This study evaluates the non-inferiority of the new transdermal patch dosage form containing loxoprofen sodium (100 mg - Daiichi-Sankyo) in comparison with oral Loxonin® (60 mg tablet - Daiichi-Sankyo) for the treatment of acute traumatic injuries.
The primary objective of the study will be to verify the efficacy of loxoprofen in its new dosage form for the treatment of pain. Primary endpoint: score of change in spontaneous pain by using the visual analogue scale (VAS) after seven days of treatment. Secondary endpoints: intensity of pain evaluated by the VAS scale on each study visit, impression of the research subject checked by a 7-point scale, changes in clinical symptoms, and frequency of use of the rescue medication. Evaluation of drug safety as per the occurrence of adverse events and serious adverse events. This is a double blind, randomized, comparative study, with a total of 208 subjects divided into 2 groups: 104 subjects treated with loxoprofen sodium (transdermal patch 100 mg; Daiichi-Sankyo) associated with placebo tablet (experimental group) and 104 subjects treated with transdermal patch of placebo associated with Loxonin® (loxoprofen sodium 60 mg - Daiichi-Sankyo - control group). In order to be enrolled in the study, the research subject shall sign and date the informed consent form and shall have between 18 and 65 years old, with recent (48 hours before study baseline visit) posttraumatic disease (contusion or sprain) of lower or upper limbs (except for fingers and toes), with at least one moderate or more serious symptom of pain or inflammation according to the investigator's evaluation, with no prior (5 days before initiating the study treatment) or current use of pain medication, NSAIDs, anti-inflammatory drugs, or steroids. In addition, research subjects shall not experience cardiovascular, renal, or hematological diseases, diabetes mellitus, psychiatric disorders, or any other serious comorbidity (at the investigator's discretion), apparent complication of a bacterial infection, fracture or requiring immobilization with cast or surgical procedure, neck sprain, too small area affected (e.g.,fingers) not allowing the use of the transdermal patch, skin sores in application site, bad or sensitive condition of the skin with prior history of dermatitis due to the use of topic drugs, prior history of gastrointestinal bleeding or ulcers, bronchial asthma of any cause, allergy to loxoprofen or any other NSAIDs. Also, the subjects should not have participated in any other clinical study in the last 12 months and pregnant or breastfeeding subjects or those who want to become pregnant or who refuse to use a safe birth control method during the study will not be enrolled in the study. The accrual period anticipated for the study will be of 4 to 5 months as of the regulatory approval of the protocol. Total duration of participation of each research subject and active treatment will be of 1 week.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
242
Transdermal patch 100 mg once a day for 7 days
Loxoprofen sodium 60 mg per tablet by mouth, every 8 hours for 7 days
Placebo (for loxoprofen sodium 60 mg per tablet) by mouth, every 8 hours for 7 days
Ctd Clinica de Terapia Da Dor Ltda
Salvador, Estado de Bahia, Brazil
Med Centro de Estudos- Crd- Centro
Goiânia, Goiás, Brazil
CMiP - Centro Mineiro de Pesquisa
Juiz de Fora, Minas Gerais, Brazil
Hospital São Vicente de Paulo
Score of change in spontaneous pain by using the visual analogue scale (VAS)
Time frame: after seven days of treatment.
Intensity of pain evaluated by the VAS scale
Time frame: on day 3 and on day 7
Impression of the research subject checked by a 7-point scale
Time frame: on day 3 and on day 7
Evaluation of drug safety as per the occurrence of adverse events and serious adverse events.
Time frame: on day 3 and on day 7, for SAE up to 30 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Placebo (for transdermal patch 100 mg) once a day for 7 days
Passo Fundo, Rio Grande do Sul, Brazil
HMCG - Hospital e Maternidade Dr. Christovão da Gama
Santo André, São Paulo, Brazil
Faculdade de Medicina do ABC
Santo André, São Paulo, Brazil
Fundação Faculdade Regional de Medicina de São José do Rio Preto
São José do Rio Preto, São Paulo, Brazil
Hospital Nipo-Brasileiro
São Paulo, São Paulo, Brazil