The primary objective of this study is to evaluate the analgesic efficacy of hydrocodone bitartrate/acetaminophen immediate-release tablets at doses of 5.0 milligrams (mg)/325 mg, 7.5 mg/325 mg, and 10 mg/325 mg every 4 to 6 hours compared with placebo in treating participants with moderate to severe pain following bunionectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
569
Teva Investigational Site 13510
Phoenix, Arizona, United States
Teva Investigational Site 13173
Anaheim, California, United States
Teva Investigational Site 13174
Bakersfield, California, United States
Teva Investigational Site 13170
Pasadena, California, United States
Summed Pain Intensity Difference (SPID) Score Calculated Over the First 48 Hours (SPID48) After the First Dose of Study Drug on an 11-Point Numerical Pain Rating Scale (NPRS-11)
The SPID48 was calculated as the time-weighted sum of pain intensity difference (PID) at each time point over 48 hours. The SPID48 was based on the NPRS-11, which is an 11-point Likert-type scale in which 0 means no pain and 10 means the most intense pain imaginable. Least square (LS) mean was calculated using an analysis of covariance (ANCOVA) with treatment and center as factors and the baseline pain intensity score as a covariate. Multiple imputation method was used to handle missing data.
Time frame: 48 hours
SPID Scores Over the Intervals During the First 36 Hours Following the First Dose of Study Drug
The SPID was calculated as the time-weighted sum of PID at each time point over the intervals during the first 36 hours. The SPID was based on the NPRS-11, which is an 11-point Likert-type scale in which 0 means no pain and 10 means the most intense pain imaginable. LS mean was calculated using ANCOVA with treatment and center as factors and the baseline pain intensity score as a covariate. Multiple imputation method was used to handle missing data.
Time frame: 0 to 6, 0 to 12, 0 to 24, and 0 to 36 hours
Pain Intensity Difference (PID) Scores
The PID was based on the NPRS-11, which is an 11-point Likert-type scale in which 0 means no pain and 10 means the most intense pain imaginable. PID was calculated at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, and 6 hours after the first dose of study drug. LS mean was calculated using ANCOVA with treatment and center as factors and the baseline pain intensity score as a covariate. Multiple imputation method was used to handle missing data.
Time frame: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, and 6 hours
Time to Peak PID
Time to peak PID after the first dose of study drug but before the second dose of study drug was calculated. Kaplan-Meier method was used to calculate the data. Multiple imputation method was used to handle missing pain intensity scores at scheduled time points.
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Teva Investigational Site 13169
Pasadena, Maryland, United States
Teva Investigational Site 13172
San Antonio, Texas, United States
Teva Investigational Site 13171
Salt Lake City, Utah, United States
Teva Investigational Site 13511
St. George, Utah, United States
Time frame: Within 6 hours
Number of Participants With a 30% Reduction in Pain Intensity Measured Using NPRS-11 Scores
Number of participants with a 30% reduction in NPRS-11 scores was reported at 6, 12, 24, and 48 hours after the first dose of study drug.
Time frame: 2, 4, 6, 12, 24, and 48 hours
Number of Participants With a 50% Reduction in Pain Intensity Measured Using NPRS-11 Scores
Number of participants with a 50% reduction in NPRS-11 scores was reported at 6, 12, 24, and 48 hours after the first dose of study drug.
Time frame: 2, 4, 6, 12, 24, and 48 hours
Time to Onset of Perceptible Pain Relief (PPR)
Time to perceptible pain relief (PPR) (i.e., onset of pain relief) after the first dose of study drug was calculated using the stopwatch technique. The PPR stopwatch was started immediately after administration of the first dose of study drug (time zero \[T0\]) and it was given to the participant with the instructions to stop the stopwatch when he or she first perceived pain relief (time to perceptible relief). Kaplan-Meier method was used to calculate the data.
Time frame: Day 1
Time to Onset of Meaningful Pain Relief (MPR)
Time to meaningful pain relief (MPR) after the first dose of study drug was calculated using the stopwatch technique. The MPR stopwatch was started immediately after administration of the first dose of study drug (time zero \[T0\]). The stopwatch was given to the participant with the instructions to stop the stopwatch when he or she first experienced meaningful pain relief (time to meaningful relief). Kaplan-Meier method was used to calculate the data.
Time frame: Day 1
Total Rescue Medication Use (Number of Tablets Used)
Total rescue medication (oral nonprescription ibuprofen) use (number of tablets used) over 6, 12, 24, and 48 hours after the first dose of study drug was calculated.
Time frame: 6, 12, 24, and 48 hours
Number of Participants Taking Rescue Medication
Number of participants taking rescue medication (oral nonprescription ibuprofen) over 6, 12, 24, and 48 hours after the first dose of study drug were calculated.
Time frame: 6, 12, 24, and 48 hours
Number of Participants With Adverse Events (AEs)
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (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. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.
Time frame: Day 1 up to Day 13