E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderate-Intense pain in Dental Surgery |
Dolor moderado-intenso en cirugía dental |
|
E.1.1.1 | Medical condition in easily understood language |
Moderate-Intense pain in Dental Surgery |
Dolor moderado-intenso en cirugía dental |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Mouth and tooth diseases [C07] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10044049 |
E.1.2 | Term | Dental pain and sensation disorders |
E.1.2 | System Organ Class | 100000004856 |
|
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 evaluate in a preliminary way the analgesic efficacy measured by the Visual Analog Scale (VAS) 6 hour before administration of a single dose of the fixed-dose combination of ibuprofen (arginate) 400 mg with two dose of intravenous medication versus tramadol 100 mg IV, controlled with placebo. |
Evaluar de modo preliminar la eficacia analgésica medida por la Escala Visual Analógica (EVA) a las 6 horas de administrada una dosis única de la combinación a dosis fija de ibuprofeno (arginato) 400 mg con dos niveles de dosis de tramadol por vía intravenosa frente a tramadol 100 mg IV, controlado con placebo. |
|
E.2.2 | Secondary objectives of the trial |
To estimate the measure and variability of the analgesic effect of each of the ibuprofen combinations (arginate) and tramadol IV vs placebo. To estimate the measure and variability of the analgesic effect of tramadol 100 mg IV vs placebo. To evaluate the safety and tolerability of each medication or combination used in order to improve the patients safety. |
Estimar medida y variabilidad del efecto analgésico de cada una de las combinaciones de ibuprofeno (arginato) y tramadol IV vs placebo. Estimar medida y variabilidad del efecto analgésico de tramadol 100 mg IV vs placebo. Evaluar la seguridad y la tolerabilidad de cada una de las medicaciones o combinaciones empleadas, con el fin de mejorar el perfil de seguridad de los pacientes. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients who give their informed consent in writing and are willing to comply with all the visits and scheduled procedures required by the protocol. 2. Patients ≥ 18 years. 3. Moderate-intense pain (SAV 0-100 ≥55 mm) during the first 4 hours after completing the surgery. 4. With body weight> 50 and <110 kg. 5. Scheduled for ambulatory surgical removal, under local anesthesia, of at least two third parties molars, at least one of them lower, and at least one of them impacted that requires elimination of bone. 6. That they agree not to take analgesics except for those that the protocol defines as medication of rescue during the treatment period, until after 7 hours after the administration of the study medication. 7. Have a medical history and physical examination without clinically relevant abnormalities in function of the study and at the discretion of the researcher |
1. Pacientes que otorguen su consentimiento informado por escrito y dispuestos a cumplir con todas las visitas y los procedimientos programados que requiere el protocolo. 2. Pacientes ≥ 18 años. 3. Con dolor moderado-intenso (EVA0-100 ≥55 mm) durante las primeras 4 horas tras finalizar la cirugía. 4. Con peso corporal >50 y < 110 kg. 5. Programados para la extracción quirúrgica ambulatoria, bajo anestesia local, de al menos dos terceros molares, al menos uno de ellos inferior, y al menos uno de ellos impactado que requiera eliminación de hueso. 6. Que acepten no tomar analgésicos a excepción de los que el protocolo define como medicación de rescate durante el período de tratamiento, hasta pasadas 7 horas tras la administración de la medicación del estudio. 7. Que tengan un historial médico y exploración física sin anomalías clínicamente relevantes en función del estudio y a criterio del investigador. |
|
E.4 | Principal exclusion criteria |
1. Patients with a history of allergy or hypersensitivity to the study medication, medication of rescue or any other non-steroidal anti-inflammatory drug (NSAID), opioids or acid acetylsalicylic, or any of its excipients. 2. History of asthma, bronchospasm, acute rhinitis, nasal polyps, urticaria or edema angioneurotic. 3. History of peptic ulcer, gastrointestinal disorders due to NSAID, gastrointestinal hemorrhage or other active hemorrhages. 4. History of moderate to severe renal, hepatic or cardiac insufficiency. 5. Hemorrhagic diathesis or other coagulation disorders. 6. Epilepsy. 7. Crohn's disease or ulcerative colitis. 8. History of dependence on drugs of abuse or alcohol. 9. History of any disease or disorder that, in the opinion of the investigator, could constitute a risk to the patient or modify the results of the study (eg patients with acute pain of any other origin or location at the time of surgery). 10. Have had complications during the surgery, with duration greater than 1 hour and that required re-anesthesia (after the appropriate level of anesthesia has been reached). 11. That they have consumed analgesics (including prescription and over-the-counter pain medications) during 48 hours prior to surgery, or in the previous 5 days in the case of consumption of inhibitors of the COX-2. 12. Patients unable to abstain from alcohol, psychotropic drugs or sedatives (eg. benzodiazepines) or other medications that should not be administered due to the risk of interactions for 48 hours before the start of surgery and during the 12 hours following the administration of the study medication. 13. That they have received an experimental drug or used an experimental medical device within the term of the 30 days prior to the selection. 14. Pregnant or lactating women. 15. That they can not comply with the requirements of the study or that in the opinion of the investigator should not take part. |
1. Pacientes con antecedentes de alergia o hipersensibilidad a la medicación del estudio, la medicación de rescate o a cualquier otro antiinflamatorio no esteroideo (AINE), a los opiáceos o al ácido acetilsalicílico, o a alguno de sus excipientes. 2. Antecedentes de asma, broncoespasmo, rinitis aguda, pólipos nasales, urticaria o edema angioneurótico. 3. Antecedentes de úlcera péptica, trastornos gastrointestinales por AINE, hemorragia gastrointestinal u otras hemorragias activas. 4. Antecedentes de insuficiencia renal, hepática o cardiaca de moderada a grave. 5. Diátesis hemorrágica u otros trastornos de la coagulación. 6. Epilepsia. 7. Enfermedad de Crohn o colitis ulcerosa. 8. Antecedentes de dependencia de drogas de abuso o alcohol. 9. Antecedentes de cualquier enfermedad o trastorno que, a criterio del investigador, pudiera constituir un riesgo para el paciente o alterar los resultados del estudio (p.ej. pacientes con dolor agudo de cualquier otro origen o localización en el momento de la cirugía). 10. Que hayan tenido complicaciones durante la cirugía, con duración de la misma superior a 1 hora y que hayan requerido reanestesia (después de alcanzado el nivel de anestesia adecuado). 11. Que hayan consumido analgésicos (incluyendo los de prescripción y los de venta sin receta) durante las 48 horas previas a la cirugía, o en los 5 días previos en el caso de consumo de inhibidores de la COX-2. 12. Pacientes incapaces de abstenerse de consumir alcohol, psicofármacos o sedantes (p.ej. benzodiacepinas) u otros medicamentos que no deben administrarse debido al riesgo de interacciones durante 48 horas antes del inicio de la cirugía y durante las 12 horas siguientes a la administración de la medicación del estudio. 13. Que hayan recibido un fármaco experimental o usado un dispositivo médico experimental en el plazo de los 30 días previos a la selección. 14. Mujeres embarazadas o en período de lactancia. 15. Que no puedan cumplir con los requisitos del estudio o que en opinión del investigador no deben participar. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
intensity of pain, measured through a Scale Visual Analogic (VAS) |
intensidad del dolor, medida a través de una Escala Visual Analógica (EVA) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
6 hours after the administration of the investigational medication |
6 horas tras administración del fármaco |
|
E.5.2 | Secondary end point(s) |
Difference in pain intensity (PIDt). Sum of the pain intensity differences (SPID). Pain relief (PRt) by the EVA scale score Relief of total pain (TOTPAR). Rate of responding patients. Rate of use of rescue medication. Time until the administration of rescue medication. |
Diferencia en intensidad de dolor (PIDt) Suma de las diferencias de intensidad de dolor (SPID) Alivio del dolor (PRt) Alivio del dolor total (TOTPAR). Tasa de pacientes respondedores. Tasa de uso de medicación de rescate. Tiempo hasta la administración de la medicación de rescate. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Difference in pain intensity (PIDt) for each observation point established up to 7 hours (PIDt = PI0-PIt, where PI0 = intensity of pain in time t = 0 h according to the EVA and PIt = intensity of pain at each time point according to the EVA). Sum of the pain intensity differences (SPID). Up to 7 hours. Pain relief (PRt) from the start of the medication until 7 hours after the administration of the medication [by the EVA scale score (0: none of relief, 100: total relief)]. Relief of total pain (TOTPAR) until 7 hour. Rate of responding patients: end of the study. Rate of use of rescue medication: end of the study. Time until the administration of rescue medication: end of the study. |
Diferencia en intensidad de dolor (PIDt) para cada punto de observación establecido hasta las 7 horas (PIDt= PI0-PIt, siendo PI0=intensidad de dolor en el tiempo t=0 h según la EVA y PIt= intensidad de dolor en cada punto de tiempo según la EVA). Suma de las diferencias de intensidad de dolor (SPID).hasta las 7 horas. Alivio del dolor (PRt) desde el inicio de la medicación hasta 7 horas después de la administración del medicamento [mediante la puntuación de la escala EVA (0: nada de alivio, 100:alivio total)]. Alivio del dolor total (TOTPAR) hasta las 7 horas. Tasa de pacientes respondedores: al final del estudio. Tasa de uso de medicación de rescate: al final del estudio. Tiempo hasta la administración de la medicación de rescate: al final del estudio. |
|
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 | Yes |
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 | Yes |
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) | Yes |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
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 | 5 |
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
|
LVLS |
Ultimo paciente, ultima visita |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |