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An Efficacy and Safety Study of Acetaminophen Plus Tramadol Hydrochloride (JNS013) in Participants With Chronic Pain

Janssen (J&J Innovative Medicine) logo

Janssen (J&J Innovative Medicine)

Status and phase

Completed
Phase 3

Conditions

Pain

Treatments

Drug: Tramadol Hydrochloride Plus Acetaminophen (Double-Blind)
Drug: Tramadol Hydrochloride Plus Acetaminophen (Open-Label)
Drug: Placebo (Double-Blind)

Study type

Interventional

Funder types

Industry

Identifiers

NCT00736853
NCT00736853
CR015112
JNS013-JPN-04

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy and safety of tramadol hydrochloride plus acetaminophen (JNS013) in participants with chronic pain accompanied by osteoarthritis (a progressive and degenerative joint disease, in which the joints become painful and stiff) of the knee or low back pain (acute or chronic pain in the lumbar or sacral regions) which cannot be controlled sufficiently with non-steriodal anti-inflammatory drugs (NSAIDs).

Full description

This is a multi-center (when more than one hospital or medical school team work on a medical research study), double-blind (test or experiment in which neither the person giving the treatment nor the participant knows which treatment the participant is receiving), placebo-controlled (an inactive substance; a pretend treatment [with no drug in it] that is compared in a clinical trial with a drug to test if the drug has a real effect), parallel group comparison study. The total duration of the study will be 11 weeks and consists of 4 periods; a pre-observation period (4 weeks), open-label period (2 weeks), double-blind period (4 weeks) and follow-up period (1 week). Participants will receive tramadol hydrochloride plus acetaminophen tablets orally 4 times daily for 2 weeks with no less than 4-hour intervals (up to 8 tablets per day) during the open-label period and the dose will be fixed for each participant in the latter 1 week. During the double-period participants will receive tramadol hydrochloride plus acetaminophen tablets or placebo at the same dose as used for the latter 1 week of the open-label period for up to 4 weeks. Efficacy will be primarily evaluated by number of participants with insufficient pain relief after the start of double-blind period. Participant's safety will be monitored throughout the study.

Enrollment

321 patients

Sex

All

Ages

20+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Participants with sustention of chronic pain associated with OA or LBP for at least 3 months
  • Participants whose pain cannot be controlled sufficiently with at least 14-day continuous treatment with identical oral NSAIDs at a usual maximum dose during 3 months prior to this study
  • Outpatients
  • Ambulatory participants without need for any supportive device or assistance during daily life

Exclusion criteria

  • Participants with conditions for which opioids are contraindicated
  • Participants with conditions for which acetaminophen is contraindicated
  • Participants with history of convulsion or the possibility of convulsive seizure
  • Participants with concurrent, previous, or possible alcohol dependence, drug dependence, or narcotic addiction
  • Pregnant participants or those who may be pregnant, lactating mothers, and participants who wish pregnancy during the study period

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

321 participants in 3 patient groups, including a placebo group

Tramadol Hydrochloride Plus Acetaminophen (Open-Label)
Experimental group
Treatment:
Drug: Tramadol Hydrochloride Plus Acetaminophen (Open-Label)
Tramadol Hydrochloride Plus Acetaminophen (Double Blind)
Experimental group
Treatment:
Drug: Tramadol Hydrochloride Plus Acetaminophen (Double-Blind)
Placebo (Double-Blind)
Placebo Comparator group
Treatment:
Drug: Placebo (Double-Blind)

Trial contacts and locations

22

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Data sourced from clinicaltrials.gov

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