.5 score on BPI-SFStandard Deviation 1.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit53.3 score on BPI-SFStandard Deviation 1.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit63.0 score on BPI-SFStandard Deviation 1.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit73.1 score on BPI-SFStandard Deviation 2.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate how much pain you have right now-visit83.3 score on BPI-SFStandard Deviation 2.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit266.9 score on BPI-SFStandard Deviation 19
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit567.1 score on BPI-SFStandard Deviation 21.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit666.6 score on BPI-SFStandard Deviation 21.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit765.8 score on BPI-SFStandard Deviation 21.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitHow much relief from TRT/MED last 24hrs-visit864.7 score on BPI-SFStandard Deviation 24.2
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit25.7 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit54.9 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit64.9 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit74.8 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect general activity last 24hrs-visit85.0 score on BPI-SFStandard Deviation 2.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit25.6 score on BPI-SFStandard Deviation 2.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit54.9 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit64.5 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit74.5 score on BPI-SFStandard Deviation 2.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect mood last 24hrs-visit84.5 score on BPI-SFStandard Deviation 2.8
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit24.7 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit54.1 score on BPI-SFStandard Deviation 2.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit64.3 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit74.4 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect walking ability last 24hrs-visit84.6 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit26.5 score on BPI-SFStandard Deviation 3.2
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit55.4 score on BPI-SFStandard Deviation 2.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit65.6 score on BPI-SFStandard Deviation 3.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit75.4 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect normal work last 24hrs-visit85.5 score on BPI-SFStandard Deviation 3.2
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit24.1 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit53.5 score on BPI-SFStandard Deviation 2.6
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit63.6 score on BPI-SFStandard Deviation 2.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit73.6 score on BPI-SFStandard Deviation 2.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect relation with others last 24hrs-visit84.0 score on BPI-SFStandard Deviation 2.8
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit25.1 score on BPI-SFStandard Deviation 2.9
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit54.1 score on BPI-SFStandard Deviation 2.8
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit63.9 score on BPI-SFStandard Deviation 2.5
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit73.9 score on BPI-SFStandard Deviation 2.7
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect sleep last 24hrs-visit84.1 score on BPI-SFStandard Deviation 2.8
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit25.7 score on BPI-SFStandard Deviation 3.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit54.6 score on BPI-SFStandard Deviation 2.8
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit64.7 score on BPI-SFStandard Deviation 3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit74.8 score on BPI-SFStandard Deviation 3.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitPain affect enjoyment of life last 24hrs-visit84.9 score on BPI-SFStandard Deviation 3.1
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit25.4 score on BPI-SFStandard Deviation 2.4
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit54.4 score on BPI-SFStandard Deviation 2.3
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit64.5 score on BPI-SFStandard Deviation 2.4
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitMean of seven interference items-visit74.5 score on BPI-SFStandard Deviation 2.5
OxycodoneThe Change of Individual Items in BPI-SF(Except for Pain in Average) by VisitRate your pain at its worst last 24hrs-V65.2 score on BPI-SFStandard Deviation 2.4
Secondary

The Change of Modified Subjective Opiate Withdrawal Scale (SOWS) From Visit1 to visit3,visit1 to visit9

to compare the Modified SOWS's Change from Visit 1(day-10-0) to Visit 3(day1),Change from Visit 1 to Visit 9(day35).The SOWS was scored as the total of the 15 symptoms. each symptoms score is 0(not at all)-4(extremely).total score range is 0-60.Do higher values represent a better outcome.

Time frame: Visit1(screening visit) to visit3 (day 1), visit1(screening visit) to visit9 (week 5)

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of Modified Subjective Opiate Withdrawal Scale (SOWS) From Visit1 to visit3,visit1 to visit9Change from Visit 1 to Visit 3-1.2 score on SOWSStandard Deviation 3.5
Oxycodone/NaloxoneThe Change of Modified Subjective Opiate Withdrawal Scale (SOWS) From Visit1 to visit3,visit1 to visit9Change from Visit 1 to Visit 9-1.3 score on SOWSStandard Deviation 4.8
OxycodoneThe Change of Modified Subjective Opiate Withdrawal Scale (SOWS) From Visit1 to visit3,visit1 to visit9Change from Visit 1 to Visit 3-1.6 score on SOWSStandard Deviation 4.6
OxycodoneThe Change of Modified Subjective Opiate Withdrawal Scale (SOWS) From Visit1 to visit3,visit1 to visit9Change from Visit 1 to Visit 9-1.7 score on SOWSStandard Deviation 5.5
Secondary

The Change of Rescue Medication Use From visit5 to visit8

The average daily dose of rescue medication (Morphine Sulfate Tablet) for OXN PR group and OXY PR group at Visit 5(first week of double blind) and at Visit 8(last week of double blind).

Time frame: visit 5 (week 1) to visit8 (week 4 or early discontinue/withdrawal from study)

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of Rescue Medication Use From visit5 to visit8V518.5 Morphine Sulfate mg/dayStandard Deviation 21.4
Oxycodone/NaloxoneThe Change of Rescue Medication Use From visit5 to visit8V815.4 Morphine Sulfate mg/dayStandard Deviation 22.1
OxycodoneThe Change of Rescue Medication Use From visit5 to visit8V513.9 Morphine Sulfate mg/dayStandard Deviation 18.9
OxycodoneThe Change of Rescue Medication Use From visit5 to visit8V815.5 Morphine Sulfate mg/dayStandard Deviation 20.1
Secondary

The Change of Symptoms of Constipation Based on Laxative Use From visit5 to visit8

At Visit 5(day7) and visit8(day28) number of bisacodyl taken(Number of laxative tablets took during the last 7 days (per week) and Daily number of laxative tablets took during the last 7 days (per day)\*) for OXN PR and OXY PR groups.

Time frame: visit 5 (week 1) to visit8 (week 4 or early discontinue/withdrawal from study)

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneThe Change of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Weekly number of bisacodyl taken at Visit52.1 laxatives/weekStandard Deviation 2.6
Oxycodone/NaloxoneThe Change of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Weekly number of bisacodyl taken at Visit82.2 laxatives/weekStandard Deviation 2.9
OxycodoneThe Change of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Weekly number of bisacodyl taken at Visit52.5 laxatives/weekStandard Deviation 2.6
OxycodoneThe Change of Symptoms of Constipation Based on Laxative Use From visit5 to visit8Weekly number of bisacodyl taken at Visit82.2 laxatives/weekStandard Deviation 2.8
Secondary

To Assess Quality of Life Based on EQ-5D

To assess quality of life based on EQ-5D by subjects evaluation via patient dairy.the quality of life based on EQ-5D at Visit1 (day-10-0) and end of treatment Visit8(day28). The scarc range is 0(the best state you can imagine)-100(the worst state you can imagine).Do higher values represent a worse outcome.

Time frame: Visit1(screening visit) to Visit8 (week 4 or after early discontinuation/withdrawal from study)

Population: FAP

ArmMeasureGroupValue (MEAN)Dispersion
Oxycodone/NaloxoneTo Assess Quality of Life Based on EQ-5DV158.6 Score on EQ-5DStandard Deviation 17
Oxycodone/NaloxoneTo Assess Quality of Life Based on EQ-5DV859.0 Score on EQ-5DStandard Deviation 19.3
OxycodoneTo Assess Quality of Life Based on EQ-5DV154.4 Score on EQ-5DStandard Deviation 16.6
OxycodoneTo Assess Quality of Life Based on EQ-5DV853.9 Score on EQ-5DStandard Deviation 20.5

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