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Tapentadol IR

Phase 3

Hallux Valgus | Small molecule | Musculoskeletal |Johnson & Johnson|Last Updated: Jun 10, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment413

FDA Designations

No designations recorded

Clinical trial landscape

Tapentadol IR · 5 trials · 4 indications

Phase 3 4Phase 1 1
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
NCT00771758Tapentadol IR vs Oxycodone IR vs Placebo in Acute Pain From Vertebral Compression Fracture Associated With OsteoporosisBack Pain
COMPLETED108 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
PHASE3COMPLETED
Tapentadol IR vs Oxycodone IR vs Placebo in Acute Pain From Vertebral Compression Fracture Associated With Osteoporosis
Back 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.

Sum of Pain Intensity Difference Over 3 Days (SPID72)
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. The study was terminated prematurely due to slow enrollment after 108 of 600 subjects enrolled. Valid statistical conclusions cannot be made due to the low number of subjects.

Pharmacokinetic parameter: Cmax of CG5503 base
Pre-dose up to 48 hours post-dose

14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule. The evaluation of the maximum observed serum concentration (Cmax) was based on the CG5503 base concentrations measured in serum samples using a validated liquid chromatography/tandem mass spectrometry (LC-MS/MS) method.

Pharmacokinetic parameter: AUC0-t of CG5503 base
Pre-dose up to 48 hours post-dose

14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule. The evaluation of the area under the concentration time curve (AUC) from 0 hours to time t (=48 hours) (AUC0-t) was based on the CG5503 base concentrations measured in serum samples.

Pharmacokinetic parameter: AUC0-inf of CG5503 base
Pre-dose up to 48 hours post-dose

14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule. The AUC from 0 hours to infinity (AUC0-inf) was extrapolated from the AUC from administration to the last measured concentration.

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
003PLACEBO_COMPARATORplacebo 1 capsule every 4 - 6 hr as needed for up to 10 days
Tapentadol IREXPERIMENTALA single oral dose of tapentadol IR was administered in a fasted state (Treatment A).
Omeprazole, Tapentadol IREXPERIMENTALOral doses of omeprazole were administered once daily in a fasted state on 4 consecutive days (Days -3 to 1), plus 1 capsule of CG5503 IR administered 2 hours after the administration of omeprazole on Day 1 (Treatment B).

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
Tapentadol IR capsuleDRUGTapentadol IR capsule containing 93 mg tapentadol hydrochloride.
Omeprazole capsuleDRUGOmeprazole capsule containing 40 mg omeprazole.
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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 KoreaUnited StatesBelgium
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Frequently asked questions about Tapentadol IR

What is Tapentadol IR used for?

Tapentadol IR is an immediate-release small molecule being studied for acute pain conditions, including postoperative pain following shoulder surgery and acute pain from bunionectomy (hallux valgus). It is also being evaluated in pharmacokinetic studies. The drug is in Phase 3 clinical development and is not yet approved.

Who makes Tapentadol IR?

Tapentadol IR is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The drug is currently in Phase 3 clinical trials for acute pain indications, including postoperative pain and pain from bunionectomy.

What phase is Tapentadol IR in?

Tapentadol IR is in Phase 3 clinical development. It has completed two Phase 3 trials for acute pain from bunionectomy and postoperative pain following shoulder surgery. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Tapentadol IR in?

Tapentadol IR has completed several clinical trials. NCT00814580 studied its safety and efficacy for postoperative pain after arthroscopic shoulder surgery with 382 participants. NCT01516008 and NCT01813890 evaluated it for acute pain from bunionectomy, enrolling 353 and 60 participants respectively. NCT03979989 was a Phase 1 pharmacokinetic drug interaction study.

Is Tapentadol IR the same as CG5503?

Yes, Tapentadol IR is also known as CG5503. Clinical trial records refer to the drug by both names, such as in NCT01813890, which studied Tapentadol (CG5503) for acute pain from bunionectomy. This alternative name appears in pharmacokinetic and efficacy studies of the drug.