NCT00312221

Brief Summary

The objective of this study is to demonstrate the effectiveness and tolerability of the buprenorphine transdermal system (20 mg) in comparison to the buprenorphine transdermal system (5 mg) and oxycodone immediate release in subjects with moderate to severe osteoarthritis pain currently treated with oral opioids. The double-blind treatment intervention duration is 12 weeks during which time supplemental analgesic medication (acetaminophen, ibuprofen, immediate release oxycodone) will be provided to all subjects in addition to study drug.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
418

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Apr 2004

Shorter than P25 for phase_3

Geographic Reach
1 country

23 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2004

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2005

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2005

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

April 6, 2006

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 7, 2006

Completed
4.4 years until next milestone

Results Posted

Study results publicly available

September 15, 2010

Completed
Last Updated

September 10, 2012

Status Verified

September 1, 2012

Enrollment Period

1.2 years

First QC Date

April 6, 2006

Results QC Date

July 15, 2010

Last Update Submit

September 5, 2012

Conditions

Keywords

Osteoarthritis, opioid, transdermal

Outcome Measures

Primary Outcomes (1)

  • "Average Pain Over the Last 24 Hours" Scores at Weeks 4, 8, and 12 of the Double-blind Phase.

    The "average pain over the last 24 hours" score was collected using an 11-point numerical scale ranging from 0 to 10, where 0 = no pain and 10 = pain as bad as you can imagine. This variable was obtained at each clinic visit during the double-blind phase of the study (postrandomization weeks 1, 2, 4, 8, and 12).

    Weeks 4, 8, and 12 of the double-blind phase

Secondary Outcomes (3)

  • The Mean Daily Number of Supplemental Analgesic Medication Tablets

    Double-blind phase (84 days)

  • The Physical Function Subscale of The Western Ontario and McMaster's Universities Osteoarthritis (WOMAC OA) Index at Weeks 4, 8, and 12 of the Double Blind Phase

    Weeks 4, 8 and 12 of the double-blind phase

  • The Sleep Disturbance Subscale in The Medical Outcomes (MOS)-Sleep Scale at Weeks 4, 8, and 12 of the Double-blind Phase

    Weeks 4, 8, and 12 of the Double-blind Phase

Study Arms (3)

BTDS 5

ACTIVE COMPARATOR

Buprenorphine transdermal patch 5 mcg/h applied for 7-day wear

Drug: Buprenorphine

BTDS 20

EXPERIMENTAL

Buprenorphine transdermal patch 20 mcg/h applied for 7-day wear

Drug: Buprenorphine

Oxycodone Immediate-Release (Oxy IR) 40 mg

EXPERIMENTAL

Oxycodone immediate-release 40 mg (two 5-mg capsules every 6 hours).

Drug: oxycodone immediate-release

Interventions

Buprenorphine transdermal patch 5 mcg/h applied for 7-day wear

Also known as: Butransâ„¢
BTDS 5

Oxycodone immediate-release 40 mg (two 5-mg capsules every 6 hours).

Oxycodone Immediate-Release (Oxy IR) 40 mg

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Osteoarthritis of the hip, knee, or spine for 1 year or longer, confirmed by radiographic evidence within the last 2 years.
  • Good pain control while on a stable dose of an opioid analgesic for osteoarthritis.

You may not qualify if:

  • Not currently taking and tolerating opioids.
  • Taking more than 80 mg per day of oral morphine sulfate or equivalent within 30 days of enrollment.
  • Requiring frequent analgesic therapy for chronic condition(s), in addition to osteoarthritis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Parkway Medical Center

Birmingham, Alabama, 35215, United States

Location

International Clinical Research Network

Chula Vista, California, 91910, United States

Location

Clinical Trials Research

Roseville, California, 95661, United States

Location

Accelovance

San Diego, California, 92108, United States

Location

Torrance Clinical Research

Torrance, California, 90505, United States

Location

Southern Colorado Clinic

Pueblo, Colorado, 81008, United States

Location

Drug Study Institute

Jupiter, Florida, 33458, United States

Location

Innovative Research of West Florida, Inc.

Largo, Florida, 33770, United States

Location

International Medical Research

Ormond Beach, Florida, 32174, United States

Location

Peninsula Research, Inc.

Ormond Beach, Florida, 32174, United States

Location

Palm Beach Research Center

West Palm Beach, Florida, 33409, United States

Location

Georgia Medical Research Institute

Marietta, Georgia, 30060, United States

Location

Non- Surgical Orthopedic & Spine Center, P.C.

Marietta, Georgia, 30060, United States

Location

The Arthritis Center

Springfield, Illinois, 62704, United States

Location

Commonwealth Biomedical Research, LLC

Madisonville, Kentucky, 42431, United States

Location

Miray Medical Center

Brockton, Massachusetts, 23010, United States

Location

Professional Clinical Research Crystal Lake Health Center

Benzonia, Michigan, 49616, United States

Location

Rheumatology PC

Kalamazoo, Michigan, 49009, United States

Location

Pharm Quest

Greensboro, North Carolina, 27401, United States

Location

The Clinical Trial Center, LLC

Jenkintown, Pennsylvania, 19046, United States

Location

Amarillo Center for Clinical Research

Amarillo, Texas, 79124, United States

Location

Med Search Professional Group/Pharmaceutical C-Trials Inc.

Hurst, Texas, 76054, United States

Location

Texas Medical Research Associates

San Antonio, Texas, 78238, United States

Location

MeSH Terms

Conditions

Osteoarthritis

Interventions

Buprenorphine

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Intervention Hierarchy (Ancestors)

MorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Limitations and Caveats

This study was terminated early for administrative reasons not related to safety or efficacy. Low enrollment at termination led to reduced power.

Results Point of Contact

Title
Clinical Leader, Medical Director
Organization
Purdue Pharma L.P.

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 6, 2006

First Posted

April 7, 2006

Study Start

April 1, 2004

Primary Completion

July 1, 2005

Study Completion

August 1, 2005

Last Updated

September 10, 2012

Results First Posted

September 15, 2010

Record last verified: 2012-09

Locations