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DIC075V

Phase 4FDA approved

Pain, Postoperative | Small molecule | Pain |Pfizer, Inc.|Trials Updated: Oct 13, 2021

DIC075V development status

FDA approval on record Feb 25, 1998 as Voltaren
Approval holderNovartis
ApplicationNDA020037
Highest phase Phase 4 run by Depomed (NCT01982539)
Phase scored for PFEPhase 3
Registered trials 3 across 3 sponsors since Mar 2013

DIC075V target and mechanism

ModalitySmall molecule

Also known as DIC075V (intravenous diclofenac sodium), Voltaren, Voltarol, Cataflam, Zipsor

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials2
Total Enrollment1,120

FDA Designations

No designations recorded

DIC075V clinical trials

DIC075V · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT00726388An Open-Label Safety Study Of DIC075V (Intravenous Diclofenac Sodium) In Patients With Acute Post-Operative PainPain, Postoperative
COMPLETED1,050 Analytics
PHASE3COMPLETED
An Open-Label Safety Study Of DIC075V (Intravenous Diclofenac Sodium) In Patients With Acute Post-Operative Pain
Pain, PostoperativeUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were events between first dose of study drug and up to 37 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAEs included SAEs and all non-SAEs that occurred during the study.

Number of Participants Who Took at Least 1 Concomitant Medication
Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)

Concomitant medications were medications that were taken concurrently on or after first dose of study drug.

Number of Participants With Abnormal Urinalysis Findings
Baseline (Day 1, immediately before dosing) up to study discharge/early termination (maximum up to Day 5)

Urine parameters included gravity, glucose, protein, and bilirubin. Abnormalities were judged by the investigator.

Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Baseline
Baseline (Day 1, immediately before dosing)

12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion.

Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Study Discharge/Early Termination
Study discharge/early termination (maximum up to Day 5)

12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion.

Change From Baseline in Blood Pressure at Study Discharge/Early Termination
Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

Change from baseline in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in millimeter of mercury (mmHg) was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes.

Change From Baseline in Blood Pressure at Clinic Follow-up Visit
Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Change from baseline in SBP and DBP in mmHg was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes.

Change From Baseline in Respiratory Rate at Study Discharge/Early Termination
Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

Respiratory rate was measured after the participant had taken rest for 5 minutes.

Change From Baseline in Respiratory Rate at Clinic Follow-up Visit
Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Respiratory rate was measured after the participant had taken rest for 5 minutes.

Change From Baseline in Heart Rate at Study Discharge/Early Termination
Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes.

Change From Baseline in Heart Rate at Clinic Follow-up Visit
Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes.

Number of Participants With Wound Assessment at Study Discharge/Early Termination
Study discharge/early termination (maximum up to Day 5)

Wound assessment had 6 questions, completed by investigator/sub-investigator. Question related to extent of healing; extent and degree of inflammation and extent of drainage had options: much better than expected, better than expected, normal, slower than expected, and much slower than expected. Question related to separation of surgical incision had options: no separation, barely detectible separation, localized separation, mostly separated, and complete separation (dehiscence). Question related to infection at surgical site had options: definitely, no infection, possibly infected, probably infected, certainly infected, and abscess/gross cellulitis. Question related to prescription of postoperative systemic antibiotics had options: no, yes for prophylaxis, and yes for infection. Every question there was category "Not Done" for participants with no wound assessment other than the reason 'missing' and category "Missing", where participants were missing for wound assessment.

Number of Participants With Thrombophlebitis Assessment Evaluation at Baseline
Baseline (Day 1, immediately before dosing)

Thrombophlebitis assessment evaluation was done using following grades: 0 equals to (=) no reaction, 1= tenderness along the vein, 2= continuous tenderness of pain with redness, 3= palpable swelling or thrombosis within length of cannula, 4= palpable swelling or thrombosis beyond the length of the cannula and 5= palpable swelling or thrombosis beyond the length of the cannula with overt infection.

Number of Participants With Thrombophlebitis Assessment Evaluation at Study Discharge/Early Termination
Study discharge/early termination (maximum up to Day 5)

Thrombophlebitis assessment evaluation was done using following grades: 0= no reaction, 1= tenderness along the vein, 2= continuous tenderness of pain with redness, 3= palpable swelling or thrombosis within length of cannula, 4= palpable swelling or thrombosis beyond the length of the cannula and 5= palpable swelling or thrombosis beyond the length of the cannula with overt infection.

Number of Participants With Clinically Significant Physical Examination Abnormalities at Screening
Screening (0 to 21 days prior to surgery)

Physical examination included the assessment of general appearance, skin; head, ears, eyes, nose, and throat (HEENT); neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion.

Number of Participants With Clinically Significant Physical Examination Abnormalities at Clinic Follow-up Visit
Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Physical examination included the assessment of general appearance, skin; HEENT; neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion.

Time-matched active drug-placebo difference in baseline-adjusted QTc interval
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.

The primary ECG endpoint is the time-matched active drug-placebo difference in baseline-adjusted QTc interval using the Fridericia correction formula (QTcF). The QTcF is evaluated at the time point where the maximal baseline and placebo-adjusted value is observed. These measurements are consistent with ICH E14 guidance.

Secondary Endpoints

Time-matched active drug-placebo difference in baseline-adjusted QTc interval using the Bazett's correction formula (QTcB) evaluated at the timepoint where the maximum mean baseline- and placebo-adjusted QTcB is observed for each active treatment arm
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.
Time matched active drug-placebo difference in baseline adjusted QTcF at the subject-specific Tmax or the next available ECG timepoint
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.
Time-matched active drug-placebo difference in the maximum baseline-adjusted QTcF of each subject at each active treatment period.
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTALIV administration of multiple doses of DIC075V (intravenous diclofenac sodium) over multiple days
PlaceboPLACEBO_COMPARATORPlacebo
Experimental 1EXPERIMENTALDIC075V 37.5 mg
Experimental 2EXPERIMENTALDIC075V 75 mg
Active controlACTIVE_COMPARATORMoxifloxacin hydrochloride 400 mg

Interventions

NameTypeDescription
DIC075V (intravenous diclofenac sodium)DRUGmultiple doses up to 5 days
DIC075VDRUGFour single dose treatments: * Placebo (normal saline) * Moxifloxacin (positive control) * DIC075V 37.5 mg * DIC075V 75 mg All subjects receive each of the 4 treatments.
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria: * abdominal ( non-laparoscopic abdominal surgeries) or orthopedic ( hip or knee joint replacement) surgery or other surgeries requiring multiple doses of parenterally administered NSAIDs over multiple days * Expected stay \> 48 hrs Exclusion Criteria: * bilirubin \> 2.5 mg/dl ...

Countries:United States
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Frequently asked questions about DIC075V

What is DIC075V?

DIC075V is an intravenous formulation of diclofenac sodium, a small molecule developed by Pfizer for the treatment of acute postoperative pain. It is also known as DIC075V (intravenous diclofenac sodium). The program includes a completed Phase 3 open-label safety study in patients with acute post-operative pain and a completed Phase 1 study in healthy subjects.

What is DIC075V used for?

DIC075V is being studied for the treatment of acute postoperative pain in adults. Its Phase 3 trial enrolled 1,050 patients aged 18 years and older with acute post-operative pain in the United States. A separate Phase 1 study evaluated its effect on ventricular repolarization, specifically QTc intervals, in healthy subjects.

Who makes DIC075V?

DIC075V is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor of the clinical program evaluating the intravenous diclofenac sodium formulation in postoperative pain and in a cardiac safety assessment of ventricular repolarization.

What phase is DIC075V in?

DIC075V has completed a Phase 3 trial, an open-label safety study in 1,050 patients with acute post-operative pain. It is an investigational product and is not approved. A Phase 1 crossover study evaluating its effect on QTc intervals in 70 healthy subjects has also been completed.

What clinical trials is DIC075V in?

DIC075V has been studied in two completed trials. NCT00726388 was a Phase 3 open-label safety study of intravenous diclofenac sodium in 1,050 patients with acute post-operative pain. NCT01812538 was a Phase 1 four-way crossover study of 70 healthy subjects assessing the effect of DIC075V on QTc intervals and ventricular repolarization.

Is DIC075V the same as intravenous diclofenac sodium?

Yes. DIC075V is the same as DIC075V (intravenous diclofenac sodium). The code DIC075V refers to Pfizer's intravenous formulation of diclofenac sodium, a small molecule being evaluated for acute postoperative pain and assessed for its effect on ventricular repolarization.