Official Title

Multicenter Study to Evaluate the Analgesic Efficacy of XP21L in Subjects With Pain Following Bunionectomy Surgery
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    diclofenac ...
  • Study Participants

    201
A multicenter study to evaluate the analgesic efficacy of XP21L in subjects with pain following bunionectomy surgery.
Study Started
Aug 31
2006
Primary Completion
Oct 31
2006
Results Posted
Apr 13
2011
Estimate
Last Update
Apr 13
2011
Estimate

Drug diclofenac potassium (XP21L)

25 mg every 6 hours

  • Other names: Zipsor Liquid Filled Capsule, XP21L

Drug Placebo

Placebo every 6 hours

1 Experimental

2 Placebo Comparator

Criteria

Inclusion Criteria:

18-65 years of age
Have undergone bunionectomy surgery
Have achieved adequate post-surgical pain

Exclusion Criteria:

Confounding medical conditions which preclude study participation
Participated in a study of another investigational drug or device within 30 days prior to randomization

Summary

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

Placebo

All Events

Event Type Organ System Event Term Zipsor (Diclofenac Potassium) Liquid Filled Capsule Placebo

Average Numeric Pain Rating Score (NPRS) Over 48 Hours After Bunionectomy

Pain intensity scores were measured using an 11-point numerical pain rating scale (NPRS) with 0=no pain to 10=worst possible pain

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

2.5
units on a scale (Mean)
Standard Deviation: 2.0

Placebo

5.6
units on a scale (Mean)
Standard Deviation: 2.0

Number of Patients Who Required Rescue Medication on Day 2

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

22.0
participants

Placebo

64.0
participants

Number of Patients With Perceptible Pain Relief on Day 1

Times to onset of Perceptible and Meaningful Relief were determined using the double-stopwatch method.

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

84.0
participants

Placebo

69.0
participants

Median Time to Onset of Pain Relief in Patients With Perceptible Pain Relief on Day 1

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

26.0
minutes (Median)
95% Confidence Interval: 18.6 to 31.3

Placebo

22.2
minutes (Median)
95% Confidence Interval: 16.6 to 35.8

Number of Patients With Meaningful Pain Relief on Day 1

Times to onset of Perceptible and Meaningful Relief were determined using the double-stopwatch method.

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

58.0
participants

Placebo

35.0
participants

Median Time to Onset of Pain Relief in Patients With Meaningful Pain Relief on Day 1

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

70.2
minutes (Median)
95% Confidence Interval: 61.2 to 92.0

Placebo

Total Pain Relief (TOTPAR) Scores 8 Hours Post Initial Dose of Study Drug

Pain relief was rated using a 5-point categorial scale (0=none, 1=a little, 2=some, 3=a lot, and 4=complete) at time of dose (time=0) and over 15 time points afterwards (10, 15, 20, 30, 45, and 60 minutes and at 1.5, 2, 2.5, 3, 4, 5, 6, 7, and 8 hours after the initial dose on Day 1 or until time of re-medication). A score of 0 across all time points would be the lowest (worst) and a score of 60 (4 X 15 time points) would be the highest (best) possible score.

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

8.2
units on a scale (Mean)
Standard Deviation: 9.3

Placebo

2.6
units on a scale (Mean)
Standard Deviation: 3.9

Number of Patients With at Least 30% Reduction in Pain Intensity After First Dose of Study Drug

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

62.0
participants

Placebo

40.0
participants

Time to Onset of at Least 30% Reduction in Pain Intensity After First Dose of Study Drug

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

60.0
minutes (Median)
95% Confidence Interval: 45.0 to 90.0

Placebo

Number of Patients Who Required Rescue Medication on Day 1

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

40.0
participants

Placebo

87.0
participants

Number of Patients Who Required Rescue Medication on Day 3

Day 3 data reflect the use of rescue medication only up to the time of discharge

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

5.0
participants

Placebo

29.0
participants

Total

201
Participants

Age Continuous

45
years (Mean)
Standard Deviation: 11.5

Baseline pain score

7.1
units on a scale (Mean)
Standard Deviation: 1.8

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

Placebo

Drop/Withdrawal Reasons

Zipsor (Diclofenac Potassium) Liquid Filled Capsule

Placebo