Status:

COMPLETED

A Randomized, Open-Label, Single-Dose, Small Study to Evaluate the Safety and Effectiveness of Hydromorphone in Patients With Short Term, Moderate to Severe Postoperative Pain

Lead Sponsor:

Alza Corporation, DE, USA

Conditions:

Pain, Postoperative

Orthopedic Procedures

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purpose of this small study was to investigate the safety and effectiveness of OROS hydromorphone HCI for the treatment of short-term, moderate to severe postoperative pain following total knee re...

Detailed Description

This was a multicenter, randomized (patients are assigned different treatments based on chance), open-label, single dose small study. During the 36 hour study period, concomitant analgesic (pain) medi...

Eligibility Criteria

Inclusion

  • Patients undergoing primary, unilateral total knee replacement surgery where use of opioid analgesics for short-term postoperative pain is required
  • At baseline must be able to tolerate oral liquids, swallow a tablet, and have the presence of bowel sounds upon examination
  • Patients must demonstrate stable vital signs immediately before dosing with OROS hydromorphone HCI
  • At baseline pain intensity upon movement must be scored by the patient as 2 or 3 (moderate or severe) on the Pain Intensity Rating Scale
  • At baseline patients receiving regional anesthetics/analgesics must demonstrate recovery from the motor and sensory effects of the nerve blockade
  • Patients must be administered OROS hydromorphone HCI between 6 and 48 hours following completion of surgery
  • Patients should expect to remain hospitalized for 36 hours after study drug administration.

Exclusion

  • Patients either intolerant of hydromorphone or who have experienced an anaphylactic IgE-mediated immune response (e.g. hives, wheezing, angioedema or bronchospasms) to any opioid agonist
  • Patients having previously undergone the following major surgery for high tibial osteotomy, knee arthroplasty to the affected knee
  • Patients with any gastrointestinal disorder, including pre-existing severe GI narrowing (pathologic or iatrogenic) that may affect the absorption or transit of orally administered drugs
  • Patients who are pregnant or breast-feeding. A negative pregnancy test is required prior to administration of the study medication in females of childbearing potential
  • Patients with significant CNS disorder, including but not limited to head injury, intracranial lesion, increased intracranial pressure, seizure disorder, stroke within the past 6 months, and disorders of cognition
  • Patients with clinically significant impaired renal, hepatic, or hematological function
  • adrenocortical insufficiency
  • uncontrolled hypothyroidism or hyperthyroidism, or clinically significant urinary obstruction

Key Trial Info

Start Date :

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2001

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT00411307

End Date

October 1 2001

Last Update

April 27 2010

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A Randomized, Open-Label, Single-Dose, Small Study to Evaluate the Safety and Effectiveness of Hydromorphone in Patients With Short Term, Moderate to Severe Postoperative Pain | DecenTrialz