Randomized, single blind, non-inferiority study on the speed of action of lysin ibuprofen suspension vs ibuprofen suspension in the treatment of acute pain in children (SAPed).

2023-507510-27-00 Protocol SAPed Therapeutic use (Phase IV) Ended

End 4 Sep 2024 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol SAPed

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 192
Countries 1
Sites 1

Acute pain in pediatric age

Evaluation of non-inferiority in the speed of action of lysin ibuprofen suspension versus ibuprofen suspension in the treatment of acute pain in children.

Key facts

Sponsor
Dicofarm S.p.A.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
completed 4 Sep 2024
Decision date (initial)
2024-01-11
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Dicofarm SpA

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy

Evaluation of non-inferiority in the speed of action of lysin ibuprofen suspension versus ibuprofen suspension in the treatment of acute pain in children.

Secondary objectives 1

  1. 1. Evaluation of the efficacy of lysin ibuprofen suspension versus ibuprofen suspension on the treatment of acute pain in children. 2. Evaluation of eventual superiority of lysin ibuprofen suspension versus ibuprofen suspension on the treatment of acute pain in children. 3. Evaluation of safety of lysin ibuprofen versus ibuprofen on the treatment of acute pain in children.

Conditions and MedDRA coding

Acute pain in pediatric age

VersionLevelCodeTermSystem organ class
21.0 HLT 10068757 Musculoskeletal and connective tissue pain and discomfort 10028395

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Randomized, single blind, non-inferiority study on the speed of action of lysin ibuprofen suspension
Randomized, interventional, controlled, phase IV single blind study, parallel assignment, two armed, to evaluate the speed of action and efficacy of lysin ibuprofen suspension vs not lysin ibuprofen suspension on the treatment of acute pain in children. Subjects from 4 up to 12 years old, that will be admitted to the PER with acute pain as a primary symptom or an accompanying symptom (sore throat, headache, ear pain, toothache, post-traumatic musculoskeletal pain), pain intensity ≥4 in a 10 points scale that meet the inclusion/exclusion criteria will be enrolled.
Randomised Controlled Single [{"id":32596,"code":1,"name":"Subject"}]

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Male and female pediatric subjects from ≥4 ≤12 years old.. 2. Subjects admitted to ER with acute pain as a primary symptom or an accompanying symptom (sore throat, headache, ear pain, toothache, post-traumatic musculoskeletal pain). 3. Pain intensity ≥4, assessed with validated age-related scale of 10 points. 4. Written informed consent provided by parents/tutor, willing and able to understand the purpose of the study, including possible risks and side effects, and willing and able to comply, on their behalf and of the minor, with the study requirements. 5. Willing and able to give additional written informed consent by itself, in case of children and adolescents, in addition to parents/tutor. 6. Willing and able, in case of children and adolescents, to comply with the study requirements on their behalf.

Exclusion criteria 1

  1. 1. Subjects with hypersensitivity to ibuprofen, or to one of the components of IMP, or any other NSAID. 2. Chicken pox. 3. Dehydration. 4. Gastroenteritis. 5. Renal failure. 6. Thrombocytopenia, coagulopathies, and haemorrhagic diathesis. 7. A history of gastrointestinal bleeding or perforation related to previous drug treatments non-steroidal anti-inflammatory drugs (NSAIDs). 8. Peptic ulcer, active or recurrent gastrointestinal bleeding (two or more separate episodes occurring on ulceration or haemorrhage). 9. Severe heart failure (NYHA: class IV). 10. Severe liver failure. 11. Patients with hereditary fructose intolerance. 12. Wheat allergy. 13. Head and abdominal trauma. 14. The analgesic pain/ anti-inflammatory has already been administered at home (paracetamol in the previous 4 hours or ibuprofen in the previous 6 hours). 15. Subjects affected by delayed psychomotor development. 16. Vomiting after drug administration (drop out). 17. Participation in any other clinical study within the 3 months prior to the screening. 18. Pregnancy.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Non inferiority of speed of action of lysin ibuprofen suspension on pain intensity measured by validated agerelated scale (Wong-Baker Faces Pain scale and Numerical Rating Scale). The reduction of pain (abbreviated PAR, from pain relief) will be assessed at different time points on the difference in the values of the pain scales used. The main assessment is at five minutes timepoint.

Secondary endpoints 1

  1. 1. Evaluation of PAR general score after 10 , 20 and 30 minutes. 2. Evaluation of AEs/SAEs.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

ALGIDRIN 20 mg/ml sospensione orale, Bambini

PRD8757990 · Product

Active substance
Ibuprofen Lysine
Pharmaceutical form
ORAL SUSPENSION
Route of administration
ORAL
Max daily dose
20 mg/kg milligram(s)/kilogram
Max total dose
20 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
M01AE01 — IBUPROFEN
Marketing authorisation
049108020
MA holder
DICOFARM S.P.A.
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 2

MOMENTKID bambini 100 mg/5 ml sospensione orale

PRD513857 · Product

Active substance
Ibuprofen
Pharmaceutical form
ORAL SUSPENSION
Route of administration
ORAL
Max daily dose
20 mg/Kg milligram(s)/kilogram
Max total dose
20 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
M01AE01 — IBUPROFEN
Marketing authorisation
038666018
MA holder
AZIENDE CHIMICHE RIUNITE ANGELINI FRANCESCO - A.C.R.A.F. S.P.A.
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NUROFEN FEBBRE E DOLORE Bambini 100mg/5ml sospensione orale gusto arancia senza zucchero

PRD3039960 · Product

Active substance
Ibuprofen
Pharmaceutical form
ORAL SUSPENSION
Route of administration
ORAL
Max daily dose
20 mg/kg milligram(s)/kilogram
Max total dose
20 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
M01AE01 — IBUPROFEN
Marketing authorisation
034102020
MA holder
RECKITT BENCKISER HEALTHCARE (ITALIA) SPA
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Dicofarm S.p.A.

Sponsor organisation
Dicofarm S.p.A.
Address
Via Del Casale Della Marcigliana 29
City
Rome
Postcode
00138
Country
Italy

Scientific contact point

Organisation
Dicofarm S.p.A.
Contact name
Diana Diofebi

Public contact point

Organisation
Dicofarm S.p.A.
Contact name
Diana Diofebi

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 192 1
Rest of world 0

Investigational sites

Italy

1 site · Ended
Azienda Unita Sanitaria Locale Di Piacenza
Pediatrics and Neonatology Units, Via Giuseppe Taverna 49, 29121, Piacenza

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-12 Italy Acceptable
2024-01-10
2024-01-11