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Trial · NCT00640042

Evaluation of Risk Minimization, Assessment and Outcomes in Patients With Chronic Pain Taking Avinza

NCT00640042, Phase 4, Completed, Pfizer; results first posted 2010-02-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluation of Risk Minimization, Assessment and Outcomes in Patients With Chronic Pain Taking Avinza. Trials, record NCT00640042. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00640042

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Trial

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

Title
Evaluation of Risk Minimization, Assessment and Outcomes in Patients With Chronic Pain Taking Avinza
NCT number
NCT00640042
Status
Completed
Phases
Phase 4
Enrollment
1,570 participants, actual
Lead sponsor
Pfizer
Conditions
Pain
Interventions
morphine sulfate extended release capsules
First posted
2008-03-20
Last updated
2012-06-11
Results first posted
2010-02-15

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryDifference From Baseline (Week 0) in the Average Pain Score at Visit 3 (Week 6)Baseline (Week 0) to Visit 3 (Week 6)Average pain intensity over last 24 hours rated by the subject using an 11 point numeric rating scale (ranging from 0=no pain to 10=worst pain) at Visit 3
PrimaryDifference From Baseline (Week 0) in the Average Pain Score at Visit 4 (Week 10)Baseline (Week 0) to Visit 4 (Week 10)Average pain intensity over last 24 hours rated by the subject using an 11 point numeric rating scale (ranging from 0=no pain to 10=worst pain) at Visit 4
PrimaryDifference From Baseline (Week 0) in the Average Pain Score at Visit 5 (Week 14 / End of Study)Baseline (Week 0) to Visit 5 (Week 14 / End of Study)Average pain intensity over last 24 hours rated by the subject using an 11 point numeric rating scale (ranging from 0=no pain to 10=worst pain) at Visit 5 / End of Study
PrimaryNumber of Subjects With Treatment Emergent Adverse EventsUp to 4 monthsAdverse events that occur or worsen after the first dose of Avinza
PrimaryNumber of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)Visit 3 (Week 6)
Risk level was determined by the investigator using the subject's SOAPP-R (Screener and Opioid Assessment for Patients with Pain® - Revised Questionnaire) score, reports/ evidence of aberrant behavior and clinical judgment. Low Risk: SOAPP-R score \<= 9 and no signals of aberrant behavior; Moderate Risk: SOAPP-R score \<= 9 with positive signals of aberrant behavior OR SOAPP-R score = 10-21 with or without positive signals of aberrant behavior OR SOAPP-R score \>= 22; High Risk: SOAPP-R score \>= 22 with positive signals of aberrant behavior.
PrimaryNumber of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 4 (Week 10)Visit 4 (Week 10)
Risk level was determined by the investigator using the subject's SOAPP-R score, reports/ evidence of aberrant behavior and clinical judgment. Low Risk: SOAPP-R score \<= 9 and no signals of aberrant behavior; Moderate Risk: SOAPP-R score \<= 9 with positive signals of aberrant behavior OR SOAPP-R score = 10-21 with or without positive signals of aberrant behavior OR SOAPP-R score \>= 22; High Risk: SOAPP-R score \>= 22 with positive signals of aberrant behavior.
SecondaryNumber of Cases in Which Investigators Were Satisfied or Very Satisfied With the Utility of the Risk Minimization Program in This Study.Up to 4 months
After each subject completed participation in the study, investigators reported satisfaction with the utility of the risk minimization program in handling each subject's particular case. The risk minimization program is a set of tools used to assist clinicians in responsibly managing pain patients prescribed Avinza. The tools include SOAPP-R, treatment agreement, urine drug test, pill counts, PPAFT (Pain Patient Follow-up Tool), Investigator Assessment and Plan and prescription card data. These tools were used at each visit to assess subject risk and to aid in the management of subject's pain.
SecondaryNumber of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 Months Post Study Completion.3 months post studyThe risk minimization tools include SOAPP-R, treatment agreement, urine drug test, pill counts, PPAFT, Investigator Assessment and Plan and prescription card information.
SecondaryNumber of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 to 6 Months Post Study Completion.6 months post studyThe risk minimization tools include SOAPP-R, treatment agreement, urine drug test, pill counts, PPAFT, Investigator Assessment and Plan and prescription card information.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDifference From Baseline (Week 0) in the Average Pain Score at Visit 3 (Week 6)Baseline (Week 0) to Visit 3 (Week 6)Number of subjects with pain scores recorded at Baseline (Week 0) and Visit 3 (Week 6)units on scaleMEAN
PRIMARYDifference From Baseline (Week 0) in the Average Pain Score at Visit 4 (Week 10)Baseline (Week 0) to Visit 4 (Week 10)Number of subjects with pain scores at Baseline (Week 0) and Visit 4 (Week 10)units on scaleMEAN
PRIMARYDifference From Baseline (Week 0) in the Average Pain Score at Visit 5 (Week 14 / End of Study)Baseline (Week 0) to Visit 5 (Week 14 / End of Study)Number of subjects with pain scores at Baseline (Week 0) and Visit 5 (Week 14 / End of Study)units on scaleMEAN
PRIMARYNumber of Subjects With Treatment Emergent Adverse EventsUp to 4 monthsparticipantsNUMBER
PRIMARYNumber of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)Visit 3 (Week 6)Number of subjects with risk level assessment at Visit 3 (Week 6)participantsNUMBER
PRIMARYNumber of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 4 (Week 10)Visit 4 (Week 10)Number of subjects with risk level assessment at Visit 4 (Week 10)participantsNUMBER
SECONDARYNumber of Cases in Which Investigators Were Satisfied or Very Satisfied With the Utility of the Risk Minimization Program in This Study.Up to 4 monthsNumber of subjects with risk level assessment at Visit 4 (Week 10)casesNUMBER
SECONDARYNumber of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 Months Post Study Completion.3 months post studyNumber of investigators providing 3-month post study survey response (n=219); surveys were completed one per investigator.investigatorsNUMBER
SECONDARYNumber of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 to 6 Months Post Study Completion.6 months post studyNumber of investigators providing 6-month post study survey response (n=169); surveys were completed one per investigator.investigatorsNUMBER

Results by group20

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

OutcomeGroupCategoryValueSpreadUnits
Difference From Baseline (Week 0) in the Average Pain Score at Visit 3 (Week 6)Avinza-1.6Standard Deviation 2.27units on scale
Difference From Baseline (Week 0) in the Average Pain Score at Visit 4 (Week 10)Avinza-1.7Standard Deviation 2.24units on scale
Difference From Baseline (Week 0) in the Average Pain Score at Visit 5 (Week 14 / End of Study)Avinza-1.1Standard Deviation 2.31units on scale
Number of Subjects With Treatment Emergent Adverse EventsAvinza707participants
Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)AvinzaLow risk433participants
Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)AvinzaModerate risk325participants
Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)AvinzaHigh risk8participants
Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)AvinzaMissing3participants
Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 4 (Week 10)AvinzaLow risk355participants
Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 4 (Week 10)AvinzaModerate risk267participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
EnrollmentSTARTEDAvinza1,570
EnrollmentCOMPLETEDAvinza1,487
EnrollmentNOT COMPLETEDAvinza83
TreatmentSTARTEDAvinza1,487
TreatmentCOMPLETEDAvinza561
TreatmentNOT COMPLETEDAvinza926

Adverse events74

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersAvinza2031,487218
otherNauseaGastrointestinal disordersAvinza1621,487170
otherVomitingGastrointestinal disordersAvinza781,48780
otherSomnolenceNervous system disordersAvinza791,48788
seriousAnaemiaBlood and lymphatic system disordersAvinza21,4872
seriousNeutropeniaBlood and lymphatic system disordersAvinza11,4872
seriousCardiac failure congestiveCardiac disordersAvinza41,4874
seriousMyocardial infarctionCardiac disordersAvinza21,4872
seriousAcute myocardial infarctionCardiac disordersAvinza11,4871
seriousCor pulmonaleCardiac disordersAvinza11,4871

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAvinza
Total, other adverse eventsAvinza3941,487
Total, serious adverse eventsAvinza601,487

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
11029873BACKGROUNDPubMed
11997197BACKGROUNDPubMed
15773874BACKGROUNDPubMed
16595013BACKGROUNDPubMed
17319449BACKGROUNDPubMed
17326594BACKGROUNDPubMed
17885342BACKGROUNDPubMed
18027540BACKGROUNDPubMed
27782769DERIVEDPubMed

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.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00640042

GET https://conductscience.org/api/trials/v1/NCT00640042/events?page=2