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Efficacy Safety of a Combination Thiocolchicoside+Ketoprofen Compared to Thiocolchicoside Twice a Day for 7 Days in Patients Suffering From Acute Non Specific Low Back Pain (TIOKET)
This study is currently recruiting participants.
Verified by Sanofi-Aventis, November 2008
Sponsored by: Sanofi-Aventis
Information provided by: Sanofi-Aventis
ClinicalTrials.gov Identifier: NCT00679146
  Purpose

Primary Objective :

To demonstrate the superiority of the oral fixed - combination of a muscle relaxant, thiocolchicoside (TCC) to a non steroidal anti-inflammatory drug, ketoprofen, over oral TCC, on average pain within the last 24 hours in adults suffering from acute non specific low back pain with an episode of recent onset

Secondary Objective :

To compare the safety of the oral combination to that of oral TCC alone


Condition Intervention Phase
Low Back Pain
Drug: Thiocolchicoside+Ketoprofen
Drug: Thiocolchicoside
Phase III

MedlinePlus related topics: Back Pain
Drug Information available for: Ketoprofen Thiocolchicoside
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Efficacy and Safety of a Fixed Combination (Thiocolchicoside 8 mg + Ketoprofen 100 mg ) Compared to Thiocolchicoside 8 mg Administered Twice a Day for 7 Days in Patients Suffering From Acute Non Specific Low Back Pain

Further study details as provided by Sanofi-Aventis:

Primary Outcome Measures:
  • Average pain within the last 24 hours (VAS) [ Time Frame: at D3 visit ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Average pain within the last 24 hours (VAS) [ Time Frame: at D7 visit ] [ Designated as safety issue: No ]

Estimated Enrollment: 320
Study Start Date: April 2008
Estimated Primary Completion Date: January 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
1 tablet TCC 8 mg + ketoprofen 100 mg b.i.d + 2 tablets TCC placebo b.i.d
Drug: Thiocolchicoside+Ketoprofen
1 tablet TCC 8 mg + ketoprofen 100 mg b.i.d + 2 tablets TCC placebo b.i.d
2: Active Comparator
2 tablets TCC 4 mg b.i.d. + 1 tablet of FDC placebo b.i.d
Drug: Thiocolchicoside
2 tablets TCC 4 mg b.i.d. + 1 tablet of FDC placebo b.i.d

  Eligibility

Ages Eligible for Study:   20 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

List of Inclusion and Exclusion criteria :

Inclusion Criteria:

  • Non specific low back pain with an acute episode of recent onset (<48 hours) defined by average pain within the last 24 hours equal or more than 50 mm on the Visual Analogue Scale (VAS)
  • Low back pain of diagnosis category 1 (low back pain radiating no farther than the intergluteal fold) or 2 (low back pain radiating no farther than the knee), as defined by the International Paris Task Force on Back Pain

Exclusion Criteria:

Exclusion criteria related to study methodology:

  • Low back pain due to vertebral collapse or of no mechanical origin (suspected by history taking and physical examination), such as neoplasm, infection or inflammatory disorders,
  • Low back pain of diagnosis category 3 (low back pain radiating beyond the knee, with no neurologic signs) or 4 (low back pain radiating to a precise and entire leg dermatome, with or without neurologic signs), as defined by the International Paris Task Force on Back Pain
  • History of inflammatory arthritis of large joints,
  • History of seizure disorders,
  • History of malignant tumour,
  • Treatment with steroidal agents (including aspirin) during the two days prior to prospective inclusion, prolonged used of corticosteroids,
  • Treatment with NSAIDs or muscle relaxant or opioid analgesics within 3 days of admission,
  • Psychiatric or mental diseases,
  • Immunosuppression, HIV,
  • Inclusion in another study in the past six months or previous inclusion in this study,
  • History of alcohol, drugs or narcotics abuse
  • Recent history of violent trauma,
  • Constant progressive, non mechanical pain (no relief with bed rest),
  • Thoracic pain,
  • Patient systemically unwell,
  • Unexplained weight loss,
  • Widespread neurological symptoms (including cauda equine syndrome),
  • Structural deformity
  • Fever,
  • Clinical significant renal dysfunction defined by Creatinine > 1.5 UNL,
  • Clinically significant hepatic dysfunction defined by:
  • Total Bilirubin > 2 UNL
  • SGOT (AST) > 1.5 UNL
  • SGPT (ALAT) > 1.5 UNL
  • Alkaline Phosphatase > 1.5 UNL
  • Patients who have received other therapy (physiotherapy, physical manipulations, invasive intervention, acupuncture therapy...) within the last 48 hours.

Exclusion criteria related to trial drugs:

  • Pregnancy, breast feeding or women of childbearing potential not using efficient contraception. Patient with Intra Uterine Device should use another form of contraception as the efficacy of the IUD may be reduced by ketoprofen.

Exclusion criteria related to thiocolchicoside:

  • Known or suspected hypersensitivity to thiocolchicoside

Exclusion criteria related to ketoprofen:

  • Uncontrolled heart failure,
  • Arterial Hypertension (SBP>140 mmHg or DBP >90 mmHg),
  • Stroke or myocardial infarction in the past,
  • Myopathy
  • Myasthenia,
  • History of active peptic ulcer or gastrointestinal (GI) bleeding, history of gastric pain with NSAIDs,
  • History of NSAID/aspirin-induced asthma,
  • Known or suspected hypersensitivity to ketoprofen.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00679146

Contacts
Contact: PUBLIC REGISTRY GMA publicregistryGMA@sanofi-aventis.com

Locations
Brazil
Sanofi-aventis Administrative Office Recruiting
Sao Paulo, Brazil
Colombia
sanofi-aventis Administrative Office Recruiting
Bogota, Colombia
Egypt
sanofi-aventis Administrative Office Not yet recruiting
Cairo, Egypt
Mexico
sanofi-aventis Administrative Office Recruiting
Mexico DF, Mexico
Venezuela
sanofi-aventis Administrative Office Not yet recruiting
Caracas, Venezuela
Sponsors and Collaborators
Sanofi-Aventis
Investigators
Study Director: Margarita MURRIETA-AGUTTES Sanofi-Aventis
  More Information

Responsible Party: Sanofi-aventis ( Medical Affairs Study Director )
Study ID Numbers: KETOP_R_02693
Study First Received: May 6, 2008
Last Updated: November 6, 2008
ClinicalTrials.gov Identifier: NCT00679146  
Health Authority: Brazil: Ministry of Health;   Colombia: INVIMA Instituto Nacional de Vigilancia de Medicamentos y Alimentos;   Egypt: Ministry of Health and Population;   Mexico: Ministry of Health;   Venezuela : Ministry of Health

Study placed in the following topic categories:
Ketoprofen
Signs and Symptoms
Neurologic Manifestations
Low Back Pain
Colchicine
Pain
Back Pain

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Mitosis Modulators
Nervous System Diseases
Physiological Effects of Drugs
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Antimitotic Agents
Gout Suppressants
Pharmacologic Actions
Analgesics, Non-Narcotic
Sensory System Agents
Therapeutic Uses
Tubulin Modulators
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Peripheral Nervous System Agents
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 15, 2009