NCT01706588

Brief Summary

This is a prospective, randomised, double-blind, placebo-controlled, parallel group study in approximately 75 patients undergoing surgical removal of an impacted lower third molar.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
75

participants targeted

Target at P25-P50 for phase_2 pain

Timeline
Completed

Started Jan 2013

Shorter than P25 for phase_2 pain

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

October 1, 2012

Completed
14 days until next milestone

First Posted

Study publicly available on registry

October 15, 2012

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2013

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2013

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

August 28, 2014

Completed
Last Updated

September 5, 2014

Status Verified

August 1, 2014

Enrollment Period

4 months

First QC Date

October 1, 2012

Results QC Date

August 13, 2014

Last Update Submit

August 28, 2014

Conditions

Keywords

diclofenac, postsurgical pain, oral surgery

Outcome Measures

Primary Outcomes (1)

  • Area Under the Curve (AUC) of the Pain Scores.

    Pain will be scored by the patient at the end of surgery (time 0) and at 15-minute intervals after surgery for a total of 6 hours on a 0-100 mm VAS (from 0 = no pain to 100 = worst pain imaginable).

    Pain scores will be measured over the time from end of surgery (time 0) to the 6 hour post-surgery

Secondary Outcomes (12)

  • Postsurgical Extra-oral Swelling

    measured at 6 hours postsurgery, at day 3 and 1 week postsurgery

  • Trismus

    measured at 6 hours postsurgery, at day 3 and 1 week postsurgery

  • Peak Pain Intensity

    measured from end of surgery up to 12 hours postsurgery

  • Time to First Use of Rescue Medication.

    measured from end of surgery up to 1 week postsurgery

  • Amount of Rescue Medication

    consumed by the patient every 15-minutes postsurgery up to 6 hours postsurgery

  • +7 more secondary outcomes

Study Arms (5)

Diclofenac sodium 5 mg/mL

EXPERIMENTAL
Drug: Diclofenac sodium

Diclofenac sodium 12.5 mg/mL

EXPERIMENTAL
Drug: Diclofenac sodium

Diclofenac sodium 25 mg/mL

EXPERIMENTAL
Drug: Diclofenac sodium

Diclofenac sodium 50 mg/mL

EXPERIMENTAL
Drug: Diclofenac sodium

Placebo 1 mL

PLACEBO COMPARATOR
Drug: Diclofenac sodium

Interventions

One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect.

Also known as: Diclofenac HPBCD
Diclofenac sodium 12.5 mg/mLDiclofenac sodium 25 mg/mLDiclofenac sodium 5 mg/mLDiclofenac sodium 50 mg/mLPlacebo 1 mL

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Out-patients of either gender.
  • Patients aged ≥ 18 to ≤ 65 years old.
  • Subjects must (1) be able to comprehend the full nature and purpose of the study, including possible risks and side effects, (2) fully co-operate with the Investigator, (3) comply with the requirements of the entire study.
  • Patients undergoing surgical extraction of a single, fully or partially impacted mandibular 3rd molar requiring bone removal.

You may not qualify if:

  • General
  • Patients refusing to give written informed consent.
  • Patients not able to understand the purposes of the study or not willing to return for the control visits.
  • Patients with major psychiatric disorders that, in the investigator's opinion, could compromise study participation.
  • Patients enrolled in any clinical trial in the previous 3 months.
  • Employees of the study centre with direct involvement in the proposed study or other studies under the direction of the main investigator or study centre, as well as family members of the employees or investigator.
  • Pregnant or breast-feeding women.
  • Alcohol or drug abuse in the previous 12 months.
  • Clinically significant or unstable concomitant disease whose sequelae might interfere with the study evaluation parameters.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The School of Dentistry University of Birmingham

Birmingham, B4 6NN, United Kingdom

Location

Related Publications (1)

  • Gorecki P, Rainsford KD, Taneja P, Bulsara Y, Pearson D, Saund D, Ahmed B, Dietrich T. Submucosal Diclofenac for Acute Postoperative Pain in Third Molar Surgery: A Randomized, Controlled Clinical Trial. J Dent Res. 2018 Apr;97(4):381-387. doi: 10.1177/0022034517744207. Epub 2017 Dec 4.

MeSH Terms

Conditions

PainPain, Postoperative

Interventions

Diclofenac

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsPostoperative ComplicationsPathologic Processes

Intervention Hierarchy (Ancestors)

PhenylacetatesAcids, CarbocyclicCarboxylic AcidsOrganic Chemicals

Results Point of Contact

Title
Prof. Thomas Dietrich
Organization
The School of Dentistry, University of Birmingham

Study Officials

  • Thomas Dietrich, MD

    The School of Dentistry, University of Birmingham

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 1, 2012

First Posted

October 15, 2012

Study Start

January 1, 2013

Primary Completion

May 1, 2013

Study Completion

May 1, 2013

Last Updated

September 5, 2014

Results First Posted

August 28, 2014

Record last verified: 2014-08

Locations