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Hydromorphone

Phase 4FDA approved

Pain | Small molecule | Pain |Johnson & Johnson|Trials Updated: Feb 3, 2014

Hydromorphone development status

FDA approval on record Dec 1, 2011 as Hydromorphone Hydrochloride
Approval holderHospira Inc
ApplicationNDA200403
Highest phase Phase 4 (NCT00766831)
Phase scored for JNJPhase 3
Registered trials 4 across 4 sponsors since Oct 2008

Label indication Hydromorphone Hydrochloride Injection is indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Hydromorphone Hydrochloride Injection is an opioid agonist indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. FDA label

Hydromorphone target and mechanism

Molecular targetOPRM1
Target classAgonist
ModalitySmall molecule

Also known as Hydromorphone HCl

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment260

FDA Designations

No designations recorded

Hydromorphone clinical trials

Hydromorphone · 1 trial · 1 indication

Phase 3 1
NCT01205126An Efficacy and Safety Study of Oral Osmotic Therapeutic System (OROS) Hydromorphone Hydrochloride (HCl) in Participants With Cancer Related PainPain
COMPLETED260 Analytics
PHASE3COMPLETED
An Efficacy and Safety Study of Oral Osmotic Therapeutic System (OROS) Hydromorphone Hydrochloride (HCl) in Participants With Cancer Related Pain
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Study Endpoints

Primary Endpoints

Change From Baseline in Worst Pain in the Past 24 Hours Assessed by Brief Pain Inventory (BPI) Short Form Questionnaire Score at Day 29
Baseline and Day 29

The BPI is questionnaire for evaluating the degree of pain severity and the impact of pain in performing daily routines. Change in worst pain in the past 24 hours in BPI score was reported. The total score ranges from 0 to 10, wherein 0 indicates no pain and 10 indicates pain as bad as participants could imagine.

Secondary Endpoints

Change From Baseline in Pain at Its Least, in the Past 24 Hours Assessed by BPI Short Form Questionnaire Score at Day 29
Baseline and Day 29
Change From Baseline in Average Pain, in the Past 24 Hours Assessed by BPI Short Form Questionnaire Score at Day 29
Baseline and Day 29
Change From Baseline in Pain Right Now Assessed by BPI Short Form Questionnaire Score at Day 29
Baseline and Day 29
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
OROS Hydromorphone hydrochloride (HCl)EXPERIMENTALOROS Hydromorphone HCl will be administered in dose of 8, 16, 24, and 32 milligram (mg), once daily for 2 to 8 days of titrationphase and 28 days of maintenance phase. Starting dose will be based on participant's previous daily opioid dose.
Oxycodone HCl Controlled release (CR)ACTIVE_COMPARATOROxycodone HCl will be administered in dose of 10, 20, 30 and 40 mg, twice daily for 2 to 8 days of titrationphase and 28 days of maintenance phase. Starting dose will be based on participant's previous daily opioids dose.

Interventions

NameTypeDescription
Hydromorphone HClDRUGHydromorphone HCl will be administered in dose of 8, 16, 24, and 32 milligram (mg), once daily for 2 to 8 days of Titration phase and 28 days of Maintenance phase. Starting dose will be based on participant's previous daily opioid dose.
Oxycodone HCl CRDRUGOxycodone HCl will be administered in dose of 10, 20, 30 and 40 mg, twice daily for 2 to 8 days of titration phase and 28 days of maintenance phase. Starting dose will be based on participant's previous daily opioids dose.
PlaceboDRUGPlacebo will be administered to the participants receiving hydromorphone HCl or oxycodone HCl CR along with the study treatment to maintain necessary blinding.
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Participants receiving strong oral or transdermal (through the skin) opioid analgesics with inadequate control of moderate to severe (very serious, life threatening) cancer pain or who presented with cancer pain and will be eligible to move to Step 3 of the WHO analgesic ladde...

Countries:China
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Frequently asked questions about Hydromorphone

What is Hydromorphone used for?

Hydromorphone is an opioid analgesic used to treat pain. It is being studied in a Phase 3 trial for cancer related pain. The drug is a small molecule and is also known as Hydromorphone HCl or Hydromorphone 16 mg.

How does Hydromorphone work?

Hydromorphone works as an agonist at the mu opioid receptor, which is encoded by the OPRM1 gene. By activating this receptor, it produces analgesic effects. This mechanism is characteristic of opioid pain medications.

Who makes Hydromorphone?

Hydromorphone is developed by Johnson & Johnson, which trades under the ticker symbol JNJ. The company is conducting clinical development of the drug for pain indications.

What phase is Hydromorphone in?

Hydromorphone is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA for the studied indication. The Phase 3 trial has been completed.

What clinical trials is Hydromorphone in?

Hydromorphone has been studied in a Phase 3 trial, NCT01205126, titled 'An Efficacy and Safety Study of Oral Osmotic Therapeutic System (OROS) Hydromorphone Hydrochloride (HCl) in Participants With Cancer Related Pain.' This completed trial enrolled 260 participants in China.

Is Hydromorphone the same as Hydromorphone HCl?

Yes, Hydromorphone is also known as Hydromorphone HCl and Hydromorphone 16 mg. These names refer to the same active drug, which is a small molecule agonist of the OPRM1 receptor.