Status:

COMPLETED

A Comparison of the Analgesic Efficacy and Safety of Once Daily Tramadol HCl / Contramid® Tablets to Twice Daily Tramadol HCl (SR) for the Treatment of Osteoarthritis of the Knee

Lead Sponsor:

Labopharm Inc.

Conditions:

Osteoarthritis, Knee

Pain

Eligibility:

All Genders

40-75 years

Phase:

PHASE3

Brief Summary

A randomised, multi-centre, double-blind, double dummy, two arm parallel design study to compare the efficacy, safety, and clinical benefit of the test and reference product after treatment for 84 day...

Eligibility Criteria

Inclusion

  • Males or Females between the ages of 40 and 75 with a diagnosis of Osteoarthritis (OA) of the knee consistent with the American College of Rheumatology (ACR) Clinical Classification Criteria for Arthritis of the Knee (Altman, R. et al., 1986):
  • Knee pain at study enrolment,
  • Less than 30 minutes of morning stiffness with or without crepitus on active motion.
  • Confirmation either by arthroscopy or radiologist's report (X-rays showing osteophytes, joint space narrowing or subchondral bone sclerosis {eburnation}) within 1 year prior to entry into the study.
  • ESR \< 40 mm/h
  • Western Ontario and McMaster University Osteoarthritis Index (WOMAC) Pain Subscales total score equal to or more than 150 mm at baseline.
  • Oral and written language comprehension at a level sufficient to comply with the protocol and complete study-related materials.
  • The Patient signed and dated the (IEC) approved, written, informed consent prior to study participation

Exclusion

  • Known rheumatoid arthritis or any other rheumatoid disease.
  • Secondary arthritis i.e. any of the following: septic arthritis; inflammatory joint disease; gout; pseudogout; Paget's disease; joint fracture; acromegaly; fibromyalgia; Wilson's disease; Ochronosis; Haemochromatosis; Osteochondromatosis; heritable arthritic disorders; or collagen gene mutations.
  • Obesity Class II \[body mass index (BMI) equal to or more than 35 kg/m2\] (NIH, 2000)
  • Major illness that required hospitalisation during the 3 months before commencement of the screening period.
  • Unwillingness to cease taking medication other than the study medication for arthritic pain, any other concomitant pain, or OA medications.
  • Patients who had previously failed tramadol HCl therapy or those who discontinued tramadol HCl due to AEs.
  • Patients who within the 3 weeks prior to study entry took the following medications: monoamine oxidase inhibitors; tricyclic antidepressants and other tricyclic compounds (e.g. cyclobenzaprine, promethazine); neuroleptics; selective serotonin reuptake inhibitors; or other drugs which reduce seizure threshold.
  • Patients who took another investigational agent within the 30 days prior to study entry.
  • Patients with a history of seizure disorder other than Infantile Febrile Seizures.
  • Patients who were opioid dependent.
  • Patients with bowel disease causing malabsorption.
  • Patients who were pregnant or lactating or patients of child-bearing potential who were unwilling to utilise a medically approved method of contraception during participation in this clinical trial.
  • Patients with significant liver disease, defined as active hepatitis or elevated liver enzymes \>3 times the upper boundary of the normal range.
  • Patients with significant renal disease, defined as creatinine clearance \<30 mL/min as estimated by the method of Levey et al., 1999.
  • Current substance abuse or dependence, other than nicotine.
  • Allergy or adverse reaction to tramadol or any structurally similar drugs e.g. opiates.
  • Any other condition that, in the opinion of the investigators, adversely affected the patient's ability to complete the study or its measures.

Key Trial Info

Start Date :

March 1 2002

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2002

Estimated Enrollment :

431 Patients enrolled

Trial Details

Trial ID

NCT00950651

Start Date

March 1 2002

End Date

November 1 2002

Last Update

April 30 2012

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