Efficacy and Safety of GRT6005 in Patients With Chronic Low Back Pain.

Overview[ - collapse ][ - ]

Purpose The purpose of this trial is to evaluate the safety and efficacy of once daily orally administered GRT6005 in a total of 3 fixed doses compared to placebo in subjects with moderate to severe chronic Low Back Pain (LBP). The study includes a maximum of 21 days screening period followed by a 2-week titration period and 12-week maintenance double-blind treatment period and a 10-14 day safety follow up period. Patients who are eligible for the double-blind treatment period will be randomized to one of the following treatment groups: GRT6005 low-dose, GRT6005 medium dose, GRT6005 high-dose, Tapentadol or placebo.
ConditionLow Back Pain
InterventionDrug: Matching Placebo
Drug: Low Dose GRT6005
Drug: Medium Dose GRT6005
Drug: High Dose GRT6005
Drug: Tapentadol
PhasePhase 2
SponsorGrünenthal GmbH
Responsible PartyGrünenthal GmbH
ClinicalTrials.gov IdentifierNCT01725087
First ReceivedNovember 8, 2012
Last UpdatedApril 17, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateNovember 8, 2012
Last Updated DateApril 17, 2014
Start DateNovember 2012
Estimated Primary Completion DateMarch 2014
Current Primary Outcome Measures
  • European Union: the change from baseline pain to the weekly average 24-hour pain during the entire 12 weeks of the maintenance phase of the double-blind Treatment Period. [Time Frame: Baseline to End of Treatment (Week 14)] [Designated as safety issue: No]
  • United States: the change from baseline pain to the average 24-hour pain during Week 12 of the maintenance phase. [Time Frame: Baseline to End of Treatment (Week 14)] [Designated as safety issue: No]
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleEfficacy and Safety of GRT6005 in Patients With Chronic Low Back Pain.
Official TitleEfficacy, Safety, and Tolerability of GRT6005 in Subjects With Moderate to Severe Chronic Low Back Pain.
Brief Summary
The purpose of this trial is to evaluate the safety and efficacy of once daily orally
administered GRT6005 in a total of 3 fixed doses compared to placebo in subjects with
moderate to severe chronic Low Back Pain (LBP). The study includes a maximum of 21 days
screening period followed by a 2-week titration period and 12-week maintenance double-blind
treatment period and a 10-14 day safety follow up period. Patients who are eligible for the
double-blind treatment period will be randomized to one of the following treatment groups:
GRT6005 low-dose, GRT6005 medium dose, GRT6005 high-dose, Tapentadol or placebo.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
ConditionLow Back Pain
InterventionDrug: Matching Placebo
Drug: Low Dose GRT6005
Drug: Medium Dose GRT6005
Drug: High Dose GRT6005
Drug: Tapentadol
Study Arm (s)
  • Placebo Comparator: Matching Placebo
    Twice daily oral administration of matching placebo for 14 weeks
  • Experimental: Low Dose GRT6005
    Once daily GRT6005 low dose oral administration for 12 weeks with a titration period of 2 weeks.
  • Experimental: Medium Dose GRT6005
    Once daily GRT6005 medium dose oral administration for 12 weeks with a titration period of 2 weeks.
  • Experimental: High Dose GRT6005
    Once daily GRT6005 high dose oral administration for 12 weeks with a titration period of 2 weeks.
  • Active Comparator: Tapentadol
    Twice daily oral administration of Tapentadol for 12 weeks with a titration period of 2 weeks.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment1089
Estimated Completion DateMarch 2014
Estimated Primary Completion DateMarch 2014
Eligibility Criteria
Inclusion Criteria:

- Chronic Low Back Pain of non-malignant origin and present for at least 3 months.

- Signed informed consent.

- Pain intensity score of 5 or greater on the 11-point numeric rating scale (where 0
indicates "no pain" and 10 indicates "as bad as you can imagine").

- On stable analgesic medications (non-opioid and/or opioid medications) for chronic
low back pain with regular intake for at least 3 months and dissatisfied with current
analgesic treatment.

Exclusion Criteria:

- Female subjects who are pregnant or are breastfeeding.

- Presence of risk factors for Torsade de Pointes.

- Any clinically significant disease or laboratory findings that may affect efficacy or
safety assessments or may compromise the safety during trial participation, e.g.,
significant unstable cardiac, vascular, pulmonary, gastrointestinal, endocrine,
metabolic, neurological, or psychiatric disorders.

- History of acute hepatitis within the past 3 months or chronic hepatitis or a
positive result on anti-hepatitis A antibody, hepatitis B surface antigen, or
anti-hepatitis C antibody. History of human immunodeficiency virus (HIV) infection.

- History of seizure disorder.

- Chronic low back pain potentially associated with a specific spinal cause.

- Surgery or painful procedure during or within 3 months of enrollment.

- Conditions that contribute and confound the assessment of pain.

- Subjects with impaired renal function.

- Subjects with impaired hepatic functionality.

- Neuromodulation.

- Cancer.

- Clinically relevant history of hypersensitivity, allergy or contraindications to any
of the Investigational Medicinal Products' excipients, paracetamol/acetaminophen,
tapentadol Hydrochloride, or opioid analgesics (or excipients).
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesAustria, Belgium, Denmark, Finland, Germany, Hungary, Netherlands, Poland, Spain, Sweden, United Kingdom

Administrative Information[ + expand ][ + ]

NCT Number NCT01725087
Other Study ID NumbersKF6005/06
Has Data Monitoring CommitteeNot Provided
Information Provided ByGrünenthal GmbH
Study SponsorGrünenthal GmbH
CollaboratorsForest Laboratories
Investigators Study Chair: Study Director Grünenthal GmbH
Verification DateApril 2014

Locations[ + expand ][ + ]

AT003
Senftenberg, Austria, 3541
AT001
Wien, Austria, 1090
AT004
Wien, Austria, 1060
AT005
Wien, Austria, 1100
AT006
Wien, Austria, 1100
BE001
Bruxelles, Belgium, 1070
BE002
Edegem, Belgium, 2650
BE004
Genk, Belgium, 3600
DK004
Aalborg, Denmark, 9100
DK001
Frederiksberg, Denmark, 2000
Site DK002
Glostrup, Denmark, 2600
DK003
Odense, Denmark, 5000
FI005
Kokkola, Finland, 67100
FI001
Kuopio, Finland, 70210
FI003
Lahti, Finland, 15110
DE005
Bad Nauheim, Germany, 61231
DE014
Berlin, Germany, 10117
DE018
Berlin, Germany, 13125
DE011
Bochum, Germany, 44787
DE015
Böhlen, Germany, 04564
DE007
Dresden, Germany, 01069
DE016
Essen, Germany, 45355
DE001
Hamburg, Germany, 22415
DE006
Hamburg, Germany, 22767
DE008
Hannover, Germany, 30159
DE002
Leipzig, Germany, 04103
DE019
Leipzig, Germany
DE009
Mosbach, Germany, 74821
DE004
Munich, Germany, 80333
DE013
Rodgau, Germany, 63110
DE017
Wiesbaden, Germany, 65185
HU010
Baja, Hungary, 6500
HU011
Budapest, Hungary, 1036
HU005
Budapest, Hungary, 1113
HU012
Budapest, Hungary, 8800
HU015
Budapest, Hungary, 1084
HU008
Békéscsaba, Hungary
HU003
Kecskemet, Hungary, 6000
HU002
Kiskunfélegyháza, Hungary, 6100
HU001
Mako, Hungary, 6900
HU009
Nagykanizsa, Hungary, 8800
HU014
Nyiregyhaza, Hungary, 4400
HU004
Szekszárd, Hungary, 7100
NL003
Almere, Netherlands, 1311RL
NL002
Eindhoven, Netherlands, 5623EJ
NL005
Tiel, Netherlands, 4002 WP
PL002
Elblag, Poland, 82-300
PL006
Gdynia, Poland, 81-384
PL015
Gdynia, Poland, 81-338
PL001
Katowice, Poland, 40-040
PL014
Katowice, Poland, 40-954
PL011
Krakow, Poland, 31-159
PL013
Krakow, Poland, 30-510
PL008
Krakow, Poland, 30-510
PL009
Lublin, Poland, 20-605
PL016
Poznan, Poland, 60-773
PL018
Poznan, Poland, 61-397
PL004
Warszawa, Poland, 62-3832
PL012
Warszawa, Poland, 01-868
PL010
Wroclaw, Poland, 51-162
PL017
Wroclaw, Poland, 53-114
PL005
Zgierz, Poland, 95-100
ES002
Barcelona, Spain, 08540
ES006
Barcelona, Spain, 8023
ES004
La Coruna, Spain, 15006
ES001
Madrid, Spain, 28046
ES013
Madrid, Spain, 28050
ES008
Málaga, Spain, 29009
ES011
Oviedo, Spain, 33013
ES003
Oviedo, Spain, 33009
ES005
Santiago de Compostela, Spain, 15705
ES007
Sevilla, Spain, 41071
SE001
Skene, Sweden, 51162
SE002
Stockholm, Sweden, 11522
SE004
Vällingby, Sweden
GB002
Liverpool, United Kingdom, L22 0LG
GB005
London, United Kingdom, SE1 7EH
GB003
Manchester, United Kingdom, M15 6SX
GB004
Plymouth, United Kingdom, PL6 8DH