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Trial · NCT04495283

A Phase 2 Study to Evaluate Pregabalin and Acetaminophen Compared to Acetaminophen and Placebo in Subjects Undergoing Bunionectomy

NCT04495283, Phase 2, Completed, Nevakar, Inc.; results first posted 2021-11-23

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. A Phase 2 Study to Evaluate Pregabalin and Acetaminophen Compared to Acetaminophen and Placebo in Subjects Undergoing Bunionectomy. Trials, record NCT04495283. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04495283

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Trial

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

Title
A Phase 2 Study to Evaluate Pregabalin and Acetaminophen Compared to Acetaminophen and Placebo in Subjects Undergoing Bunionectomy
NCT number
NCT04495283
Status
Completed
Phases
Phase 2
Enrollment
87 participants, actual
Lead sponsor
Nevakar, Inc.
Conditions
Postoperative Pain
Interventions
Pregabalin, Acetaminophen, Placebo 1, Placebo 2
First posted
2020-07-31
Last updated
2021-11-23
Results first posted
2021-11-23

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimarySummed Pain Intensity (SPI) Between Group A and Group C0 to 48 hours
Pain Intensity using a pain rating of 0-10 on the Numerical Rating Scale (NRS), with a score between 0-10 (0= no pain; 10 = worst imaginable pain). Summed Pain Intensity (SPI0-48) was calculated using the trapezoidal method as the area under the curve (AUC) of pain intensity as measured using the NRS through various time intervals up to 48 hours. For SPI0-48 calculation, all available NRS pain intensity scores (scheduled pain intensity, unscheduled pain intensity and pre-rescue pain intensity) from 0 to 48 hours, including any imputed values, was used in the calculation. Hour 0 was defined as the time of the end of surgery. SPI0-48 was calculated using the formula: Sum (1/2 (SPIi + SPIi+1)\*Δt), where Δt was the time difference between Time i and Time (i+1). The represented values are sum of pain intensity scores at various time points. This outcome was compared between a combination of PGB and APAP (Group A) and placebo (Group C) from Hour 0 to Hour 48 (SPI0-48)
SecondarySummed Pain Intensity (SPI) Compared Between Group A and Group B0 to 48 hours
Pain Intensity using a pain rating of 0-10 on the Numerical Rating Scale (NRS), with a score between 0-10 (0= no pain; 10 = worst imaginable pain). Summed Pain Intensity (SPI0-48) -was calculated using the trapezoidal method as the area under the curve (AUC) of pain intensity as measured using the NRS through various time intervals up to 48 hours. For SPI0-48 calculation, all available NRS pain intensity scores (scheduled pain intensity, unscheduled pain intensity and pre-rescue pain intensity) from 0 to 48 hours, including any imputed values, were used in the calculation. Hour 0 was defined as the time of the end of surgery. SPI0-48 was calculated using the formula: SUM (1/2 (SPIi + SPIi+1)\*Δt), where Δt was the time difference between Time i and Time (i+1). The represented values are sum of pain intensity scores at various time points. This outcome was compared between a combination of PGB and APAP (Group A) and APAP alone (Group B) from Hour 0 to Hour 48 (SPI0-48)
SecondarySummed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).0, 12, 24, 48 hours
Pain Intensity was determined using a pain rating of 0-10 on the NRS, with a score between 0-10 (0= no pain; 10 = worst imaginable pain). SPI were calculated using the trapezoidal method as the AUC of pain intensity as measured using the NRS through various time intervals at 0-12, 12-24 and 24-48 hours. For specific time interval SPI calculation, all available NRS pain intensity scores (scheduled pain intensity, unscheduled pain intensity and pre-rescue pain intensity) in the respective time interval, including any imputed values, were used in the calculation. Hour 0 was defined as the time of the end of surgery. SPI at various time intervals were calculated using the formula: SUM (1/2 (SPIi + SPIi+1)\*Δt), where Δt was the time difference between Time i and Time (i+1). The represented values are sum of pain intensity scores at respective time interval (0-12, 12-24 and 24-48 hours). This outcome was compared between a combination of PGB and APAP, APAP alone, and placebo.
SecondarySummed Pain Intensity (SPI) Assessed by Numeric Rating Scale Over Time0, 1, 2, 4, 6, 8, 10 ,12, 14, 16, 18, 20, 24, 28, 32, 36, 40, 44, and 48 hours
Pain Intensity was determined using a pain rating of 0-10 on the NRS, with a score between 0-10 (0= no pain; 10 = worst imaginable pain). SPI were calculated using the trapezoidal method as the AUC of pain intensity as measured using the NRS through various time intervals from 0 hour till each time point at 1, 2, 4, 6, 8, 10 ,12, 14, 16, 18, 20, 24, 28, 32, 36, 40, 44, and 48 hours. For specific time interval SPI calculation, all available NRS pain intensity scores (scheduled pain intensity, unscheduled pain intensity and pre-rescue pain intensity) in the respective time interval, including any imputed values, were used in the calculation. Hour 0 was defined as the time of the end of surgery. SPI at various time intervals were calculated using the formula: SUM (1/2 (SPIi + SPIi+1)\*Δt), where Δt was the time difference between Time i and Time (i+1). The represented values are sum of pain intensity scores at respective time intervals.
SecondaryNumber of Participants With Treatment-Related Adverse Events (TRAE)7 daysA TRAE is defined as a treatment-emergent adverse event (TEAE) that was classified by the investigator as related to study drug. The number of participants with TRAE were reported
SecondaryPercentage of Participants Who Were Opioid Free Over Time12 to 48 hoursPercentages of participants who did not take opioid (rescue medication) over time.
SecondaryTotal Consumption of Opioid Rescue Medication Through 24 Hours and 48 Hours24 hours and 48 hoursThe total consumption of opioid rescue analgesia through 24 hours and through 48 hours was reported
SecondaryTotal Consumption of Rescue Medication7 daysThe total consumption of rescue analgesia was reported.
SecondaryTime to First Use of Rescue Medication From Hour 07 daysTime to first use of rescue medication from Hour 0 was reported. Hour 0 was defined as the end of surgery (i.e., completion of the last suture).
SecondaryPercentage of Participants Who Used Rescue Medication7 daysPercentage of participants who used rescue medication is reported

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSummed Pain Intensity (SPI) Between Group A and Group C0 to 48 hoursThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.score on a scaleLEAST_SQUARES_MEAN
SECONDARYSummed Pain Intensity (SPI) Compared Between Group A and Group B0 to 48 hoursThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.score on a scaleLEAST_SQUARES_MEAN
SECONDARYSummed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).0, 12, 24, 48 hoursThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.score on a scaleLEAST_SQUARES_MEAN
SECONDARYSummed Pain Intensity (SPI) Assessed by Numeric Rating Scale Over Time0, 1, 2, 4, 6, 8, 10 ,12, 14, 16, 18, 20, 24, 28, 32, 36, 40, 44, and 48 hoursThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.score on a scaleMEAN
SECONDARYNumber of Participants With Treatment-Related Adverse Events (TRAE)7 days
The Safety Analysis Set included all subjects who received any amount of study drug (APAP + PGB, APAP, or placebo), whether or not they were prematurely withdrawn from the study. The Safety Analysis Set was used for the summaries and listings of all safety assessments. Subjects were analyzed according to treatment received
participantsNUMBER
SECONDARYPercentage of Participants Who Were Opioid Free Over Time12 to 48 hoursThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.percentage of participantsNUMBER
SECONDARYTotal Consumption of Opioid Rescue Medication Through 24 Hours and 48 Hours24 hours and 48 hoursThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.oral morphine equivalentsMEAN
SECONDARYTotal Consumption of Rescue Medication7 daysThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.oral morphine equivalentsMEAN
SECONDARYTime to First Use of Rescue Medication From Hour 07 daysThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.hoursMEDIAN
SECONDARYPercentage of Participants Who Used Rescue Medication7 daysThe Full Analysis Set (FAS) included all randomized subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment group to which they were randomized.percentage of participantsNUMBER

Results by group112

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

OutcomeGroupCategoryValueSpreadUnits
Summed Pain Intensity (SPI) Between Group A and Group CPGB and APAP (Group A)153.08Standard Error 15.238score on a scale
Summed Pain Intensity (SPI) Between Group A and Group CPlacebo (Group C).267.51Standard Error 21.864score on a scale
Summed Pain Intensity (SPI) Compared Between Group A and Group BPGB and APAP (Group A)153.08Standard Error 15.238score on a scale
Summed Pain Intensity (SPI) Compared Between Group A and Group BAPAP (Group B)223.24Standard Error 5.238score on a scale
Summed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).PGB and APAP (Group A)SPI 0-1233.09Standard Error 3.728score on a scale
Summed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).APAP (Group B)SPI 0-1249.09Standard Error 3.728score on a scale
Summed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).Placebo (Group C).SPI 0-1258.89Standard Error 5.349score on a scale
Summed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).PGB and APAP (Group A)SPI 12-2450.92Standard Error 5.082score on a scale
Summed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).APAP (Group B)SPI 12-2469.35Standard Error 5.082score on a scale
Summed Pain Intensity (SPI) Assessed by Numeric Rating Scale From Hour 0 to Hour 12 (SPI0-12), Hour 12 to Hour 24 (SPI12-24), and Hour 24 to Hour 48 (SPI24-48).Placebo (Group C).SPI 12-2488.95Standard Error 7.292score on a scale

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPGB and APAP (Group A)35
Overall StudySTARTEDAPAP (Group B)35
Overall StudySTARTEDPlacebo (Group C).17
Overall StudyCOMPLETEDPGB and APAP (Group A)34
Overall StudyCOMPLETEDAPAP (Group B)34
Overall StudyCOMPLETEDPlacebo (Group C).14
Overall StudyNOT COMPLETEDPGB and APAP (Group A)1
Overall StudyNOT COMPLETEDAPAP (Group B)1
Overall StudyNOT COMPLETEDPlacebo (Group C).3

Adverse events90

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherTachycardiaCardiac disordersPGB and APAP (Group A)035
otherTachycardiaCardiac disordersAPAP (Group B)135
otherTachycardiaCardiac disordersPlacebo (Group C).017
otherDiplopiaEye disordersPGB and APAP (Group A)135
otherDiplopiaEye disordersAPAP (Group B)035
otherDiplopiaEye disordersPlacebo (Group C).017
otherVision blurredEye disordersPGB and APAP (Group A)135
otherVision blurredEye disordersAPAP (Group B)035
otherVision blurredEye disordersPlacebo (Group C).017
otherConstipationGastrointestinal disordersPGB and APAP (Group A)035

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPGB and APAP (Group A)035
Total, all-cause mortalityAPAP (Group B)035
Total, all-cause mortalityPlacebo (Group C).017
Total, other adverse eventsPGB and APAP (Group A)2735
Total, other adverse eventsAPAP (Group B)1535
Total, other adverse eventsPlacebo (Group C).917
Total, serious adverse eventsPGB and APAP (Group A)035
Total, serious adverse eventsAPAP (Group B)035
Total, serious adverse eventsPlacebo (Group C).017

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone 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/NCT04495283

GET https://conductscience.org/api/trials/v1/NCT04495283/results?page=2