CClinicalTrials.gg
TerminatedNCT00765856Updated Dec 16, 2020Results posted

Open-Label Safety and Tolerability of Oxymorphone IR and ER in Opioid Tolerant Pediatric Subjects

A Phase 3 interventional study of Oxymorphone ER in Chronic Pain, sponsored by Endo Pharmaceuticals. Terminated at 13 sites in United States. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2020-12-16.

Sponsored by Endo Pharmaceuticals · Phase 3, Interventional, and Treatment

Why this study was terminated
Terminated new protocol developed which incorporated Pharmacokinetics
Phase
Phase 3
Study type
Interventional
Enrollment
27
Allocation
Not applicable
Ages
6 Years to 17 Years
Sex
All
01

Study summary

Patients will convert from current opioid to Oxymorphone ER and undergo titration. During the Titration Period, subjects will receive daily oxymorphone Extended Release tablets(s) every 12 hours. Dosing adjustments will be based on the review of the subject's pain scores. Oxymorphone IR 5 mg will be provided to be used as supplemental "breakthrough" pain medication (as needed). Titration Period will end when the fixed dose of study medication is tolerated and the subject achieves adequate analgesia. Subjects will then proceed to the open-label 3-month maintenance period on the fixed dose of study medication established during the Titration Period.

Read the detailed description

An Open-Label Safety and Tolerability Study of Immediate-Release and Extended-Release Oxymorphone in Opioid-Tolerant Pediatric Subjects With Chronic Pain.

02

Conditions studied

  • Chronic Pain

Browse trials for

Keywords

  • Opioid tolerant
  • Pediatric
  • Male 6-17 years of age
  • Female 6-17 years of age
  • Pain
  • Non malignant
  • Malignant
03

In context

Chronic Pain

2,930 studies on the registry are indexed under Chronic Pain; 701 are open to participants now.

This study's enrollment of 27 is below the median of 60 across 2,161 interventional studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

Endo Pharmaceuticals is the lead sponsor of 100 studies on the registry; none are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 14 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Have chronic cancer or non-cancer pain, currently requiring treatment of pain with a strong opioid for at least 5 days (3 of 5 days at a dose greater than or equal to 45 mg/daily (qd) oral morphine equivalent)
  • Weigh at least 50 kg
  • Expected to continue to require a strong opioid for pain relief for at least 4 weeks and up to 4 months.

Exclusion criteria

Exclusion Criteria:

  • Have a life expectancy \<4 weeks
  • Plan to undergo a surgical procedure within 3 days of study entry or during the Titration Period
  • Have dysphagia or difficulty swallowing whole tablets
  • Have a previous exposure to oxymorphone
  • Have an ileostomy
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    Oxymorphone ER

    Drug: Oxymorphone ER

Interventions

  • DrugOxymorphone ER

    Oxymorphone ER dosing adjustments made under the direction of the Investigator during the Titration Period. Oxymorphone IR (Opana) IR 5mg tablet - used as rescue medications

    Also known as: Opana ER, Opana

06

What researchers measure

Primary outcomes

  1. Extent of Exposure to Oxymorphone Extended-Release: Average Daily Dose

    Data based on drug accountability data from the case report forms. Data is based on the number of enrolled participants in each treatment period. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

    Time frame: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

Secondary outcomes

  1. Extent of Exposure to Oxymorphone Extended-Release: Total Number of Tablets Taken

    Data based on drug accountability data from the case report forms. Data is based on the number of enrolled participants in each treatment period. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

    Time frame: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

  2. Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Daily Dose

    Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

    Time frame: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

  3. Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Average Number of Daily Rescues

    Average number of daily rescues per day by participants. Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

    Time frame: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

  4. Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Number of Doses

    Total number of doses (Tablets) taken by participants. Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

    Time frame: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

07

Results

Posted Dec 16, 2020

Participant flow

Titration Period
Participant flow — Titration Period
MilestoneOxymorphone ER
Started27
Completed24
Not completed3
Maintenance Period
Participant flow — Maintenance Period
MilestoneOxymorphone ER
Started24
Completed18
Not completed6

Outcome measures

PrimaryExtent of Exposure to Oxymorphone Extended-Release: Average Daily Dose

Data based on drug accountability data from the case report forms. Data is based on the number of enrolled participants in each treatment period. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

Time frame:
Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)
Reported as:
Mean · mg
Extent of Exposure to Oxymorphone Extended-Release: Average Daily Dose
mgTitration PeriodMaintenance Period
Extent of Exposure to Oxymorphone Extended-Release: Average Daily Dose35.25 ± 11.95539.11 ± 15.176
SecondaryExtent of Exposure to Oxymorphone Extended-Release: Total Number of Tablets Taken

Data based on drug accountability data from the case report forms. Data is based on the number of enrolled participants in each treatment period. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

Time frame:
Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)
Reported as:
Mean · Tablets
Extent of Exposure to Oxymorphone Extended-Release: Total Number of Tablets Taken
TabletsTitration PeriodMaintenance Period
Extent of Exposure to Oxymorphone Extended-Release: Total Number of Tablets Taken36.1 ± 15.63162.7 ± 66.77
SecondaryExtent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Daily Dose

Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

Time frame:
Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)
Reported as:
Mean · mg
Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Daily Dose
mgTitration PeriodMaintenance Period
Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Daily Dose7.9 ± 3.015.5 ± 1.49
SecondaryExtent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Average Number of Daily Rescues

Average number of daily rescues per day by participants. Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

Time frame:
Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)
Reported as:
Mean · Rescue doses/day
Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Average Number of Daily Rescues
Rescue doses/dayTitration PeriodMaintenance Period
Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Average Number of Daily Rescues1.5 ± 0.451.1 ± 0.30
SecondaryExtent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Number of Doses

Total number of doses (Tablets) taken by participants. Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons.

Time frame:
Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)
Reported as:
Mean · Total number of doses
Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Number of Doses
Total number of dosesTitration PeriodMaintenance Period
Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Number of Doses19.0 ± 15.3617.4 ± 40.60

Adverse events

Collected over First dosing up to 30 days after the last dose of study medication, approximately 20 weeks (titration period of up to 4 weeks, the maintenance period of up to 12 weeks and 30 days post-last dose).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Titration Period0/27 (0%)0/27 (0%)15/27 (55.6%)
Maintenance Period0/24 (0%)3/24 (12.5%)7/24 (29.2%)
Most frequent serious events
Most frequent serious events
EventTitration PeriodMaintenance Period
Sickle cell anemia with crisisCongenital, familial and genetic disorders0/271/24
Acute pancreatitisGastrointestinal disorders0/271/24
Abdominal painGastrointestinal disorders0/271/24
DyspneaRespiratory, thoracic and mediastinal disorders0/271/24
Increased alanine aminotransferaseInvestigations0/271/24
Increased aspartate aminotransferaseInvestigations0/271/24
Colitis ulcerativeGastrointestinal disorders0/271/24
PouchitisGastrointestinal disorders0/271/24
PainGeneral disorders0/271/24
Most frequent other events
Most frequent other events
EventTitration PeriodMaintenance Period
SomnolenceNervous system disorders6/270/24
HeadacheNervous system disorders3/272/24
DizzinessNervous system disorders3/271/24
FatigueGeneral disorders1/272/24
DehydrationMetabolism and nutrition disorders0/272/24
NauseaGastrointestinal disorders2/271/24

Baseline characteristics

Safety Population

Age, Continuous
Age, Continuous(years)Oxymorphone ER
Mean14.8 ± 1.58
Sex: Female, Male
Sex: Female, Male(Participants)Oxymorphone ER
Female15
Male12
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Oxymorphone ER
Hispanic or Latino3
Not Hispanic or Latino24
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Oxymorphone ER
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American23
White2
More than one race1
Unknown or Not Reported1
08

Study locations

13 sites
  • Arkansas Childrens's Hospital-Division of Pediatric Anestesia and Pain Medicine
    Little Rock, Arkansas 72202, United States
  • Stanford University School of Medicine
    Stanford, California 94305, United States
  • The Children's Hospital
    Aurora, Colorado 80045, United States
  • Connecticut Children's Medical Center
    Hartford, Connecticut 06106, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
  • Florida Institute of Medical Research
    Jacksonville, Florida 32257, United States
  • Tukoi Clinical Research
    Miami, Florida 34104, United States
  • St. Joseph's Children's Hospital of Tampa
    Tampa, Florida 33618, United States
  • Taylor Research, LLC
    Marietta, Georgia 30060, United States
  • Rehabilitation Associates of Indiana
    Indianapolis, Indiana 46250, United States
  • University of Louisville Reserach Foundation, Inc.
    Louisville, Kentucky 40202, United States
  • The Center for Clinical Research
    Winston-Salem, North Carolina 27103, United States
  • Hershey Medical Center
    Hershey, Pennsylvania 17112, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00765856
Lead sponsor
Endo Pharmaceuticals
Responsible party
Sponsor
First posted
Oct 3, 2008
Start date
Nov 17, 2008
Primary completion
Feb 22, 2010
Completion
Feb 22, 2010
Results posted
Dec 16, 2020
Last update
Dec 16, 2020

Study contacts

Sr. Director CR&D
study director · Endo Pharmaceuticals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion