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NCT03785756

Efficacy of 300 mg Ibuprofen Prolonged-Release Tablets for the Treatment of Pain After Surgical Removal of Impacted Third Molars

Completed Phase 3 Results posted Last updated 3 June 2024
What this trial tests

Phase 3 trial testing Ibuprofen 300 mg Oral Tablet in Pain in 280 participants. Completed in 28 February 2020.

Timeline
29 April 2019
Primary endpoint
20 February 2020
28 February 2020

Quick facts

Lead sponsorReckitt Benckiser Healthcare (UK) Limited
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment280
Start date29 April 2019
Primary completion20 February 2020
Estimated completion28 February 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Reckitt Benckiser Healthcare (UK) Limited — full company profile →

Who can join

Adults 18 to 50, any sex, with Pain. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Summed Pain Intensity Difference Over 0 to 12 Hours (SPID12) After Time 0 Primary · 0-12 hours

SPID12 was used to compare the test product (2 × 300 mg ibuprofen PR tablets) and comparator product (2 × 200 mg ibuprofen IR tablets three times a day \[TID\]) against the placebo product. An 11-point (0-10) numeric rating scale (NRS) for pain was used to assess pain intensity, where a higher score indicates a greater amount of pain. SPID12 was calculated using the summed pain intensity difference (change from Time 0) under the NRS-time curve from 15 minutes through 12 hours calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of

GroupValue95% CI
Prolonged Release Group51.84± 21.457
Immediate Release Group56.33± 18.769
Placebo Group19.11± 24.630
Summed Pain Intensity Difference Over 0 to 24 Hours (SPID24) After Time 0 Secondary · 0-24 hours

SPID24 was used to compare the test product (2 × 300 mg ibuprofen PR tablets BID) and comparator product (2 × 200 mg ibuprofen IR tablets TID) against the placebo product. An 11-point (0-10) numeric rating scale (NRS) for pain was used to assess pain intensity, where a higher score indicates a greater amount of pain. SPID24 was calculated using the summed pain intensity difference (change from Time 0) under the NRS-time curve from 15 minutes through 24 hours calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The mi

GroupValue95% CI
Prolonged Release Group115.75± 46.146
Immediate Release Group121.90± 37.263
Placebo Group64.32± 55.070
Summed Pain Intensity Difference Over 0 to 4 Hours (SPID4) After Time 0 Secondary · 0-4 hours

SPID4 was used to compare the test product (2 × 300 mg ibuprofen PR tablets BID) and comparator product (2 × 200 mg ibuprofen IR tablets TID) against the placebo product. An 11-point (0-10) numeric rating scale (NRS) for pain was used to assess pain intensity, where a higher score indicates a greater amount of pain. SPID4 was calculated using the summed pain intensity difference (change from Time 0) under the NRS-time curve from 15 minutes through 4 hours calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The minim

GroupValue95% CI
Prolonged Release Group14.68± 9.752
Immediate Release Group16.99± 7.884
Placebo Group1.24± 8.346
Summed Pain Intensity Difference Over 0 to 8 Hours (SPID8) After Time 0 Secondary · 0-8 hours

SPID8 was used to compare the test product (2 × 300 mg ibuprofen PR tablets BID) and comparator product (2 × 200 mg ibuprofen IR tablets TID) against the placebo product. An 11-point (0-10) numeric rating scale (NRS) for pain was used to assess pain intensity, where a higher score indicates a greater amount of pain. SPID8 was calculated using the summed pain intensity difference (change from Time 0) under the NRS-time curve from 15 minutes through 8 hours calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The minim

GroupValue95% CI
Prolonged Release Group33.13± 16.195
Immediate Release Group34.48± 13.001
Placebo Group11.00± 14.571
Sum of Total Pain Relief Over 0 to 4 Hours (TOTPAR4) After Time 0 Secondary · 0-4 hours

A 5-point categorical Pain Relief Scale (PRS) with choices of none = 0, a little = 1, some = 2, a lot = 3, and complete = 4 was completed in response to the question "How much relief have you had since your starting pain?". Higher scores indicate a better outcome. TOTPAR4 is the total pain relief measured by the PRS from 15 minutes through 4 hours, calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The minimum value of TOTPAR4 is 0 (no pain relief from Time 0 to 4 hours); the theoretical maximum is 16 (if a patient

GroupValue95% CI
Prolonged Release Group8.08± 4.337
Immediate Release Group8.98± 3.365
Placebo Group1.98± 3.285
Sum of Total Pain Relief Over 0 to 8 Hours (TOTPAR8) After Time 0 Secondary · 0-8 hours

A 5-point categorical Pain Relief Scale (PRS) with choices of none = 0, a little = 1, some = 2, a lot = 3, and complete = 4 was completed in response to the question "How much relief have you had since your starting pain?". Higher scores indicate a better outcome. TOTPAR8 is the total pain relief measured by the PRS from 15 minutes through 8 hours, calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The minimum value of TOTPAR8 is 0 (no pain relief from Time 0 to 8 hours); the theoretical maximum is 32 (if a patient

GroupValue95% CI
Prolonged Release Group18.08± 7.314
Immediate Release Group18.41± 5.764
Placebo Group7.89± 5.642
Sum of Total Pain Relief Over 0 to 12 Hours (TOTPAR12) After Time 0 Secondary · 0-12 hours

A 5-point categorical Pain Relief Scale (PRS) with choices of none = 0, a little = 1, some = 2, a lot = 3, and complete = 4 was completed in response to the question "How much relief have you had since your starting pain?". Higher scores indicate a better outcome. TOTPAR12 is the total pain relief measured by the PRS from 15 minutes through 12 hours, calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The minimum value of TOTPAR12 is 0 (no pain relief from Time 0 to 12 hours); the theoretical maximum is 48 (if a pat

GroupValue95% CI
Prolonged Release Group28.13± 9.981
Immediate Release Group29.981± 8.538
Placebo Group12.76± 9.270
Sum of Total Pain Relief Over 0 to 24 Hours (TOTPAR24) After Time 0 Secondary · 0-24 hours

A 5-point categorical Pain Relief Scale (PRS) with choices of none = 0, a little = 1, some = 2, a lot = 3, and complete = 4 was completed in response to the question "How much relief have you had since your starting pain?". Higher scores indicate a better outcome. TOTPAR24 is the total pain relief measured by the PRS from 15 minutes through 24 hours, calculated using the linear trapezoidal rule and the actual time points, where Time 0 is the time of the first dose of study drug. The minimum value of TOTPAR24 is 0 (no pain relief from Time 0 to 24 hours); the theoretical maximum is 96 (if a pat

GroupValue95% CI
Prolonged Release Group62.32± 20.504
Immediate Release Group64.63± 16.774
Placebo Group36.96± 22.153
Summed Pain Relief and Intensity Difference (Sum of TOTPAR and SPID [SPRID]) Over 0 to 4 Hours (SPRID4) After Time 0 Secondary · 0-4 hours

The summed pain relief and intensity difference (sum of TOTPAR and SPID \[SPRID\]) over 0 to 4 hours (SPRID4) was determined by calculating the difference in the PRS at the 4-hour time point and the 0-hour time point (TOTPAR4) and adding this value to the difference in the NRS for pain at the 4-hour time point and the 0-hour time point (SPID4). The minimum value of SPRID4 is 0; the theoretical maximum is 56; a higher SPRID4 score indicates a better outcome.

GroupValue95% CI
Prolonged Release Group22.76± 13.870
Immediate Release Group25.97± 11.011
Placebo Group3.22± 11.464
Summed Pain Relief and Intensity Difference (Sum of TOTPAR and SPID [SPRID]) Over 0 to 8 Hours (SPRID8) After Time 0 Secondary · 0-8 hours

The summed pain relief and intensity difference (sum of TOTPAR and SPID \[SPRID\]) over 0 to 8 hours (SPRID8) was determined by calculating the difference in the PRS at the 8-hour time point and the 0-hour time point (TOTPAR8) and adding this value to the difference in the NRS for pain at the 8-hour time point and the 0-hour time point (SPID8). The minimum value of SPRID8 is 0; the theoretical maximum is 112; a higher SPRID8 score indicates a better outcome.

GroupValue95% CI
Prolonged Release Group51.21± 22.985
Immediate Release Group52.88± 18.156
Placebo Group18.89± 19.916
Summed Pain Relief and Intensity Difference (Sum of TOTPAR and SPID [SPRID]) Over 0 to 12 Hours (SPRID12) After Time 0 Secondary · 0-12 hours

The summed pain relief and intensity difference (sum of TOTPAR and SPID \[SPRID\]) over 0 to 12 hours (SPRID12) was determined by calculating the difference in the PRS at the 12-hour time point and the 0-hour time point (TOTPAR12) and adding this value to the difference in the NRS for pain at the 12-hour time point and the 0-hour time point (SPID12). The minimum value of SPRID12 is 0; the theoretical maximum 168; a higher SPRID12 score indicates a better outcome.

GroupValue95% CI
Prolonged Release Group79.97± 30.643
Immediate Release Group86.24± 26.260
Placebo Group31.87± 33.539
Summed Pain Relief and Intensity Difference (Sum of TOTPAR and SPID [SPRID]) Over 0 to 24 Hours (SPRID24) After Time 0 Secondary · 0-24 hours

The summed pain relief and intensity difference (sum of TOTPAR and SPID \[SPRID\]) over 0 to 24 hours (SPRID24) was determined by calculating the difference in the PRS at the 24-hour time point and the 0-hour time point (TOTPAR24) and adding this value to the difference in the NRS for pain at the 24-hour time point and the 0-hour time point (SPID24). The minimum value of SPRID24 is 0; the theoretical maximum is 336; a higher SPRID24 score indicates a better outcome.

GroupValue95% CI
Prolonged Release Group178.07± 64.783
Immediate Release Group186.53± 51.842
Placebo Group101.28± 76.562

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were monitored and recorded from the time of signing of the informed consent form until the Follow-up Visit (or Early Termination Visit); a period of up to 30 days. Only treatment-emergent adverse events (those that started or worsened in intensity or relationship to treatment on or after the first dose of study drug) are reported here.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Prolonged Release Group
Serious: 0/120 (0%)
Deaths: 0/120
Immediate Release Group
Serious: 0/120 (0%)
Deaths: 0/120
Placebo Group
Serious: 0/39 (0%)
Deaths: 0/39
Other adverse events (27 terms — click to expand)

ReactionSystemProlonged Release GroupImmediate Release GroupPlacebo Group
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
HeadacheNervous system disorders
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Aphthous ulcerGastrointestinal disorders
DyspepsiaGastrointestinal disorders
ChillsGeneral disorders
Facial painGeneral disorders
Puncture site haemorrhageGeneral disorders
Swelling faceGeneral disorders
HypersensitivityImmune system disorders
Alveolar osteitisInfections and infestations
Tooth infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
Vulvovaginal mycotic infectionInfections and infestations
Product administration errorInjury, poisoning and procedural complications
DizzinessNervous system disorders
MigraineNervous system disorders
PresyncopeNervous system disorders
TremorNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Throat irritationRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03785756 adverse events section.

Sponsor's own description

This is a single centre, randomised, double-blind, double-dummy, parallel group, multiple-dose, active and placebo-controlled efficacy study to evaluate the efficacy and safety of 2×300mg ibuprofen Prolonged Release (PR) tablets in subjects with postoperative dental pain.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Pain

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing