Study Evaluating Desvenlafaxine Succinate Sustained-release (DVS SR) in Adult Outpatients With Pain Associated With Diabetic Peripheral Neuropathy

Sponsor
Wyeth is now a wholly owned subsidiary of Pfizer (Industry)
Overall Status
Terminated
CT.gov ID
NCT00283842
Collaborator
(none)
408
51
5
27
8
0.3

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of DVS SR in the treatment of neuropathic pain associated with diabetic peripheral neuropathy.

Condition or Disease Intervention/Treatment Phase
  • Drug: DVS SR
  • Drug: Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
408 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-blind, Placebo-Controlled, Parallel-Group, 13-Week, Adaptive-Design Study of 4 Fixed Oral Doses of DVS SR in Adult Outpatients With Pain Associated With Diabetic Peripheral Neuropathy
Study Start Date :
Mar 1, 2006
Actual Primary Completion Date :
Jun 1, 2008
Actual Study Completion Date :
Jun 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: desvenlafaxine succinate sustained-release (DVS SR) 50mg

Drug: DVS SR

Experimental: desvenlafaxine succinate sustained-release (DVS SR) 100mg

Drug: DVS SR

Experimental: desvenlafaxine succinate sustained-release (DVS SR) 200mg

Drug: DVS SR

Experimental: desvenlafaxine succinate sustained-release (DVS SR) 400mg

Drug: DVS SR

Placebo Comparator: Placebo

Drug: Placebo

Outcome Measures

Primary Outcome Measures

  1. Change in Mean Pain Severity Score From Baseline to 13 Weeks [Baseline and 13 weeks]

    Pain severity measured on a Numeric Rating Scale (NRS). Range: 0 (no pain) to 10 (worst possible pain). Change: score at 13 weeks minus score at baseline.

Secondary Outcome Measures

  1. Number of Patients With ≥50% Reduction in Mean Pain Severity Score. [Baseline and 13 weeks]

    Pain severity measured on a Numeric Rating Scale (NRS). Range: 0 (no pain) to 10 (worst possible pain). Assessment of reduction based on change in score at 13 weeks compared to baseline.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Diabetes type 1 or 2

  • Painful symptoms of diabetic neuropathy in the lower extremities extremities for at least 6 months

Exclusion Criteria:
  • Major Depression

  • Uncontrolled diabetes

Contacts and Locations

Locations

Site City State Country Postal Code
1 Mesa Arizona United States 85210
2 Peoria Arizona United States 85381
3 Phoenix Arizona United States 85016
4 Encino California United States 91316
5 Newport Beach California United States 92660
6 Walnut Creek California United States 94598
7 Pueblo Colorado United States 81001
8 New Britain Connecticut United States 06050
9 Stratford Connecticut United States 06615
10 Waterbury Connecticut United States 06708
11 Ft. Myers Florida United States 33907
12 Palm Beach Gardens Florida United States 33418
13 Pembroke Pines Florida United States 33026
14 St. Petersburg Florida United States 33709
15 West Palm Beach Florida United States 33401
16 Lawrenceville Georgia United States 30045
17 Roswell Georgia United States 30076
18 Coeur D'Alene Idaho United States 83814
19 Chicago Illinois United States 60610
20 Evansville Indiana United States 47714
21 Des Moines Iowa United States 50314
22 Madisonville Kentucky United States 42431
23 Springfield Massachusetts United States 01199
24 Ann Arbor Michigan United States 48106
25 Kansas City Missouri United States 64114
26 St. Louis Missouri United States 63117
27 St. Louis Missouri United States 63141
28 Billings Montana United States 59101
29 Omaha Nebraska United States 88131
30 Albany New York United States 12205
31 Flushing New York United States 11365
32 New York New York United States 10024
33 Rochester New York United States 14621
34 Staten Island New York United States 10312
35 Fargo North Dakota United States 58104
36 Cincinnati Ohio United States 45236
37 Dayton Ohio United States 45432
38 Toledo Ohio United States 43623
39 Collegeville Pennsylvania United States 19426
40 Feasterville Pennsylvania United States 19053
41 Harleysville Pennsylvania United States 19438
42 Warwick Rhode Island United States 02886
43 Austin Texas United States 78705
44 Dallas Texas United States 75246
45 San Antonio Texas United States 78229
46 Midvale Utah United States 84047
47 Salt Lake City Utah United States 84106
48 Virginia Beach Virginia United States 23451
49 Lakewood Washington United States 98499
50 Tacoma Washington United States 98405
51 Milwaukee Wisconsin United States 53209

Sponsors and Collaborators

  • Wyeth is now a wholly owned subsidiary of Pfizer

Investigators

  • Study Director: Medical Monitor, Wyeth is now a wholly owned subsidiary of Pfizer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Wyeth is now a wholly owned subsidiary of Pfizer
ClinicalTrials.gov Identifier:
NCT00283842
Other Study ID Numbers:
  • 3151A5-322
First Posted:
Jan 30, 2006
Last Update Posted:
Oct 24, 2011
Last Verified:
Oct 1, 2011
Keywords provided by Wyeth is now a wholly owned subsidiary of Pfizer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants were recruited January 2006 to February 2008
Pre-assignment Detail Participants were screened during a 7- to 28-day period, a treatment period.
Arm/Group Title Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Arm/Group Description 50mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 100mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 200mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 400mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally
Period Title: Overall Study
STARTED 63 87 99 69 90
COMPLETED 51 69 68 42 75
NOT COMPLETED 12 18 31 27 15

Baseline Characteristics

Arm/Group Title Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo Total
Arm/Group Description 50mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 100mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 200mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 400mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally Total of all reporting groups
Overall Participants 63 87 99 69 90 408
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
61.62
(8.59)
60.66
(9.23)
59.80
(9.38)
61.14
(10.03)
58.98
(8.51)
60.31
(9.16)
Sex: Female, Male (Count of Participants)
Female
16
25.4%
20
23%
30
30.3%
17
24.6%
25
27.8%
108
26.5%
Male
47
74.6%
67
77%
69
69.7%
52
75.4%
65
72.2%
300
73.5%

Outcome Measures

1. Primary Outcome
Title Change in Mean Pain Severity Score From Baseline to 13 Weeks
Description Pain severity measured on a Numeric Rating Scale (NRS). Range: 0 (no pain) to 10 (worst possible pain). Change: score at 13 weeks minus score at baseline.
Time Frame Baseline and 13 weeks

Outcome Measure Data

Analysis Population Description
The analysis population was the intent to treat.
Arm/Group Title Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Arm/Group Description 50mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 100mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 200mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 400mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally
Measure Participants 49 65 70 40 72
Mean (Standard Error) [units on scale]
-2.41
(0.26)
-2.42
(0.23)
-2.93
(0.22)
-2.74
(0.27)
-1.83
(0.22)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 50mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.084
Comments
Method Hochberg
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 100mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.084
Comments
Method Hochberg
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 200mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.001
Comments
Method Hochberg
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 400mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.027
Comments
Method Hochberg
Comments
2. Secondary Outcome
Title Number of Patients With ≥50% Reduction in Mean Pain Severity Score.
Description Pain severity measured on a Numeric Rating Scale (NRS). Range: 0 (no pain) to 10 (worst possible pain). Assessment of reduction based on change in score at 13 weeks compared to baseline.
Time Frame Baseline and 13 weeks

Outcome Measure Data

Analysis Population Description
The analysis population is the intent to treat.
Arm/Group Title Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Arm/Group Description 50mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 100mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 200mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 400mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally
Measure Participants 63 86 99 68 89
Number [patients]
22
32
36
22
23
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 50mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.375
Comments
Method Hochberg
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 100mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.342
Comments
Method Hochberg
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 200mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.342
Comments
Method Hochberg
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg, Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg
Comments Statistical analysis provided for 400mg.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.375
Comments
Method Hochberg
Comments

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Arm/Group Description 50mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 100mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 200mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally 400mg tablets of desvenlafaxine succinate sustained-release (DVS SR) taken orally
All Cause Mortality
Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/ (NaN) 1/ (NaN) 1/ (NaN) 3/ (NaN) 6/ (NaN)
Cardiac disorders
Angina pectoris 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Ventricular tachycardia 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Gastrointestinal disorders
Gastrointestinal hemorrhage 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Infections and infestations
Pneumonia 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Injury, poisoning and procedural complications
Ankle fracture 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Overdose 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Stress fracture 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Investigations
Blood glucose increased 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Anaplastic thyroid cancer 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Colon cancer 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Esophageal cancer 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Psychiatric disorders
Mental status changes 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Renal and urinary disorders
Urinary retention 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Vascular disorders
Orthostatic hypotension 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Other (Not Including Serious) Adverse Events
Desvenlafaxine Succinate Sustained-release (DVS SR) 50mg Desvenlafaxine Succinate Sustained-release (DVS SR) 100mg Desvenlafaxine Succinate Sustained-release (DVS SR) 200mg Desvenlafaxine Succinate Sustained-release (DVS SR) 400mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 47/ (NaN) 65/ (NaN) 82/ (NaN) 63/ (NaN) 68/ (NaN)
Blood and lymphatic system disorders
Anemia 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Ecchymosis 0/63 (0%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Leukopenia 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Lymphadenopathy 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Cardiac disorders
Angina pectoris 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Arrhythmia 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Atrial flutter 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
AV block first degree 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Bundle branck block 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Cardiovascular physical finding 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Coronary artery disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Electrocardiogram abnormal 1/63 (1.6%) 0/87 (0%) 2/99 (2%) 0/69 (0%) 0/90 (0%)
Palpitation 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 1/90 (1.1%)
QRS prolongation 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
QT interval prolonged 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 2/90 (2.2%)
Sinus bradycardia 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Syncope 0/63 (0%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Tachycardia 1/63 (1.6%) 1/87 (1.1%) 0/99 (0%) 5/69 (7.2%) 0/90 (0%)
Ventricular extrasystoles 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Ventricular tachycardia 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Ear and labyrinth disorders
Ear disorder 1/63 (1.6%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Ear pain 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Otitis media 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Taste perversion 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Tinnitus 1/63 (1.6%) 0/87 (0%) 1/99 (1%) 3/69 (4.3%) 0/90 (0%)
Endocrine disorders
Thyroid carcinoma 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Thyroid disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Eye disorders
Abnormal vision 0/63 (0%) 1/87 (1.1%) 1/99 (1%) 2/69 (2.9%) 0/90 (0%)
Conjunctivitis 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Eye pain 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Mydriasis 0/63 (0%) 0/87 (0%) 0/99 (0%) 2/69 (2.9%) 0/90 (0%)
Refraction disorder 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Retinal disorder 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Gastrointestinal disorders
Abdominal distension 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 1/90 (1.1%)
Anorexia 2/63 (3.2%) 3/87 (3.4%) 5/99 (5.1%) 3/69 (4.3%) 2/90 (2.2%)
Colitis 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Constipation 3/63 (4.8%) 4/87 (4.6%) 6/99 (6.1%) 6/69 (8.7%) 0/90 (0%)
Diarrhea 5/63 (7.9%) 6/87 (6.9%) 7/99 (7.1%) 6/69 (8.7%) 9/90 (10%)
Dry mouth 2/63 (3.2%) 4/87 (4.6%) 5/99 (5.1%) 9/69 (13%) 2/90 (2.2%)
Dyspepsia 1/63 (1.6%) 3/87 (3.4%) 3/99 (3%) 1/69 (1.4%) 3/90 (3.3%)
Dysphagia 0/63 (0%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Eructation 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 2/90 (2.2%)
Flatulence 2/63 (3.2%) 2/87 (2.3%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Gastroenteritis 1/63 (1.6%) 1/87 (1.1%) 2/99 (2%) 2/69 (2.9%) 1/90 (1.1%)
Gastroesophageal reflux disease 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Gastrointestinal carcinoma 1/63 (1.6%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Gastrointestinal disorder 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Gastrointestinal hemorrhage 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Hiatal hernia 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Increased appetite 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Nausea 9/63 (14.3%) 11/87 (12.6%) 27/99 (27.3%) 12/69 (17.4%) 2/90 (2.2%)
Periodontal abscess 0/63 (0%) 2/87 (2.3%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Retching 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Tenesmus 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Tooth disorder 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Vomiting 3/63 (4.8%) 3/87 (3.4%) 10/99 (10.1%) 2/69 (2.9%) 2/90 (2.2%)
General disorders
Abdominal pain 3/63 (4.8%) 2/87 (2.3%) 1/99 (1%) 1/69 (1.4%) 1/90 (1.1%)
Abscess 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Accidental injury 3/63 (4.8%) 5/87 (5.7%) 7/99 (7.1%) 8/69 (11.6%) 6/90 (6.7%)
Allergic reaction 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Asthenia 4/63 (6.3%) 8/87 (9.2%) 9/99 (9.1%) 10/69 (14.5%) 4/90 (4.4%)
Back pain 2/63 (3.2%) 0/87 (0%) 3/99 (3%) 1/69 (1.4%) 5/90 (5.6%)
Cellulitis 1/63 (1.6%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Chest pain 0/63 (0%) 2/87 (2.3%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Chills 1/63 (1.6%) 0/87 (0%) 3/99 (3%) 0/69 (0%) 0/90 (0%)
Cyst 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Face edema 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 1/90 (1.1%)
Fever 0/63 (0%) 1/87 (1.1%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Flu syndrome 1/63 (1.6%) 3/87 (3.4%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Generalized edema 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Headache 5/63 (7.9%) 7/87 (8%) 9/99 (9.1%) 5/69 (7.2%) 9/90 (10%)
Infection 3/63 (4.8%) 7/87 (8%) 7/99 (7.1%) 3/69 (4.3%) 1/90 (1.1%)
Malaise 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Medication error 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Mucous membrane disorder 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Neck pain 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 2/69 (2.9%) 0/90 (0%)
Neoplasm 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 2/90 (2.2%)
Overdose 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Pain 5/63 (7.9%) 3/87 (3.4%) 4/99 (4%) 3/69 (4.3%) 2/90 (2.2%)
Photosensitivity reaction 0/63 (0%) 0/87 (0%) 0/99 (0%) 2/69 (2.9%) 0/90 (0%)
Withdrawal syndrome 0/63 (0%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Allergic reaction other than drug 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Local reaction to procedure 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Positive event 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Metabolism and nutrition disorders
Creatinine increased 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Gout 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 1/69 (1.4%) 1/90 (1.1%)
Healing abnormal 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Hypercholesteremia 2/63 (3.2%) 3/87 (3.4%) 3/99 (3%) 0/69 (0%) 1/90 (1.1%)
Hyperglycemia 2/63 (3.2%) 1/87 (1.1%) 1/99 (1%) 0/69 (0%) 2/90 (2.2%)
Hyperkalemia 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Hyperlipemia 4/63 (6.3%) 6/87 (6.9%) 7/99 (7.1%) 5/69 (7.2%) 8/90 (8.9%)
Hyperuricemia 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Hypoglycemia 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 3/69 (4.3%) 0/90 (0%)
Hypokalemia 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Hyponatremia 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Peripheral edema 2/63 (3.2%) 2/87 (2.3%) 0/99 (0%) 0/69 (0%) 2/90 (2.2%)
Weight gain 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Weight loss 0/63 (0%) 0/87 (0%) 1/99 (1%) 4/69 (5.8%) 0/90 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 1/63 (1.6%) 2/87 (2.3%) 2/99 (2%) 2/69 (2.9%) 6/90 (6.7%)
Arthritis 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Joint disorder 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Leg cramps 4/63 (6.3%) 3/87 (3.4%) 3/99 (3%) 2/69 (2.9%) 2/90 (2.2%)
Muscle cramp 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 2/69 (2.9%) 1/90 (1.1%)
Muscle spasms 1/63 (1.6%) 1/87 (1.1%) 1/99 (1%) 0/69 (0%) 1/90 (1.1%)
Musculoskeletal stiffness 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Myalgia 1/63 (1.6%) 2/87 (2.3%) 1/99 (1%) 1/69 (1.4%) 1/90 (1.1%)
Myasthenia 1/63 (1.6%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Tendon disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Nervous system disorders
Abnormal dreams 1/63 (1.6%) 2/87 (2.3%) 3/99 (3%) 1/69 (1.4%) 0/90 (0%)
Anxiety 3/63 (4.8%) 0/87 (0%) 3/99 (3%) 0/69 (0%) 1/90 (1.1%)
Apathy 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Ataxia 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Carpal tunnel syndrome 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Confusion 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Depersonalization 0/63 (0%) 0/87 (0%) 2/99 (2%) 0/69 (0%) 0/90 (0%)
Depression 0/63 (0%) 2/87 (2.3%) 0/99 (0%) 1/69 (1.4%) 1/90 (1.1%)
Dizziness 1/63 (1.6%) 7/87 (8%) 18/99 (18.2%) 18/69 (26.1%) 9/90 (10%)
Emotional liability 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 3/90 (3.3%)
Euphoria 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Hostility 2/63 (3.2%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Hyperkinesia 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Hypertonia 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Hypesthesia 0/63 (0%) 1/87 (1.1%) 3/99 (3%) 0/69 (0%) 2/90 (2.2%)
Incoordination 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Insomnia 3/63 (4.8%) 1/87 (1.1%) 4/99 (4%) 7/69 (10.1%) 1/90 (1.1%)
Libido decreased 0/63 (0%) 1/87 (1.1%) 3/99 (3%) 1/69 (1.4%) 0/90 (0%)
Memory impairment 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Mental status changes 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Motion sickness 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Movement disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Nervousness 1/63 (1.6%) 1/87 (1.1%) 3/99 (3%) 2/69 (2.9%) 0/90 (0%)
Neuralgia 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Paresthesia 0/63 (0%) 0/87 (0%) 2/99 (2%) 0/69 (0%) 0/90 (0%)
Reflexes decreased 2/63 (3.2%) 0/87 (0%) 0/99 (0%) 2/69 (2.9%) 2/90 (2.2%)
Reflexes increased 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Restless legs syndrome 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 1/90 (1.1%)
Somnolence 3/63 (4.8%) 9/87 (10.3%) 9/99 (9.1%) 7/69 (10.1%) 2/90 (2.2%)
Thinking abnormal 0/63 (0%) 0/87 (0%) 1/99 (1%) 2/69 (2.9%) 0/90 (0%)
Tremor 1/63 (1.6%) 0/87 (0%) 2/99 (2%) 1/69 (1.4%) 0/90 (0%)
Twitching 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Vertigo 1/63 (1.6%) 2/87 (2.3%) 2/99 (2%) 0/69 (0%) 0/90 (0%)
Renal and urinary disorders
Creatine clearance decreased 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Cystitis 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Dysuria 1/63 (1.6%) 1/87 (1.1%) 2/99 (2%) 0/69 (0%) 0/90 (0%)
Hematuria 3/63 (4.8%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 1/90 (1.1%)
Impotence 1/63 (1.6%) 4/87 (4.6%) 2/99 (2%) 3/69 (4.3%) 1/90 (1.1%)
Kidney function abnormal 0/63 (0%) 0/87 (0%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Nocturia 0/63 (0%) 1/87 (1.1%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Pyuria 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Urinary frequency 2/63 (3.2%) 0/87 (0%) 2/99 (2%) 1/69 (1.4%) 1/90 (1.1%)
Urinary hesitation 0/63 (0%) 1/87 (1.1%) 1/99 (1%) 2/69 (2.9%) 0/90 (0%)
Urinary incontinence 0/63 (0%) 1/87 (1.1%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Urinary retention 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Urinary tract infection 1/63 (1.6%) 2/87 (2.3%) 1/99 (1%) 0/69 (0%) 3/90 (3.3%)
Urination impaired 0/63 (0%) 0/87 (0%) 1/99 (1%) 3/69 (4.3%) 0/90 (0%)
Urine abnormality 1/63 (1.6%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Albuminuria 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Reproductive system and breast disorders
Abnormal ejaculation/orgasm 0/63 (0%) 0/87 (0%) 2/99 (2%) 1/69 (1.4%) 0/90 (0%)
Anorgasmia 0/63 (0%) 1/87 (1.1%) 2/99 (2%) 1/69 (1.4%) 0/90 (0%)
Breast disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Cervix disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Prostatic disorder 0/63 (0%) 3/87 (3.4%) 2/99 (2%) 4/69 (5.8%) 1/90 (1.1%)
Prostatic specific antigen increase 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Sexual function abnormal 0/63 (0%) 2/87 (2.3%) 1/99 (1%) 1/69 (1.4%) 0/90 (0%)
Testis disorder 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Vulvovaginal disorder 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Respiratory, thoracic and mediastinal disorders
Bronchitis 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 3/69 (4.3%) 0/90 (0%)
Chronic obstructive airways disease 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Cough increased 1/63 (1.6%) 4/87 (4.6%) 1/99 (1%) 2/69 (2.9%) 6/90 (6.7%)
Dyspnea 0/63 (0%) 2/87 (2.3%) 1/99 (1%) 0/69 (0%) 1/90 (1.1%)
Epistaxis 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Lung disorder 0/63 (0%) 1/87 (1.1%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Nose dryness 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Pharyngitis 0/63 (0%) 0/87 (0%) 2/99 (2%) 1/69 (1.4%) 3/90 (3.3%)
Pneumonia 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Pulmonary physical finding 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Rhinitis 0/63 (0%) 2/87 (2.3%) 3/99 (3%) 1/69 (1.4%) 1/90 (1.1%)
Sinusittis 0/63 (0%) 3/87 (3.4%) 4/99 (4%) 1/69 (1.4%) 1/90 (1.1%)
Upper respiratory infection 2/63 (3.2%) 3/87 (3.4%) 2/99 (2%) 1/69 (1.4%) 7/90 (7.8%)
Voice alteration 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Yawn 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Skin and subcutaneous tissue disorders
Acne 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 3/90 (3.3%)
Alopecia 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Contact dermatitis 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Dry skin 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Eczema 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Exfoliative dermatitis 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Folliculitis 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Fungal dermatitis 0/63 (0%) 0/87 (0%) 0/99 (0%) 2/69 (2.9%) 0/90 (0%)
Furunculosis 0/63 (0%) 0/87 (0%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Herpes simplex 2/63 (3.2%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Herpes zoster 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Maculopapular rash 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Nail disorder 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Night sweats 1/63 (1.6%) 1/87 (1.1%) 1/99 (1%) 0/69 (0%) 0/90 (0%)
Pruritus 0/63 (0%) 0/87 (0%) 3/99 (3%) 3/69 (4.3%) 2/90 (2.2%)
Rash 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 4/69 (5.8%) 3/90 (3.3%)
Seborrhea 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Skin benign neoplasm 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Skin discoloration 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Skin disorder 2/63 (3.2%) 0/87 (0%) 2/99 (2%) 0/69 (0%) 0/90 (0%)
Skin hypertrophy 0/63 (0%) 0/87 (0%) 0/99 (0%) 0/69 (0%) 2/90 (2.2%)
Sweating 3/63 (4.8%) 2/87 (2.3%) 7/99 (7.1%) 5/69 (7.2%) 1/90 (1.1%)
Urticaria 0/63 (0%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 0/90 (0%)
Vesiculobullous rash 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 1/90 (1.1%)
Vascular disorders
Hemorrhage 0/63 (0%) 1/87 (1.1%) 0/99 (0%) 0/69 (0%) 0/90 (0%)
Hypertension 2/63 (3.2%) 6/87 (6.9%) 11/99 (11.1%) 9/69 (13%) 7/90 (7.8%)
Hypotension 1/63 (1.6%) 0/87 (0%) 0/99 (0%) 1/69 (1.4%) 1/90 (1.1%)
Peripheral vascular disorder 1/63 (1.6%) 0/87 (0%) 2/99 (2%) 2/69 (2.9%) 0/90 (0%)
Postural hypotension 1/63 (1.6%) 2/87 (2.3%) 5/99 (5.1%) 4/69 (5.8%) 1/90 (1.1%)
Vasodilatation 1/63 (1.6%) 1/87 (1.1%) 4/99 (4%) 2/69 (2.9%) 0/90 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The PIs agreed to allow the sponsor 60 days to review and require changes to presentations or publications but only to protect confidential information and intellectual property, and for the sponsor to file a patent application, as applicable. The PIs also agreed for data to be presented first as a joint, multi-center publication

Results Point of Contact

Name/Title U.S. Contact Center
Organization Wyeth
Phone
Email clintrialresults@wyeth.com
Responsible Party:
Wyeth is now a wholly owned subsidiary of Pfizer
ClinicalTrials.gov Identifier:
NCT00283842
Other Study ID Numbers:
  • 3151A5-322
First Posted:
Jan 30, 2006
Last Update Posted:
Oct 24, 2011
Last Verified:
Oct 1, 2011