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ibuprofen

Phase 4FDA approved

Fever | Small molecule | Infectious Disease |Cumberland Pharmaceuticals Inc.|Trials Updated: Nov 7, 2016

ibuprofen development status

FDA approval on record Jan 30, 1998
Approval holderHaleon Us Holdings
ApplicationNDA020812
Highest phase Phase 4 (NCT02583399)
Phase scored for CPIXPhase 3
Registered trials 62 across 25 sponsors since Sep 2005

Label indication Uses temporarily: • reduces fever • relieves minor aches and pains due to the common cold, flu, headaches and toothaches

ibuprofen target and mechanism

Molecular targetPTGS2, PTGS1
Target classInhibitor
ModalitySmall molecule
ChEMBLCHEMBL521

Also known as Intravenous ibuprofen, Caldolor

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials7
Total Enrollment967

FDA Designations

No designations recorded

ibuprofen clinical trials

ibuprofen · 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 ibuprofen

What is intravenous ibuprofen used for?

Intravenous ibuprofen is used to treat fever and pain. It is studied in hospitalized patients, including adults with fever and post-operative pain, and pediatric patients undergoing tonsillectomy. It is an injectable form of ibuprofen developed by Cumberland Pharmaceuticals Inc. under the ticker CPIX.

How does intravenous ibuprofen work?

Intravenous ibuprofen is a small molecule inhibitor of the enzymes PTGS2 and PTGS1, also known as cyclooxygenase-2 and cyclooxygenase-1. By inhibiting these targets, it reduces the production of prostaglandins that cause fever and pain. This mechanism is the same as oral ibuprofen but delivered directly into the bloodstream.

Who makes intravenous ibuprofen?

Intravenous ibuprofen is developed by Cumberland Pharmaceuticals Inc., which trades under the ticker CPIX. The company is responsible for its clinical development and regulatory submissions.

What phase is intravenous ibuprofen in?

Intravenous ibuprofen is in Phase 3 clinical development. It has completed Phase 3 trials but is not yet approved by the FDA for the studied indications. Cumberland Pharmaceuticals Inc. is the sponsor.

What clinical trials is intravenous ibuprofen in?

Intravenous ibuprofen has been studied in completed Phase 3 trials including NCT01332253 in pediatric tonsillectomy pain, NCT01131000 in adult febrile patients, NCT01002573 in pediatric fever, and NCT00225732 in post-operative adult pain. These trials enrolled a total of 319 patients in the post-operative pain study and smaller numbers in the others.

Is intravenous ibuprofen the same as regular ibuprofen?

Intravenous ibuprofen is a formulation of ibuprofen, the same active ingredient found in oral ibuprofen. It is also known as intravenous ibuprofen. The difference is the route of administration: it is given intravenously rather than by mouth, allowing for rapid delivery in hospital settings.