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Trial · NCT00486811

A Study to Evaluate the Efficacy and Safety of CG5503 Prolonged Release (PR) in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee

NCT00486811, Phase 3, Completed, Grünenthal GmbH; results first posted 2011-01-11

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ConductScience Library. A Study to Evaluate the Efficacy and Safety of CG5503 Prolonged Release (PR) in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee. Trials, record NCT00486811. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00486811

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Efficacy and Safety of CG5503 Prolonged Release (PR) in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee
NCT number
NCT00486811
Status
Completed
Phases
Phase 3
Enrollment
990 participants, actual
Lead sponsor
Grünenthal GmbH
Conditions
Pain, Knee Osteoarthritis
Interventions
Tapentadol ER (100 to 250 mg twice daily), Matching Placebo (twice daily), Oxycodone CR (20 to 50 mg twice daily)
First posted
2007-06-15
Last updated
2019-10-18
Other registries' IDs
eudract:2006-005783-67
Results first posted
2011-01-11

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline of the Average Pain Intensity Overall in the 12-week Maintenance Period of the Daily Pain Intensity on an 11-point Numeric Rating Scale (NRS).Change from baseline over the 12 week Maintenance Period
For this twice daily pain assessment, the participants were required to indicate the level of pain experienced over the previous 12 hours on an 11-point Numeric Rating Scale (NRS) where a score of 0 indicated "no pain" and a score of 10 indicated "pain as bad as you can imagine". The lower the value the less pain in the treatment group. Negative values indicate a reduction in pain.
SecondaryChange From Baseline of the Average Pain Intensity Based on an 11-point Numerical Rating Scale (NRS) Over the Last Week of the Maintenance Period at Week 12.Change from Baseline to Week 12 of the Maintenance Period
The twice daily pain assessments were averaged. The participants were to indicate their pain on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated "no pain" and a score of 10 indicated "pain as bad as you can imagine". The lower the value the less pain intensity.
SecondaryPatient Global Impression of ChangeBaseline; End of 12 week maintenance period
In the Patient Global Impression of Change (PGIC) the participant indicates the perceived change over the treatment period. The participant is requested to choose one of seven categories. Scores range from very much improved to very much worse.
Secondary
Change From Baseline in the Western Ontario McMaster Questionnaire (WOMAC) Global Score Assessing Pain, Disability and Joint Stiffness of the Knee Over the Last Week of the Maintenance Period at Week 12
Change from baseline to week 12 of the maintenance period
Change from baseline to week 12 of Western Ontario McMaster Questionnaire (WOMAC) Global Score: WOMAC is measured with a Likert ordinal scale (the participant gives one of 5 possible answers) from 0 to 4. Higher scores indicate that a symptom is bothersome and physically disabling.
SecondaryTime to Treatment Discontinuation Due to Lack of EfficacyBaseline to week 12 of the maintenance periodThe median time to treatment discontinuation due to lack of efficacy from baseline to endpoint.
SecondaryChange in the Health Survey Scores Form (SF-36)Change From Baseline to Week 12 of the Maintenance Period
The Scores Form 36 (SF-36) includes several brief board questions on 8 aspects, (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health) that a participant was asked to score over the last week. A higher score indicates an improvement in health. All domains are scored on a scale from 0 (negative health) to 100 (positive health), with 100 representing the best possible health state.
SecondaryEuroQol-5 (EQ-5D) Health Status Index Outcome Over TimeComparison of Baseline to Week 12 of the Maintenance Period
The participant scored the EuroQol-5. This is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1=no problems, 2=some problems, 3=extreme problems). The responses to the five EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating "full health" and 0 representing dead. The positive values indicate that during the study the health status improved.
SecondarySleep Questionnaire: Change From Baseline in Sleep Latency Time in Hours to the Last Week of the Maintenance Period.Week 12 of the maintenance period compared to baseline
The Sleep Questionnaire addressed the following question: "How long after bedtime/lights out did you fall asleep last night(hours)?". The mean change from baseline to 12 weeks was studied. Decrease in time, measured in hours, indicates an improvement.
SecondarySleep Questionnaire: Amount of Time Slept in HoursBaseline to Week 12 of the maintenance period
The Sleep Questionnaire addressed the following question: "How long did you sleep last night?". The mean change for the number of hours slept during the night before from baseline to 12 weeks was studied.
SecondarySleep Questionnaire: Number of Awakenings During SleepWeek 12 of the maintenance period compared with baseline
The Sleep Questionnaire addressed the following question: "How many times did you wake up during the night?". Sleep was assessed by the subject once a week during the entire double-blind treatment period. Reported are the baseline and end of maintenance period. Generally the less the number of awakenings the better the sleep.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline of the Average Pain Intensity Overall in the 12-week Maintenance Period of the Daily Pain Intensity on an 11-point Numeric Rating Scale (NRS).Change from baseline over the 12 week Maintenance PeriodIntent-to-treat (ITT), Last Observation Carried Forward (LOCF)Units on a scaleMEAN
SECONDARYChange From Baseline of the Average Pain Intensity Based on an 11-point Numerical Rating Scale (NRS) Over the Last Week of the Maintenance Period at Week 12.Change from Baseline to Week 12 of the Maintenance PeriodIntention to treat (ITT). Last Observation Carried Forward (LOCF).Units on a scaleMEAN
SECONDARYPatient Global Impression of ChangeBaseline; End of 12 week maintenance periodIntention to treat (ITT). Last observation carried forward (LOCF). Assessments obtained more than one day after end of treatment were not included in the analysis.participantsNUMBER
SECONDARY
Change From Baseline in the Western Ontario McMaster Questionnaire (WOMAC) Global Score Assessing Pain, Disability and Joint Stiffness of the Knee Over the Last Week of the Maintenance Period at Week 12
Change from baseline to week 12 of the maintenance periodIntention to treat (ITT). No imputation performed.units on a scaleMEAN
SECONDARYTime to Treatment Discontinuation Due to Lack of EfficacyBaseline to week 12 of the maintenance periodIntention to treat (ITT) The results for median and interquartile ranges were not estimated as an insufficient number of participants discontinued due to lack of efficacy to estimate values.
SECONDARYChange in the Health Survey Scores Form (SF-36)Change From Baseline to Week 12 of the Maintenance Period
The number indicate the available responses. For certain categories, e.g. Physical Functioning only 318 participants in the tapentadol treatment were analyzed and in the General Health analysis only 328 oxycodone- and 336 placebo-treated participants were available. Intention to treat (ITT). Last Observation Carried Forward (LOCF).
units on a scaleLEAST_SQUARES_MEAN
SECONDARYEuroQol-5 (EQ-5D) Health Status Index Outcome Over TimeComparison of Baseline to Week 12 of the Maintenance PeriodIntention to treat (ITT). Last Observation Carried Forward (LOCF).Index valueMEAN
SECONDARYSleep Questionnaire: Change From Baseline in Sleep Latency Time in Hours to the Last Week of the Maintenance Period.Week 12 of the maintenance period compared to baselineIntention to treat (ITT). Last Observation Carried Forward (LOCF).hoursMEAN
SECONDARYSleep Questionnaire: Amount of Time Slept in HoursBaseline to Week 12 of the maintenance periodIntention to treat (ITT). Last Observation Carried Forward (LOCF)hoursMEAN
SECONDARYSleep Questionnaire: Number of Awakenings During SleepWeek 12 of the maintenance period compared with baselineIntention to treat (ITT). Last Observation Carried Forward (LOCF). The number reflects the number of participants that had the specified awakenings.participantsNUMBER

Results by group135

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline of the Average Pain Intensity Overall in the 12-week Maintenance Period of the Daily Pain Intensity on an 11-point Numeric Rating Scale (NRS).Placebo Matching-2.2Standard Deviation 2.06Units on a scale
Change From Baseline of the Average Pain Intensity Overall in the 12-week Maintenance Period of the Daily Pain Intensity on an 11-point Numeric Rating Scale (NRS).Tapentadol ER-2.5Standard Deviation 2.18Units on a scale
Change From Baseline of the Average Pain Intensity Overall in the 12-week Maintenance Period of the Daily Pain Intensity on an 11-point Numeric Rating Scale (NRS).Oxycodone CR-2.1Standard Deviation 2.17Units on a scale
Change From Baseline of the Average Pain Intensity Based on an 11-point Numerical Rating Scale (NRS) Over the Last Week of the Maintenance Period at Week 12.Placebo Matching-2.5Standard Deviation 2.30Units on a scale
Change From Baseline of the Average Pain Intensity Based on an 11-point Numerical Rating Scale (NRS) Over the Last Week of the Maintenance Period at Week 12.Tapentadol ER-2.7Standard Deviation 2.4Units on a scale
Change From Baseline of the Average Pain Intensity Based on an 11-point Numerical Rating Scale (NRS) Over the Last Week of the Maintenance Period at Week 12.Oxycodone CR-2.3Standard Deviation 2.36Units on a scale
Patient Global Impression of ChangePlacebo MatchingVery Much Improved33participants
Patient Global Impression of ChangeTapentadol ERVery Much Improved40participants
Patient Global Impression of ChangeOxycodone CRVery Much Improved25participants
Patient Global Impression of ChangePlacebo MatchingMuch Improved94participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo Matching337
Overall StudySTARTEDTapentadol ER320
Overall StudySTARTEDOxycodone CR333
Overall StudyCOMPLETEDPlacebo Matching215
Overall StudyCOMPLETEDTapentadol ER179
Overall StudyCOMPLETEDOxycodone CR119
Overall StudyNOT COMPLETEDPlacebo Matching122
Overall StudyNOT COMPLETEDTapentadol ER141
Overall StudyNOT COMPLETEDOxycodone CR214

Adverse events108

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersPlacebo Matching21337
otherNauseaGastrointestinal disordersTapentadol ER65319
otherNauseaGastrointestinal disordersOxycodone CR123331
otherConstipationGastrointestinal disordersPlacebo Matching31337
otherConstipationGastrointestinal disordersTapentadol ER56319
otherConstipationGastrointestinal disordersOxycodone CR114331
otherVomitingGastrointestinal disordersPlacebo Matching13337
otherVomitingGastrointestinal disordersTapentadol ER32319
otherVomitingGastrointestinal disordersOxycodone CR86331
otherDry MouthGastrointestinal disordersPlacebo Matching7337

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo Matching
Total, all-cause mortalityTapentadol ER
Total, all-cause mortalityOxycodone CR
Total, other adverse eventsPlacebo Matching187337
Total, other adverse eventsTapentadol ER214319
Total, other adverse eventsOxycodone CR281331
Total, serious adverse eventsPlacebo Matching4337
Total, serious adverse eventsTapentadol ER2319
Total, serious adverse eventsOxycodone CR13331

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23340531DERIVEDPubMed
23709304DERIVEDPubMed
24353047DERIVEDPubMed
24916058DERIVEDPubMed
24985410DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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