CClinicalTrials.gg
CompletedNCT00952068Updated Apr 30, 2012Results posted

A Pharmacodynamic/Pharmacokinetic Study to Determine the Onset of Analgesic Effect and Plasma Levels of Tramadol in Patients With Acute Low Back Pain Receiving a Single 200 mg Dose of Tramadol Contramid® Once-a-Day

A Phase 2 interventional study of Tramadol Contramid® OAD 200mg in Acute Low Back Pain, sponsored by Labopharm Inc.. Completed. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2012-04-30.

Sponsored by Labopharm Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
47
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The primary objective of this study is to determine the time of onset of analgesic effect of Tramadol Contramid® Once-A-Day (OAD) in acute low back pain. Secondary objectives include determining the relationship between analgesic effect and plasma levels for Tramadol Contramid® OAD and to examine safety after single dose administration of 200 mg of Tramadol Contramid® OAD.

02

Conditions studied

  • Acute Low Back Pain

Keywords

  • Back Pain
03

In context

Back Pain

2,373 studies on the registry are indexed under Back Pain; 284 are open to participants now.

This study's enrollment of 47 is below the median of 60 across 1,941 interventional studies indexed under Back Pain.

Browse Back Pain studies →

Lead sponsor

Labopharm Inc. is the lead sponsor of 18 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Males or females in generally good health aged 18-80 years with acute low back pain are eligible for this study.
  • Patients must have pain of moderate to severe intensity on the patient rating of pain intensity scale without analgesia.
  • Oral and written language comprehension at a level sufficient to comply with the protocol and complete study-related materials.
  • Must have signed and dated an REB-approved written Informed Consent form which was also signed and dated by the Investigator prior to study participation.

Exclusion criteria

Exclusion Criteria:

  • Known history or symptoms suspicious of:

    • Spinal fracture
    • Cancer (i.e. constitutional symptoms such as recent unexplained chills or weight loss)
    • Spinal infection (e.g. IV drug abuse, immunosuppression)
  • Cauda equina syndrome
  • Spina bifida
  • Foot drop
  • Spinal surgery within 1 year of study entry
  • Body Mass Index (BMI) > 37
  • Continuous chronic back pain
  • More severe pain in a region other than the lower back
  • Treatment of the back pain with non-pharmacological therapy (e.g. acupuncture chiropractic adjustment, Transcutaneous Electrical Nerve Stimulation, physiotherapy etc.) in the 3 weeks prior to study entry
  • Use of any sedative hypnotics, topical preparations/medications and anaesthetics or muscle relaxants within 5 half-lives of the dose of study medication
  • Use of any analgesic within 6 hours of the dose of study medication. In rare cases, if a patient is in moderate to severe pain despite having taken a short-acting analgesic and if at least 2 hours have passed since the dose of short-acting analgesic, the patient may be entered.
  • A major illness, requiring hospitalisation during the 3 months before commencement of the screening period
  • Unwillingness to stop taking pain medication other than the study medication
  • Previous failure of treatment with tramadol or discontinuation of treatment with tramadol due to adverse events
  • Treatment within the last 3 weeks with any of the following medications: monoamine oxidase inhibitors; tricyclic antidepressants and other tricyclic compounds (e.g. cyclobenzaprine, promethazine); neuroleptics; selective serotonin reuptake inhibitors (SSRIs); serotonin-norepinephrine reuptake inhibitors (SNRIs) or any other drug that reduces seizure threshold
  • Treatment with another investigational agent within the last 30 days
  • History of seizure disorder other than Infantile Febrile Seizures
  • Previous or current opioid dependency
  • Bowel disease causing malabsorption
  • Pregnant or lactating women
  • Known significant liver disease or symptoms of significant liver disease
  • Known significant renal disease or symptoms of significant renal disease
  • Current or past substance abuse or dependence, other than nicotine
  • Allergy to tramadol or any structurally similar drugs (e.g. opiates)
  • Any other condition that, in the opinion of the Investigators, would adversely affect the patient's ability to complete the study or its measures
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    Tramadol Contramid® OAD 200mg

    1 Tramadol Contramid® OAD 200mg tablet daily.

    Drug: Tramadol Contramid® OAD 200mg

Interventions

  • DrugTramadol Contramid® OAD 200mg

    1 Tramadol Contramid® OAD 200mg tablet daily.

06

What researchers measure

Primary outcomes

  1. Time to Onset of Perceptible Pain Relief

    Kaplan-Meier estimates of time to perceptible pain relief. Patients who discontinued or completed the study without perceptible pain relief were censored at the time point of their last pain intensity score. A confidence interval for the median survival time was calculated.

    Time frame: 6 hours

Secondary outcomes

  1. Patient Rating of Pain Intensity at Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post Dose

    Pain intensity rating at baseline, time of onset of perceptible pain relief, 3 hours and 6 hours post-dose or if the patient discontinued earlier. "What is your current level of pain intensity?" 0=none, 1=mild, 2=moderate, 3=severe. Missing data were imputed using Last Observation Carried Forward (LOCF).

    Time frame: Baseline, 3 hours post-dose, 6 hours post-dose, time of onset of perceptible pain relief

  2. Patient Rating of Pain Relief at Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post Dose

    Pain relief rating at time of onset of perceptible pain relief, 3 hours and 6 hours post-dose or if the patient discontinued earlier. " How would you rate the pain relief the study medication has given you?" ranging from 0=none to 4=complete relief. Missing data were imputed using Last Observation Carried Forward (LOCF).

    Time frame: 3 hours post-dose, 6 hours post-dose, at time of onset of perceptible pain relief

  3. Plasma Levels of Tramadol at 0 Hour (Baseline), Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post-dose

    PK samples were drawn at the end of the Screening Phase, at the onset of perceptible pain relief, at 3 hours and at 6 hours post-dose or if the patient discontinues early. PK samples were always drawn after the completion of the patient ratings of pain relief and of pain intensity scales. They were processed in a central laboratory and the plasma levels of tramadol were collected.

    Time frame: Baseline, time of onset of perceptible pain relief, 3 hours post-dose, 6 hours post-dose

  4. Number of Participants With Adverse Events

    All adverse events reported during treatment with study drug were considered and reported as treatment emergent adverse events (TEAE) whether or not medication for this adverse event was required by the participant and were summarized in the same table.

    Time frame: 6 hours

07

Results

Posted Aug 4, 2009

Participant flow

Participant flow — Overall Study
MilestoneTramadol Contramid® Once-A-Day (OAD)
Started47
Completed40
Not completed7
Withdrew: Adverse event3
Withdrew: Withdrawal by subject4

Outcome measures

PrimaryTime to Onset of Perceptible Pain Relief

Kaplan-Meier estimates of time to perceptible pain relief. Patients who discontinued or completed the study without perceptible pain relief were censored at the time point of their last pain intensity score. A confidence interval for the median survival time was calculated.

Time frame:
6 hours
Reported as:
Median · minutes
Time to Onset of Perceptible Pain Relief
minutesTramadol Contramid® Once-A-Day (OAD)
Time to Onset of Perceptible Pain Relief47 (40 to 51)
SecondaryPatient Rating of Pain Intensity at Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post Dose

Pain intensity rating at baseline, time of onset of perceptible pain relief, 3 hours and 6 hours post-dose or if the patient discontinued earlier. "What is your current level of pain intensity?" 0=none, 1=mild, 2=moderate, 3=severe. Missing data were imputed using Last Observation Carried Forward (LOCF).

Time frame:
Baseline, 3 hours post-dose, 6 hours post-dose, time of onset of perceptible pain relief
Reported as:
Number · participants
Patient Rating of Pain Intensity at Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post Dose
participantsTramadol Contramid® Once-A-Day (OAD)
Baseline, moderate pain34
Baseline, severe pain12
Onset of perceptible pain relief, no pain4
Onset of perceptible pain relief, mild pain23
Onset of perceptible pain relief, moderate pain19
3 hours post-dose, no pain12
3 hours post-dose, mild pain25
3 hours post-dose, moderate pain9
6 hours post-dose, no pain24
6 hours post-dose, mild pain20
6 hours post-dose, moderate pain2
SecondaryPatient Rating of Pain Relief at Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post Dose

Pain relief rating at time of onset of perceptible pain relief, 3 hours and 6 hours post-dose or if the patient discontinued earlier. " How would you rate the pain relief the study medication has given you?" ranging from 0=none to 4=complete relief. Missing data were imputed using Last Observation Carried Forward (LOCF).

Time frame:
3 hours post-dose, 6 hours post-dose, at time of onset of perceptible pain relief
Reported as:
Number · participants
Patient Rating of Pain Relief at Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post Dose
participantsTramadol Contramid® Once-A-Day (OAD)
Onset of perceptible pain relief, no pain relief1
Onset of perceptible pain relief, a little relief16
Onset of perceptible pain relief, moderate relief9
Onset of perceptible pain relief, a lot of relief16
Onset of perceptible pain relief, complete relief4
3 hours post-dose, no pain relief2
3 hours post-dose, a little relief3
3 hours post-dose, moderate relief12
3 hours post-dose, a lot of relief17
3 hours post-dose, complete relief12
6 hours post-dose, no pain relief1
6 hours post-dose, a little relief2
6 hours post-dose, moderate relief1
6 hours post-dose, a lot of relief18
6 hours post-dose, complete relief24
SecondaryPlasma Levels of Tramadol at 0 Hour (Baseline), Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post-dose

PK samples were drawn at the end of the Screening Phase, at the onset of perceptible pain relief, at 3 hours and at 6 hours post-dose or if the patient discontinues early. PK samples were always drawn after the completion of the patient ratings of pain relief and of pain intensity scales. They were processed in a central laboratory and the plasma levels of tramadol were collected.

Time frame:
Baseline, time of onset of perceptible pain relief, 3 hours post-dose, 6 hours post-dose
Reported as:
Mean · ng/ml
Plasma Levels of Tramadol at 0 Hour (Baseline), Onset of Perceptible Pain Relief, 3 Hours and 6 Hours Post-dose
ng/mlTramadol Contramid® Once-A-Day (OAD)
0 hour5.17 ± 1.55
Onset of perceptible pain relief56.10 ± 37.61
3 hours post-dose176.34 ± 48.68
6 hours post-dose187.98 ± 67.03
SecondaryNumber of Participants With Adverse Events

All adverse events reported during treatment with study drug were considered and reported as treatment emergent adverse events (TEAE) whether or not medication for this adverse event was required by the participant and were summarized in the same table.

Time frame:
6 hours
Reported as:
Number · participants
Number of Participants With Adverse Events
participantsTramadol Contramid® Once-A-Day (OAD)
Patients with at least one TEAE23
Patients with at least one severe TEAE5
Patients with at least one SAE0
Patients with at least 1 possibly drug related AE23
Patients with at least one TEAE requiring therapy3

Adverse events

Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tramadol Contramid® Once-A-Day (OAD)—0/47 (0%)23/47 (48.9%)
Most frequent other events
Most frequent other events
EventTramadol Contramid® Once-A-Day (OAD)
SomnolenceNervous system disorders14/47
DizzinessNervous system disorders8/47
NauseaGastrointestinal disorders8/47
Vomiting NOS (Not Otherwise Specified)Gastrointestinal disorders5/47
Headache NOS (Not Otherwise Specified)Nervous system disorders4/47
Dry mouthGastrointestinal disorders3/47
Bradychardia NOS (Not Otherwise Specified)Cardiac disorders2/47
Sweating increasedSkin and subcutaneous tissue disorders2/47
SyncopeNervous system disorders1/47

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Tramadol Contramid® Once-A-Day (OAD)
<=18 years0
Between 18 and 65 years26
>=65 years21
Age Continuous
Age Continuous(years)Tramadol Contramid® Once-A-Day (OAD)
Mean61.2 ± 10.2
Sex: Female, Male
Sex: Female, Male(Participants)Tramadol Contramid® Once-A-Day (OAD)
Female37
Male10
Region of Enrollment
Region of Enrollment(participants)Tramadol Contramid® Once-A-Day (OAD)
Romania47
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Sarbu A, Radulescu F, Robertson S, Bouchard S. Onset of analgesic effect and plasma levels of controlled-release tramadol (Tramadol Contramid once-a-day) 200-mg tablets in patients with acute low back pain. J Opioid Manag. 2008 Sep-Oct;4(5):285-92. doi: 10.5055/jom.2008.0032. PubMed 19070266 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00952068
Lead sponsor
Labopharm Inc.
Responsible party
Sponsor
First posted
Aug 4, 2009
Start date
Jan 2007
Primary completion
Apr 2007
Completion
Apr 2007
Results posted
Aug 4, 2009
Last update
Apr 30, 2012

Oversight

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

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