A Study to Characterize the Abuse Liability of ALO-02 in Healthy, Non-Dependent, Recreational Opioid Abusers

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT01746901
Collaborator
Syneos Health (Other)
81
1
6
6.2
13

Study Details

Study Description

Brief Summary

The main purpose of this study is to determine if oxycodone and naltrexone combination capsules (ALO-02) have the potential to be abused.

Condition or Disease Intervention/Treatment Phase
  • Drug: Placebo
  • Drug: intact ALO-02 60 mg/7.2 mg
  • Drug: crushed ALO-02 60 mg/7.2 mg
  • Drug: crushed oxycodone IR 60 mg
  • Drug: crushed ALO-02 40 mg/4.8 mg
  • Drug: crushed oxycodone IR 40 mg
Phase 1

Detailed Description

Abuse Liability Study

Study Design

Study Type:
Interventional
Actual Enrollment :
81 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Other
Official Title:
A Randomized, Double-blind, Double-dummy, Placebo Controlled, Single-dose, 6-way Crossover Study To Determine The Relative Abuse Potential Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride Extended-release Capsules) Compared To Oxycodone Immediate Release And Placebo When Administered Orally To Nondependent,Recreational Opioid Users.
Actual Study Start Date :
Feb 1, 2013
Actual Primary Completion Date :
Aug 9, 2013
Actual Study Completion Date :
Aug 9, 2013

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Treatment A

Drug: Placebo
Placebo solution + Placebo ALO-02 (intact)

Experimental: Treatment B

Drug: intact ALO-02 60 mg/7.2 mg
Placebo solution + ALO-02 60 mg/7.2 mg (intact)

Experimental: Treatment C

Drug: crushed ALO-02 60 mg/7.2 mg
crushed ALO-02 60 mg/7.2 mg in solution + placebo ALO-02 (intact)

Active Comparator: Treatment D

Drug: crushed oxycodone IR 60 mg
crushed oxycodone immediate-release (IR) 60 mg in solution + placebo ALO-02 (intact)

Experimental: Treatment E

Drug: crushed ALO-02 40 mg/4.8 mg
crushed ALO-02 40 mg/4.8 mg in solution + placebo ALO-02 (intact)

Active Comparator: Treatment F

Drug: crushed oxycodone IR 40 mg
crushed oxycodone immediate-release (IR) 40 mg in solution + placebo ALO-02 (intact)

Outcome Measures

Primary Outcome Measures

  1. Drug Liking: Peak Effect (Emax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase]

    Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the extreme left with "strong disliking" (score of 0 mm) and on the extreme right with "strong liking" (score of 100 mm). Peak Effect (Emax) = Maximum observed score.

  2. Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour [0.25, 0.5, 1, 1.5, 2 hours post-dose]

    Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the extreme left with "strong disliking" (score of 0 mm) and on the extreme right with "strong liking" (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

  3. High: Peak Effect (Emax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase]

    High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  4. High: Area Under Effect Curve (AUE) From 0-2 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2 hours post-dose]

    High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Secondary Outcome Measures

  1. Take Drug Again: Peak Effect (Emax) [12, 24, 36 hours post-dose]

    Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.

  2. Take Drug Again: Mean Effect (Emean) [12, 24, 36 hours post-dose]

    Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.

  3. Take Drug Again: Minimum Effect (Emin) [12, 24, 36 hours post-dose]

    Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.

  4. Take Drug Again Effect at Hours 12, 24 and 36 [12, 24, 36 hours post-dose]

    Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.

  5. Overall Drug Liking: Peak Effect (Emax) [12, 24, 36 hours post-dose]

    Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking"). Emax = Maximum observed score.

  6. Overall Drug Liking: Mean Effect (Emean) [12, 24, 36 hours post-dose]

    Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking"). Emean = Average observed score.

  7. Overall Drug Liking: Minimum Effect (Emin) [12, 24, 36 hours post-dose]

    Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking"). Emin= Average observed score.

  8. Overall Drug Liking Effect at Hours 12, 24 and 36 [12, 24, 36 hours post-dose]

    Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking").

  9. Any Drug Effects: Peak Effect (Emax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  10. Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  11. Any Drug Effects: Time to Maximum (Peak) Effect (TEmax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  12. Good Drug Effects: Peak Effect (Emax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  13. Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  14. Good Drug Effects: Time to Maximum (Peak) Effect (TEmax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  15. Bad Drug Effects: Peak Effect (Emax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  16. Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  17. Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  18. Feel Sick: Peak Effect (Emax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  19. Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  20. Feel Sick: Time to Maximum (Peak) Effect (TEmax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  21. Nausea: Peak Effect (Emax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  22. Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  23. Nausea: Time to Maximum (Peak) Effect (TEmax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  24. Sleepy: Peak Effect (Emax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  25. Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  26. Sleepy: Time to Maximum (Peak) Effect (TEmax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm)to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  27. Dizzy: Peak Effect (Emax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

  28. Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  29. Dizzy: Time to Maximum (Peak) Effect (TEmax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  30. Pupillometry: Peak Effect (Emax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score.

  31. Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

  32. Pupillometry: Time to Maximum (Peak) Effect (TEmax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score.

  33. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Other Outcome Measures

  1. Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the left with "strong disliking" (score of 0 mm) and on the right with "strong liking" (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

  2. Drug Liking: Time to Maximum (Peak) Effect (TEmax) [0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the left with "strong disliking" (score of 0 mm) and on the right with "strong liking" (score of 100 mm). TEmax = Time to maximum observed score.

  3. High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

  4. High: Time to Maximum (Peak) Effect (TEmax) [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

  5. Dose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and Noroxycodone [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Cmax[dn]=Dose normalized maximum observed plasma concentration of participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

  6. Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

  7. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

  8. Plasma Terminal Half-Life (t1/2) of Oxycodone [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

  9. Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of Oxycodone [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone were reported.

  10. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone were reported.

  11. Dose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone [pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose]

    [AUC (0 - ∞)dn]= Dose normalized area under the plasma concentration versus time curve [AUC(dn)] from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0- t) plus AUC (t - ∞). Participants who received oxycodone were reported. Participants who received oxycodone were reported.

  12. Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) [Screening up to 28 days after last study drug administration (Day 29)]

    An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: 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. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial.

  13. Number of Participants With Clinically Significant Change in Vital Sign Examinations [Screening up to 7 days following last study drug administration (Day 8)]

    Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, respiratory rate and oral temperature. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion.

  14. Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2) [pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5 hours post-dose in drug discrimination phase; pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in intervention period]

    End-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion.

  15. Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2) [pre-dose up to 5 hours in drug discrimination phase; pre-dose up to 12 hours in intervention period]

    Oxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurements was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator might had administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Healthy subjects.

  • Non-dependent, recreational opioid users. (Must use opioid for non-therapeutic purposes on at least 10 occassions within the last year before Screening Visit, and at least once in 8 weeks before the Screening Visit.

Exclusion Criteria:
  • Diagnosis of substance and/or alcohol dependence.

  • Subject has participated in, is currently participating in, or is seeking treatment for substance and/or alcohol related disorder.

  • History of sleep apnea.

  • Positive urine drug screen (UDS) for other that marijuana.

  • Positive for Hepatitis B or C and HIV on Screening.

Contacts and Locations

Locations

Site City State Country Postal Code
1 INC Research Toronto, Inc. Toronto Ontario Canada M5V 2T3

Sponsors and Collaborators

  • Pfizer
  • Syneos Health

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01746901
Other Study ID Numbers:
  • B4531008
First Posted:
Dec 11, 2012
Last Update Posted:
Oct 19, 2018
Last Verified:
Dec 1, 2017

Study Results

Participant Flow

Recruitment Details Recreational opioid users who were not dependent on opioids based on Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR) criteria, were recruited in this study.
Pre-assignment Detail After successful naloxone challenge test, all participants underwent training sessions involving complete pharmacodynamics test battery before the drug discrimination phase, to ensure that participants fully understood how to perform the tests, were comfortable, and attained a stable level of performance on the various performance-based measures.
Arm/Group Title Naloxone Oxycodone HCl 40 mg Then PBO PBO Then Oxycodone HCl 40 mg ALO-02 60 Mg-I,ALO-02 60 Mg-C,PBO,OXY 60,40 mg,ALO-02 40 Mg-C ALO-02 40 Mg-C,OXY 40,60 mg,PBO,ALO-02 60 Mg-C,ALO-02 60 Mg-I ALO-02 60 Mg-C,OXY 60 mg,ALO-02 60 Mg-I,40 Mg-C,PBO,OXY40 mg OXY 40 mg,PBO,ALO-02 40 Mg-C,60 Mg-I,OXY 60 mg,ALO-02 60 Mg-C OXY 60 mg,ALO-02 40, 60 Mg-C,OXY 40 mg,ALO-02 60 Mg-I,PBO PBO,ALO-02 60 Mg-I,OXY 40 mg, ALO-02 60, 40 Mg-C,OXY 60 mg
Arm/Group Description Naloxone hydrochloride (HCl) 0.2 milligram (mg) intravenously followed by additional 0.6 mg naloxone hydrochloride intravenously on Day 0, each dose followed by an assessment for signs and symptoms of opioid withdrawal. Participants who did not display signs and symptoms of opioid withdrawal, were assigned to either oxycodone HCl 40 mg then placebo or placebo then oxycodone HCl 40 mg group in the drug discrimination phase of the study. Single dose of oxycodone HCl 40 mg crushed tablet in solution, orally on Day 1 followed by single dose of placebo matched to oxycodone HCl crushed tablet orally on Day 2. Participants were assigned to receive oxycodone HCl 60 mg and naltrexone HCl 7.2 mg extended-release (ALO-02) 60 mg/7.2 mg intact capsule, ALO-02 60 mg/7.2 mg and ALO-02 40 mg/4.8 mg crushed capsule in solution, oxycodone HCl 40 mg (OXY 40 mg) and 60 mg crushed tablet (OXY 60 mg) in solution, placebo matched to either ALO-02 intact (PBO) and crushed capsule or oxycodone crushed tablet (PBO), orally, in either of the 6 sequences in the treatment phase of the study. Single dose of placebo matched to oxycodone HCl crushed tablet orally on Day 1 followed by single dose of oxycodone HCl 40 mg crushed tablet in solution, orally on Day 2. Participants were assigned to receive oxycodone HCl 60 mg and naltrexone HCl 7.2 mg extended-release (ALO-02) 60 mg/7.2 mg intact capsule, ALO-02 60 mg/7.2 mg and ALO-02 40 mg/4.8 mg crushed capsule in solution, oxycodone HCl 40 mg (OXY 40 mg) and 60 mg crushed tablet (OXY 60 mg) in solution, placebo matched to either ALO-02 intact (PBO) and crushed capsule or oxycodone crushed tablet (PBO), orally, in either of the 6 sequences in the treatment phase of the study. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally on Day 1 in first intervention period; followed by single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally on Day 1 in second intervention period; then single dose of matching placebo (PBO) orally on Day 1 in third intervention period; then single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally on Day 1 in fourth intervention period; then single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally on Day 1 in fifth intervention period; then single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally on Day 1 in sixth intervention period. A washout period of at least 5 days (not exceeding 14 days) was maintained between each intervention period. Single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally on Day 1 in first intervention period; followed by single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally on orally on Day 1 in second intervention period; then single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally on Day 1 in third intervention period; then single dose of matching placebo (PBO) orally on Day 1 in fourth intervention period; then single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally on Day 1 in fifth intervention period; then single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally on Day 1 in sixth intervention period. A washout period of at least 5 days (not exceeding 14 days) was maintained between each intervention period. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally on Day 1 in first intervention period; followed by single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally on Day 1 in second intervention period; then single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally on Day 1 in third intervention period; then single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally on Day 1 in fourth intervention period; then single dose of matching placebo (PBO) orally on Day 1 in fifth intervention period; then single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally on Day 1 in sixth intervention period. A washout period of at least 5 days (not exceeding 14 days) was maintained between each intervention period. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally on Day 1 in first intervention period; followed by single dose of matching placebo (PBO) orally on Day 1 in second intervention period; then single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally on Day 1 in third intervention period; then single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally on Day 1 in fourth intervention period; then single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally on Day 1 in fifth intervention period; then single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally on Day 1 in sixth intervention period. A washout period of at least 5 days (not exceeding 14 days) was maintained between each intervention period. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally on Day 1 in first intervention period; followed by single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally on Day 1 in second intervention period; then single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally on Day 1 in third intervention period; then single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally on Day 1 in fourth intervention period; then single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally on Day 1 in fifth intervention period; then by single dose of matching placebo (PBO) orally on Day 1 in sixth intervention period. A washout period of at least 5 days (not exceeding 14 days) was maintained between each intervention period. Single dose of matching placebo (PBO) orally on Day 1 in first intervention period; followed by single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally on Day 1 in second intervention period; then single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally on Day 1 in third intervention period; then single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally on Day 1 in fourth intervention period; then single dose of ALO-02 40 mg/4.8 mg crushed capsule (ALO-02 40 mg-I) solution orally on Day 1 in fifth intervention period; then single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally on Day 1 in sixth intervention period. A washout period of at least 5 days (not exceeding 14 days) was maintained between each intervention period.
Period Title: Naloxone Challenge Phase
STARTED 75 0 0 0 0 0 0 0 0
COMPLETED 72 0 0 0 0 0 0 0 0
NOT COMPLETED 3 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 36 36 0 0 0 0 0 0
COMPLETED 0 33 36 0 0 0 0 0 0
NOT COMPLETED 0 3 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 33 36 0 0 0 0 0 0
COMPLETED 0 19 22 0 0 0 0 0 0
NOT COMPLETED 0 14 14 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 7 8 7 7
COMPLETED 0 0 0 6 6 7 7 7 7
NOT COMPLETED 0 0 0 0 0 0 1 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 7 7 7 7
COMPLETED 0 0 0 6 6 7 7 7 7
NOT COMPLETED 0 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 7 7 7 7
COMPLETED 0 0 0 6 6 7 7 6 7
NOT COMPLETED 0 0 0 0 0 0 0 1 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 7 7 6 7
COMPLETED 0 0 0 6 6 7 7 6 7
NOT COMPLETED 0 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 7 7 6 7
COMPLETED 0 0 0 6 6 6 6 6 7
NOT COMPLETED 0 0 0 0 0 1 1 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 6 6 6 7
COMPLETED 0 0 0 6 6 6 6 6 7
NOT COMPLETED 0 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 6 6 6 6 6 7
COMPLETED 0 0 0 5 6 5 5 6 5
NOT COMPLETED 0 0 0 1 0 1 1 0 2
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 5 6 5 5 6 5
COMPLETED 0 0 0 5 6 5 5 6 5
NOT COMPLETED 0 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 5 6 5 5 6 5
COMPLETED 0 0 0 5 6 5 5 6 5
NOT COMPLETED 0 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 5 6 5 5 6 5
COMPLETED 0 0 0 5 6 5 5 6 5
NOT COMPLETED 0 0 0 0 0 0 0 0 0
Period Title: Naloxone Challenge Phase
STARTED 0 0 0 5 6 5 5 6 5
COMPLETED 0 0 0 5 6 5 5 6 5
NOT COMPLETED 0 0 0 0 0 0 0 0 0

Baseline Characteristics

Arm/Group Title Entire Study Population
Arm/Group Description Included all participants enrolled in the study.
Overall Participants 75
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
38.6
(9.1)
Sex: Female, Male (Count of Participants)
Female
18
24%
Male
57
76%

Outcome Measures

1. Primary Outcome
Title Drug Liking: Peak Effect (Emax)
Description Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the extreme left with "strong disliking" (score of 0 mm) and on the extreme right with "strong liking" (score of 100 mm). Peak Effect (Emax) = Maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
51.6
(3.74)
70.1
(19.23)
85.5
(16.11)
59.3
(15.09)
74.4
(18.10)
89.7
(13.59)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Least Squares (LS) Mean Difference
Estimated Value 30.5
Confidence Interval (2-Sided) 95%
24.4 to 36.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0132
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.7
Confidence Interval (2-Sided) 95%
1.6 to 13.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.3
Confidence Interval (2-Sided) 95%
9.3 to 21.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.9
Confidence Interval (2-Sided) 95%
16.8 to 28.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.3
Confidence Interval (2-Sided) 95%
9.3 to 21.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 18.5
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 18.5
Confidence Interval (2-Sided) 95%
12.5 to 24.6
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour
Description Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the extreme left with "strong disliking" (score of 0 mm) and on the extreme right with "strong liking" (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.
Time Frame 0.25, 0.5, 1, 1.5, 2 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [hours*mm]
100.004
(5.1468)
118.480
(28.7707)
141.305
(32.9203)
100.188
(10.6437)
127.320
(31.2906)
149.484
(24.1907)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 49.3
Confidence Interval (2-Sided) 95%
39.2 to 59.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9994
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-10.1 to 10.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.2
Confidence Interval (2-Sided) 95%
12.1 to 32.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 27.1
Confidence Interval (2-Sided) 95%
17.0 to 37.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 23.0
Confidence Interval (2-Sided) 95%
12.8 to 33.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 18.2
Confidence Interval (2-Sided) 95%
8.1 to 28.4
Parameter Dispersion Type:
Value:
Estimation Comments
3. Primary Outcome
Title High: Peak Effect (Emax)
Description High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
10.9
(20.60)
47.3
(36.88)
77.9
(25.46)
21.7
(35.36)
53.4
(34.68)
84.7
(23.67)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 63.2
Confidence Interval (2-Sided) 95%
51.5 to 74.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0402
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.3
Confidence Interval (2-Sided) 95%
0.6 to 24.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.9
Confidence Interval (2-Sided) 95%
21.1 to 44.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 42.6
Confidence Interval (2-Sided) 95%
30.9 to 54.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.1
Confidence Interval (2-Sided) 95%
20.3 to 43.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 36.3
Confidence Interval (2-Sided) 95%
24.6 to 48.1
Parameter Dispersion Type:
Value:
Estimation Comments
4. Primary Outcome
Title High: Area Under Effect Curve (AUE) From 0-2 Hour
Description High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [hours*mm]
2.496
(8.3003)
55.250
(54.1280)
112.082
(43.7000)
9.902
(21.1911)
71.254
(55.9812)
117.578
(42.2152)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 108.0
Confidence Interval (2-Sided) 95%
91.6 to 124.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4125
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.8
Confidence Interval (2-Sided) 95%
-9.6 to 23.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 46.1
Confidence Interval (2-Sided) 95%
29.6 to 62.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 68.8
Confidence Interval (2-Sided) 95%
52.4 to 85.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 56.7
Confidence Interval (2-Sided) 95%
40.3 to 73.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 52.6
Confidence Interval (2-Sided) 95%
36.2 to 69.0
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Take Drug Again: Peak Effect (Emax)
Description Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
45.7
(19.05)
57.9
(33.58)
83.4
(20.26)
48.1
(28.14)
72.0
(28.31)
81.3
(25.23)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.8
Confidence Interval (2-Sided) 95%
21.8 to 43.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6434
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.6
Confidence Interval (2-Sided) 95%
-8.4 to 13.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1072
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 9.0
Confidence Interval (2-Sided) 95%
-2.0 to 20.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 26.3
Confidence Interval (2-Sided) 95%
15.4 to 37.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 25.7
Confidence Interval (2-Sided) 95%
14.7 to 36.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0335
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.9
Confidence Interval (2-Sided) 95%
0.9 to 22.9
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Take Drug Again: Mean Effect (Emean)
Description Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
42.90
(20.002)
54.71
(32.635)
77.80
(22.880)
42.63
(26.293)
68.78
(29.883)
78.02
(24.868)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 35.0
Confidence Interval (2-Sided) 95%
24.0 to 46.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9811
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-11.1 to 10.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1083
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 9.0
Confidence Interval (2-Sided) 95%
-2.0 to 19.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 25.9
Confidence Interval (2-Sided) 95%
14.9 to 36.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 23.2
Confidence Interval (2-Sided) 95%
12.3 to 34.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0408
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.5
Confidence Interval (2-Sided) 95%
0.5 to 22.4
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Take Drug Again: Minimum Effect (Emin)
Description Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
41.1
(21.60)
50.9
(32.46)
73.2
(26.92)
37.8
(28.72)
66.3
(31.57)
75.2
(24.85)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 36.9
Confidence Interval (2-Sided) 95%
25.2 to 48.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5968
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -3.2
Confidence Interval (2-Sided) 95%
-14.9 to 8.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1471
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.7
Confidence Interval (2-Sided) 95%
-3.1 to 20.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1136
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 9.5
Confidence Interval (2-Sided) 95%
-2.3 to 21.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.4
Confidence Interval (2-Sided) 95%
10.6 to 34.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1136
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 9.5
Confidence Interval (2-Sided) 95%
-2.3 to 21.3
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Take Drug Again Effect at Hours 12, 24 and 36
Description Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = "definitely would not", 50 mm = "do not care", and 100 mm = "definitely would"). Emax = Maximum observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Hour 12
44.0
(20.63)
54.7
(33.56)
79.7
(22.37)
45.8
(27.53)
68.7
(30.31)
78.9
(25.21)
Hour 24
41.8
(21.79)
55.5
(32.73)
76.9
(26.77)
41.0
(28.73)
69.6
(28.34)
78.3
(25.17)
Hour 36
42.9
(20.40)
53.9
(32.84)
76.8
(25.12)
41.1
(28.95)
68.1
(31.99)
76.8
(25.17)
9. Secondary Outcome
Title Overall Drug Liking: Peak Effect (Emax)
Description Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking"). Emax = Maximum observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
50.8
(12.80)
64.3
(24.00)
80.8
(19.51)
52.9
(21.33)
74.0
(22.44)
81.6
(23.15)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 28.5
Confidence Interval (2-Sided) 95%
19.6 to 37.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6209
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.2
Confidence Interval (2-Sided) 95%
-6.7 to 11.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0997
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.5
Confidence Interval (2-Sided) 95%
-1.4 to 16.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 23.2
Confidence Interval (2-Sided) 95%
14.4 to 32.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 16.6
Confidence Interval (2-Sided) 95%
7.7 to 25.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0036
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 13.3
Confidence Interval (2-Sided) 95%
4.4 to 22.2
Parameter Dispersion Type:
Value:
Estimation Comments
10. Secondary Outcome
Title Overall Drug Liking: Mean Effect (Emean)
Description Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking"). Emean = Average observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
50.19
(11.962)
61.26
(24.489)
75.70
(21.304)
47.72
(20.715)
69.94
(23.370)
77.90
(23.077)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 29.9
Confidence Interval (2-Sided) 95%
21.1 to 38.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5951
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.4
Confidence Interval (2-Sided) 95%
-11.2 to 6.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0841
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.8
Confidence Interval (2-Sided) 95%
-1.1 to 16.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 19.8
Confidence Interval (2-Sided) 95%
11.0 to 28.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0014
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 14.5
Confidence Interval (2-Sided) 95%
5.7 to 23.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0172
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 10.8
Confidence Interval (2-Sided) 95%
1.9 to 19.6
Parameter Dispersion Type:
Value:
Estimation Comments
11. Secondary Outcome
Title Overall Drug Liking: Minimum Effect (Emin)
Description Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking"). Emin= Average observed score.
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
49.6
(11.40)
58.5
(24.82)
71.1
(25.28)
43.6
(23.55)
65.6
(25.87)
74.3
(23.53)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 30.4
Confidence Interval (2-Sided) 95%
21.0 to 39.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2166
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -5.9
Confidence Interval (2-Sided) 95%
-15.4 to 3.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0777
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.5
Confidence Interval (2-Sided) 95%
-1.0 to 18.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0011
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 16.0
Confidence Interval (2-Sided) 95%
6.5 to 25.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0086
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.7
Confidence Interval (2-Sided) 95%
3.3 to 22.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0775
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.5
Confidence Interval (2-Sided) 95%
-0.9 to 18.0
Parameter Dispersion Type:
Value:
Estimation Comments
12. Secondary Outcome
Title Overall Drug Liking Effect at Hours 12, 24 and 36
Description Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = "strong disliking", 50 mm = "neither like nor dislike", and 100 mm= "strong liking").
Time Frame 12, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Hour 12
50.6
(12.78)
61.2
(26.16)
78.5
(20.86)
51.8
(21.57)
69.8
(23.19)
78.1
(23.99)
Hour 24
50.3
(11.84)
62.7
(23.25)
75.5
(24.26)
44.8
(23.62)
70.1
(24.53)
78.1
(22.95)
Hour 36
49.7
(11.41)
59.9
(25.20)
73.2
(25.03)
46.6
(23.35)
69.9
(25.43)
77.6
(23.79)
13. Secondary Outcome
Title Any Drug Effects: Peak Effect (Emax)
Description Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
8.8
(19.43)
47.2
(38.45)
82.4
(25.27)
27.7
(35.77)
56.0
(35.90)
88.7
(20.52)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 61.2
Confidence Interval (2-Sided) 95%
48.8 to 73.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0032
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 18.8
Confidence Interval (2-Sided) 95%
6.4 to 31.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.9
Confidence Interval (2-Sided) 95%
20.5 to 45.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 47.2
Confidence Interval (2-Sided) 95%
34.8 to 59.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 73.6
Confidence Interval (2-Sided) 95%
61.1 to 86.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 38.4
Confidence Interval (2-Sided) 95%
26.0 to 50.8
Parameter Dispersion Type:
Value:
Estimation Comments
14. Secondary Outcome
Title Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
1.105
(5.6058)
20.129
(23.9971)
40.199
(20.3489)
4.539
(11.9639)
26.566
(24.8693)
48.328
(19.8494)
AUE (0-2)
3.090
(10.1113)
57.504
(57.6543)
112.910
(41.6661)
10.734
(23.0043)
69.059
(55.0442)
124.617
(41.2197)
AUE (0-8)
5.949
(16.4695)
140.152
(147.5551)
283.770
(173.4241)
53.242
(99.4186)
167.137
(152.8249)
354.391
(184.4799)
AUE (0-12)
5.949
(16.4695)
156.652
(175.1035)
317.270
(218.4262)
107.180
(190.7655)
176.199
(165.0887)
392.828
(229.3565)
AUE (0-24)
13.762
(46.7425)
157.059
(175.7028)
345.301
(260.4659)
218.805
(379.7129)
184.137
(172.7494)
402.516
(244.3471)
AUE (0-36)
23.324
(98.1331)
157.059
(175.7028)
345.488
(260.3746)
235.117
(424.9088)
186.387
(173.5877)
402.703
(244.2750)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 43.9
Confidence Interval (2-Sided) 95%
36.0 to 51.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4154
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.3
Confidence Interval (2-Sided) 95%
-4.6 to 11.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 21.8
Confidence Interval (2-Sided) 95%
13.9 to 29.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 25.4
Confidence Interval (2-Sided) 95%
17.5 to 33.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 20.2
Confidence Interval (2-Sided) 95%
12.3 to 28.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 18.9
Confidence Interval (2-Sided) 95%
11.0 to 26.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 114.2
Confidence Interval (2-Sided) 95%
97.1 to 131.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3985
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.3
Confidence Interval (2-Sided) 95%
-9.8 to 24.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 55.6
Confidence Interval (2-Sided) 95%
38.5 to 72.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 65.9
Confidence Interval (2-Sided) 95%
48.8 to 83.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 55.6
Confidence Interval (2-Sided) 95%
38.5 to 72.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 54.1
Confidence Interval (2-Sided) 95%
37.0 to 71.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 302.8
Confidence Interval (2-Sided) 95%
248.8 to 356.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0824
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 47.8
Confidence Interval (2-Sided) 95%
-6.2 to 101.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 188.5
Confidence Interval (2-Sided) 95%
134.6 to 242.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 162.0
Confidence Interval (2-Sided) 95%
108.0 to 216.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 141.9
Confidence Interval (2-Sided) 95%
87.9 to 195.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 135.7
Confidence Interval (2-Sided) 95%
81.7 to 189.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 287.6
Confidence Interval (2-Sided) 95%
219.1 to 356.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0040
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 101.4
Confidence Interval (2-Sided) 95%
32.9 to 169.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 218.5
Confidence Interval (2-Sided) 95%
150.0 to 287.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 170.5
Confidence Interval (2-Sided) 95%
102.0 to 239.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 158.6
Confidence Interval (2-Sided) 95%
90.1 to 227.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 152.2
Confidence Interval (2-Sided) 95%
83.7 to 220.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 185.9
Confidence Interval (2-Sided) 95%
90.1 to 281.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 205.0
Confidence Interval (2-Sided) 95%
109.2 to 300.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 221.0
Confidence Interval (2-Sided) 95%
125.2 to 316.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 170.0
Confidence Interval (2-Sided) 95%
74.1 to 265.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 185.7
Confidence Interval (2-Sided) 95%
89.9 to 281.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0033
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 144.9
Confidence Interval (2-Sided) 95%
49.1 to 240.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0017
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 170.0
Confidence Interval (2-Sided) 95%
65.2 to 274.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 211.4
Confidence Interval (2-Sided) 95%
106.6 to 316.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 219.2
Confidence Interval (2-Sided) 95%
114.5 to 324.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0027
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 162.2
Confidence Interval (2-Sided) 95%
57.3 to 267.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 185.9
Confidence Interval (2-Sided) 95%
81.1 to 290.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0116
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 135.5
Confidence Interval (2-Sided) 95%
30.7 to 240.4
Parameter Dispersion Type:
Value:
Estimation Comments
15. Secondary Outcome
Title Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)
Description Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.258
1.017
1.017
0.758
1.258
1.017
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.9
Confidence Interval (2-Sided) 95%
-4.3 to -1.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.8
Confidence Interval (2-Sided) 95%
1.4 to 4.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7005
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.7 to 1.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8440
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.3 to 1.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7295
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.6 to 1.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8757
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.3 to 1.5
Parameter Dispersion Type:
Value:
Estimation Comments
16. Secondary Outcome
Title Good Drug Effects: Peak Effect (Emax)
Description Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
11.6
(24.91)
48.1
(38.53)
81.8
(24.54)
24.2
(34.68)
54.7
(36.16)
84.3
(22.53)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 60.1
Confidence Interval (2-Sided) 95%
47.4 to 72.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0514
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.6
Confidence Interval (2-Sided) 95%
-0.1 to 25.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 29.7
Confidence Interval (2-Sided) 95%
17.0 to 42.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 43.0
Confidence Interval (2-Sided) 95%
30.3 to 55.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 33.7
Confidence Interval (2-Sided) 95%
21.0 to 46.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 36.4
Confidence Interval (2-Sided) 95%
23.7 to 49.1
Parameter Dispersion Type:
Value:
Estimation Comments
17. Secondary Outcome
Title Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
0.805
(3.6598)
20.727
(23.7958)
40.992
(19.3835)
5.254
(12.3129)
28.234
(25.4785)
44.656
(19.3060)
AUE (0-2)
3.055
(10.0140)
56.352
(55.7819)
110.430
(42.2789)
10.543
(22.1051)
71.305
(58.7340)
114.953
(41.8081)
AUE (0-8)
9.063
(24.0659)
130.758
(152.6257)
261.813
(163.8714)
40.418
(87.9945)
159.750
(156.8189)
332.352
(193.5146)
AUE (0-12)
9.250
(24.0378)
148.195
(183.1627)
282.875
(205.0344)
77.855
(172.2503)
168.688
(173.4909)
372.414
(248.2861)
AUE (0-24)
17.469
(51.3009)
148.883
(183.8413)
297.656
(240.6821)
161.043
(349.4292)
180.875
(212.9759)
380.414
(261.0990)
AUE (0-36)
26.844
(101.2648)
148.883
(183.8413)
297.844
(240.6209)
171.355
(394.6735)
180.875
(212.9759)
380.602
(261.1626)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 39.5
Confidence Interval (2-Sided) 95%
31.8 to 47.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2739
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.3
Confidence Interval (2-Sided) 95%
-3.4 to 12.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 16.4
Confidence Interval (2-Sided) 95%
8.7 to 24.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 27.4
Confidence Interval (2-Sided) 95%
19.7 to 35.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 20.5
Confidence Interval (2-Sided) 95%
12.8 to 28.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 19.7
Confidence Interval (2-Sided) 95%
12.0 to 27.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 104.7
Confidence Interval (2-Sided) 95%
87.7 to 121.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4003
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.3
Confidence Interval (2-Sided) 95%
-9.8 to 24.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 43.6
Confidence Interval (2-Sided) 95%
26.6 to 60.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 68.4
Confidence Interval (2-Sided) 95%
51.3 to 85.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 54.3
Confidence Interval (2-Sided) 95%
37.3 to 71.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 53.0
Confidence Interval (2-Sided) 95%
36.0 to 70.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 292.5
Confidence Interval (2-Sided) 95%
240.0 to 345.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2277
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.2
Confidence Interval (2-Sided) 95%
-20.3 to 84.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 173.1
Confidence Interval (2-Sided) 95%
120.5 to 225.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 151.7
Confidence Interval (2-Sided) 95%
99.1 to 204.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 129.8
Confidence Interval (2-Sided) 95%
77.2 to 182.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 122.6
Confidence Interval (2-Sided) 95%
70.0 to 175.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 295.3
Confidence Interval (2-Sided) 95%
228.3 to 362.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0416
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 69.6
Confidence Interval (2-Sided) 95%
2.7 to 136.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 204.4
Confidence Interval (2-Sided) 95%
137.5 to 271.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 160.5
Confidence Interval (2-Sided) 95%
93.5 to 227.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 133.0
Confidence Interval (2-Sided) 95%
66.1 to 199.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 140.1
Confidence Interval (2-Sided) 95%
73.1 to 207.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 219.5
Confidence Interval (2-Sided) 95%
127.6 to 311.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0022
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 145.0
Confidence Interval (2-Sided) 95%
53.2 to 236.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 200.2
Confidence Interval (2-Sided) 95%
108.4 to 292.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 164.3
Confidence Interval (2-Sided) 95%
72.4 to 256.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 146.6
Confidence Interval (2-Sided) 95%
54.8 to 238.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0049
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 132.7
Confidence Interval (2-Sided) 95%
40.8 to 224.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 209.3
Confidence Interval (2-Sided) 95%
108.3 to 310.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0050
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 145.7
Confidence Interval (2-Sided) 95%
44.7 to 246.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 200.7
Confidence Interval (2-Sided) 95%
99.7 to 301.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0030
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 154.3
Confidence Interval (2-Sided) 95%
53.3 to 255.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0046
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 146.8
Confidence Interval (2-Sided) 95%
45.9 to 247.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0171
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 123.3
Confidence Interval (2-Sided) 95%
22.3 to 224.3
Parameter Dispersion Type:
Value:
Estimation Comments
18. Secondary Outcome
Title Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)
Description Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.258
1.017
1.017
0.517
1.017
1.017
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0016
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.3
Confidence Interval (2-Sided) 95%
-3.7 to -0.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0105
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.9
Confidence Interval (2-Sided) 95%
0.4 to 3.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7259
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.7 to 1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7813
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.6 to 1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5235
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.9 to 1.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8512
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.6 to 1.3
Parameter Dispersion Type:
Value:
Estimation Comments
19. Secondary Outcome
Title Bad Drug Effects: Peak Effect (Emax)
Description Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
5.8
(15.46)
16.4
(26.76)
26.5
(36.60)
20.6
(35.67)
16.9
(28.85)
31.4
(32.67)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0883
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.1
Confidence Interval (2-Sided) 95%
-1.7 to 23.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0241
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 14.8
Confidence Interval (2-Sided) 95%
2.0 to 27.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0235
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 14.8
Confidence Interval (2-Sided) 95%
2.0 to 27.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0901
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.1
Confidence Interval (2-Sided) 95%
-1.7 to 23.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1313
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 9.8
Confidence Interval (2-Sided) 95%
-3.0 to 22.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0982
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 10.8
Confidence Interval (2-Sided) 95%
-2.0 to 23.6
Parameter Dispersion Type:
Value:
Estimation Comments
20. Secondary Outcome
Title Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
0.652
(3.5995)
0.977
(2.9225)
4.359
(12.9297)
0.445
(2.4294)
0.918
(2.4707)
3.621
(7.2682)
AUE (0-2)
1.270
(5.2494)
8.164
(18.3516)
16.023
(32.3331)
2.359
(8.9454)
4.840
(10.9280)
17.059
(28.6213)
AUE (0-8)
2.527
(7.6234)
28.984
(47.6235)
60.133
(104.8279)
22.195
(63.1674)
38.191
(83.7177)
81.777
(124.7723)
AUE (0-12)
2.527
(7.6234)
29.984
(48.2808)
71.195
(112.5641)
41.570
(88.3012)
46.691
(105.0132)
96.715
(157.0901)
AUE (0-24)
10.340
(44.8420)
30.203
(48.4810)
85.477
(145.5365)
138.039
(300.2416)
50.348
(111.5406)
102.434
(167.6105)
AUE (0-36)
19.715
(97.5206)
30.578
(48.6353)
85.852
(146.1250)
169.352
(379.2034)
51.473
(113.3471)
102.621
(167.6904)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0351
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.3
Confidence Interval (2-Sided) 95%
0.2 to 6.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8751
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-3.3 to 2.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0795
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.7
Confidence Interval (2-Sided) 95%
-0.3 to 5.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8382
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-2.7 to 3.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0289
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.4
Confidence Interval (2-Sided) 95%
0.4 to 6.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7878
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-2.6 to 3.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 14.8
Confidence Interval (2-Sided) 95%
5.6 to 24.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.821
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.1
Confidence Interval (2-Sided) 95%
-8.1 to 10.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0094
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.3
Confidence Interval (2-Sided) 95%
3.1 to 21.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4454
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.6
Confidence Interval (2-Sided) 95%
-5.6 to 12.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0934
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.9
Confidence Interval (2-Sided) 95%
-1.3 to 17.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1358
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.0
Confidence Interval (2-Sided) 95%
-2.2 to 16.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 59.8
Confidence Interval (2-Sided) 95%
27.0 to 92.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2365
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 19.7
Confidence Interval (2-Sided) 95%
-13.1 to 52.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0091
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 43.9
Confidence Interval (2-Sided) 95%
11.1 to 76.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0335
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 35.7
Confidence Interval (2-Sided) 95%
2.8 to 68.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0661
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 30.8
Confidence Interval (2-Sided) 95%
-2.1 to 63.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1074
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 26.9
Confidence Interval (2-Sided) 95%
-5.9 to 59.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0064
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 55.3
Confidence Interval (2-Sided) 95%
15.8 to 94.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0543
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 38.8
Confidence Interval (2-Sided) 95%
-0.7 to 78.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0131
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 50.2
Confidence Interval (2-Sided) 95%
10.7 to 89.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0297
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 43.9
Confidence Interval (2-Sided) 95%
4.4 to 83.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0407
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 41.3
Confidence Interval (2-Sided) 95%
1.8 to 80.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1710
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 27.5
Confidence Interval (2-Sided) 95%
-12.0 to 67.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3362
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -35.0
Confidence Interval (2-Sided) 95%
-106.7 to 36.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 126.9
Confidence Interval (2-Sided) 95%
55.2 to 198.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1449
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 53.2
Confidence Interval (2-Sided) 95%
-18.5 to 124.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2882
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 38.7
Confidence Interval (2-Sided) 95%
-33.0 to 110.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1314
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 55.0
Confidence Interval (2-Sided) 95%
-16.6 to 126.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5808
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 20.1
Confidence Interval (2-Sided) 95%
-51.6 to 91.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1415
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -66.2
Confidence Interval (2-Sided) 95%
-154.6 to 22.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0011
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 149.1
Confidence Interval (2-Sided) 95%
60.7 to 237.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2423
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 52.5
Confidence Interval (2-Sided) 95%
-35.9 to 140.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4980
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 30.4
Confidence Interval (2-Sided) 95%
-58.0 to 118.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2253
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 54.5
Confidence Interval (2-Sided) 95%
-33.9 to 142.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7945
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.7
Confidence Interval (2-Sided) 95%
-76.8 to 100.1
Parameter Dispersion Type:
Value:
Estimation Comments
21. Secondary Outcome
Title Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)
Description Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.250
0.267
1.517
0.308
0.267
1.758
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0129
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.8
Confidence Interval (2-Sided) 95%
-5.1 to -0.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.2
Confidence Interval (2-Sided) 95%
2.0 to 6.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5483
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-1.6 to 2.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5284
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-1.5 to 2.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1331
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.7
Confidence Interval (2-Sided) 95%
-0.5 to 3.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8732
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-2.1 to 2.4
Parameter Dispersion Type:
Value:
Estimation Comments
22. Secondary Outcome
Title Feel Sick: Peak Effect (Emax)
Description Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
3.1
(10.80)
5.4
(15.14)
8.8
(25.63)
10.1
(26.35)
2.6
(7.06)
11.7
(28.16)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4555
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.6
Confidence Interval (2-Sided) 95%
-5.9 to 13.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1495
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.9
Confidence Interval (2-Sided) 95%
-2.5 to 16.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0200
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.4
Confidence Interval (2-Sided) 95%
1.8 to 20.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8668
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-10.3 to 8.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3904
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.1
Confidence Interval (2-Sided) 95%
-5.3 to 13.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6524
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.2
Confidence Interval (2-Sided) 95%
-7.3 to 11.6
Parameter Dispersion Type:
Value:
Estimation Comments
23. Secondary Outcome
Title Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
0.539
(3.0494)
0.629
(3.0605)
0.957
(3.3182)
0.035
(0.1463)
0.039
(0.1435)
0.996
(3.2217)
AUE (0-2)
0.727
(4.0198)
3.004
(14.4372)
4.160
(16.6354)
1.051
(4.5067)
0.758
(2.6560)
2.762
(6.8438)
AUE (0-8)
0.984
(4.2307)
5.176
(17.2686)
13.387
(40.8525)
12.324
(61.4559)
5.281
(17.1483)
15.449
(36.7603)
AUE (0-12)
0.984
(4.2307)
5.176
(17.2686)
13.387
(40.8525)
12.949
(63.8914)
6.156
(19.8004)
19.137
(42.3860)
AUE (0-24)
8.797
(44.3081)
5.645
(18.1099)
13.387
(40.8525)
64.699
(196.3450)
7.406
(22.7994)
19.605
(42.5054)
AUE (0-36)
18.359
(97.2004)
6.582
(19.7796)
13.387
(40.8525)
83.449
(267.7102)
7.594
(22.9559)
21.855
(43.9416)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1771
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.8
Confidence Interval (2-Sided) 95%
-0.4 to 2.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3944
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.7 to 0.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1778
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.8
Confidence Interval (2-Sided) 95%
-0.4 to 2.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3960
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.7 to 0.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6125
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-0.9 to 1.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9059
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.1 to 1.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4585
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.7
Confidence Interval (2-Sided) 95%
-2.9 to 6.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8986
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-4.2 to 4.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3641
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.1
Confidence Interval (2-Sided) 95%
-2.5 to 6.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9674
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-4.6 to 4.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5744
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-3.2 to 5.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3457
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.2
Confidence Interval (2-Sided) 95%
-2.4 to 6.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6664
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.7
Confidence Interval (2-Sided) 95%
-13.3 to 20.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1949
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.1
Confidence Interval (2-Sided) 95%
-5.8 to 28.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2009
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.1
Confidence Interval (2-Sided) 95%
-6.0 to 28.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6595
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.8
Confidence Interval (2-Sided) 95%
-13.1 to 20.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3176
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.6
Confidence Interval (2-Sided) 95%
-8.3 to 25.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6423
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.0
Confidence Interval (2-Sided) 95%
-12.9 to 20.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4358
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.8
Confidence Interval (2-Sided) 95%
-10.5 to 24.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1789
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.7
Confidence Interval (2-Sided) 95%
-5.4 to 28.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1131
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 14.0
Confidence Interval (2-Sided) 95%
-3.3 to 31.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5965
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.6
Confidence Interval (2-Sided) 95%
-12.6 to 21.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3175
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.7
Confidence Interval (2-Sided) 95%
-8.5 to 25.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6551
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.9
Confidence Interval (2-Sided) 95%
-13.3 to 21.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0354
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -45.3
Confidence Interval (2-Sided) 95%
-87.5 to -3.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0100
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 55.2
Confidence Interval (2-Sided) 95%
13.4 to 97.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5379
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 13.2
Confidence Interval (2-Sided) 95%
-29.0 to 55.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8768
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -3.3
Confidence Interval (2-Sided) 95%
-45.1 to 38.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7031
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.1
Confidence Interval (2-Sided) 95%
-33.8 to 49.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8507
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -4
Confidence Interval (2-Sided) 95%
-45.8 to 37.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0381
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -62.3
Confidence Interval (2-Sided) 95%
-121.2 to -3.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0318
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 64.0
Confidence Interval (2-Sided) 95%
5.7 to 122.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6095
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.2
Confidence Interval (2-Sided) 95%
-43.6 to 74.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6470
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -13.6
Confidence Interval (2-Sided) 95%
-71.9 to 44.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8136
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.0
Confidence Interval (2-Sided) 95%
-51.4 to 65.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6699
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -12.6
Confidence Interval (2-Sided) 95%
-71.0 to 45.7
Parameter Dispersion Type:
Value:
Estimation Comments
24. Secondary Outcome
Title Feel Sick: Time to Maximum (Peak) Effect (TEmax)
Description Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.250
0.267
0.267
0.267
0.267
0.267
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1728
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-3.9 to 0.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2616
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-1.0 to 3.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7307
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-1.9 to 2.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5473
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-3.0 to 1.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4999
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-3.1 to 1.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5592
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-3.0 to 1.6
Parameter Dispersion Type:
Value:
Estimation Comments
25. Secondary Outcome
Title Nausea: Peak Effect (Emax)
Description Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
6.1
(18.90)
11.5
(25.07)
17.8
(32.11)
9.5
(26.18)
11.3
(23.47)
22.0
(33.25)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0217
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 13.3
Confidence Interval (2-Sided) 95%
2.0 to 24.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5513
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.4
Confidence Interval (2-Sided) 95%
-7.8 to 14.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0469
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.5
Confidence Interval (2-Sided) 95%
0.2 to 22.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3604
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.2
Confidence Interval (2-Sided) 95%
-6.0 to 16.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2725
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.2
Confidence Interval (2-Sided) 95%
-5.0 to 17.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3461
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.4
Confidence Interval (2-Sided) 95%
-5.8 to 16.6
Parameter Dispersion Type:
Value:
Estimation Comments
26. Secondary Outcome
Title Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
1.551
(8.7270)
1.313
(4.2183)
3.867
(13.3986)
0.043
(0.1510)
0.281
(1.0395)
2.797
(8.7018)
AUE (0-2)
3.309
(16.0847)
6.938
(18.5123)
11.500
(30.7880)
0.520
(2.3602)
3.813
(11.0316)
9.398
(19.9006)
AUE (0-8)
5.801
(21.1576)
17.656
(40.3906)
34.102
(88.7640)
12.465
(46.6764)
15.453
(33.4096)
39.648
(75.0136)
AUE (0-12)
5.801
(21.1576)
17.656
(40.3906)
40.602
(97.6330)
16.340
(58.2244)
18.828
(41.2148)
41.523
(78.2852)
AUE (0-24)
13.613
(54.7055)
17.656
(40.3906)
52.508
(132.8214)
76.402
(243.7336)
21.203
(45.1793)
42.992
(80.0147)
AUE (0-36)
22.988
(105.8442)
17.844
(40.3199)
52.508
(132.8214)
94.777
(325.6554)
21.391
(45.4013)
43.742
(79.9894)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1828
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.4
Confidence Interval (2-Sided) 95%
-1.1 to 5.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3908
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.5
Confidence Interval (2-Sided) 95%
-5.0 to 1.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2513
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.0
Confidence Interval (2-Sided) 95%
-1.5 to 5.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5035
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.2
Confidence Interval (2-Sided) 95%
-4.6 to 2.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1452
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.6
Confidence Interval (2-Sided) 95%
-0.9 to 6.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9303
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-3.6 to 3.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0283
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.8
Confidence Interval (2-Sided) 95%
0.9 to 16.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4861
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.7
Confidence Interval (2-Sided) 95%
-10.5 to 5.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1809
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.3
Confidence Interval (2-Sided) 95%
-2.5 to 13.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8560
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-7.1 to 8.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2385
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.7
Confidence Interval (2-Sided) 95%
-3.1 to 12.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3479
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.7
Confidence Interval (2-Sided) 95%
-4.1 to 11.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0185
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 27.7
Confidence Interval (2-Sided) 95%
4.7 to 50.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5471
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.9
Confidence Interval (2-Sided) 95%
-15.8 to 29.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0367
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 24.5
Confidence Interval (2-Sided) 95%
1.5 to 47.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3797
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 10.1
Confidence Interval (2-Sided) 95%
-12.6 to 32.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1557
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 16.4
Confidence Interval (2-Sided) 95%
-6.3 to 39.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2904
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.2
Confidence Interval (2-Sided) 95%
-10.5 to 34.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0467
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 26.0
Confidence Interval (2-Sided) 95%
0.4 to 51.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4056
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 10.7
Confidence Interval (2-Sided) 95%
-14.6 to 36.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0738
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 23.3
Confidence Interval (2-Sided) 95%
-2.3 to 48.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2987
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 13.4
Confidence Interval (2-Sided) 95%
-12.0 to 38.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0763
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.9
Confidence Interval (2-Sided) 95%
-2.4 to 48.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3396
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.3
Confidence Interval (2-Sided) 95%
-13.1 to 37.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2425
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -33.2
Confidence Interval (2-Sided) 95%
-89.1 to 22.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0281
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 62.1
Confidence Interval (2-Sided) 95%
6.8 to 117.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4189
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.9
Confidence Interval (2-Sided) 95%
-33.0 to 78.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8310
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.0
Confidence Interval (2-Sided) 95%
-49.4 to 61.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2161
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 34.8
Confidence Interval (2-Sided) 95%
-20.6 to 90.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8905
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.9
Confidence Interval (2-Sided) 95%
-51.5 to 59.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1597
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -51.8
Confidence Interval (2-Sided) 95%
-124.2 to 20.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0525
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 70.9
Confidence Interval (2-Sided) 95%
-0.8 to 142.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5294
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 23.1
Confidence Interval (2-Sided) 95%
-49.3 to 95.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9126
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -4.0
Confidence Interval (2-Sided) 95%
-75.7 to 67.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3418
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 34.6
Confidence Interval (2-Sided) 95%
-37.1 to 106.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8833
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -5.3
Confidence Interval (2-Sided) 95%
-77.0 to 66.4
Parameter Dispersion Type:
Value:
Estimation Comments
27. Secondary Outcome
Title Nausea: Time to Maximum (Peak) Effect (TEmax)
Description Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.250
0.267
0.267
0.267
0.267
0.267
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0041
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -3.6
Confidence Interval (2-Sided) 95%
-6.1 to -1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.3
Confidence Interval (2-Sided) 95%
1.9 to 6.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8765
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-2.7 to 2.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4746
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.9
Confidence Interval (2-Sided) 95%
-1.6 to 3.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4607
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.9
Confidence Interval (2-Sided) 95%
-3.3 to 1.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2316
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.5
Confidence Interval (2-Sided) 95%
-1.0 to 3.9
Parameter Dispersion Type:
Value:
Estimation Comments
28. Secondary Outcome
Title Sleepy: Peak Effect (Emax)
Description Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
24.7
(34.06)
56.8
(35.54)
72.0
(30.57)
38.3
(38.32)
59.2
(36.76)
76.1
(25.88)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 38.8
Confidence Interval (2-Sided) 95%
26.4 to 51.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0136
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.8
Confidence Interval (2-Sided) 95%
3.3 to 28.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0039
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 18.5
Confidence Interval (2-Sided) 95%
6.1 to 31.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 36.1
Confidence Interval (2-Sided) 95%
23.6 to 48.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0157
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.4
Confidence Interval (2-Sided) 95%
2.9 to 27.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.9
Confidence Interval (2-Sided) 95%
20.5 to 45.3
Parameter Dispersion Type:
Value:
Estimation Comments
29. Secondary Outcome
Title Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
3.660
(11.1947)
9.160
(12.4734)
17.555
(18.6009)
9.004
(18.9625)
10.789
(17.0139)
22.590
(19.7659)
AUE (0-2)
17.809
(35.0786)
44.152
(38.4132)
66.906
(46.9339)
27.512
(43.9712)
49.125
(49.5132)
79.848
(46.1185)
AUE (0-8)
57.035
(117.1422)
196.691
(178.5590)
295.727
(204.5401)
127.855
(188.5158)
223.984
(196.8453)
378.309
(195.1978)
AUE (0-12)
68.785
(151.3384)
239.566
(244.9626)
352.289
(260.5164)
195.418
(271.9999)
270.109
(253.5547)
440.809
(232.3446)
AUE (0-24)
107.254
(299.1972)
295.941
(314.6515)
407.820
(342.4604)
346.949
(494.5935)
341.922
(407.7011)
487.559
(284.8306)
AUE (0-36)
135.941
(402.8944)
299.316
(316.1870)
414.008
(349.3465)
382.012
(585.0876)
362.922
(486.0190)
493.559
(290.1531)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.5
Confidence Interval (2-Sided) 95%
6.4 to 18.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2550
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.5
Confidence Interval (2-Sided) 95%
-2.6 to 9.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0010
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 10.4
Confidence Interval (2-Sided) 95%
4.3 to 16.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0667
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.7
Confidence Interval (2-Sided) 95%
-0.4 to 11.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0075
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.3
Confidence Interval (2-Sided) 95%
2.3 to 14.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1354
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.6
Confidence Interval (2-Sided) 95%
-1.5 to 10.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 50.9
Confidence Interval (2-Sided) 95%
34.2 to 67.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3905
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.3
Confidence Interval (2-Sided) 95%
-9.4 to 24.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0009
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 28.6
Confidence Interval (2-Sided) 95%
11.9 to 45.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 29.6
Confidence Interval (2-Sided) 95%
12.9 to 46.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0072
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.9
Confidence Interval (2-Sided) 95%
6.3 to 39.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0035
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 25.0
Confidence Interval (2-Sided) 95%
8.4 to 41.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 248.4
Confidence Interval (2-Sided) 95%
188.6 to 308.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0263
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 68.2
Confidence Interval (2-Sided) 95%
8.2 to 128.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 151.2
Confidence Interval (2-Sided) 95%
91.3 to 211.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 165.4
Confidence Interval (2-Sided) 95%
105.6 to 225.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0015
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 97.9
Confidence Interval (2-Sided) 95%
38.3 to 157.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 138.4
Confidence Interval (2-Sided) 95%
78.7 to 198.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 241.3
Confidence Interval (2-Sided) 95%
162.8 to 319.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0028
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 121.1
Confidence Interval (2-Sided) 95%
42.4 to 199.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 164.4
Confidence Interval (2-Sided) 95%
85.8 to 243.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 198.0
Confidence Interval (2-Sided) 95%
119.4 to 276.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0057
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 111.1
Confidence Interval (2-Sided) 95%
32.8 to 189.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 168.1
Confidence Interval (2-Sided) 95%
89.7 to 246.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0360
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 128.4
Confidence Interval (2-Sided) 95%
8.5 to 248.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 221.5
Confidence Interval (2-Sided) 95%
101.2 to 341.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0388
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 126.7
Confidence Interval (2-Sided) 95%
6.6 to 246.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 223.2
Confidence Interval (2-Sided) 95%
103.2 to 343.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0787
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 107.2
Confidence Interval (2-Sided) 95%
-12.4 to 226.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0033
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 181.3
Confidence Interval (2-Sided) 95%
61.5 to 301.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1688
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 96.1
Confidence Interval (2-Sided) 95%
-41.2 to 233.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 220.3
Confidence Interval (2-Sided) 95%
82.6 to 358.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1298
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 106.0
Confidence Interval (2-Sided) 95%
-31.5 to 243.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0029
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 210.4
Confidence Interval (2-Sided) 95%
73.0 to 347.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1189
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 108.7
Confidence Interval (2-Sided) 95%
-28.3 to 245.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0284
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 153.6
Confidence Interval (2-Sided) 95%
16.4 to 290.8
Parameter Dispersion Type:
Value:
Estimation Comments
30. Secondary Outcome
Title Sleepy: Time to Maximum (Peak) Effect (TEmax)
Description Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm)to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.758
2.025
2.508
2.000
2.017
2.033
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0327
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.8
Confidence Interval (2-Sided) 95%
-3.4 to -0.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.6
Confidence Interval (2-Sided) 95%
1.0 to 4.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7508
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.9 to 1.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1868
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.1
Confidence Interval (2-Sided) 95%
-0.5 to 2.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9944
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-1.6 to 1.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2322
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.0
Confidence Interval (2-Sided) 95%
-0.6 to 2.6
Parameter Dispersion Type:
Value:
Estimation Comments
31. Secondary Outcome
Title Dizzy: Peak Effect (Emax)
Description Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
3.6
(12.27)
23.4
(32.63)
30.6
(36.58)
12.0
(28.21)
19.5
(31.56)
39.3
(37.92)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 28.2
Confidence Interval (2-Sided) 95%
16.8 to 39.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1421
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.4
Confidence Interval (2-Sided) 95%
-2.8 to 19.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 20.9
Confidence Interval (2-Sided) 95%
9.5 to 32.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0064
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.8
Confidence Interval (2-Sided) 95%
4.5 to 27.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1974
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.4
Confidence Interval (2-Sided) 95%
-3.9 to 18.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 19.5
Confidence Interval (2-Sided) 95%
8.3 to 30.8
Parameter Dispersion Type:
Value:
Estimation Comments
32. Secondary Outcome
Title Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
0.125
(0.5425)
7.117
(15.3098)
10.117
(15.9090)
1.238
(4.8747)
6.207
(12.4631)
14.043
(17.1328)
AUE (0-2)
0.922
(3.0851)
24.008
(41.3549)
28.758
(39.5123)
2.738
(10.8592)
18.402
(33.2777)
35.691
(44.1487)
AUE (0-8)
1.844
(6.2523)
47.297
(82.8121)
75.828
(117.4212)
23.934
(82.1109)
41.410
(79.0200)
117.738
(146.9677)
AUE (0-12)
1.906
(6.2536)
48.422
(85.1544)
83.266
(131.6787)
47.684
(145.0991)
42.160
(79.5674)
122.551
(150.8804)
AUE (0-24)
10.094
(49.8279)
49.922
(88.2865)
85.484
(136.4813)
120.934
(324.0852)
43.754
(81.6192)
122.895
(150.6660)
AUE (0-36)
19.844
(102.7158)
50.109
(88.1834)
85.859
(136.2835)
135.559
(386.0688)
44.129
(81.4783)
123.457
(150.3432)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 12.2
Confidence Interval (2-Sided) 95%
7.1 to 17.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6868
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.0
Confidence Interval (2-Sided) 95%
-4.1 to 6.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0058
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.3
Confidence Interval (2-Sided) 95%
2.2 to 12.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0229
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.9
Confidence Interval (2-Sided) 95%
0.8 to 11.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2168
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.2
Confidence Interval (2-Sided) 95%
-1.9 to 8.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0096
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 6.8
Confidence Interval (2-Sided) 95%
1.7 to 11.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 33.0
Confidence Interval (2-Sided) 95%
20.0 to 45.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8009
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.6
Confidence Interval (2-Sided) 95%
-11.2 to 14.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0086
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 17.4
Confidence Interval (2-Sided) 95%
4.5 to 30.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0089
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 17.2
Confidence Interval (2-Sided) 95%
4.4 to 30.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4224
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.2
Confidence Interval (2-Sided) 95%
-7.6 to 18.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 22.6
Confidence Interval (2-Sided) 95%
9.8 to 35.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 96.1
Confidence Interval (2-Sided) 95%
57.9 to 134.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2530
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 21.9
Confidence Interval (2-Sided) 95%
-15.8 to 59.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 78.6
Confidence Interval (2-Sided) 95%
40.5 to 116.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0414
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 39.3
Confidence Interval (2-Sided) 95%
1.6 to 77.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1329
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 28.9
Confidence Interval (2-Sided) 95%
-8.9 to 66.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0187
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 45.5
Confidence Interval (2-Sided) 95%
7.7 to 83.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0009
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 76.9
Confidence Interval (2-Sided) 95%
31.9 to 121.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0456
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 45.4
Confidence Interval (2-Sided) 95%
0.9 to 89.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 82.8
Confidence Interval (2-Sided) 95%
37.8 to 127.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0812
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 39.6
Confidence Interval (2-Sided) 95%
-5.0 to 84.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1174
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 35.5
Confidence Interval (2-Sided) 95%
-9.0 to 80.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0427
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 46.1
Confidence Interval (2-Sided) 95%
1.5 to 90.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9318
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.0
Confidence Interval (2-Sided) 95%
-66.9 to 73.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0020
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 110.4
Confidence Interval (2-Sided) 95%
41.2 to 179.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0226
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 81.5
Confidence Interval (2-Sided) 95%
11.6 to 151.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3629
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 32.0
Confidence Interval (2-Sided) 95%
-37.3 to 101.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3077
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 35.9
Confidence Interval (2-Sided) 95%
-33.4 to 105.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2662
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 39.1
Confidence Interval (2-Sided) 95%
-30.1 to 108.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7875
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -11.4
Confidence Interval (2-Sided) 95%
-94.7 to 71.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0066
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 115.0
Confidence Interval (2-Sided) 95%
32.6 to 197.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0540
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 81.7
Confidence Interval (2-Sided) 95%
-1.4 to 164.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6014
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 21.8
Confidence Interval (2-Sided) 95%
-60.6 to 104.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3885
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 36.1
Confidence Interval (2-Sided) 95%
-46.3 to 118.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4801
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 29.5
Confidence Interval (2-Sided) 95%
-52.9 to 112.0
Parameter Dispersion Type:
Value:
Estimation Comments
33. Secondary Outcome
Title Dizzy: Time to Maximum (Peak) Effect (TEmax)
Description Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.250
0.758
0.767
0.258
0.292
0.758
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5494
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-2.5 to 1.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0626
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.8
Confidence Interval (2-Sided) 95%
-0.1 to 3.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7216
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-1.6 to 2.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3647
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.9
Confidence Interval (2-Sided) 95%
-1.0 to 2.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4456
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.7 to 1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0500
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.9
Confidence Interval (2-Sided) 95%
0.0 to 3.9
Parameter Dispersion Type:
Value:
Estimation Comments
34. Secondary Outcome
Title Pupillometry: Peak Effect (Emax)
Description Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Mean (Standard Deviation) [mm]
-0.8
(0.38)
-2.0
(0.71)
-2.7
(0.72)
-2.4
(0.71)
-2.1
(0.63)
-3.0
(0.76)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.51
Confidence Interval (2-Sided) 95%
-0.69 to -0.34
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.69
Confidence Interval (2-Sided) 95%
-1.86 to -1.52
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.80
Confidence Interval (2-Sided) 95%
-0.97 to -0.63
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.40
Confidence Interval (2-Sided) 95%
-1.58 to -1.23
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.74
Confidence Interval (2-Sided) 95%
-0.91 to -0.56
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.29
Confidence Interval (2-Sided) 95%
-1.46 to -1.11
Parameter Dispersion Type:
Value:
Estimation Comments
35. Secondary Outcome
Title Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
5.160
(0.7979)
4.022
(0.7658)
3.599
(0.6554)
5.039
(0.7893)
3.986
(0.6847)
3.489
(0.6738)
AUE (0-2)
10.164
(1.5890)
7.564
(1.3695)
6.226
(1.0741)
9.889
(1.6078)
7.384
(1.2278)
5.927
(1.0310)
AUE (0-8)
41.088
(6.4135)
30.129
(5.7346)
23.795
(4.0637)
33.605
(6.4972)
29.298
(5.4769)
21.913
(3.6297)
AUE (0-12)
62.550
(9.6352)
47.586
(9.5615)
38.713
(7.6202)
46.155
(8.8631)
46.136
(8.9456)
35.088
(6.4060)
AUE (0-24)
125.791
(19.2063)
103.711
(19.5429)
91.216
(17.4729)
83.530
(14.6930)
102.183
(17.7741)
83.832
(17.6410)
AUE (0-36)
188.828
(29.4183)
162.961
(29.2071)
149.454
(25.4599)
130.199
(23.0719)
161.977
(26.8529)
141.638
(28.1687)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.59
Confidence Interval (2-Sided) 95%
-1.75 to -1.42
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3309
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.08
Confidence Interval (2-Sided) 95%
-0.24 to 0.08
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.58
Confidence Interval (2-Sided) 95%
-0.74 to -0.42
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.09
Confidence Interval (2-Sided) 95%
-1.25 to -0.92
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.42
Confidence Interval (2-Sided) 95%
-0.59 to -0.26
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.04
Confidence Interval (2-Sided) 95%
-1.21 to -0.88
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -4.03
Confidence Interval (2-Sided) 95%
-4.37 to -3.69
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2475
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.20
Confidence Interval (2-Sided) 95%
-0.54 to 0.14
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.61
Confidence Interval (2-Sided) 95%
-1.96 to -1.27
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.62
Confidence Interval (2-Sided) 95%
-2.96 to -2.27
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.34
Confidence Interval (2-Sided) 95%
-1.68 to -1.00
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-2): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -2.42
Confidence Interval (2-Sided) 95%
-2.76 to -2.08
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -11.91
Confidence Interval (2-Sided) 95%
-13.21 to -10.60
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -7.23
Confidence Interval (2-Sided) 95%
-8.54 to -5.93
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -7.90
Confidence Interval (2-Sided) 95%
-9.20 to -6.59
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -11.24
Confidence Interval (2-Sided) 95%
-12.55 to -9.94
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -6.35
Confidence Interval (2-Sided) 95%
-7.65 to -5.05
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -10.36
Confidence Interval (2-Sided) 95%
-11.67 to -9.05
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -11.37
Confidence Interval (2-Sided) 95%
-13.16 to -9.58
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -16.07
Confidence Interval (2-Sided) 95%
-17.86 to -14.28
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -11.73
Confidence Interval (2-Sided) 95%
-13.53 to -9.93
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -15.71
Confidence Interval (2-Sided) 95%
-17.51 to -13.91
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -8.88
Confidence Interval (2-Sided) 95%
-10.67 to -7.09
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -14.19
Confidence Interval (2-Sided) 95%
-15.99 to -12.39
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8784
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.26
Confidence Interval (2-Sided) 95%
-3.63 to 3.11
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -41.66
Confidence Interval (2-Sided) 95%
-45.02 to -38.29
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -19.63
Confidence Interval (2-Sided) 95%
-23.01 to -16.25
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -22.28
Confidence Interval (2-Sided) 95%
-25.67 to -18.90
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -12.50
Confidence Interval (2-Sided) 95%
-15.86 to -9.14
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -20.59
Confidence Interval (2-Sided) 95%
-23.98 to -17.21
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 31
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 10.64
Confidence Interval (2-Sided) 95%
5.75 to 15.54
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 32
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -57.74
Confidence Interval (2-Sided) 95%
-62.63 to -52.85
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 33
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -22.18
Confidence Interval (2-Sided) 95%
-27.09 to -17.27
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 34
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -24.91
Confidence Interval (2-Sided) 95%
-29.83 to -20.00
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 35
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -13.53
Confidence Interval (2-Sided) 95%
-18.41 to -8.64
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 36
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -23.70
Confidence Interval (2-Sided) 95%
-28.62 to -18.78
Parameter Dispersion Type:
Value:
Estimation Comments
36. Secondary Outcome
Title Pupillometry: Time to Maximum (Peak) Effect (TEmax)
Description Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
2.275
1.517
1.517
12.050
1.775
1.533
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -9.73
Confidence Interval (2-Sided) 95%
-11.90 to -7.57
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 5.16
Confidence Interval (2-Sided) 95%
2.99 to 7.32
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9766
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.03
Confidence Interval (2-Sided) 95%
-2.13 to 2.20
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -4.61
Confidence Interval (2-Sided) 95%
-6.78 to -2.44
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7242
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.39
Confidence Interval (2-Sided) 95%
-2.55 to 1.78
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -4.45
Confidence Interval (2-Sided) 95%
-6.62 to -2.28
Parameter Dispersion Type:
Value:
Estimation Comments
37. Other Pre-specified Outcome
Title Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the left with "strong disliking" (score of 0 mm) and on the right with "strong liking" (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
50.020
(2.7443)
57.770
(11.2102)
64.820
(14.3058)
50.703
(3.2294)
61.125
(12.7119)
69.734
(12.6273)
AUE (0-8)
399.957
(8.2973)
431.973
(80.0157)
492.578
(112.1774)
404.578
(71.1457)
465.945
(110.9382)
531.586
(110.7145)
AUE (0-12)
600.645
(8.1980)
640.223
(111.0897)
704.328
(140.9602)
616.203
(130.7196)
677.320
(147.0075)
758.336
(160.5459)
AUE (0-24)
1202.863
(9.1566)
1267.410
(197.1640)
1337.016
(241.1654)
1203.828
(289.3240)
1285.289
(209.4193)
1398.836
(237.2094)
AUE (0-36)
1805.113
(11.7017)
1893.848
(298.9190)
1955.953
(326.5777)
1783.578
(361.8779)
1907.414
(310.0402)
2024.711
(347.2035)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 19.0
Confidence Interval (2-Sided) 95%
14.6 to 23.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8048
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 0.6
Confidence Interval (2-Sided) 95%
-3.9 to 5.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 8.6
Confidence Interval (2-Sided) 95%
4.2 to 13.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 11.0
Confidence Interval (2-Sided) 95%
6.5 to 15.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.1
Confidence Interval (2-Sided) 95%
2.7 to 11.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0010
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 7.6
Confidence Interval (2-Sided) 95%
3.2 to 12.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 127.4
Confidence Interval (2-Sided) 95%
93.6 to 161.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7837
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 4.7
Confidence Interval (2-Sided) 95%
-29.1 to 38.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 65.8
Confidence Interval (2-Sided) 95%
32.0 to 99.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 66.3
Confidence Interval (2-Sided) 95%
32.5 to 100.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 60.3
Confidence Interval (2-Sided) 95%
26.5 to 94.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0640
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 31.9
Confidence Interval (2-Sided) 95%
-1.9 to 65.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 142.6
Confidence Interval (2-Sided) 95%
94.5 to 190.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5169
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 15.8
Confidence Interval (2-Sided) 95%
-32.3 to 63.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0011
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 81.3
Confidence Interval (2-Sided) 95%
33.2 to 129.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0018
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 77.1
Confidence Interval (2-Sided) 95%
29.1 to 125.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0098
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 63.6
Confidence Interval (2-Sided) 95%
15.6 to 111.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1078
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 39.4
Confidence Interval (2-Sided) 95%
-8.7 to 87.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 196.0
Confidence Interval (2-Sided) 95%
116.9 to 275.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9726
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.4
Confidence Interval (2-Sided) 95%
-77.7 to 80.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0050
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 114.1
Confidence Interval (2-Sided) 95%
35.0 to 193.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0392
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 83.3
Confidence Interval (2-Sided) 95%
4.2 to 162.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0883
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 68.7
Confidence Interval (2-Sided) 95%
-10.4 to 147.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1100
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 64.4
Confidence Interval (2-Sided) 95%
-14.7 to 143.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 242.9
Confidence Interval (2-Sided) 95%
138.6 to 347.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6906
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -21.0
Confidence Interval (2-Sided) 95%
-125.3 to 83.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0259
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 118.7
Confidence Interval (2-Sided) 95%
14.5 to 223.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0525
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 103.2
Confidence Interval (2-Sided) 95%
-1.1 to 207.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2558
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 60.2
Confidence Interval (2-Sided) 95%
-44.1 to 164.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0952
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 88.6
Confidence Interval (2-Sided) 95%
-15.7 to 192.9
Parameter Dispersion Type:
Value:
Estimation Comments
38. Other Pre-specified Outcome
Title Drug Liking: Time to Maximum (Peak) Effect (TEmax)
Description Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), on the left with "strong disliking" (score of 0 mm) and on the right with "strong liking" (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.267
1.017
1.017
0.758
1.017
1.008
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0298
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.8
Confidence Interval (2-Sided) 95%
-3.3 to -0.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.7
Confidence Interval (2-Sided) 95%
1.1 to 4.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6450
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-2.0 to 1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0962
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-0.2 to 2.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1930
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -1.0
Confidence Interval (2-Sided) 95%
-2.6 to 0.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0310
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 1.7
Confidence Interval (2-Sided) 95%
0.2 to 3.3
Parameter Dispersion Type:
Value:
Estimation Comments
39. Other Pre-specified Outcome
Title High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
Description High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
AUE (0-1)
0.785
(4.1738)
20.203
(22.8004)
40.801
(20.3235)
4.473
(11.7536)
27.465
(24.2206)
45.836
(20.4802)
AUE (0-8)
6.512
(16.7072)
119.055
(142.3080)
257.527
(163.9543)
39.145
(85.5494)
153.941
(150.3297)
322.250
(187.7896)
AUE (0-12)
6.512
(16.7072)
131.805
(168.5472)
277.715
(201.6860)
78.582
(166.6578)
160.004
(160.4458)
355.250
(237.6863)
AUE (0-24)
24.199
(69.6362)
131.930
(168.8668)
282.902
(215.7112)
161.613
(319.3473)
171.129
(180.2282)
362.531
(252.5074)
AUE (0-36)
34.137
(110.6283)
132.305
(170.0009)
282.902
(215.7112)
168.176
(337.3448)
173.379
(181.7041)
362.531
(252.5074)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 41.5
Confidence Interval (2-Sided) 95%
33.9 to 49.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3763
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 3.4
Confidence Interval (2-Sided) 95%
-4.2 to 10.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 18.3
Confidence Interval (2-Sided) 95%
10.7 to 25.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 26.6
Confidence Interval (2-Sided) 95%
19.1 to 34.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 20.7
Confidence Interval (2-Sided) 95%
13.1 to 28.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-1): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 19.3
Confidence Interval (2-Sided) 95%
11.8 to 26.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 284.3
Confidence Interval (2-Sided) 95%
232.9 to 335.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2336
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 31.2
Confidence Interval (2-Sided) 95%
-20.4 to 82.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 167.3
Confidence Interval (2-Sided) 95%
115.7 to 218.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 148.3
Confidence Interval (2-Sided) 95%
96.8 to 199.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 135.6
Confidence Interval (2-Sided) 95%
84.0 to 187.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-8): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 113.6
Confidence Interval (2-Sided) 95%
62.1 to 165.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 278.3
Confidence Interval (2-Sided) 95%
213.2 to 343.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0322
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 71.3
Confidence Interval (2-Sided) 95%
6.1 to 136.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 195.4
Confidence Interval (2-Sided) 95%
130.2 to 260.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 154.3
Confidence Interval (2-Sided) 95%
89.2 to 219.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 143.2
Confidence Interval (2-Sided) 95%
78.0 to 208.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-12): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 126.7
Confidence Interval (2-Sided) 95%
61.7 to 191.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 202.4
Confidence Interval (2-Sided) 95%
118.4 to 286.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0015
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 137.6
Confidence Interval (2-Sided) 95%
53.3 to 221.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 192.9
Confidence Interval (2-Sided) 95%
108.7 to 277.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 22
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 147.0
Confidence Interval (2-Sided) 95%
63.0 to 231.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 23
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 148.1
Confidence Interval (2-Sided) 95%
63.9 to 232.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 24
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-24): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0110
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 109.6
Confidence Interval (2-Sided) 95%
25.5 to 193.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 25
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 196.0
Confidence Interval (2-Sided) 95%
107.4 to 284.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 26
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0034
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 133.9
Confidence Interval (2-Sided) 95%
45.0 to 222.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 27
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 190.9
Confidence Interval (2-Sided) 95%
102.1 to 279.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 28
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0023
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 138.9
Confidence Interval (2-Sided) 95%
50.3 to 227.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 29
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0013
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 147.8
Confidence Interval (2-Sided) 95%
59.0 to 236.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 30
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments AUE (0-36): Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0273
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 100.0
Confidence Interval (2-Sided) 95%
11.3 to 188.6
Parameter Dispersion Type:
Value:
Estimation Comments
40. Other Pre-specified Outcome
Title High: Time to Maximum (Peak) Effect (TEmax)
Description High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Completer analysis set included all randomized participants who completed all 6 periods of treatment phase and who contributed to post-dose PD data from each period.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 32 32 32 32 32 32
Median (Full Range) [hours]
0.250
1.017
1.017
0.767
1.017
1.017
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection ALO-02 60 Mg-I, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -3.4
Confidence Interval (2-Sided) 95%
-5.0 to -1.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 Mg-I
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 2.9
Confidence Interval (2-Sided) 95%
1.3 to 4.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ALO-02 60 mg- C, OXY 60 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8478
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.7 to 1.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 60 mg- C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6192
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.9 to 1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection ALO-02 40 Mg-C, OXY 40 mg
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8857
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.7 to 1.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, ALO-02 40 Mg-C
Comments Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5092
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-2.1 to 1.0
Parameter Dispersion Type:
Value:
Estimation Comments
41. Other Pre-specified Outcome
Title Dose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and Noroxycodone
Description Cmax[dn]=Dose normalized maximum observed plasma concentration of participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the Pharmacokinetic (PK) parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.
Arm/Group Title ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 36 37 38 37 36
Oxycodone (n= 36, 37, 38, 37, 36)
1.989
(0.62042)
1.672
(0.40716)
0.4978
(0.15863)
1.923
(0.54296)
1.514
(0.42099)
Oxymorphone (n= 36, 36, 38, 37, 35)
0.03271
(0.0155)
0.02847
(0.0149)
0.0068
(0.00365)
0.03182
(0.0161)
0.02419
(0.0118)
Noroxycodone (n= 36, 37, 38, 37, 36)
1.295
(0.37231)
1.123
(0.29543)
0.3672
(0.18111)
1.343
(0.36175)
1.026
(0.33231)
42. Other Pre-specified Outcome
Title Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol
Description Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.
Arm/Group Title ALO-02 40 Mg-C ALO-02 60 Mg-I ALO-02 60 Mg-C
Arm/Group Description Single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed tablet (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods.
Measure Participants 36 38 37
Naltrexone
1.389
(1.4633)
0.01808
(0.11145)
2.331
(2.4498)
6-beta-naltrexol
8.516
(2.4847)
0.3012
(1.8325)
13.70
(3.1369)
43. Secondary Outcome
Title Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone
Description Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.
Arm/Group Title ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 36 37 38 37 36
Oxycodone (n= 36, 37, 38, 37, 36)
1.03
1.03
12.1
0.583
1.04
Oxymorphone (n= 36, 36, 37, 37, 35)
0.559
0.567
14.0
0.567
0.550
Noroxycodone (n= 36, 37, 38, 37, 36)
1.03
1.07
14.1
0.600
1.05
44. Other Pre-specified Outcome
Title Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol
Description Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.
Arm/Group Title ALO-02 40 Mg-C ALO-02 60 Mg-I ALO-02 60 Mg-C
Arm/Group Description Single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed tablet (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods.
Measure Participants 36 38 37
Naltrexone (n= 36, 1, 37)
0.550
1.58
0.550
6-beta-naltrexol (n= 36, 19, 37)
0.567
1.55
0.550
45. Other Pre-specified Outcome
Title Plasma Terminal Half-Life (t1/2) of Oxycodone
Description Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.
Arm/Group Title ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 36 37 35 37 36
Median (Full Range) [hours]
4.470
4.240
9.340
4.300
4.195
46. Other Pre-specified Outcome
Title Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of Oxycodone
Description AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone were reported.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.
Arm/Group Title ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 36 37 38 37 36
AUC (0-1)
45.21
(19.256)
37.60
(13.292)
0.02102
(0.05715)
72.25
(24.141)
53.38
(19.223)
AUC (0-2)
103.5
(29.463)
88.12
(20.159)
0.7834
(0.42296)
157.5
(37.317)
120.0
(34.767)
AUC (0-8)
276.8
(72.686)
265.0
(55.929)
79.08
(19.900)
405.5
(98.993)
366.5
(88.598)
AUC (0-12)
319.6
(87.905)
314.1
(72.753)
181.6
(43.706)
464.8
(121.19)
451.5
(116.62)
AUC (0-24)
356.2
(104.68)
355.9
(91.851)
455.3
(118.50)
513.9
(143.01)
527.8
(149.84)
47. Other Pre-specified Outcome
Title Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone
Description Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone were reported.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.
Arm/Group Title ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 36 37 38 37 36
Mean (Standard Deviation) [ng*hr/mL]
361.6
(108.39)
361.6
(95.617)
575.8
(150.15)
521.0
(147.32)
538.6
(155.71)
48. Other Pre-specified Outcome
Title Dose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone
Description [AUC (0 - ∞)dn]= Dose normalized area under the plasma concentration versus time curve [AUC(dn)] from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0- t) plus AUC (t - ∞). Participants who received oxycodone were reported. Participants who received oxycodone were reported.
Time Frame pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Outcome Measure Data

Analysis Population Description
Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.
Arm/Group Title ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 36 37 35 37 36
Mean (Standard Deviation) [ng*hr/mL/mg]
9.079
(2.7120)
9.085
(2.3977)
10.88
(2.9327)
8.718
(2.4635)
9.018
(2.6095)
49. Other Pre-specified Outcome
Title Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Description An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: 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. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial.
Time Frame Screening up to 28 days after last study drug administration (Day 29)

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least 1 dose of study drug.
Arm/Group Title Naloxone Oxycodone HCl 40 mg Placebo Oxycodone HCl Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Naloxone HCl 0.2 mg intravenously followed by additional 0.6 mg naloxone HCl intravenously, each dose followed by an assessment for signs and symptoms of opioid withdrawal in naloxone challenge phase. Single dose of oxycodone HCl 40 mg crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of placebo matched to oxycodone HCl crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of matching placebo orally in either of the first to sixth intervention periods. Single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 75 72 69 37 36 37 38 37 36
AEs
5
6.7%
70
NaN
14
NaN
12
NaN
29
NaN
37
NaN
27
NaN
34
NaN
36
NaN
SAEs
0
0%
1
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
50. Other Pre-specified Outcome
Title Number of Participants With Clinically Significant Change in Vital Sign Examinations
Description Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, respiratory rate and oral temperature. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion.
Time Frame Screening up to 7 days following last study drug administration (Day 8)

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least 1 dose of study drug.
Arm/Group Title Naloxone Oxycodone HCl 40 mg Placebo Oxycodone HCl Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg
Arm/Group Description Naloxone HCl 0.2 mg intravenously followed by additional 0.6 mg naloxone HCl intravenously, each dose followed by an assessment for signs and symptoms of opioid withdrawal in naloxone challenge phase. Single dose of oxycodone HCl 40 mg crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of placebo matched to oxycodone HCl crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of matching placebo orally in either of the first to sixth intervention periods. Single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods.
Measure Participants 75 72 69 37 36 37 38 37 36
Number [participants]
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
51. Other Pre-specified Outcome
Title Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)
Description End-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion.
Time Frame pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5 hours post-dose in drug discrimination phase; pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in intervention period

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least 1 dose of study drug. This outcome measure was not planned to be analyzed in "Naloxone Challenge Phase", as pre-specified in protocol.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg Oxycodone HCl 40 mg Placebo Oxycodone HCl
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of placebo matched to oxycodone HCl crushed tablet solution orally on either of 2 days in drug discrimination phase.
Measure Participants 32 32 32 32 32 32 72 69
Number [participants]
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
52. Other Pre-specified Outcome
Title Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)
Description Oxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurements was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator might had administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported.
Time Frame pre-dose up to 5 hours in drug discrimination phase; pre-dose up to 12 hours in intervention period

Outcome Measure Data

Analysis Population Description
Safety analysis set included all participants who received at least 1 dose of study drug. This outcome measure was not planned to be analyzed in "Naloxone Challenge Phase", as pre-specified in protocol.
Arm/Group Title Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 mg- C OXY 60 mg Oxycodone HCl 40 mg Placebo Oxycodone HCl
Arm/Group Description Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40 mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of placebo matched to oxycodone HCl crushed tablet solution orally on either of 2 days in drug discrimination phase.
Measure Participants 32 32 32 32 32 32 72 69
Number [participants]
0
0%
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN
0
NaN

Adverse Events

Time Frame Baseline up to 28 days after last study drug administration (Day 29)
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
Arm/Group Title Naloxone Oxycodone HCl 40 mg Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 Mg-C OXY 60 mg Placebo Oxycodone HCl
Arm/Group Description Naloxone HCl 0.2 mg intravenously followed by additional 0.6 mg naloxone HCl intravenously, each dose followed by an assessment for signs and symptoms of opioid withdrawal in naloxone challenge phase. Single dose of oxycodone HCl 40 mg crushed tablet solution orally on either of 2 days in drug discrimination phase. Single dose of matching placebo solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 40mg/4.8 mg crushed tablet (ALO-02 40 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 40 mg (OXY 40 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg intact capsule (ALO-02 60 mg-I) solution orally in either of the first to sixth intervention periods. Single dose of ALO-02 60 mg/7.2 mg crushed capsule (ALO-02 60 mg-C) solution orally in either of the first to sixth intervention periods. Single dose of oxycodone HCl 60 mg (OXY 60 mg) crushed tablet solution orally in either of the first to sixth intervention periods. Single dose of placebo matched to oxycodone HCl crushed tablet solution orally on either of 2 days in drug discrimination phase.
All Cause Mortality
Naloxone Oxycodone HCl 40 mg Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 Mg-C OXY 60 mg Placebo Oxycodone HCl
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Naloxone Oxycodone HCl 40 mg Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 Mg-C OXY 60 mg Placebo Oxycodone HCl
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/75 (0%) 1/72 (1.4%) 0/37 (0%) 0/36 (0%) 0/37 (0%) 0/38 (0%) 0/37 (0%) 0/36 (0%) 0/69 (0%)
Cardiac disorders
Sinus arrest 0/75 (0%) 1/72 (1.4%) 0/37 (0%) 0/36 (0%) 0/37 (0%) 0/38 (0%) 0/37 (0%) 0/36 (0%) 0/69 (0%)
Other (Not Including Serious) Adverse Events
Naloxone Oxycodone HCl 40 mg Placebo ALO-02 40 Mg-C OXY 40 mg ALO-02 60 Mg-I ALO-02 60 Mg-C OXY 60 mg Placebo Oxycodone HCl
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/75 (1.3%) 70/72 (97.2%) 7/37 (18.9%) 28/36 (77.8%) 37/37 (100%) 26/38 (68.4%) 33/37 (89.2%) 36/36 (100%) 10/69 (14.5%)
Gastrointestinal disorders
Dry mouth 0/75 (0%) 14/72 (19.4%) 0/37 (0%) 0/36 (0%) 4/37 (10.8%) 1/38 (2.6%) 3/37 (8.1%) 5/36 (13.9%) 0/69 (0%)
Nausea 0/75 (0%) 13/72 (18.1%) 3/37 (8.1%) 4/36 (11.1%) 6/37 (16.2%) 5/38 (13.2%) 6/37 (16.2%) 7/36 (19.4%) 0/69 (0%)
Vomiting 0/75 (0%) 4/72 (5.6%) 0/37 (0%) 0/36 (0%) 2/37 (5.4%) 2/38 (5.3%) 1/37 (2.7%) 4/36 (11.1%) 0/69 (0%)
General disorders
Fatigue 0/75 (0%) 2/72 (2.8%) 1/37 (2.7%) 2/36 (5.6%) 5/37 (13.5%) 4/38 (10.5%) 4/37 (10.8%) 4/36 (11.1%) 3/69 (4.3%)
Feeling hot 0/75 (0%) 11/72 (15.3%) 1/37 (2.7%) 2/36 (5.6%) 5/37 (13.5%) 1/38 (2.6%) 7/37 (18.9%) 2/36 (5.6%) 1/69 (1.4%)
Feeling of relaxation 0/75 (0%) 3/72 (4.2%) 0/37 (0%) 1/36 (2.8%) 1/37 (2.7%) 0/38 (0%) 2/37 (5.4%) 1/36 (2.8%) 0/69 (0%)
Metabolism and nutrition disorders
Decreased appetite 0/75 (0%) 0/72 (0%) 0/37 (0%) 0/36 (0%) 0/37 (0%) 0/38 (0%) 0/37 (0%) 2/36 (5.6%) 1/69 (1.4%)
Nervous system disorders
Dizziness 0/75 (0%) 10/72 (13.9%) 0/37 (0%) 6/36 (16.7%) 8/37 (21.6%) 7/38 (18.4%) 7/37 (18.9%) 10/36 (27.8%) 2/69 (2.9%)
Headache 0/75 (0%) 0/72 (0%) 2/37 (5.4%) 1/36 (2.8%) 4/37 (10.8%) 7/38 (18.4%) 5/37 (13.5%) 4/36 (11.1%) 0/69 (0%)
Somnolence 0/75 (0%) 21/72 (29.2%) 4/37 (10.8%) 14/36 (38.9%) 13/37 (35.1%) 10/38 (26.3%) 14/37 (37.8%) 17/36 (47.2%) 4/69 (5.8%)
Psychiatric disorders
Euphoric mood 0/75 (0%) 55/72 (76.4%) 1/37 (2.7%) 19/36 (52.8%) 31/37 (83.8%) 11/38 (28.9%) 23/37 (62.2%) 31/36 (86.1%) 1/69 (1.4%)
Hypervigilance 0/75 (0%) 1/72 (1.4%) 0/37 (0%) 0/36 (0%) 0/37 (0%) 0/38 (0%) 0/37 (0%) 2/36 (5.6%) 0/69 (0%)
Skin and subcutaneous tissue disorders
Hyperhidrosis 0/75 (0%) 5/72 (6.9%) 0/37 (0%) 0/36 (0%) 0/37 (0%) 1/38 (2.6%) 1/37 (2.7%) 3/36 (8.3%) 0/69 (0%)
Pruritus 0/75 (0%) 35/72 (48.6%) 0/37 (0%) 5/36 (13.9%) 18/37 (48.6%) 14/38 (36.8%) 8/37 (21.6%) 24/36 (66.7%) 1/69 (1.4%)
Pruritus generalised 1/75 (1.3%) 6/72 (8.3%) 0/37 (0%) 1/36 (2.8%) 4/37 (10.8%) 1/38 (2.6%) 0/37 (0%) 3/36 (8.3%) 0/69 (0%)
Vascular disorders
Hot flush 0/75 (0%) 0/72 (0%) 0/37 (0%) 0/36 (0%) 2/37 (5.4%) 0/38 (0%) 0/37 (0%) 0/36 (0%) 0/69 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01746901
Other Study ID Numbers:
  • B4531008
First Posted:
Dec 11, 2012
Last Update Posted:
Oct 19, 2018
Last Verified:
Dec 1, 2017