E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderate to severe postoperative pain. |
Dolor postoperatorio de intensidad moderada a grave. |
|
E.1.1.1 | Medical condition in easily understood language |
Postoperative pain. |
Dolor postoperatorio. |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Symptoms and general pathology [C23] |
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 | 10054711 |
E.1.2 | Term | Postoperative pain |
E.1.2 | System Organ Class | 10022117 - Injury, poisoning and procedural complications |
|
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 |
To study the efficacy of intravenous administration of ibuprofen compared to placebo in patients with postoperative pain. |
Estudiar la eficacia de la administración de ibuprofeno intravenoso comparada con placebo en pacientes con dolor postoperatorio. |
|
E.2.2 | Secondary objectives of the trial |
To evaluate the tolerability and safety profile. |
Evaluar la tolerabilidad y seguridad. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Men or women between 18 and 80 years old.
2. Being scheduled for elective single surgical site orthopaedic surgery (hip or knee joint replacement), or abdominal surgery (inguinal hernia, cholecystectomy).
3. Being scheduled for general anaesthesia.
4. Having anticipated need for postoperative narcotic analgesia administered by patient controlled analgesia (PCA).
5. Expected to stay at the hospital for at least 24 h.
6. Providing written informed consent for participating in this study. |
1. Hombre o mujer de 18 a 80 años.
2. Haber sido programados para cirugía ortopédica (prótesis de cadera o rodilla) o abdominal (herniorrafia inguinal o colecistectomía).
3. Que vaya a ser intervenido con anestesia general.
4. Que se prevea que van a precisar analgesia postoperatoria con opioides administrado por el propio paciente (PCA o analgesia controlada por el paciente).
5. Que vayan a permanecer en el hospital durante las 24 h siguientes a la cirugía.
6. Que otorgue el consentimiento informado por escrito. |
|
E.4 | Principal exclusion criteria |
1. Use of NSAID within 12 hours prior to the first planned dose.
2. Taking oral anticoagulants, lithium, combination of ACE inhibitors, furosemide or aspirin.
3. Anaemia and/or history or evidence of asthma or heart failure.
4. History of allergy or hypersensitivity to any component of IV ibuprofen, aspirin or aspirin related products, NSAID or COX-2 inhibitors.
5. Pregnant or nursing.
6. Weight less than 40 kg.
7. History of severe head trauma that required hospitalization, intracranial surgery or stroke within the previous 30 days, or any history of intracerebral arteriovenous malformation, cerebral aneurism or CNS mass lesion.
8. History of congenital bleeding diathesis or any active clinically significant bleeding or underlying platelet dysfunction.
9. Gastrointestinal bleeding that required medical intervention.
10. Peptip ulcer antecedents or inflammatory bowel disease.
11. Patients with severe cardiac insufficiency and/or ischemic cardiomyopathy.
12. Platelet count less than 80.000 determined within the 28 days prior to surgery.
13. Pre-existing dependence on narcotics or receiving chronic treatment with opioids.
14. Severe renal failure.
15. Liver failure, ALAT or ASAT > 3 times upper limit of normality, or bilirrubin > 2 g/dl.
16. Diagnosed of Bowel Inflammatory Disease.
17. Not able to understand the requirements of the study, or to abide by the study restrictions or to return for the required assessments. |
1. Uso de antiinflamatorios no esteroideos (AINE) en las 12 h previas a la administración de la primera dosis del estudio.
2. En tratamiento con anticoagulantes orales, litio, combinaciones de furosemida e inhibidores de la enzima convertidora de angiotensina, o aspirina.
3. Anemia y/o antecedentes o evidencia actual de asma o insuficiencia cardiaca.
4. Antecedentes de alergia o hipersensibilidad a cualquiera de los componentes de la formulación de ibuprofeno intravenoso, aspirina o productos relacionados, otros AINE (incluyendo inhibidores de la COX-2).
5. Embarazo o lactancia.
6. Peso menor de 40 kg.
7. Antecedentes de traumatismo craneoencefálico severo con ingreso hospitalario, cirugía intracranial o ictus en los 30 días previos al inicio del estudio, así como antecedentes de malformación arteriovenosa, aneurismas o lesiones ocupantes de espacio a nivel cerebral.
8. Antecedentes de diátesis hemorrágica congénita o cualquier hemorragia activa clínicamente relevante, así como antecedentes de disfunción plaquetaria subyacente.
9. Antecedentes de hemorragia gastrointestinal que haya precisado intervención médica.
10. Antecedentes de Ulcus péptico o enfermedad inflamatoria intestinal.
11. Pacientes con insuficiencia cardiaca grave y/o cardiopatía isquémica.
12. Recuento plaquetario menor de 80.000 dentro de los 28 días previos a la cirugía.
13. Dependencia de narcóticos o tratamiento crónico con opioides.
14. Insuficiencia renal.
15. Insuficiencia hepática, ALAT o ASAT > 3 veces el límite superior de la normalidad o bilirrubina > 2g/dl.
16. Diagnóstico de enfermedad inflamatoria intestinal.
17. Sin capacidad para comprender los requerimientos del estudio, o que no esté dispuesto a acatar las restricciones del estudio o a acudir a las visitas necesarias. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Reduction in total morphine use in the first 24 hours post-surgery as compared to placebo. |
Reducción en el uso de morfina en las primeras 24 horas en comparación con placebo. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
24 hours after surgery |
24 horas tras cirugía |
|
E.5.2 | Secondary end point(s) |
- Consumption of morphine in the first 48 h (and 72 h) post-surgery.
- Pain intensity at rest and with movement measured with the eleven points visual analogue scale (VAS).
- Ramsay-Hunt sedation scale.
- Time to first subsequent narcotic analgesia (or time to treatment failure).
- Number of doses of morphine and number of attempts of dosing at PCA.
- Nocturnal awakenings due to pain.
- Adverse events during the study.
- Local reactions due to IV infusion.
- Vital signs.
- Routine laboratory tests. |
- Reducción en el consumo de morfina a las 48 h (y 72h) postcirugía.
- Intensidad del dolor en reposo y con movimiento medido a través de la Escala Visual Analógica (EVA9.
- Escala de sedación de Ramsay-Hunt.
- Tiempo hasta la administración de la primera dosis de analgesia de rescate (o tiempo hasta el fracaso del tratamiento).
- Número de dosis de morfina y número de intentos de dosis de morfina en PCA.
- Despertares nocturnos por dolor.
- Efectos adversos durante el estudio.
- Reacciones locales en el lugar de inyección.
- Constantes vitales.
- Analíticas de rutina. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Between 2-4 days after last ibuprofen dose. |
De 2 a 4 días después de la última dosis de ibuprofeno. |
|
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 | 9 |
E.8.5 | The trial involves multiple Member States | No |
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
|
Last patient last visit. |
Última visita del último paciente. |
|
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 |