MUST: Safety Trial of Naproxen Sodium/ Diphenhydramine

Sponsor
Bayer (Industry)
Overall Status
Completed
CT.gov ID
NCT01365052
Collaborator
(none)
326
19
2
2
17.2
8.6

Study Details

Study Description

Brief Summary

The purpose of this trial is to see how safe the combination of naproxen sodium 440 mg and diphenhydramine hydrochloride (DPH) 50 mg (the investigational product) is compared to placebo (capsules containing no drug) when taken for 10 days.

Condition or Disease Intervention/Treatment Phase
  • Drug: Naproxen sodium 440 mg/DPH 50 mg (BAY98-7111)
  • Drug: Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
326 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Official Title:
A Multicenter, Randomized, Double-Blind, Placebo Controlled, Parallel Group Safety and Tolerability Trial of Naproxen Sodium/ Diphenhydramine Combination in an OTC Population
Study Start Date :
May 1, 2011
Actual Primary Completion Date :
Jul 1, 2011
Actual Study Completion Date :
Jul 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: Naproxen sodium 440 mg/DPH 50 mg (BAY98-7111)

Drug: Naproxen sodium 440 mg/DPH 50 mg (BAY98-7111)
2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days

Placebo Comparator: Placebo

Drug: Placebo
2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days

Outcome Measures

Primary Outcome Measures

  1. Percentage of Subjects With Any Adverse Event for Those Subjects Who Were Randomized and Took at Least One Dose of Investigational Product [10 days after randomization]

    Please see further details in Adverse Events (AE) section

  2. Percentage of Subjects With Any Serious Adverse Event for Those Subjects Who Were Randomized and Took at Least One Dose of Investigational Product [10 days after randomization]

    Please see further details in AE section

Other Outcome Measures

  1. Percentage of Subjects Who Discontinued Due to an Adverse Event for Those Subjects Who Are Randomized and Take at Least One Dose of Investigational Product [10 days after randomization]

  2. Treatment Compliance - Number of Capsules Taken [10 days after randomization]

  3. Treatment Compliance - Duration of Exposure to Treatment in Days [10 days after randomization]

Eligibility Criteria

Criteria

Ages Eligible for Study:
12 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Healthy, ambulatory, male and female volunteers ages 12 and older

  • History of experiencing occasional sleeplessness accompanied by aches and pains at least two times, but not continually for more than 14 days per month, in at least 2 of the past 3 months

  • Female subjects of childbearing potential must be using a medically acceptable form of birth control, e.g., oral or patch contraceptives, intrauterine device, Depo-Provera®, for at least 1 month prior to screening (3 months on oral contraceptives), or double-barrier and have a negative pregnancy test at Screening. Female subjects of nonchildbearing potential must be amenorrheic for at least 2 years or have had a hysterectomy and/or bilateral oophorectomy

  • Be willing and able to participate in all scheduled visits, treatment plan, tests and other trial procedures according to the protocol

  • Provide a personally signed and dated informed consent indicating that the subject has been informed of all pertinent aspects of the trial, (subjects <18 years of age must sign a written assent and have parental or guardian consent).

Exclusion Criteria:
  • History of hypersensitivity to naproxen sodium, acetaminophen, or any NSAIDs (Nonsteroidal Antiinflammatory Drugs), diphenhydramine or any other antihistamines, and similar pharmacological agents or components of the product

  • Evidence or history of clinically significant (in the judgment of the investigator) hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic diseases, or malignancies with the last 5 years

  • A history of a chronic or severe sleep problem which does not respond to OTC (Over-the-counter) medication and/or requires a prescription hypnotic or sedative

  • Currently experiencing chronic pain or on chronic NSAID therapy (defined as taking a daily [5 to 7 days per week] regimen of prescription or OTC NSAIDs)

  • Current or past history of gastrointestinal ulcers or bleeding or other bleeding disorders

  • Use of any OTC or prescription medications with which the administration of naproxen, acetaminophen, or any NSAIDs, diphenhydramine or any other antihistamines or sedatives, is contraindicated

  • Chronic use of other products containing diphenhydramine, including topical products

  • Use of steroids or blood thinning (anticoagulant) drugs (aspirin 81 mg is permitted if the dose has been taken for at least one month prior to screening)

Contacts and Locations

Locations

Site City State Country Postal Code
1 Chandler Arizona United States 85224
2 Mesa Arizona United States 85203
3 Peoria Arizona United States 85381
4 Anaheim California United States 92801
5 Rancho Cucamonga California United States 91730
6 Sacramento California United States 95816
7 Colorado Springs Colorado United States 80922
8 Kissimmee Florida United States 34741
9 Pembroke Pines Florida United States 33028
10 South Miami Florida United States 33143
11 Stockbridge Georgia United States 30281
12 Metairie Louisiana United States 70006
13 Elkridge Maryland United States 21075
14 Warwick Rhode Island United States 02886
15 Mt. Pleasant South Carolina United States 29464
16 Fort Worth Texas United States 76135
17 San Angelo Texas United States 76904
18 San Antonio Texas United States 78231
19 Salt Lake City Utah United States 84106

Sponsors and Collaborators

  • Bayer

Investigators

  • Study Director: Bayer Study Director, Bayer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT01365052
Other Study ID Numbers:
  • 15560
First Posted:
Jun 3, 2011
Last Update Posted:
Jun 8, 2015
Last Verified:
May 1, 2015
Keywords provided by Bayer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
Period Title: Overall Study
STARTED 217 109
COMPLETED 213 105
NOT COMPLETED 4 4

Baseline Characteristics

Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo Total
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days Total of all reporting groups
Overall Participants 217 109 326
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
46.9
(18.14)
47.1
(19.26)
47.0
(18.49)
Age, Customized (Number) [Number]
<60 years
152
(70.0) 70%
72
(66.1) 66.1%
224
68.7%
Greater than or equal to 60 years
65
(30.0) 30%
37
(33.9) 33.9%
102
31.3%
>65 years
46
(21.2) 21.2%
28
(25.7) 25.7%
74
22.7%
Sex: Female, Male (Count of Participants)
Female
133
61.3%
65
59.6%
198
60.7%
Male
84
38.7%
44
40.4%
128
39.3%

Outcome Measures

1. Other Pre-specified Outcome
Title Percentage of Subjects Who Discontinued Due to an Adverse Event for Those Subjects Who Are Randomized and Take at Least One Dose of Investigational Product
Description
Time Frame 10 days after randomization

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
Measure Participants 217 109
Number [Percentage of participants]
1.8
0.8%
3.7
3.4%
2. Primary Outcome
Title Percentage of Subjects With Any Adverse Event for Those Subjects Who Were Randomized and Took at Least One Dose of Investigational Product
Description Please see further details in Adverse Events (AE) section
Time Frame 10 days after randomization

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
Measure Participants 217 109
Number [Percentage of participants]
39.6
18.2%
45.0
41.3%
3. Primary Outcome
Title Percentage of Subjects With Any Serious Adverse Event for Those Subjects Who Were Randomized and Took at Least One Dose of Investigational Product
Description Please see further details in AE section
Time Frame 10 days after randomization

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
Measure Participants 217 109
Number [Percentage of participants]
0
0%
0
0%
4. Other Pre-specified Outcome
Title Treatment Compliance - Number of Capsules Taken
Description
Time Frame 10 days after randomization

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
Measure Participants 217 109
Mean (Standard Deviation) [Capsules]
20.1
(1.73)
19.9
(2.98)
5. Other Pre-specified Outcome
Title Treatment Compliance - Duration of Exposure to Treatment in Days
Description
Time Frame 10 days after randomization

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 placebo capsules are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
Measure Participants 217 109
Mean (Standard Deviation) [Days]
9.9
(0.76)
9.8
(1.37)

Adverse Events

Time Frame Treatment emergent adverse events (TEAEs) were collected from the date of the first dose of study drug in the treatment period for 12 days, or for 30 days after the last study drug administration if they were serious adverse events (SAEs).
Adverse Event Reporting Description
Arm/Group Title Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Arm/Group Description 2 capsules each containing naproxen sodium 220 mg /diphenhydramine hydrochloride (DPH) 25 mg are taken orally with a full glass of water approximately 30 minutes prior to bedtime for 10 consecutive days 2 over-encapsulated tablets of placebo are taken orally with a full glass of water 30 minutes prior to bedtime for 10 consecutive days
All Cause Mortality
Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/217 (0%) 0/109 (0%)
Other (Not Including Serious) Adverse Events
Naproxen Sodium 440 mg/DPH 50 mg (BAY98-7111) Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 86/217 (39.6%) 49/109 (45%)
Blood and lymphatic system disorders
ANISOCYTOSIS 0/217 (0%) 1/109 (0.9%)
HYPOCHROMASIA 0/217 (0%) 1/109 (0.9%)
MICROCYTOSIS 0/217 (0%) 1/109 (0.9%)
Cardiac disorders
ANGINA PECTORIS 0/217 (0%) 1/109 (0.9%)
Eye disorders
EYE SWELLING 1/217 (0.5%) 0/109 (0%)
VISION BLURRED 1/217 (0.5%) 0/109 (0%)
Gastrointestinal disorders
ABDOMINAL DISCOMFORT 5/217 (2.3%) 2/109 (1.8%)
ABDOMINAL PAIN UPPER 3/217 (1.4%) 3/109 (2.8%)
CONSTIPATION 1/217 (0.5%) 1/109 (0.9%)
DIARRHOEA 7/217 (3.2%) 2/109 (1.8%)
DRY MOUTH 1/217 (0.5%) 1/109 (0.9%)
DYSPEPSIA 5/217 (2.3%) 1/109 (0.9%)
DYSPHAGIA 1/217 (0.5%) 0/109 (0%)
FAECES DISCOLOURED 1/217 (0.5%) 0/109 (0%)
FLATULENCE 1/217 (0.5%) 0/109 (0%)
FREQUENT BOWEL MOVEMENTS 1/217 (0.5%) 0/109 (0%)
GASTROOESOPHAGEAL REFLUX DISEASE 1/217 (0.5%) 0/109 (0%)
NAUSEA 9/217 (4.1%) 1/109 (0.9%)
OESOPHAGEAL DISCOMFORT 1/217 (0.5%) 0/109 (0%)
OESOPHAGEAL OEDEMA 1/217 (0.5%) 0/109 (0%)
OESOPHAGEAL PAIN 1/217 (0.5%) 0/109 (0%)
TOOTH LOSS 1/217 (0.5%) 0/109 (0%)
TOOTHACHE 3/217 (1.4%) 2/109 (1.8%)
VOMITING 1/217 (0.5%) 0/109 (0%)
General disorders
ASTHENIA 2/217 (0.9%) 1/109 (0.9%)
EARLY SATIETY 1/217 (0.5%) 0/109 (0%)
FATIGUE 2/217 (0.9%) 0/109 (0%)
OEDEMA PERIPHERAL 1/217 (0.5%) 0/109 (0%)
PAIN 2/217 (0.9%) 1/109 (0.9%)
PYREXIA 1/217 (0.5%) 0/109 (0%)
SWELLING 1/217 (0.5%) 0/109 (0%)
THIRST 2/217 (0.9%) 0/109 (0%)
Immune system disorders
HYPERSENSITIVITY 1/217 (0.5%) 0/109 (0%)
SEASONAL ALLERGY 1/217 (0.5%) 0/109 (0%)
Infections and infestations
NASOPHARYNGITIS 0/217 (0%) 1/109 (0.9%)
PHARYNGITIS STREPTOCOCCAL 1/217 (0.5%) 0/109 (0%)
RHINITIS 1/217 (0.5%) 0/109 (0%)
UPPER RESPIRATORY TRACT INFECTION 1/217 (0.5%) 0/109 (0%)
URINARY TRACT INFECTION 2/217 (0.9%) 1/109 (0.9%)
VULVOVAGINAL MYCOTIC INFECTION 0/217 (0%) 1/109 (0.9%)
Injury, poisoning and procedural complications
CONTUSION 1/217 (0.5%) 0/109 (0%)
EXCORIATION 1/217 (0.5%) 0/109 (0%)
LACERATION 1/217 (0.5%) 0/109 (0%)
MUSCLE STRAIN 1/217 (0.5%) 1/109 (0.9%)
Investigations
ALANINE AMINOTRANSFERASE ABNORMAL 1/217 (0.5%) 0/109 (0%)
ALANINE AMINOTRANSFERASE INCREASED 1/217 (0.5%) 0/109 (0%)
ASPARTATE AMINOTRANSFERASE INCREASED 1/217 (0.5%) 0/109 (0%)
BASOPHIL COUNT INCREASED 0/217 (0%) 1/109 (0.9%)
BLOOD CREATININE INCREASED 1/217 (0.5%) 0/109 (0%)
BLOOD GLUCOSE INCREASED 1/217 (0.5%) 0/109 (0%)
BLOOD POTASSIUM INCREASED 2/217 (0.9%) 0/109 (0%)
BLOOD UREA INCREASED 1/217 (0.5%) 0/109 (0%)
BLOOD URINE PRESENT 2/217 (0.9%) 1/109 (0.9%)
HAEMATOCRIT DECREASED 0/217 (0%) 1/109 (0.9%)
HAEMOGLOBIN DECREASED 0/217 (0%) 1/109 (0.9%)
HEART RATE INCREASED 1/217 (0.5%) 0/109 (0%)
LYMPHOCYTE COUNT INCREASED 0/217 (0%) 1/109 (0.9%)
NEUTROPHIL COUNT INCREASED 0/217 (0%) 1/109 (0.9%)
RED BLOOD CELL COUNT INCREASED 0/217 (0%) 1/109 (0.9%)
RED BLOOD CELLS URINE 1/217 (0.5%) 0/109 (0%)
URINARY SEDIMENT PRESENT 1/217 (0.5%) 2/109 (1.8%)
WEIGHT INCREASED 1/217 (0.5%) 0/109 (0%)
WHITE BLOOD CELL COUNT INCREASED 1/217 (0.5%) 1/109 (0.9%)
WHITE BLOOD CELLS URINE 1/217 (0.5%) 0/109 (0%)
Metabolism and nutrition disorders
DECREASED APPETITE 1/217 (0.5%) 0/109 (0%)
FLUID RETENTION 0/217 (0%) 1/109 (0.9%)
GOUT 1/217 (0.5%) 1/109 (0.9%)
HYPERGLYCAEMIA 2/217 (0.9%) 1/109 (0.9%)
HYPERKALAEMIA 1/217 (0.5%) 0/109 (0%)
TYPE 2 DIABETES MELLITUS 0/217 (0%) 1/109 (0.9%)
Musculoskeletal and connective tissue disorders
ARTHRALGIA 1/217 (0.5%) 1/109 (0.9%)
BACK PAIN 8/217 (3.7%) 3/109 (2.8%)
MUSCLE SPASMS 0/217 (0%) 1/109 (0.9%)
MUSCLE TIGHTNESS 1/217 (0.5%) 0/109 (0%)
MUSCULOSKELETAL PAIN 1/217 (0.5%) 1/109 (0.9%)
MUSCULOSKELETAL STIFFNESS 1/217 (0.5%) 0/109 (0%)
MYALGIA 2/217 (0.9%) 0/109 (0%)
NECK PAIN 2/217 (0.9%) 0/109 (0%)
OSTEOARTHRITIS 1/217 (0.5%) 0/109 (0%)
PAIN IN EXTREMITY 0/217 (0%) 4/109 (3.7%)
Nervous system disorders
DIZZINESS 9/217 (4.1%) 0/109 (0%)
DYSGEUSIA 1/217 (0.5%) 0/109 (0%)
HEADACHE 23/217 (10.6%) 21/109 (19.3%)
HYPOAESTHESIA 1/217 (0.5%) 1/109 (0.9%)
LETHARGY 1/217 (0.5%) 1/109 (0.9%)
PSYCHOMOTOR HYPERACTIVITY 1/217 (0.5%) 0/109 (0%)
RESTLESS LEGS SYNDROME 1/217 (0.5%) 0/109 (0%)
SINUS HEADACHE 1/217 (0.5%) 0/109 (0%)
SOMNOLENCE 10/217 (4.6%) 4/109 (3.7%)
Psychiatric disorders
ANXIETY 1/217 (0.5%) 0/109 (0%)
DEPRESSION 1/217 (0.5%) 0/109 (0%)
INSOMNIA 3/217 (1.4%) 1/109 (0.9%)
RESTLESSNESS 3/217 (1.4%) 1/109 (0.9%)
Renal and urinary disorders
GLYCOSURIA 1/217 (0.5%) 0/109 (0%)
HAEMATURIA 1/217 (0.5%) 1/109 (0.9%)
PYURIA 0/217 (0%) 1/109 (0.9%)
Reproductive system and breast disorders
DYSMENORRHOEA 1/217 (0.5%) 0/109 (0%)
Respiratory, thoracic and mediastinal disorders
DRY THROAT 1/217 (0.5%) 0/109 (0%)
DYSPHONIA 0/217 (0%) 1/109 (0.9%)
DYSPNOEA 0/217 (0%) 1/109 (0.9%)
NASAL CONGESTION 2/217 (0.9%) 0/109 (0%)
OROPHARYNGEAL PAIN 4/217 (1.8%) 3/109 (2.8%)
RHINORRHOEA 1/217 (0.5%) 0/109 (0%)
RHONCHI 0/217 (0%) 1/109 (0.9%)
SINUS CONGESTION 2/217 (0.9%) 0/109 (0%)
SNEEZING 3/217 (1.4%) 0/109 (0%)
UPPER-AIRWAY COUGH SYNDROME 0/217 (0%) 1/109 (0.9%)
Skin and subcutaneous tissue disorders
RASH 1/217 (0.5%) 0/109 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Therapeutic Area Head
Organization BAYER
Phone
Email clinical-trials-contact@bayerhealthcare.com
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT01365052
Other Study ID Numbers:
  • 15560
First Posted:
Jun 3, 2011
Last Update Posted:
Jun 8, 2015
Last Verified:
May 1, 2015