DANTE Study: The First Randomized, Double-Blind, Placebo and Active-Controlled, Parallel Arm Group Study Evaluating the Analgesic Efficacy and Safety of Dexketoprofen TrometAmol aNd Tramadol Hydrochloride Oral FixEd Dose Combination on Moderate to Severe Acute Pain in Patients with Acute Low Back Pain-Rationale and Design.

Acute pain Dexketoprofen Low back pain Radiculopathy Tramadol

Journal

Pain and therapy
ISSN: 2193-8237
Titre abrégé: Pain Ther
Pays: New Zealand
ID NLM: 101634491

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 23 03 2022
accepted: 14 06 2022
pubmed: 6 7 2022
medline: 6 7 2022
entrez: 5 7 2022
Statut: ppublish

Résumé

Despite a wide range of treatment approaches and the availability of treatment recommendations or guidelines, no consensus on the most effective pharmacological therapy of low back pain (LBP) has been reached yet. Therefore, additional clinical evidence, particularly if built upon a rigorous clinical trial design, an evidence-based medication choice, and broader inclusion criteria better acknowledging the heterogeneity and intrinsic variability of LBP is needed. The DANTE study has been designed to comprehensively assess the analgesic efficacy and tolerability of dexketoprofen/tramadol (DKP/TRAM) 75/25 mg in a large cohort of patients with moderate to severe acute LBP. The DANTE study is a phase IV, multicenter, randomized, double-blind, double-dummy parallel group, placebo, and active controlled study. The DANTE study encompasses a single-dose phase (day 1, t0-t8h) and a multiple-dose phase (from t8h to 8 h after intake of last dose at day 5). The DANTE study population includes patients naïve to LBP or patients with previous history of LBP experiencing a new episode of moderate to severe intensity with or without radiculopathy. The clinical phase of the DANTE study started in September 2020 and the anticipated completion date is April 2022. The primary endpoint is the time to first achieve a numeric rating scale-pain intensity (NRS-PI) score of < 4 or a pain intensity reduction ≥ 30% from drug intake up to 8 h after the first dose (t8h). Secondary objectives aim are: (1) to evaluate the analgesic efficacy of TRAM/DKP 75/25 mg versus TRAM 100 mg after the first dose; (2) to evaluate the analgesic efficacy of TRAM/DKP 75/25 mg versus TRAM 100 mg after the multiple doses (from t8h until day 5, multiple dose); and (3) to assess the safety and tolerability of the TRAM/DKP 75/25 mg fixed combination after single and multiple doses. EudraCT number: 2019-003656-37.

Identifiants

pubmed: 35788976
doi: 10.1007/s40122-022-00407-8
pii: 10.1007/s40122-022-00407-8
pmc: PMC9314501
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1055-1070

Informations de copyright

© 2022. The Author(s).

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Auteurs

Giustino Varrassi (G)

Paolo Procacci Foundation, Via Tacito 7, 00193, Rome, Italy. giuvarr@gmail.com.

Magdi Hanna (M)

Analgesics and Pain Research (APR) Ltd, Beckenham, UK.

Stefano Coaccioli (S)

European League Against Pain, Zurich, Switzerland.

Meto Suada (M)

Global Medical Affairs, Menarini, Florence, Italy.

Serge Perrot (S)

Pain Center, INSERM U987, Hôpital Cochin, University of Paris, Paris, France.

Classifications MeSH