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CompletedNCT06871046Updated Oct 24, 2025

Phase III Trial to Assess the Safety and Efficacy of TK-254RX in Patients With Contusions

A Phase 3 interventional study of Esflurbiprofen Topical System (EFTS) in Contusions, sponsored by Teikoku Seiyaku Co., Ltd.. Completed at 5 sites in Germany. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2025-10-24.

Sponsored by Teikoku Seiyaku Co., Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 1 month ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
221
Allocation
Not applicable
Ages
18 Years to 64 Years
Sex
All
01

Study summary

This study is an open-label, multi-centric clinical trial to evaluate the safety and efficacy of TK-254RX in patients with contusions. The primary objective of this study is to assess the safety of TK-254RX. Secondly objective is to evaluate the efficacy of contusions and adhesion of TK-254RX.

02

Conditions studied

  • Contusions

Keywords

  • Blunt trauma
  • Soft tissue injuries
  • sports injuries
  • NSAIDs
  • topical patch
03

In context

Contusions

43 studies on the registry are indexed under Contusions; 8 are open to participants now.

This study's enrollment of 221 is above the median of 90 across 31 interventional studies indexed under Contusions.

Browse Contusions studies →

Lead sponsor

Teikoku Seiyaku Co., Ltd. is the lead sponsor of 8 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • acute contusion of the upper or lower limbs
  • location of injury such that pain-on-movement is elicited on active standardized movement
  • enrollment within 6 hours of the injury
  • baseline VAS score for POM of injured extremity > 50 mm on a 100 mm VAS
  • size of injury, as assessed by Investigator, ≥ 25 cm² and ≤ 120 cm²
  • adult male or female patients
  • age 18 to 64 years (including)
  • having given written
  • satisfactory health as determined by the Investigator based on medical history and physical examination

Exclusion criteria

Exclusion Criteria:

  • significant concomitant injury in association with the index soft- tissue injury/contusion; e.g. fracture, nerve injury, ligament disruption, tear of muscle or cartilage, or open wound
  • excessively hairy skin at application site, cutting the hair in the injured site prior to patch application will qualify for inclusion
  • current skin disorder or shaving hair at application site
  • history of excessive sweating/hyperhidrosis inclusive of application site
  • intake of NSAIDs or analgesics within 36 hours, opioids within 7 days, or (except inhaled corticosteroids for e.g. topical treatment of bronchial asthma) within 60 days of inclusion in the study
  • intake of long-acting NSAIDs or application of topical medication since the injury
  • participation in a clinical study within 30 days before inclusion in the study or concomitantly
  • participation in this clinical study in another center
  • drug or alcohol abuse in the opinion of the Investigator
  • pregnant and lactating women
  • women of (defined as all women physiologically capable of becoming pregnant) who are not using an acceptable method of defined as:

    • Surgical sterilization
    • Combined (estrogen and progestogen containing) hormonal contraception, e.g., oral, intravaginal, transdermal and progestogen-only hormonal contraception e.g. oral, injectable, implantable as well as intrauterine device (IUD) and intrauterine hormone-releasing system (IUS) each in combination with male condom to increase safety effect (double barrier method)
    • Total abstinence throughout the study at the discretion of the Investigator.
    • Periodic abstinence is NOT an acceptable method of contraception. An acceptable method of contraception must be maintained throughout the study.
    • A woman who is must have a negative urine pregnancy test at screening but will not need to comply with an acceptable method of contraception. Women are considered post-menopausal and not of child bearing potential if they had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g. age appropriate, history of sterilisation, salpingectomy) or six months of spontaneous amenorrhea with serum FSH levels > 40 mIU/mL or have had surgical bilateral oophorectomy (with or without hysterectomy) at least six weeks ago. In the case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
  • known to Esflurbiprofen, R-flurbiprofen or one of the of the patch
  • patients with any ongoing condition that may interfere with the absorption, distribution, metabolism, or excretion of Esflurbiprofen
  • history of previous significant injury to the same area within 6 months
  • patients with a disease affecting the same area such as synovitis, rheumatoid arthritis, arthrosis, etc.
  • patients having an ongoing painful condition associated with blunt injury/contusion
  • patients suffering from symptoms of an infectious disease including swelling of any joint of the affected area
  • patients who had surgery of the affected area within one year of study entry
  • patients with significant diseases (defined as a disease which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study or a disease which may influence the results of the study or the patient's ability to participate in the study; includes patients with a history of gastrointestinal bleeding, significant cardiovascular, liver or renal disease)
  • patients with a blood coagulation disorder
  • patients who use any impermissible medication
  • known allergy to paracetamol and galenic components of the rescue medication
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

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

Study arms

  • Experimental
    TK-254RX

    Esflurbiprofen Topical System 165 mg Esflurbiprofen

    Drug: Esflurbiprofen Topical System (EFTS)

Interventions

  • DrugEsflurbiprofen Topical System (EFTS)

    One EFTS is applied to the injured area over 7 days

06

What researchers measure

Primary outcomes

  1. Recording adverse event and serious adverse event

    Characterization of occurence of adverse events or serious adverse events of TK-254RX

    Time frame: Day 1 to Day 8

Secondary outcomes

  1. 100-mm Visual Analogue Scale (VAS) score on pain-on-movement (POM)

    VAS score from no pain (0 mm) to worst pain (100 mm) on POM by a patient at each time point

    Time frame: Day 1 to Day 8

  2. 100-mm Visual Analogue Scale (VAS) score on pain-at-rest (PAR)

    VAS score from no pain (0 mm) to worst pain (100 mm) on PAR (at least 5 minutes rest) by a patient at each time point

    Time frame: Day 1 to Day 8

  3. Sum of Pain Intensity Difference (SPID) on pain-on-movement (POM)

    Calculating the area under the curve for the difference of each pain intensity score by 100-mm-Visual Analogue Scale (VAS) on movement from the baseline over day 1 to day 8

    Time frame: Day 1 to Day 8

  4. Sum of Pain Intensity Difference (SPID) on pain-at-rest (PAR)

    Calculating the area under the curve for the difference of each pain intensity score by 100-mm-Visual Analogue Scale (VAS) at rest from the baseline over day 1 to day 8

    Time frame: Day 1 to Day 8

  5. Pain Intensity Difference (PID) on pain-on movement (POM)

    Difference of each pain intensity score by VAS on POM from the baseline at each time point

    Time frame: Day 1 to Day 8

  6. Pain Intensity Difference (PID) on pain-at-rest (PAR)

    Difference of each pain intensity score by VAS on PAR form the baseline at each time point

    Time frame: Day 1 to Day 8

  7. Time to meaningful/optimal reduction

    Time to meaningful/optimal reduction of pain defined as first at least 30% (meaningful) and 50% (optimal) reduction from baseline of VAS on POM

    Time frame: Day 1 to Day 8

  8. Time to complete resolution

    * Time to complete resolution of POM VAS value of 0 mm * Time to complete resolution of PAR VAS value of 0 mm

    Time frame: Day 1 to Day 8

  9. Responder rate 1

    Responder rate is defined as the number of patients achieving at least 50% reduction from baseline in the VAS scores for POM at 48 hours

    Time frame: Day 3

  10. Responder rate 2

    number of patients able to resume training / normal physical activity by 168 hours

    Time frame: Day 8

  11. Resolution of contusion

    The percentage of patients who showed POM=PAR=0 at 168 hours

    Time frame: Day 8

  12. Global efficacy assessments 1 by investigator

    The global efficacy assessments are evaluated by the investigator as the response to the following questions: "Considering how this treatment has affected the patient since he/she started in the study, how well is he/she doing?" It is assessed on the following 5-point Likert scale: 0 = very good, 1 = good, 2 = fair, 3 = poor, 4 = very poor.

    Time frame: Day 3, Day 4 and Day 8

  13. Global efficacy assessments 2 by investigator

    The global efficacy assessments are evaluated by the investigator as the response to the following questions: "How would you rate this medication for the treatment of this contution?" It is assessed on the following 5-point Likert scale: 0 = excellent, 1 = very good, 2 = good, 3 = moderate, 4 = poor.

    Time frame: Day 3, Day 4 and Day 8

  14. Global efficacy assessments 1 by patients

    The global efficacy assessments are evaluated by the patients as the response to the following questions: "Considering how this treatment has affected you since you started in the study, how well are you doing?" It is assessed on the following 5-point Likert scale: 0 = very good, 1 = good, 2 = fair, 3 = poor, 4 = very poor.

    Time frame: Day 3, Day 4 and Day 8

  15. Global efficacy assessments 2 by patients

    The global efficacy assessments are evaluated by the patients as the response to the following questions: "How do you rate this medication as a treatment for your contusion?" It is assessed on the following 5-point Likert scale: 0 = excellent, 1 = very good, 2 = good, 3 = fair, 4 = poor.

    Time frame: Day 3, Day 4 and Day 8

  16. Characterization of local tolerability

    Assessing the local tolerability by using the 8-point dermal response (0: No evidence of irritation, 1: Minimal erythema, barely perceptible, 2: Definite erythema, readily visible, minimal edema or minimal papular response, 3: Erythema and papules, 4: Definite edema, 5: Erythema, edema, and papules, 6: Vesicular eruption, 7: Strong reaction spreading beyond test site) and other effects score (0: No other effect detected, A(0): Slightly glazed appearance, B(1): Markedly glazed appearance, C(2): Glazing with peeling and cracking, F(3): Glazing with fissures, G(3): Film of dried serous exudates covering all or part of the application site, H(3): Small petechial erosions and/or scabs) according to FDA recommendation

    Time frame: Day 8

  17. Number of use of rescue medication

    Number of rescue medication use during clinical study

    Time frame: Day 1 to Day 8

  18. Patch adhesion assessed by the site staff

    Adhesive power of the EFTS will be visually assessed and classified by the site staff in a 5-point-score (0=≥ 90% adhered / 1= ≥75% to \<90% adhered / 2=≥50% to \<75% adhered / 3=\>0% to \<50% adhered / 4=completely detached)

    Time frame: Day 2 to Day 5

  19. Patch adhesion assessed by patient

    Adhesive power of the EFTS will be visually assessed and classified by a patient in a 5-point-score (0=≥ 90% adhered / 1= ≥75% to \<90% adhered / 2=≥50% to \<75% adhered / 3=\>0% to \<50% adhered / 4=completely detached)

    Time frame: Day 1 to Day 8

07

Study locations

5 sites
  • Medical Practice Ebert
    Siemensstr, Bonn 53121, Germany
  • Medical Practice Prof. Predel
    Siemensstr, Bonn 53121, Germany
  • Medical Practice Schaale-Maas
    Siemensstr, Bonn 53121, Germany
  • Medical Practice Pabst
    Sportschule Puch, Fürstenfeldbruck 82556, Germany
  • Medical Practice Gastl
    Römerstraße, Gilching 82205, Germany
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2025 to primary completion in Sep 2025, 7 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 10, 2025
First posted
Mar 11, 2025
StartActual
Feb 20, 2025
Primary completionActual
Sep 22, 2025
CompletionActual
Oct 1, 2025
Last update
Oct 24, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06871046
Lead sponsor
Teikoku Seiyaku Co., Ltd.
Collaborators
Clinsearch GmbH, CRM Biometrics GmbH, SocraTec R&D GmbH, SocraMetrics GmbH, HWI pharma services GmbH
Responsible party
Sponsor
First posted
Mar 11, 2025
Start date
Feb 20, 2025
Primary completion
Sep 22, 2025
Completion
Oct 1, 2025
Last update
Oct 24, 2025

Study contacts

Kenichi Nishiyama
study chair · Teikoku Seiyaku Co., Ltd.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

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