Analgesic Efficacy And Safety of Valdecoxib For Treatment Of Post-Surgical Pain From Bunionectomy Surgery
Study Details
Study Description
Brief Summary
The study was done to evaluate the pain relief and safety of 2 valdecoxib doses compared to placebo in patients with moderate or severe pain following bunionectomy surgery, and to evaluate the effect of the 2 valdecoxib doses compared to placebo on health outcome measures and on the occurrence of opioid related symptoms.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Arm 1
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Drug: valdecoxib
valdecoxib 40 mg tablet by mouth followed by a valdecoxib 20 mg tablet by mouth after 1 to 12 hours of the initial dose on Day 1 then a valdecoxib 20 mg tablet by mouth once daily on Days 2 through 5
|
Active Comparator: Arm 2
|
Drug: valdecoxib
valdecoxib 40 mg tablet by mouth followed by a valdecoxib 20 mg tablet by mouth after 1 to 12 hours of the initial dose on Day 1 then a valdecoxib 20 mg tablet by mouth twice daily on Days 2 through 5
|
Active Comparator: Arm 3
|
Drug: valdecoxib/placebo
valdecoxib 40 mg tablet by mouth followed by a valdecoxib 20 mg tablet by mouth after 1 to 12 hours of the initial dose on Day 1 then placebo on Days 2 through 5
|
Outcome Measures
Primary Outcome Measures
- Patient's Global Evaluation of Study Medication [Day 2 and Day 3]
- Summed Pain Intensity (SPI) (categorical) through 24 hours [Day 2 and Day 3]
Secondary Outcome Measures
- Health Outcomes Post-Discharge Recovery Experience [Days 2 to 5]
- adverse events [continuous]
- Time to first dose of rescue medication (rescue analgesic medication) [Days 2 to 5]
- SPI 24 (categorical) [Day 4 and Day 5]
- Time-specific Pain Intensity (PI) (categorical) [Days 2 to 5]
- SPI 24 (Visual Analog Scale [VAS]) [Days 2 to 5]
- Time-specific PI (VAS) [Days 2 to 5]
- Patient's Global Evaluation of Study Medication [Day 4 and Day 5]
- Percent of patients who took rescue medication (rescue analgesic medication) [Days 2 to 5]
- Worst Pain Intensity (derived from the Modified BPI-Short Form) [Days 2 to 5]
- Time between doses of study medication [Days 2 to 5]
- Individual and Composite Pain Interference Score (derived from the modified BPI-Short Form) [Days 2 to 5]
- Symptom Distress Questionnaire [Days 2 to 5]
- Average Pain Intensity (derived from the Modified BPI-Short Form) [Days 2 to 5]
- Amount of rescue medication (rescue analgesic medication) taken [Days 2 to 5]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients who underwent an uncomplicated primary unilateral first metatarsal bunionectomy surgery (with or without ipsilateral hammer toe repair) who required open manipulation of bone with periosteal evaluation under general anesthesia (Mayo block)
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Patients with a baseline pain intensity (VAS) of greater than or equal to 45 mm
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Patients with a baseline pain intensity (categorical) of moderate or severe
Exclusion Criteria:
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Patients scheduled to undergo other surgical procedures that would be expected to produce a greater degree of surgical trauma than the orthopedic procedure alone
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Treatment with patient-controlled analgesia (PCA) subsequent to the end of anesthesia
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Long-acting local anesthetics or local anesthetics coadministered with epinephrine injected into the index joint space
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Use of tricyclic antidepressants, tranquilizers, neuroleptics, neuroleptic antiemetics, COX-2 inhibitors, NSAIDs, and corticosteroids
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Use of NSAID or analgesia after midnight the night prior to surgery or unwilling to abstain from NSAIDs or other analgesics, except as specified in the protocol, during the study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Pfizer Investigational Site | Chandler | Arizona | United States | 85224 |
2 | Pfizer Investigational Site | Glendale | Arizona | United States | 85302 |
3 | Pfizer Investigational Site | Glendale | Arizona | United States | 85306 |
4 | Pfizer Investigational Site | Mesa | Arizona | United States | 85204 |
5 | Pfizer Investigational Site | Phoenix | Arizona | United States | 58029 |
6 | Pfizer Investigational Site | Phoenix | Arizona | United States | 85012 |
7 | Pfizer Investigational Site | Phoenix | Arizona | United States | 85015 |
8 | Pfizer Investigational Site | Phoenix | Arizona | United States | 85016 |
9 | Pfizer Investigational Site | Phoenix | Arizona | United States | 85022 |
10 | Pfizer Investigational Site | Phoenix | Arizona | United States | 85023 |
11 | Pfizer Investigational Site | National City | California | United States | 91950 |
12 | Pfizer Investigational Site | San Diego | California | United States | 91950 |
13 | Pfizer Investigational Site | San Diego | California | United States | 92103 |
14 | Pfizer Investigational Site | San Diego | California | United States | 92114 |
15 | Pfizer Investigational Site | San Diego | California | United States | 92116 |
16 | Pfizer Investigational Site | Milford | Connecticut | United States | 06460 |
17 | Pfizer Investigational Site | New Haven | Connecticut | United States | 06515 |
18 | Pfizer Investigational Site | New Haven | Connecticut | United States | 6515 |
19 | Pfizer Investigational Site | Cooper City | Florida | United States | 33330 |
20 | Pfizer Investigational Site | Cutler Ridge | Florida | United States | 33157 |
21 | Pfizer Investigational Site | Fort Lauderdale | Florida | United States | 33308 |
22 | Pfizer Investigational Site | Ft. Lauderdale | Florida | United States | 33306 |
23 | Pfizer Investigational Site | Ft. Lauderdale | Florida | United States | 33308 |
24 | Pfizer Investigational Site | Hallandale | Florida | United States | 33009 |
25 | Pfizer Investigational Site | Hollywood | Florida | United States | 33020 |
26 | Pfizer Investigational Site | Hollywood | Florida | United States | 33021 |
27 | Pfizer Investigational Site | Miami | Florida | United States | 33180 |
28 | Pfizer Investigational Site | New Port Richey | Florida | United States | 34652 |
29 | Pfizer Investigational Site | New Port Richey | Florida | United States | 34653 |
30 | Pfizer Investigational Site | New Port Richey | Florida | United States | 34655 |
31 | Pfizer Investigational Site | Pembroke Pines | Florida | United States | 33027 |
32 | Pfizer Investigational Site | Pembroke Pines | Florida | United States | 33028 |
33 | Pfizer Investigational Site | Port Richey | Florida | United States | 34668 |
34 | Pfizer Investigational Site | South Miami | Florida | United States | 33143 |
35 | Pfizer Investigational Site | Spring Hill | Florida | United States | 34608 |
36 | Pfizer Investigational Site | Addison | Illinois | United States | 60101 |
37 | Pfizer Investigational Site | Elk Grove Village | Illinois | United States | 60007 |
38 | Pfizer Investigational Site | Peoria | Illinois | United States | 61602 |
39 | Pfizer Investigational Site | Peoria | Illinois | United States | 61614 |
40 | Pfizer Investigational Site | Peoria | Illinois | United States | 61615 |
41 | Pfizer Investigational Site | Evansville | Indiana | United States | 47713 |
42 | Pfizer Investigational Site | New Orleans | Louisiana | United States | 70127 |
43 | Pfizer Investigational Site | New Orleans | Louisiana | United States | 70128 |
44 | Pfizer Investigational Site | Annapolis | Maryland | United States | 21401 |
45 | Pfizer Investigational Site | Chester | Maryland | United States | 21619 |
46 | Pfizer Investigational Site | Omaha | Nebraska | United States | 68124 |
47 | Pfizer Investigational Site | Omaha | Nebraska | United States | 68134 |
48 | Pfizer Investigational Site | Omaha | Nebraska | United States | 68144 |
49 | Pfizer Investigational Site | Las Vegas | Nevada | United States | 89102 |
50 | Pfizer Investigational Site | Las Vegas | Nevada | United States | 89104 |
51 | Pfizer Investigational Site | Las Vegas | Nevada | United States | 89106 |
52 | Pfizer Investigational Site | Las Vegas | Nevada | United States | 89121 |
53 | Pfizer Investigational Site | Las Vegas | Nevada | United States | 89128 |
54 | Pfizer Investigational Site | Bismarck | North Dakota | United States | 58501 |
55 | Pfizer Investigational Site | Austintown | Ohio | United States | 44515 |
56 | Pfizer Investigational Site | Canfield | Ohio | United States | 44406 |
57 | Pfizer Investigational Site | Cleveland | Ohio | United States | 44106 |
58 | Pfizer Investigational Site | Youngstown | Ohio | United States | 44512 |
59 | Pfizer Investigational Site | Youngstown | Ohio | United States | 44515 |
60 | Pfizer Investigational Site | Portland | Oregon | United States | 97205 |
61 | Pfizer Investigational Site | Altoona | Pennsylvania | United States | 16602 |
62 | Pfizer Investigational Site | Altoona | Pennsylvania | United States | |
63 | Pfizer Investigational Site | Duncansville | Pennsylvania | United States | 16635 |
64 | Pfizer Investigational Site | Havertown | Pennsylvania | United States | 19083 |
65 | Pfizer Investigational Site | Media | Pennsylvania | United States | 19063 |
66 | Pfizer Investigational Site | Philadelphia | Pennsylvania | United States | 19107-2496 |
67 | Pfizer Investigational Site | Philadelphia | Pennsylvania | United States | 19140 |
68 | Pfizer Investigational Site | Philadelphia | Pennsylvania | United States | |
69 | Pfizer Investigational Site | Reading | Pennsylvania | United States | 19606 |
70 | Pfizer Investigational Site | State College | Pennsylvania | United States | 16803 |
71 | Pfizer Investigational Site | Upland | Pennsylvania | United States | 19013 |
72 | Pfizer Investigational Site | Wyomissig | Pennsylvania | United States | 19610 |
73 | Pfizer Investigational Site | Greer | South Carolina | United States | 29651 |
74 | Pfizer Investigational Site | Austin | Texas | United States | 78731 |
75 | Pfizer Investigational Site | Austin | Texas | United States | 78756 |
76 | Pfizer Investigational Site | San Antonio | Texas | United States | 78205 |
77 | Pfizer Investigational Site | San Antonio | Texas | United States | 78209 |
78 | Pfizer Investigational Site | San Antonio | Texas | United States | 78240 |
79 | Pfizer Investigational Site | San Antonio | Texas | United States | |
80 | Pfizer Investigational Site | Holladay | Utah | United States | 84117 |
81 | Pfizer Investigational Site | Layton | Utah | United States | 84041 |
82 | Pfizer Investigational Site | Provo | Utah | United States | 84054 |
83 | Pfizer Investigational Site | Salt Lake City | Utah | United States | 84102 |
84 | Pfizer Investigational Site | Salt Lake City | Utah | United States | 84107 |
85 | Pfizer Investigational Site | Salt Lake City | Utah | United States | 84117 |
86 | Pfizer Investigational Site | Salt Lake City | Utah | United States | 84124 |
87 | Pfizer Investigational Site | Salt Lake City | Utah | United States | 84157-0667 |
88 | Pfizer Investigational Site | Sandy | Utah | United States | 84070 |
89 | Pfizer Investigational Site | St. George | Utah | United States | 84770 |
90 | Pfizer Investigational Site | Tacoma | Washington | United States | 98431-5000 |
Sponsors and Collaborators
- Pfizer
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- VALA-0513-144
- A3471084