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Caldolor

Phase 4FDA approved 2009

Burns | Small molecule | Dermatology |Cumberland Pharmaceuticals Inc.|Trials Updated: Nov 7, 2016

Caldolor development status

FDA approval Jun 11, 2009
Approval holderCumberland Pharms
ApplicationNDA022348
Highest phase Phase 4 (NCT01773005)
Phase scored for CPIXPhase 3
Registered trials 75 across 29 sponsors since Sep 2005

Label indication CALDOLOR is indicated in adults and pediatric patients aged 3 months and older for the: management of mild to moderate pain and the management of moderate to severe pain as an adjunct to opioid analgesics reduction of fever CALDOLOR is a nonsteroidal anti-inflammatory drug indicated in adults and pediatric patients aged 3 months and older for the: Management of mild to moderate pain and the management of moderate to… FDA label

Caldolor target and mechanism

ModalitySmall molecule

Also known as Ibuprofen, Intravenous ibuprofen, IV ibuprofen

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials7
Total Enrollment967

FDA Designations

No designations recorded

Caldolor clinical trials

Caldolor · 7 trials · 4 indications

Phase 3 7
NCT01332253Safety and Efficacy of Intravenous Ibuprofen for Treatment of Pain in Pediatric Patients Undergoing TonsillectomyTonsillectomy
COMPLETED161 Analytics
NCT01002573Safety, Efficacy, and Pharmacokinetic Study of Intravenous Ibuprofen in Pediatric PatientsFever
COMPLETED118 Analytics
NCT00606489Efficacy and Safety Study of Caldolor (Intravenous Ibuprofen) in Hospitalized Adult and Pediatric Burn PatientsBurns
COMPLETED61 Analytics
NCT00470600Efficacy and Safety Study of Caldolor (IV Ibuprofen) in Hospitalized Adult Orthopedic PatientsPain
COMPLETED185 Analytics
NCT00225706A Study of Caldolor in Hospitalized Febrile Pediatric PatientsFever
COMPLETED- Analytics
NCT00225732Trial of Caldolor for Treatment of Pain in Post-Operative Adult PatientsPain
COMPLETED319 Analytics
NCT01131000Efficacy, Safety, and Pharmacokinetics of Intravenous Ibuprofen in Adult Febrile PatientsFever
COMPLETED123 Analytics
PHASE3COMPLETED
Safety and Efficacy of Intravenous Ibuprofen for Treatment of Pain in Pediatric Patients Undergoing Tonsillectomy
TonsillectomyUnlock trial analytics
PHASE3COMPLETED
Safety, Efficacy, and Pharmacokinetic Study of Intravenous Ibuprofen in Pediatric Patients
FeverUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Caldolor (Intravenous Ibuprofen) in Hospitalized Adult and Pediatric Burn Patients
BurnsUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Caldolor (IV Ibuprofen) in Hospitalized Adult Orthopedic Patients
PainUnlock trial analytics
PHASE3COMPLETED
A Study of Caldolor in Hospitalized Febrile Pediatric Patients
FeverUnlock trial analytics
PHASE3COMPLETED
Trial of Caldolor for Treatment of Pain in Post-Operative Adult Patients
PainUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety, and Pharmacokinetics of Intravenous Ibuprofen in Adult Febrile Patients
FeverUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Doses of Fentanyl Administered in the Postoperative Period Prior to Discharge.
4 hours

To evaluate the primary objective of reduced fentanyl use in the post-operative period, the number of fentanyl doses (0.5 mcg/kg IV) administered in the post-operative period prior to discharge will be measured.

Fever Reduction
0 to 2 hours post-dose

Treatment of fever as measured by the area under the change in temperature versus time curve during the first two hours of treatment (AUC0-2)

Temperature
0 to 24 hours

Area under the curve temperature from baseline to hour 24 following initiation of treatment.

AUC-VAS With Movement (Post-operative Period, Hour-6-28)
Study hour-6 through hour-28

Measurement of the patient's self assessment of pain with movement using the validated visual analog scale (VAS) during the post-operative period (study hour-6 through hour-28). VAS assessments document the patient's self reported level of pain from "No pain" (0 mm) to "Worst possible pain" (100 mm) on a 100 mm line. VAS assessments were performed immediately following surgery \[variable since every surgery has a unique length of time even if it is the same procedure\] and at hours 6, 8, 12, 16, 20, 24 and 28 (for the primary endpoint).

Change in the Patient Demand for the Narcotic Analgesic, Morphine, Post Surgery
24 Hours

Change in the amount of morphine use (in milligrams) by subjects in each treatment group for a 24 hour period post-surgery

Percent of patients with fever reduction to less than 101.0 degree fahrenheit following a single dose of intravenous ibuprofen.
4 hours

Secondary Endpoints

Postoperative Pain as Measured by the Visual Analog Scale (VAS) 30 Minutes Post-procedure.
30 minutes post-procedure
Postoperative Pain as Measured by the Visual Analog Scale (VAS) 60 Minutes Post-procedure.
60 minutes post-procedure
Postoperative Pain as Measured by the Visual Analog Scale (VAS) 90 Minutes Post-procedure.
90 minutes post-procedure
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Intravenous IbuprofenEXPERIMENTAL -
Normal SalinePLACEBO_COMPARATOR -
ibuprofenEXPERIMENTALIbuprofen, 10 mg/kg
AcetaminophenACTIVE_COMPARATORAcetaminophen, 10mg/kg
1PLACEBO_COMPARATOR -
2EXPERIMENTAL -
SalinePLACEBO_COMPARATORNormal Saline

Interventions

NameTypeDescription
Intravenous ibuprofenDRUGParticipants will receive a single 10mg/kg dose of intravenous ibuprofen diluted in normal saline at the induction of anesthesia.
Normal SalineOTHERParticipants will receive a comparable weight based volume of normal saline as a placebo comparator at the induction of anesthesia.
ibuprofenDRUGIbuprofen, 10 mg/kg
acetaminophenDRUGAcetaminophen, 10mg/kg
CaldolorDRUG800 milligrams of intravenous ibuprofen (patients greater 12 years of age) or 10 milligrams/kilograms (patients greater than 12 years; maximum of 400 milligrams) every 6 hours
PlaceboDRUGPlacebo
Normal saline as placebo comparatorOTHER250 ml normal saline as a placebo comparator was administered every 6 hours for a total of eight doses over the first 48 hours. Those patients who received the initial eight doses could continue to receive additional doses as needed through the end of the treatment period (day 5)
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Eligibility Criteria

Age Range6 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: 1\. Patients between 6 and 17 years of age scheduled to undergo tonsillectomy. Exclusion Criteria: 1. Have inadequate intravenous access 2. Patients with significant cognitive impairment 3. Active, clinically significant asthma 4. History of allergy or hypersensitivity to any ...

Countries:United StatesIndiaSouth AfricaPanamaAustraliaThailand
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Frequently asked questions about Caldolor

What is Caldolor used for?

Caldolor is an intravenous formulation of ibuprofen used to treat fever, pain, and burns in hospitalized patients. It is being studied in pediatric and adult populations for these conditions, including febrile pediatric patients, adult orthopedic patients with pain, and burn patients.

What does Caldolor target?

Caldolor targets the enzyme cyclooxygenase (COX), which is involved in the production of prostaglandins that mediate fever and pain. By inhibiting COX, Caldolor reduces fever and provides analgesic effects in hospitalized patients.

Who makes Caldolor?

Caldolor is developed by Cumberland Pharmaceuticals Inc., a biopharmaceutical company listed on the Nasdaq under the ticker symbol CPIX. The company is conducting clinical trials to evaluate the drug's efficacy and safety in various patient populations.

What phase is Caldolor in?

Caldolor is in Phase 3 clinical development. It has completed three Phase 3 trials, including studies in febrile pediatric patients, adult orthopedic patients with pain, and burn patients. The drug is investigational and not yet approved by regulatory authorities.

What clinical trials is Caldolor in?

Caldolor has completed three Phase 3 trials: NCT00225706 in hospitalized febrile pediatric patients, NCT00470600 in hospitalized adult orthopedic patients with pain, and NCT00606489 in hospitalized adult and pediatric burn patients. All trials are completed and were conducted in multiple countries.

Is Caldolor the same as intravenous ibuprofen?

Caldolor is an intravenous formulation of ibuprofen, a nonsteroidal anti-inflammatory drug. It is designed for hospital use to manage fever and pain when oral administration is not feasible. The drug is being developed by Cumberland Pharmaceuticals.