Efficacy and Safety of Hydrocodone Bitartrate Extended-Release Tablets for Moderate to Severe Chronic Low Back Pain



Status:Completed
Conditions:Back Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - 80
Updated:11/30/2013
Start Date:March 2013
End Date:February 2014
Contact:Teva US Medical Information
Phone:1-800-896-5855

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A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Randomized-Withdrawal Study to Evaluate the Efficacy and Safety of Hydrocodone Bitartrate Extended-Release Tablets (CEP-33237) at 30 to 90 mg Every 12 Hours for Relief of Chronic Low Back Pain Who Require Opioid Treatment for an Extended Period of Time


The primary objective of this study is to evaluate the efficacy of hydrocodone bitartrate
extended-release tablets at doses of 30 to 90 mg every 12 hours compared with placebo in
alleviating moderate to severe pain in patients with chronic low back pain. Patients may be
opioid-naïve or opioid-experienced.


The study will consist of a screening period of approximately 7 to 14 days (visit 1), an
open-label titration period of up to 6 weeks (visit 2 [titration baseline] through visit 6),
a double-blind treatment period of up to 12 weeks (visit 7 [day 0/baseline]; visits 8
through 11 [weeks 1, 2, 4, and 8, respectively; a final on-treatment visit [if applicable);
and a final study visit (visit 12/week 12 [or early termination]).

Inclusion Criteria:

- The patient has had moderate to severe chronic low back pain for at least 3 months
duration before screening.

- The patient is able to speak English and is willing to provide written informed
consent, including a written opioid agreement, to participate in this study.

- The patient is willing and able to successfully self-administer the study drug,
comply with study restrictions, complete the electronic diary, and return to the
study center for scheduled study visits, as specified in the protocol.

- The patient is 18 through 80 years of age at the time of screening.

- Women of childbearing potential (not surgically sterile or 2 years postmenopausal)
must use a medically accepted method of contraception, agree to continue use of this
method for the duration of the study and for 30 days after participation in the
study, and have a negative pregnancy test at screening. - Acceptable methods of
contraception include barrier method with spermicide, intrauterine device (IUD), or
steroidal contraceptive (oral, transdermal, implanted, and injected) in conjunction
with a barrier method. NOTE: A woman will be considered surgically sterile if she has
had a tubal ligation, hysterectomy, bilateral salpingo-oophorectomy or bilateral
oophorectomy, or hysterectomy with bilateral salpingo-oophorectomy.

- Other criteria apply.

Exclusion Criteria:

- The patient is taking a total of more than 135 mg/day of oxycodone, or equivalent,
during the 14 days before screening.

- The patient's primary painful condition under study is related to any source of
chronic pain other than low back pain.

- The patient has radicular (nerve compression) pain or another type of purely
neuropathic pain.

- The patient has known or suspected hypersensitivities, allergies, or other
contraindications to any ingredient in the study drug.

- The patient has a recent history (within 5 years) or current evidence of alcohol or
other substance abuse, with the exception of nicotine.

- The patient has medical or psychiatric disease that, in the opinion of the
investigator, would compromise collected data.

- Other criteria apply.
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