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Tapentadol IR

Phase 3

Hallux Valgus | Small molecule | Musculoskeletal |Johnson & Johnson|Trials Updated: Jan 9, 2015

Tapentadol IR development status

Highest phase Phase 3
Registered trials 3 across 2 sponsors since Oct 2008

Tapentadol IR target and mechanism

Molecular targetSLC6A2, OPRM1
Target classInhibitor
ModalitySmall molecule

Also known as Tapentadol IR capsule, Tapentadol IR (CG5503)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment795

FDA Designations

No designations recorded

Tapentadol IR clinical trials

Tapentadol IR · 3 trials · 2 indications

Phase 3 3
NCT01813890A Study to Evaluate the Effectiveness and Safety of Tapentadol (CG5503) in the Treatment of Acute Pain From Bunionectomy Compared With PlaceboHallux Valgus
COMPLETED60 Analytics
NCT01516008A Study of Tapentadol Immediate-Release in the Treatment of Patients With Acute Pain From BunionectomyHallux Valgus
COMPLETED353 Analytics
NCT00814580Safety and Efficacy of Tapentadol Immediate Release (IR) and Oxycodone IR for Treatment of Acute Post-op Pain Following Elective Arthroscopic (Surgery Using a Thin Flexible Scope) Shoulder SurgeryPostoperative Pain
COMPLETED382 Analytics
PHASE3COMPLETED
A Study to Evaluate the Effectiveness and Safety of Tapentadol (CG5503) in the Treatment of Acute Pain From Bunionectomy Compared With Placebo
Hallux ValgusUnlock trial analytics
PHASE3COMPLETED
A Study of Tapentadol Immediate-Release in the Treatment of Patients With Acute Pain From Bunionectomy
Hallux ValgusUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Tapentadol Immediate Release (IR) and Oxycodone IR for Treatment of Acute Post-op Pain Following Elective Arthroscopic (Surgery Using a Thin Flexible Scope) Shoulder Surgery
Postoperative PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Sum of Pain Intensity Difference (SPID) Over 48 Hours
48 hours

Pain Intensity (PI) was assessed on an 11-point numerical rating scale from 0=no pain to 10=pain as bad as you can imagine. PID was the difference between baseline PI (prior to the first dose) and current PI at assessment. SPID was calculated as the time-weighted Sum of PID scores over 48 hours. Total score ranges from -480 (worst) to 480 (best) for SPID48. A higher value of SPID indicates greater pain relief.

Sum of Pain Intensity Differences (SPID) Over 48 Hours
48 hours

Pain Intensity (PI) was assessed on an 11-point numerical rating scale from 0=no pain to 10=pain as bad as you can imagine. PID was the difference between baseline PI (prior to the first dose) and current PI at assessment. SPID was calculated as the time-weighted Sum of PID scores over 48 hours. Total score ranges from -480 (worst) to 480 (best) for SPID48. A higher value of SPID indicates greater pain relief.

Summary and Analysis of Sum of Pain Intensity Difference (SPID) (With Imputation) Over 3 Days (72 Hours)
3 Days (72 hours)

Pain Intensity (PI) was assessed on 11-point numerical rating scale from 0=no pain to 10=pain as bad as you can imagine. Pain Intensity Difference (PID) was the difference between baseline PI (prior to the first dose) and current PI at assessment. SPID72 was calculated as the time-weighted Sum of PID scores over 72 hours. The range of SPID72 is from -720 to 720. The higher value in SPID indicates greater pain relief.

Secondary Endpoints

Time to First Rescue Medication Use
up to 48 hours
Response Rate for 30 Percent or Greater Reduction in Pain Intensity at 12, 24, 48 and 72 Hours
12, 24, 48 and 72 hours
Response Rate for 50 Percent or Greater Reduction in Pain Intensity at 12, 24, 48 and 72 Hours
12, 24, 48 and 72 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Tapentadol IR 50 mgEXPERIMENTAL -
Tapentadol IR 75 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
001EXPERIMENTALTapentadol IR First dose: one 50 mg capsule (a re-dose of 50 mg is permitted as soon as one hour after the first dose on Day 1 if needed) Subsequent doses: one or two capsules (50 mg or 100 mg) every 4 to 6 hours as needed
002ACTIVE_COMPARATOROxycodone IR First dose: one 5 mg capsule (a re-dose of 5 mg is permitted as soon as one hour after the first dose on Day 1 if needed Subsequent doses: one or two capsules (5 mg or 10 mg) every 4 to 6 hours as needed

Interventions

NameTypeDescription
Tapentadol IR 50 mgDRUGTapentadol IR 50 mg will be administered as a single oral dose once every 4 to 6 hours, during the double blind treatment period.
Tapentadol IR 75 mgDRUGTapentadol IR 75 mg will be administered as a single oral dose once every 4 to 6 hours, during the double blind treatment period.
PlaceboDRUGPlacebo will be administered as a single oral dose once every 4 to 6 hours, during the double blind treatment period.
Tapentadol IRDRUGFirst dose: one 50 mg capsule (a re-dose of 50 mg is permitted as soon as one hour after the first dose on Day 1, if needed) Subsequent doses: one or two capsules (50 mg or 100 mg) every 4 to 6 hours as needed
Oxycodone IRDRUGFirst dose: one 5 mg capsule (a re-dose of 5 mg is permitted as soon as one hour after the first dose on Day 1, if needed Subsequent doses: one or two capsules (5 mg or 10 mg) every 4 to 6 hours as needed
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Eligibility Criteria

Age Range20 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Patients must be undergoing primary unilateral first metatarsal bunionectomy that includes a distal Chevron osteotomy only, with or without the Akin procedure * Patients must be healthy or medically stable on the basis of clinical laboratory tests performed at screening * Wome...

Countries:TaiwanSouth Korea
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Frequently asked questions about Tapentadol IR

What is Tapentadol IR?

Tapentadol IR is an immediate-release small molecule developed by Johnson & Johnson (ticker JNJ) for acute pain. It has been studied in Phase 3 trials for postoperative pain and for pain following bunionectomy surgery for hallux valgus. Tapentadol IR is also known as Tapentadol IR capsule, Tapentadol IR (CG5503), and Tapentadol IR 50 mg.

What does Tapentadol IR target?

Tapentadol IR targets SLC6A2 and OPRM1. It acts as an inhibitor at these targets, combining norepinephrine reuptake inhibition with mu-opioid receptor activity. This dual mechanism is intended to provide analgesia through both opioid and non-opioid pathways.

Who makes Tapentadol IR?

Johnson & Johnson, which trades under the ticker JNJ, is the developer of Tapentadol IR. The company has sponsored Phase 3 clinical trials of the immediate-release formulation in acute pain settings, including postoperative pain and pain after bunionectomy for hallux valgus.

What phase is Tapentadol IR in?

Tapentadol IR is in Phase 3 clinical development. It is investigational and has been evaluated in completed Phase 3 trials. The program includes two completed trials with a combined enrollment of 413 participants, both randomized, double-blind, and placebo-controlled.

What clinical trials is Tapentadol IR in?

Tapentadol IR has been studied in completed Phase 3 trials including NCT01813890 in Taiwan, NCT01516008 in South Korea, and NCT00814580. The first two evaluated Tapentadol (CG5503) for acute pain from bunionectomy in hallux valgus, while NCT00814580 assessed acute postoperative pain after elective arthroscopic shoulder surgery.

Is Tapentadol IR the same as Tapentadol IR (CG5503)?

Yes, Tapentadol IR (CG5503) is an alternative name for Tapentadol IR. Other names used for the same asset include Tapentadol IR capsule and Tapentadol IR 50 mg. These refer to the immediate-release formulation developed by Johnson & Johnson.