E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Pain related to uncomplicated ankle injuries. |
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E.1.1.1 | Medical condition in easily understood language |
Pain related to uncomplicated ankle injuries. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Injuries, poisonings, and occupational diseases [C21] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10002545 |
E.1.2 | Term | Ankle injury |
E.1.2 | System Organ Class | 10022117 - Injury, poisoning and procedural complications |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study is to evaluate the efficacy of Ibuprofen 5% roll-on gel versus placebo roll-on gel in human adult patients for the treatment of pain related to uncomplicated ankle injuries. |
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E.2.2 | Secondary objectives of the trial |
The secondary objective of the study is to evaluate the safety of Ibuprofen 5% roll-on gel compared with placebo roll-on gel in human adult patients. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Written informed consent obtained.
2. Male and female patients, age in the range of 18-45 years (inclusive).
3. Patients with pain related to uncomplicated ankle injuries (in case of doubt whether it is complicated an X-ray should be taken).
4. Pain related to ankle injuries is scored as moderate or severe by the patient and the injury is less than 24 hours old.
5. Patients with normal or clinically non-significant findings as determined by baseline history, physical examination and vital signs (blood pressure, heart rate and axillary temperature).
6. Comprehension of the nature and purpose of the study and compliance with the protocol requirements.
7. Negative urine pregnancy test (for females only). |
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E.4 | Principal exclusion criteria |
1. Known hypersensitivity to aspirin or any non-steroidal anti-inflammatory drugs (NSAID).
2. Known history of asthma.
3. Known history of gastric or peptic ulcer or bleeding.
4. Known history of malignancy or other serious diseases.
5. Known history of skin allergy.
6. Known history of cardiac, renal or hepatic insufficiency.
7. Presence of bruises or rash on the skin of ankle.
8. Presence of skin lesions like eczema or psoriasis.
9. Arthritis in the same joint.
10. Alcohol use during the study period or within 48 hours before the study enrolment.
11. Patients judged unable to use the VAS for pain reliably
12. Locally applied NSAID to the painful region/area of study or oral use of NSAID or other analgesics 48 hours before the study enrolment.
13. Other pain killers than rescue medication to be taken during the study.
14. Recurrent sprain at the same joint during the last 6 months.
15. Anticoagulant therapy.
16. Physiotherapy during study period.
17. Open wounds, infected skin or fracture.
18. Any other condition that in the opinion of the investigator would interfere with the evaluation of the results or constitute a health risk for the patient.
19. Pregnant or lactating females.
20. Participation in a drug or device study within 90 days before the study enrolment. |
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E.5 End points |
E.5.1 | Primary end point(s) |
• VAS pain score change over time from baseline (day 0 before treatment administration) to day 7 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Only measurements from the study visits (day 0, 3 and 7) will be included in the analysis. |
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E.5.2 | Secondary end point(s) |
• Percentage VAS pain score change from baseline separately to day 3 and 7.
• Area under VAS curve according to study visit measurements and patient diary from baseline separately to day 3 and 7 morning assessment.
• Proportions of responders separately at day 3 and 7.
• Time to reduction of 50% in pain score from baseline.
• Proportion of patients who needed rescue medication during the study.
• Change in VRS scores from baseline separately to day 3 and 7.
- Functional impotence (absent, slight, moderate, severe).
- Single leg load-bearing on the injured foot (possible without pain, possible with pain, impossible).
- Assessment of pain (absent, slight, moderate, severe) by the investigator: pain at rest, pain under passive tension, pain under active tension, and pain on palpation.
• Overall assessment of efficacy (excellent, good, poor) separately at day 3 and 7 by the patient.
• Overall assessment of efficacy (excellent, good, poor) separately at day 3 and 7 by the investigator.
• Change in peri-articular oedema (difference in perimeter between the injured and healthy ankle) over time from baseline to day 7.
• The need for rescue medication.
Tolerability assessments:
• Condition of the skin (normal, abnormal) at day 0, 3 and 7
• Overall assessment of tolerability by patient (excellent, good, acceptable, poor) at day 3 and 7
• Overall assessment of tolerability by investigator (excellent, good, acceptable, poor) at day 3 and 7
Safety assessments:
• Physical examination including general and systemic examination and vital signs monitoring (blood pressure, heart rate and axillary temperature in sitting posture) will be done at day 0, 3 and 7.
• Adverse event (AE) monitoring will be done at every visit. Patients will maintain a patient diary to record AEs and concomitant medications. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 8 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |