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oxymorphone

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Description

Oxymorphone: An opioid analgesic with actions and uses similar to those of MORPHINE, apart from an absence of cough suppressant activity. It is used in the treatment of moderate to severe pain, including pain in obstetrics. It may also be used as an adjunct to anesthesia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1092) [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID5284604
CHEMBL ID963
CHEBI ID7865
SCHEMBL ID3571
MeSH IDM0015684

Synonyms (91)

Synonym
(5alpha)-3,14-dihydroxy-17-methyl-4,5-epoxymorphinan-6-one
opana
ossimorfone [dcit]
oximorfona [inn-spanish]
oxymorphone [inn:ban]
morphinan-6-one, 4,5alpha-epoxy-3,14-dihydroxy-17-methyl-
morphinan-6-one, 4,5-epoxy-3,14-dihydroxy-17-methyl-, (5-alpha)-
brn 0041588
dea no. 9652
einecs 200-959-7
oxymorphonum [inn-latin]
nsc 19045
nsc19045
numorphan
morphinan-6-one,5-epoxy-3,14-dihydroxy-17-methyl-, (5.alpha.)-
7,8-dihydro-14-hydroxymorphinone
dihydrohydroxymorphinone
(14s)-14-hydroxydihydromorphinone
nsc-19045
morphinan-6-one,5.alpha.-epoxy-3,14-dihydroxy-17-methyl-
dihydro-14-hydroxymorphinone
oxymorphine
14-hydroxydihydromorphinone
morphinone, dihydro-14-hydroxy-
(5alpha)-4,5-epoxy-3,14-dihydroxyl-17-methylmorphinan-6-one
dihydroxymorphinone
morphinan-6-one, 4,5-epoxy-3,14-dihydroxy-17-methyl-, (5alpha)- (9ci)
3,14-dihydroxy-4,5-alpha-epoxy-17-methylmorphinan-6-one
morphinan-6-one, 3,14-dihydroxy-4,5-alpha-epoxy-17-methyl-
oximorphonum
morphinone, 7,8-dihydro-14-hydroxy- (6ci,7ci)
4,5-epoxy-3,14-dihydroxy-n-methyl-6-oxomorphinan
morphinan-6-one, 4,5alpha-epoxy-3,14-dihydroxy-17-methyl- (8ci)
morphinan-6-one, 4,5-epoxy-3,14-dihydroxy-17-methyl-, (5alpha)-
(-)-oxymorphone
C08019
oxymorphone
76-41-5
DB01192
oxymorphone cii
oxycodone hydrochloride impurity, oxymorphone-
chebi:7865 ,
ids-no-003
nih 10323
CHEMBL963 ,
oxymorphone (inn)
D08323
bdbm50001707
10,17-dihydroxy-4-methyl-(13r,17s)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10-trien-14-one(xymorphone)
10,17-dihydroxy-4-methyl-(13r,17s)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10-trien-14-one
10,17-dihydroxy-4-methyl-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7,9,11(18)-trien-14-one
10,17-dihydroxy-4-methyl-(13r,17s)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10-trien-14-one(oxymorphone)
AKOS015962232
en3202
oximorfona
9vxa968e0c ,
hsdb 8060
ossimorfone
oxymorphonum
unii-9vxa968e0c
oxymorphone cii [usp-rs]
oxycodone hydrochloride impurity, oxymorphone- [usp impurity]
oxymorphone [who-dd]
4,5.alpha.-epoxy-3,14-dihydroxy-17-methylmorphinan-6-one
oxymorphone [inn]
oxycodone hydrochloride impurity a [ep impurity]
oxymorphone [mi]
oxymorphone [vandf]
morphinan-6-one, 4,5-epoxy-3,14-dihydroxy-17-methyl-
gtpl7094
(4r,4as,7ar,12bs)-4a,9-dihydroxy-3-methyl-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one
nih10323
numorphone
HY-B0618
SCHEMBL3571
UQCNKQCJZOAFTQ-ISWURRPUSA-N
4,5alpha-epoxy-3,14-dihydroxy-17-methyl morphinan-6-one
DTXSID5023409 ,
(1s,5r,13r,17s)-10,17-dihydroxy-4-methyl-12-oxa-4-azapentacyclo[9.6.1.0^{1,13}.0^{5,17}.0^{7,18}]octadeca-7(18),8,10-trien-14-one
oxymorphone 1.0 mg/ml in methanol
oxymorphone 0.1 mg/ml in methanol
(4r,4as,7ar,12bs)-4a,9-dihydroxy-3-methyl-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one
Q423380
4,5alpha-epoxy-3, 14-dihydroxy-17-methylmorphinan-6-one
oximorfona (inn-spanish)
4,5alpha-epoxy-3,14-dihydroxy-17-methylmorphinan-6-one
dtxcid703409
oxymorphonum (inn-latin)
oximorfone
oxymorphone cii (usp-rs)
oxymorphone, 1mg/ml in methanol

Research Excerpts

Overview

Oxymorphone is a semisynthetic opioid agonist that is specific for the mu-opioid receptor and approved to treat both acute and chronic pain. It is a candidate for transdermal delivery since it is a very potent analgesic.

ExcerptReferenceRelevance
"Oxymorphone is a semisynthetic μ-opioid agonist, marketed as a prescription analgesic purported to be twice as potent as oxycodone for pain relief. "( Pharmacodynamic effects of oral oxymorphone: abuse liability, analgesic profile and direct physiologic effects in humans.
Babalonis, S; Lofwall, MR; Nuzzo, PA; Walsh, SL, 2016
)
2.16
"Oxymorphone is a pure μ-opioid receptor agonist that is commonly used in nonhuman primate medicine and surgery to minimize pain ranging in intensity from moderate to severe. "( Pharmacokinetics of oxymorphone in titi monkeys (Callicebus spp.) and rhesus macaques (Macaca mulatta).
Christe, KL; Grayson, JK; Kelly, KR; Lerche, NW; Pypendop, BH; Stanley, SD; Summers, LM, 2011
)
2.14
"Oxymorphone is a potent opioid analgesic. "( Evidence that oxymorphone-induced increases in micronuclei occur secondary to hyperthermia.
Gerson, RJ; Gudi, R; Krsmanovic, L; Shuey, DL, 2007
)
2.14
"Oxymorphone is a potent morphinan-type mu-opioid analgesic used for treatment of moderate-to-severe pain."( Oxymorphone hydrochloride, a potent opioid analgesic, is not carcinogenic in rats or mice.
Gerson, RJ; Gregson, R; Shuey, DL; Tremblay, C; Woodland, C, 2007
)
2.5
"Oral oxymorphone is a semisynthetic opioid agonist that is specific for the mu-opioid receptor and approved to treat both acute and chronic pain. "( Oral oxymorphone for pain management.
Chamberlin, KW; Cottle, M; Neville, R; Tan, J, 2007
)
1.37
"Oxymorphone is an oral therapeutic option approved for the treatment of acute and chronic moderate-to-severe pain. "( Oral oxymorphone for pain management.
Chamberlin, KW; Cottle, M; Neville, R; Tan, J, 2007
)
2.3
"Oxymorphone is a candidate for transdermal delivery since it is a very potent analgesic, is not very effective orally, and has a short duration of action. "( Transdermal oxymorphone formulation development and methods for evaluating flux and lag times for two skin permeation-enhancing vehicles.
Aungst, BJ; Blake, JA; Hussain, MA; Rogers, NJ, 1990
)
2.1

Effects

Oxymorphone (OM) has a much higher affinity for the µ-receptor, only plays a minor role. It has a safety and efficacy profile similar to that of other commonly used pure opioids.

Oxymorphone has active uptake transport at the BBB in rats, with moderate uptake clearance to the brain. It has a safety and efficacy profile similar to that of other commonly used pure opioids.

ExcerptReferenceRelevance
"Oxymorphone (OM), which has a much higher affinity for the µ-receptor, only plays a minor role (15.77 and 4.52% for p.o."( Contribution of oxycodone and its metabolites to the overall analgesic effect after oxycodone administration.
El Fallah, S; Klimas, R; Mikus, G; Witticke, D, 2013
)
1.11
"Oxymorphone has a safety and efficacy profile similar to that of other commonly used pure opioids (morphine, oxycodone, hydromorphone)."( Oral oxymorphone for pain management.
Chamberlin, KW; Cottle, M; Neville, R; Tan, J, 2007
)
1.57
"Oxymorphone has active uptake transport at the BBB in rats, with moderate uptake clearance to the brain."( Oxymorphone active uptake at the blood-brain barrier and population modeling of its pharmacokinetic-pharmacodynamic relationship.
Björkman, S; Boström, E; Hammarlund-Udenaes, M; Keizer, R; Sadiq, MW, 2013
)
2.55
"Oxymorphone (OM), which has a much higher affinity for the µ-receptor, only plays a minor role (15.77 and 4.52% for p.o."( Contribution of oxycodone and its metabolites to the overall analgesic effect after oxycodone administration.
El Fallah, S; Klimas, R; Mikus, G; Witticke, D, 2013
)
1.11
"Oxymorphone has a safety and efficacy profile similar to that of other commonly used pure opioids (morphine, oxycodone, hydromorphone)."( Oral oxymorphone for pain management.
Chamberlin, KW; Cottle, M; Neville, R; Tan, J, 2007
)
1.57

Actions

Oxymorphone users incur lower risk-adjusted costs in several cost categories. Oxymorphone does not produce chromosome aberrations in vitro, suggesting that the increased MPCEs in vivo may involve indirect mechanisms.

ExcerptReferenceRelevance
"Oxymorphone users incur lower risk-adjusted costs in several cost categories, compared with oxycodone users, and no higher costs in any of the examined categories."( Direct and indirect costs of patients treated with extended-release oxymorphone HCl or controlled-release oxycodone HCl.
Ben-Joseph, RH; Berner, T; Birnbaum, HG; Kirson, NY; Peterson, K; Schiller, M; Summers, KH; Waldman, T; White, AG, 2012
)
2.06
"Oxymorphone does not produce chromosome aberrations in vitro, suggesting that the increased MPCEs in vivo may involve indirect mechanisms."( Evidence that oxymorphone-induced increases in micronuclei occur secondary to hyperthermia.
Gerson, RJ; Gudi, R; Krsmanovic, L; Shuey, DL, 2007
)
1.42

Treatment

Oxymorphone-treated patients used significantly less rescue PCA than those who received placebo (p < 0.02). No oxymorphone IR- treated patients discontinued because of adverse events (AEs) or experienced serious AEs.

ExcerptReferenceRelevance
"Oxymorphone-treated patients used significantly less rescue PCA than those who received placebo (p < 0.02)."( Efficacy of oxymorphone extended release in postsurgical pain: a randomized clinical trial in knee arthroplasty.
Ahdieh, H; Babul, N; Lee, D; Ma, T, 2004
)
1.42
"No oxymorphone IR-treated patients discontinued because of adverse events (AEs) or experienced serious AEs."( Efficacy and safety of oxymorphone immediate release for the treatment of mild to moderate pain after ambulatory orthopedic surgery: results of a randomized, double-blind, placebo-controlled trial.
Ahdieh, H; Gimbel, JS; Ma, T; Walker, D, 2005
)
1.15

Toxicity

Stabilized doses of oxymorphone ER were generally safe and effective over a 12-week double-blind treatment period. No oxymorphones IR-treated patients discontinued because of adverse events (AEs) or experienced serious AEs.

ExcerptReferenceRelevance
" Opioid-related adverse events, similar among groups, were generally mild or moderate."( The efficacy and safety of oral immediate-release oxymorphone for postsurgical pain.
Ahdieh, H; Gimbel, J, 2004
)
0.58
"Inadequate analgesia and/or unmanageable adverse events frequently result in the need to rotate patients with cancer pain to a different opioid."( Effectiveness and safety of oral extended-release oxymorphone for the treatment of cancer pain: a pilot study.
Ahdieh, H; Slatkin, N; Sloan, P, 2005
)
0.58
" Pain was assessed using a visual analog scale, and adverse events were recorded."( Effectiveness and safety of oral extended-release oxymorphone for the treatment of cancer pain: a pilot study.
Ahdieh, H; Slatkin, N; Sloan, P, 2005
)
0.58
" Adverse events for the active drugs were similar; the most frequent were constipation and sedation."( Efficacy and safety of oxymorphone extended release in chronic low back pain: results of a randomized, double-blind, placebo- and active-controlled phase III study.
Dvergsten, C; Gimbel, J; Hale, ME, 2005
)
0.64
" Common opioid-related nonserious adverse events (AEs) caused most withdrawals."( Safety, tolerability, and effectiveness of oxymorphone extended release for moderate to severe osteoarthritis pain: a one-year study.
Ahdieh, H; McIlwain, H,
)
0.39
" No oxymorphone IR-treated patients discontinued because of adverse events (AEs) or experienced serious AEs."( Efficacy and safety of oxymorphone immediate release for the treatment of mild to moderate pain after ambulatory orthopedic surgery: results of a randomized, double-blind, placebo-controlled trial.
Ahdieh, H; Gimbel, JS; Ma, T; Walker, D, 2005
)
1.2
" Discontinuations as a result of adverse events were similar between groups, 10% with placebo and 11% with OPANA ER."( Efficacy and safety of OPANA ER (oxymorphone extended release) for relief of moderate to severe chronic low back pain in opioid-experienced patients: a 12-week, randomized, double-blind, placebo-controlled study.
Ahdieh, H; Hale, ME; Ma, T; Rauck, R, 2007
)
0.62
" During titration, 18% discontinued from adverse events (AEs) and 1% from lack of efficacy."( A 12-week, randomized, placebo-controlled trial assessing the safety and efficacy of oxymorphone extended release for opioid-naive patients with chronic low back pain.
Ahdieh, H; Gerritsen van der Hoop, R; Katz, N; Kerwin, R; Ma, T; Podolsky, G; Rauck, R, 2007
)
0.56
"Stabilized doses of oxymorphone ER were generally safe and effective over a 12-week double-blind treatment period in opioid-naive patients with CLBP."( A 12-week, randomized, placebo-controlled trial assessing the safety and efficacy of oxymorphone extended release for opioid-naive patients with chronic low back pain.
Ahdieh, H; Gerritsen van der Hoop, R; Katz, N; Kerwin, R; Ma, T; Podolsky, G; Rauck, R, 2007
)
0.89
" This opioid showed high antinociceptive potency but also the adverse effects associated with morphine type compounds."( Recent advances in the development of 14-alkoxy substituted morphinans as potent and safer opioid analgesics.
Schmidhammer, H; Spetea, M, 2012
)
0.38
" Pain was evaluated over 4 days by blinded observers using a modified Glasgow composite pain scale, and the a priori criteria for treatment failure was a pain score ≥ 8 or adverse event necessitating withdrawal."( The safety and effectiveness of a long-acting transdermal fentanyl solution compared with oxymorphone for the control of postoperative pain in dogs: a randomized, multicentered clinical study.
Clark, TP; Freise, KJ; Lin, TL; Linton, DD; Martinez, SA; Newbound, GC; Wilson, MG, 2014
)
0.62
"To perform the analysis, a comprehensive database consisting of pain relief compounds with information on summary-level of efficacy over time, adverse events and dropout rates was compiled from multiple sources."( Model-based Meta-analysis to Compare Primary Efficacy-endpoint, Efficacy-time Course, Safety, and Tolerability of Opioids Used in the Management of Osteoarthritic Pain in Humans.
Alhaj-Suliman, SO; Milavetz, G; Salem, AK, 2020
)
0.56
" It was also found that gastrointestinal adverse events were the most opioid-associated and dosedependent adverse effects."( Model-based Meta-analysis to Compare Primary Efficacy-endpoint, Efficacy-time Course, Safety, and Tolerability of Opioids Used in the Management of Osteoarthritic Pain in Humans.
Alhaj-Suliman, SO; Milavetz, G; Salem, AK, 2020
)
0.56
"Acute doses of diazepam or diclazepam result in the accumulation of oxycodone, whereas chronic administration induces the accumulation of oxymorphone, the toxic metabolite."( Metabolic interactions of benzodiazepines with oxycodone ex vivo and toxicity depending on usage patterns in an animal model.
Bazgier, V; Čechová, P; El Balkhi, S; Javellaud, J; Lawson, R; Marquet, P; Otyepka, M; Picard, N; Saint-Marcoux, F; Trouillas, P; Zarrouk, E, 2023
)
1.11

Pharmacokinetics

Oral formulations of oxymorphone were reintroduced in the United States in 2006 and reports of abuse ensued. There are limited data available on its pharmacodynamic effects. We compared pharmacokinetic profiles and physiologic and behavioral responses to Oxymorphone between titi monkeys (Callicebus spp)

ExcerptReferenceRelevance
" No differences were found between treatments in mean Cmax and AUC values of oxycodone which varied from 34 to 38 ng ml-1 and from 208 to 245 ng ml-1 h, respectively."( The pharmacokinetics and metabolism of oxycodone after intramuscular and oral administration to healthy subjects.
Kalso, E; Olkkola, KT; Pöyhiä, R; Seppälä, T, 1992
)
0.28
" AUC values were also calculated for the pharmacodynamic variable "drug effect," scored on a 100 mm visual analog scale."( Pharmacokinetic-pharmacodynamic relationships of controlled-release oxycodone.
Benziger, DP; Burke, BE; Fitzmartin, RD; Goldenheim, PD; Kaiko, RF; Reder, RF, 1996
)
0.29
" Mean elimination half-life was prolonged in uremic patients due to increased volume of distribution and reduced clearance."( The pharmacokinetics of oxycodone in uremic patients undergoing renal transplantation.
Kirvela, M; Lindgren, L; Olkkola, KT; Seppala, T, 1996
)
0.29
" Among the reasons for pursuing pharmacokinetic/ pharmacodynamic relationships is the prospect of predicting the time-action characteristics of new therapeutics on the basis of early studies in normals using pharmacodynamic surrogates for analgesia."( Pharmacokinetics and pharmacodynamics of controlled-release opioids.
Kaiko, RF, 1997
)
0.3
"The pharmacokinetic profile of oxymorphone ER demonstrates linearity and dose-proportionality under single-dose and steady-state conditions for the parent compound and its metabolites for doses of 5-40 mg."( Pharmacokinetics and dose-proportionality of oxymorphone extended release and its metabolites: results of a randomized crossover study.
Adams, MP; Ahdieh, H, 2004
)
0.87
" The single-dose and steady-state pharmacokinetic profiles of oxymorphone IR tablets were linear and dose proportional across the dose range from 5 to 20mg."( Single- and multiple-dose pharmacokinetic and dose-proportionality study of oxymorphone immediate-release tablets.
Adams, MP; Ahdieh, H, 2005
)
0.8
" Oral administration of oxycodone to the SD rat is a poor model of the human for the study of the pharmacodynamic effects of oxycodone."( Sex differences in the pharmacokinetics, oxidative metabolism and oral bioavailability of oxycodone in the Sprague-Dawley rat.
Chan, S; Edwards, SR; Smith, MT; Wyse, BD, 2008
)
0.35
" Pharmacokinetic parameters were calculated by using commercially available software."( Pharmacokinetics and behavioral effects of an extended-release, liposome-encapsulated preparation of oxymorphone in rhesus macaques.
Brown, C; Heath, TD; Krugner-Higby, L; KuKanich, B; Schmidt, B; Smith, LJ, 2009
)
0.57
" Plasma concentrations of oxycodone and its oxidative metabolites were measured for 48 h, and pharmacodynamic effects were evaluated."( Effects of itraconazole on the pharmacokinetics and pharmacodynamics of intravenously and orally administered oxycodone.
Grönlund, J; Hagelberg, NM; Laine, K; Neuvonen, M; Neuvonen, PJ; Olkkola, KT; Saari, TI, 2010
)
0.36
" Most of the pharmacokinetic changes in oral oxycodone were seen in the elimination phase, with modest effects by itraconazole on its peak concentration, which was increased by 45% (P=0."( Effects of itraconazole on the pharmacokinetics and pharmacodynamics of intravenously and orally administered oxycodone.
Grönlund, J; Hagelberg, NM; Laine, K; Neuvonen, M; Neuvonen, PJ; Olkkola, KT; Saari, TI, 2010
)
0.36
" We performed a three-way, placebo-controlled, double-blind cross-over study to assess the pharmacokinetic and pharmacodynamic consequences of drug interactions with oxycodone."( Effect of the inhibition of CYP3A4 or CYP2D6 on the pharmacokinetics and pharmacodynamics of oxycodone.
Drewe, J; Hammann, F; Krähenbühl, S; Kummer, O; Moser, C; Schaller, O, 2011
)
0.37
"Inhibition of CYP3A4 by ketoconazole increases the exposure and some pharmacodynamic effects of oxycodone."( Effect of the inhibition of CYP3A4 or CYP2D6 on the pharmacokinetics and pharmacodynamics of oxycodone.
Drewe, J; Hammann, F; Krähenbühl, S; Kummer, O; Moser, C; Schaller, O, 2011
)
0.37
" There were no significant sex-related differences in any of the pharmacokinetic parameters."( Elimination of intravenous oxycodone in the elderly: a pharmacokinetic study in postoperative orthopaedic patients of different age groups.
Aantaa, R; Kuusniemi, K; Liukas, A; Neuvonen, M; Neuvonen, PJ; Olkkola, KT; Virolainen, P, 2011
)
0.37
" We compared pharmacokinetic profiles and physiologic and behavioral responses to oxymorphone between titi monkeys (Callicebus spp."( Pharmacokinetics of oxymorphone in titi monkeys (Callicebus spp.) and rhesus macaques (Macaca mulatta).
Christe, KL; Grayson, JK; Kelly, KR; Lerche, NW; Pypendop, BH; Stanley, SD; Summers, LM, 2011
)
0.92
"The results of the current study of an ER formulation revealed no pharmacokinetic features that would preclude dosing in the elderly."( An open-label pharmacokinetic study of oxymorphone extended release in the presence of naltrexone in the older adult.
Gould, EM; Labhsetwar, S; Nagar, S; Pergolizzi, JV; Raffa, RB; Sinclair, N; Taylor, R,
)
0.4
" Serum opioid concentrations were measured with HPLC-MS and pharmacokinetic parameters were calculated using commercial software and non-compartmental methods."( Pharmacokinetics of ammonium sulfate gradient loaded liposome-encapsulated oxymorphone and hydromorphone in healthy dogs.
Heath, TD; Krugner-Higby, LA; Kukanich, BK; Schmidt, BH; Smith, LJ, 2013
)
0.62
"The aim of this study is to evaluate the pharmacokinetic profile of oxycodone and three of its metabolites, noroxycodone, oxymorphone and noroxymorphone after intravenous administration in Chinese patients with pain."( Pharmacokinetics of oxycodone hydrochloride and three of its metabolites after intravenous administration in Chinese patients with pain.
Dong, RH; Gao, HZ; Hao, GT; Li, YY; Liang, YG; Liu, ZY; Qu, HY; Wang, XF; Zhang, LJ; Zhou, HY, 2014
)
0.61
"Pharmacokinetic parameters showed that mean values of C(max), AUC(0-t) and AUC(0-∞) of oxycodone were dose dependent, whereas Tmax and t(1/2) were not."( Pharmacokinetics of oxycodone hydrochloride and three of its metabolites after intravenous administration in Chinese patients with pain.
Dong, RH; Gao, HZ; Hao, GT; Li, YY; Liang, YG; Liu, ZY; Qu, HY; Wang, XF; Zhang, LJ; Zhou, HY, 2014
)
0.4
" Oral formulations of oxymorphone were reintroduced in the United States in 2006 and reports of abuse ensued; however, there are limited data available on its pharmacodynamic effects."( Pharmacodynamic effects of oral oxymorphone: abuse liability, analgesic profile and direct physiologic effects in humans.
Babalonis, S; Lofwall, MR; Nuzzo, PA; Walsh, SL, 2016
)
1.03
" In this review, comparative evidence on pharmacokinetic differences between abuse-deterrent and classical formulations of the same opioids is summarized; furthermore, pharmacodynamic differences, with a focus on analgesia and abuse-related symptoms, are addressed."( Abuse-Deterrent Opioid Formulations: Pharmacokinetic and Pharmacodynamic Considerations.
Knothe, C; Lötsch, J; Walter, C, 2016
)
0.43
" The pharmacokinetics including the relatively short half-life of oxycodone in patients with ESRD with or without haemodialysis and the absence of unconjugated active metabolites indicate that oxycodone can be used at usual doses in patients requiring dialysis."( Pharmacokinetics of oxycodone/naloxone and its metabolites in patients with end-stage renal disease during and between haemodialysis sessions.
Amico, P; Dickenmann, M; Duthaler, U; Hammann, F; Haschke, M; Jehle, AW; Kalbermatter, S; Krähenbühl, S; Lenherr, C; Leuppi-Taegtmeyer, A; Liechti, ME; Meyer Zu Schwabedissen, HE; Schmid, Y, 2019
)
0.51

Compound-Compound Interactions

ExcerptReferenceRelevance
"Pharmacokinetic drug-drug interactions with morphine, hydromorphone, and oxymorphone are reviewed in this column."( Pharmacokinetic drug interactions of morphine, codeine, and their derivatives: theory and clinical reality, part I.
Armstrong, SC; Cozza, KL,
)
0.36
" A high interindividual variability in the activity of these enzymes because of genetic polymorphisms and/or drug-drug interactions is well established."( Genetic polymorphisms and drug interactions modulating CYP2D6 and CYP3A activities have a major effect on oxycodone analgesic efficacy and safety.
Daali, Y; Dayer, P; Desmeules, JA; Eap, CB; Hochstrasser, D; Hopfgartner, G; Rebsamen, MC; Rossier, MF; Samer, CF; Wagner, M, 2010
)
0.36

Bioavailability

Oxymorphone is a semi-synthetic -opioid receptor agonist structurally similar to hydromorphone. It has an oral bioavailability of approximately 10%.

ExcerptReferenceRelevance
"The nasal bioavailability of oxymorphone HCI was determined."( Intranasal absorption of oxymorphone.
Aungst, BJ; Hussain, MA, 1997
)
0.89
" Food can increase the rate of absorption by as much as 50%, necessitating dosing either 1 hour before or 2 hours after a meal."( Oral oxymorphone for pain management.
Chamberlin, KW; Cottle, M; Neville, R; Tan, J, 2007
)
0.85
" Oxymorphone, a semi-synthetic -opioid receptor agonist structurally similar to hydromorphone, has an oral bioavailability of approximately 10%."( Use of oral oxymorphone in the elderly.
Guay, DR, 2007
)
1.63
" This study characterized the bioavailability of these drugs following buccal administration to cats."( Bioavailability of morphine, methadone, hydromorphone, and oxymorphone following buccal administration in cats.
Ilkiw, JE; Pypendop, BH; Shilo-Benjamini, Y, 2014
)
0.65

Dosage Studied

Oxymorphone extended release (ER) is a tablet formulation of the mu-opioid agonist oxymorphone designed to achieve a low peak-to-trough fluctuation in plasma concentrations over a 12-hour dosing period.

ExcerptRelevanceReference
" This study demonstrates the feasibility of well-controlled analgesic assays employing the double-dummy technique to compare suppositoreis with oral or parenteral analgesic dosage forms."( A comparison of the analgesic effect of oxymorphone by rectal suppository and intramuscular injection in patients with postoperative pain.
Beaver, WT; Feise, GA,
)
0.4
" Naloxone caused a parallel shift to the right of the dose-response curve for morphine."( Inhibition by morphine of prostaglandin-stimulated fluid secretion in rat jejunum.
Coupar, IM, 1978
)
0.26
"2% isoflurane for general surgical procedures; and for electrophysiological recordings in the eighth nerve we recommend barbiturate anesthesia of appropriate dosage in combination if possible with an opioid agent to provide additional analgesic action."( A comparison of anesthetic agents and their effects on the response properties of the peripheral auditory system.
Capranica, RR; Dodd, F, 1992
)
0.28
" Although the average opioid dosage requirements were 10 to 28% higher with SQ-PCA, it is an acceptable alternative to conventional IV-PCA for pain control after major surgical procedures."( Subcutaneous-PCA: an alternative to IV-PCA for postoperative pain management.
White, PF, 1990
)
0.28
" Butorphanol resulted in partial reversal of sedation at both dosage levels."( Reversal of oxymorphone sedation by naloxone, nalmefene, and butorphanol.
Anderson, GI; Doherty, T; Dyson, DH; McDonell, WN,
)
0.51
" CI was always preceded by a period of repetitive dosing of opioids."( I.v. infusion of opioids for cancer pain: clinical review and guidelines for use.
Foley, KM; Inturrisi, CE; Moulin, DE; Portenoy, RK; Rogers, A, 1986
)
0.27
" Dose-response curves at 1 hr revealed similar potencies of oxymorphone and the derivatives, with the exception of OxyPNPH which was significantly less potent."( Irreversible opiate agonists and antagonists. IV. Analgesic actions of 14-hydroxydihydromorphinone hydrazones.
Bodnar, RJ; Burks, TF; Clark, JE; Hahn, EF; Pasternak, GW; Williams, CL, 1988
)
0.52
" The N-methyl-quaternary analog of naloxone (methylnaloxone, which presumably entails selective action at opiate receptors outside the CNS) was also effective, indicating peripheral effects at the dosage level used (0."( Colonic motor responses in the pony: relevance of colonic stimulation by opiate antagonists.
Bardon, T; Roger, T; Ruckebusch, Y, 1985
)
0.27
"All urine drug screens using the enzyme-multiplied immunoassay technique were negative for opiates at both dosage levels."( Does naloxone cause a positive urine opiate screen?
Mikkelsen, SL; Norton, J; Storrow, AB; Wians, FH, 1994
)
0.29
" With the use of the tail flick model, dose-response curves were constructed to codeine, morphine, oxycodone and oxymorphone (the O-demethylated metabolite of oxycodone) in both rat strains."( The influence of pharmacogenetics on opioid analgesia: studies with codeine and oxycodone in the Sprague-Dawley/Dark Agouti rat model.
Bochner, F; Cleary, J; Mikus, G; Somogyi, A, 1994
)
0.5
"1 after titration with IR oxycodone dosed qid."( Double-blind, randomized comparison of the analgesic and pharmacokinetic profiles of controlled- and immediate-release oral oxycodone in cancer pain patients.
Davis, M; Reder, RF; Stambaugh, H; Stambaugh, JE; Stambaugh, MD, 2001
)
0.31
" The product is being developed for twice-a-day dosing in patients with moderate to severe pain."( Oxymorphone--Endo/Penwest: EN 3202, EN 3203.
, 2003
)
1.76
" Plasma was collected for up to 48 hours after a single dose on day 1 and during a 12-hour dosage interval at steady state."( Pharmacokinetics and dose-proportionality of oxymorphone extended release and its metabolites: results of a randomized crossover study.
Adams, MP; Ahdieh, H, 2004
)
0.58
" The mean daily dosage of oxycodone CR (91."( Establishing the dosage equivalency of oxymorphone extended release and oxycodone controlled release in patients with cancer pain: a randomized controlled study.
Ahdieh, H; Dvergsten, C; Gabrail, NY, 2004
)
0.59
" The median dosing interval was >9."( The efficacy and safety of oral immediate-release oxymorphone for postsurgical pain.
Ahdieh, H; Gimbel, J, 2004
)
0.58
" Patients were then crossed over for 7 days of treatment at an estimated equianalgesic dosage of oxymorphone ER."( Effectiveness and safety of oral extended-release oxymorphone for the treatment of cancer pain: a pilot study.
Ahdieh, H; Slatkin, N; Sloan, P, 2005
)
0.8
" With stable dosing throughout the treatment phase, oxymorphone ER (79."( Efficacy and safety of oxymorphone extended release in chronic low back pain: results of a randomized, double-blind, placebo- and active-controlled phase III study.
Dvergsten, C; Gimbel, J; Hale, ME, 2005
)
0.89
" Average daily dosing remained stable throughout the study (median, 40 mg/d)."( Safety, tolerability, and effectiveness of oxymorphone extended release for moderate to severe osteoarthritis pain: a one-year study.
Ahdieh, H; McIlwain, H,
)
0.39
"Oxymorphone extended release (ER) is a tablet formulation of the mu-opioid agonist oxymorphone designed to achieve a low peak-to-trough fluctuation in plasma concentrations over a 12-hour dosing period."( A 2-week, multicenter, randomized, double-blind, placebo-controlled, dose-ranging, phase III trial comparing the efficacy of oxymorphone extended release and placebo in adults with pain associated with osteoarthritis of the hip or knee.
Ahdieh, H; Galer, BS; Kivitz, A; Ma, C, 2006
)
1.98
" Food can increase the rate of absorption by as much as 50%, necessitating dosing either 1 hour before or 2 hours after a meal."( Oral oxymorphone for pain management.
Chamberlin, KW; Cottle, M; Neville, R; Tan, J, 2007
)
0.85
" Rapid clearance mandates every four- to six-hour dosing (IR) and every 12-hour dosing (ER)."( Use of oral oxymorphone in the elderly.
Guay, DR, 2007
)
0.72
" A minority (28%) of subjects required dosage increases after this (defined) titration period."( Negligible analgesic tolerance seen with extended release oxymorphone: a post hoc analysis of open-label longitudinal data.
Gagnon, CM; Gould, EM; Graciosa, J; Harden, RN, 2010
)
0.6
"The results of the current study of an ER formulation revealed no pharmacokinetic features that would preclude dosing in the elderly."( An open-label pharmacokinetic study of oxymorphone extended release in the presence of naltrexone in the older adult.
Gould, EM; Labhsetwar, S; Nagar, S; Pergolizzi, JV; Raffa, RB; Sinclair, N; Taylor, R,
)
0.4
" However, cost-analysis is only part of the equation when treating chronic pain patients and undervalues the relationships of enhanced compliance due to single-daily dosing and stable and reliable pharmacokinetics associated with extended-duration preparations using either retentive technologies or delayed absorption strategies."( Can Chronic Pain Patients Be Adequately Treated Using Generic Pain Medications to the Exclusion of Brand-Name Ones?
Anantamongkol, U; Candido, KD; Chiweshe, J; Knezevic, NN,
)
0.13
" Plasma concentration of oxycodone and its metabolites were measured up to 8 hours after administration as follows: on day 1, CR oxycodone was administered alone; on day 2, CR oxycodone was administered with aprepitant (125 mg, at the same time of oxycodone dosing in the morning)."( Effects of aprepitant on the pharmacokinetics of controlled-release oral oxycodone in cancer patients.
Chayahara, N; Fujiwara, Y; Imamura, Y; Kiyota, N; Minami, H; Mukohara, T; Shimada, T; Toyoda, M, 2014
)
0.4
" Similar outcomes were observed following dosing with HMW PEO alone."( A mechanistic investigation of thrombotic microangiopathy associated with IV abuse of Opana ER.
Baek, JH; Buehler, PW; Fogo, AB; Hunt, R; Kimchi-Sarfaty, C; Miller, P; Schiller, T; Tumlin, J; Wong, E; Wu, A; Yalamanoglu, A; Yang, H, 2017
)
0.46
" Univariate and multivariable regressions were used to examine the influence of dosage strength, drug formulation, and bulk purchasing on street price."( Scoring the best deal: Quantity discounts and street price variation of diverted oxycodone and oxymorphone.
Bau, GE; Dart, RC; Dasgupta, N; Lebin, JA; Murphy, DL; Severtson, SG, 2019
)
0.73
" For a 2-fold increase in dosage strength, there is a 24."( Scoring the best deal: Quantity discounts and street price variation of diverted oxycodone and oxymorphone.
Bau, GE; Dart, RC; Dasgupta, N; Lebin, JA; Murphy, DL; Severtson, SG, 2019
)
0.73
"Haemodialysis performed 6-10 h after dosing removed ∼10% of the administered dose of oxycodone predominantly as unconjugated oxycodone and noroxycodone or conjugated oxymorphone and noroxymorphone."( Pharmacokinetics of oxycodone/naloxone and its metabolites in patients with end-stage renal disease during and between haemodialysis sessions.
Amico, P; Dickenmann, M; Duthaler, U; Hammann, F; Haschke, M; Jehle, AW; Kalbermatter, S; Krähenbühl, S; Lenherr, C; Leuppi-Taegtmeyer, A; Liechti, ME; Meyer Zu Schwabedissen, HE; Schmid, Y, 2019
)
0.71
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
morphinane alkaloidAn isoquinoline alkaloid based on a morphinan skeleton and its substituted derivatives.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (1)

PathwayProteinsCompounds
Oxymorphone Action Pathway3111

Protein Targets (12)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Solute carrier family 22 member 1 Homo sapiens (human)IC50 (µMol)250.00000.21005.553710.0000AID1526751
Delta-type opioid receptorMus musculus (house mouse)Ki0.51640.00000.53939.4000AID149086; AID149087; AID692547; AID692548; AID692551
Delta-type opioid receptorRattus norvegicus (Norway rat)Ki0.08050.00000.60689.2330AID239441
Mu-type opioid receptorRattus norvegicus (Norway rat)Ki0.01690.00000.38458.6000AID152385; AID152387; AID152389; AID239182
Kappa-type opioid receptorRattus norvegicus (Norway rat)Ki0.24600.00000.18683.9500AID148584; AID148585; AID148586
Mu-type opioid receptorHomo sapiens (human)Ki0.00180.00000.419710.0000AID1476816
Delta-type opioid receptorHomo sapiens (human)Ki0.10750.00000.59789.9300AID1476817; AID149913
Kappa-type opioid receptorCavia porcellus (domestic guinea pig)Ki0.50390.00000.20186.4240AID149409; AID239358
Kappa-type opioid receptorHomo sapiens (human)Ki0.02530.00000.362410.0000AID1476818
Mu-type opioid receptorMus musculus (house mouse)Ki0.17420.00000.12281.3000AID692547; AID692550; AID692551
Mu-type opioid receptorCavia porcellus (domestic guinea pig)Ki0.01500.00000.27869.0000AID148045
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Histidine decarboxylaseRattus norvegicus (Norway rat)EC50 (µMol)0.00100.00050.00150.0030AID1133438
Delta-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00100.00050.36496.9000AID1133438
Mu-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00100.00000.06470.9320AID1133438
Kappa-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00100.00040.00390.0180AID1133438
Mu-type opioid receptorHomo sapiens (human)EC50 (µMol)0.00780.00000.32639.4000AID1476821
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (81)

Processvia Protein(s)Taxonomy
xenobiotic metabolic processSolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin transportSolute carrier family 22 member 1 Homo sapiens (human)
establishment or maintenance of transmembrane electrochemical gradientSolute carrier family 22 member 1 Homo sapiens (human)
organic cation transportSolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transportSolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transportSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transportSolute carrier family 22 member 1 Homo sapiens (human)
putrescine transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transportSolute carrier family 22 member 1 Homo sapiens (human)
acetylcholine transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine transportSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transportSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transportSolute carrier family 22 member 1 Homo sapiens (human)
epinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin uptakeSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
metanephric proximal tubule developmentSolute carrier family 22 member 1 Homo sapiens (human)
purine-containing compound transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
monoatomic cation transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
acyl carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
cellular detoxificationSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerMu-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled acetylcholine receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
sensory perceptionMu-type opioid receptorHomo sapiens (human)
negative regulation of cell population proliferationMu-type opioid receptorHomo sapiens (human)
sensory perception of painMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
behavioral response to ethanolMu-type opioid receptorHomo sapiens (human)
positive regulation of neurogenesisMu-type opioid receptorHomo sapiens (human)
negative regulation of Wnt protein secretionMu-type opioid receptorHomo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeMu-type opioid receptorHomo sapiens (human)
calcium ion transmembrane transportMu-type opioid receptorHomo sapiens (human)
cellular response to morphineMu-type opioid receptorHomo sapiens (human)
regulation of cellular response to stressMu-type opioid receptorHomo sapiens (human)
regulation of NMDA receptor activityMu-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayMu-type opioid receptorHomo sapiens (human)
immune responseDelta-type opioid receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerDelta-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
adult locomotory behaviorDelta-type opioid receptorHomo sapiens (human)
negative regulation of gene expressionDelta-type opioid receptorHomo sapiens (human)
negative regulation of protein-containing complex assemblyDelta-type opioid receptorHomo sapiens (human)
positive regulation of CREB transcription factor activityDelta-type opioid receptorHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylationDelta-type opioid receptorHomo sapiens (human)
response to nicotineDelta-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
eating behaviorDelta-type opioid receptorHomo sapiens (human)
regulation of mitochondrial membrane potentialDelta-type opioid receptorHomo sapiens (human)
regulation of calcium ion transportDelta-type opioid receptorHomo sapiens (human)
cellular response to growth factor stimulusDelta-type opioid receptorHomo sapiens (human)
cellular response to hypoxiaDelta-type opioid receptorHomo sapiens (human)
cellular response to toxic substanceDelta-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayDelta-type opioid receptorHomo sapiens (human)
immune responseKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
chemical synaptic transmissionKappa-type opioid receptorHomo sapiens (human)
sensory perceptionKappa-type opioid receptorHomo sapiens (human)
locomotory behaviorKappa-type opioid receptorHomo sapiens (human)
sensory perception of painKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
response to insulinKappa-type opioid receptorHomo sapiens (human)
positive regulation of dopamine secretionKappa-type opioid receptorHomo sapiens (human)
negative regulation of luteinizing hormone secretionKappa-type opioid receptorHomo sapiens (human)
response to nicotineKappa-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
maternal behaviorKappa-type opioid receptorHomo sapiens (human)
eating behaviorKappa-type opioid receptorHomo sapiens (human)
response to estrogenKappa-type opioid receptorHomo sapiens (human)
estrous cycleKappa-type opioid receptorHomo sapiens (human)
response to ethanolKappa-type opioid receptorHomo sapiens (human)
regulation of saliva secretionKappa-type opioid receptorHomo sapiens (human)
behavioral response to cocaineKappa-type opioid receptorHomo sapiens (human)
sensory perception of temperature stimulusKappa-type opioid receptorHomo sapiens (human)
defense response to virusKappa-type opioid receptorHomo sapiens (human)
cellular response to lipopolysaccharideKappa-type opioid receptorHomo sapiens (human)
cellular response to glucose stimulusKappa-type opioid receptorHomo sapiens (human)
positive regulation of p38MAPK cascadeKappa-type opioid receptorHomo sapiens (human)
positive regulation of potassium ion transmembrane transportKappa-type opioid receptorHomo sapiens (human)
response to acrylamideKappa-type opioid receptorHomo sapiens (human)
positive regulation of eating behaviorKappa-type opioid receptorHomo sapiens (human)
conditioned place preferenceKappa-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayKappa-type opioid receptorHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (30)

Processvia Protein(s)Taxonomy
acetylcholine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
dopamine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
secondary active organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic anion transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
pyrimidine nucleoside transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
putrescine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
toxin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
identical protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
G-protein alpha-subunit bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled receptor activityMu-type opioid receptorHomo sapiens (human)
beta-endorphin receptor activityMu-type opioid receptorHomo sapiens (human)
voltage-gated calcium channel activityMu-type opioid receptorHomo sapiens (human)
protein bindingMu-type opioid receptorHomo sapiens (human)
morphine receptor activityMu-type opioid receptorHomo sapiens (human)
G-protein beta-subunit bindingMu-type opioid receptorHomo sapiens (human)
neuropeptide bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor activityDelta-type opioid receptorHomo sapiens (human)
protein bindingDelta-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingDelta-type opioid receptorHomo sapiens (human)
G protein-coupled enkephalin receptor activityDelta-type opioid receptorHomo sapiens (human)
neuropeptide bindingDelta-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor activityKappa-type opioid receptorHomo sapiens (human)
protein bindingKappa-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingKappa-type opioid receptorHomo sapiens (human)
dynorphin receptor activityKappa-type opioid receptorHomo sapiens (human)
neuropeptide bindingKappa-type opioid receptorHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (28)

Processvia Protein(s)Taxonomy
plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
basal plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
membraneSolute carrier family 22 member 1 Homo sapiens (human)
basolateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
apical plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
lateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
presynapseSolute carrier family 22 member 1 Homo sapiens (human)
endosomeMu-type opioid receptorHomo sapiens (human)
endoplasmic reticulumMu-type opioid receptorHomo sapiens (human)
Golgi apparatusMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
axonMu-type opioid receptorHomo sapiens (human)
dendriteMu-type opioid receptorHomo sapiens (human)
perikaryonMu-type opioid receptorHomo sapiens (human)
synapseMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
neuron projectionMu-type opioid receptorHomo sapiens (human)
plasma membraneDelta-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneDelta-type opioid receptorHomo sapiens (human)
dendrite membraneDelta-type opioid receptorHomo sapiens (human)
presynaptic membraneDelta-type opioid receptorHomo sapiens (human)
axon terminusDelta-type opioid receptorHomo sapiens (human)
spine apparatusDelta-type opioid receptorHomo sapiens (human)
postsynaptic density membraneDelta-type opioid receptorHomo sapiens (human)
neuronal dense core vesicleDelta-type opioid receptorHomo sapiens (human)
plasma membraneDelta-type opioid receptorHomo sapiens (human)
neuron projectionDelta-type opioid receptorHomo sapiens (human)
nucleoplasmKappa-type opioid receptorHomo sapiens (human)
mitochondrionKappa-type opioid receptorHomo sapiens (human)
cytosolKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
membraneKappa-type opioid receptorHomo sapiens (human)
sarcoplasmic reticulumKappa-type opioid receptorHomo sapiens (human)
T-tubuleKappa-type opioid receptorHomo sapiens (human)
dendriteKappa-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneKappa-type opioid receptorHomo sapiens (human)
presynaptic membraneKappa-type opioid receptorHomo sapiens (human)
perikaryonKappa-type opioid receptorHomo sapiens (human)
axon terminusKappa-type opioid receptorHomo sapiens (human)
postsynaptic membraneKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
neuron projectionKappa-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorMus musculus (house mouse)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (98)

Assay IDTitleYearJournalArticle
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1476824Antinociceptive activity in sc dosed CD1 mouse assessed as increase in latency in response to heat stimulus by hot plate assay2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID604022Fraction unbound in Sprague-Dawley rat plasma administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID1476826Potency index, ratio of moprhine ED50 for antinociceptive activity in sc dosed ICR mouse to compound ED50 for antinociceptive activity in sc dosed CD1 mouse2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID1133439Narcotic agonist activity in rat by writhing test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID604024Unbound brain to plasma concentration ratio in Sprague-Dawley rat administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID148993Inhibition of opioid receptor mu by displacing 1 nM [3H]DAGO in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID149409Binding affinity against Opioid receptor kappa 1 of guinea pig brain membranes using 1 nM of (-)-[3H]ethylketazocine as radioligand1986Journal of medicinal chemistry, Jul, Volume: 29, Issue:7
Peptides as receptor selectivity modulators of opiate pharmacophores.
AID149037Concentration for 50% inhibition of [3H]naloxone (1 M) binding to opioid receptor in rat brain membrane was determined in the presence of NaCl1984Journal of medicinal chemistry, Dec, Volume: 27, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 1. Highly potent opioid agonists in the series of (-)-14-methoxy-N-methylmorphinan-6-ones.
AID1209581Fraction unbound in Sprague-Dawley rat brain homogenates at 5 uM by equilibrium dialysis analysis2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID604025Unbound CSF to plasma concentration ratio in Sprague-Dawley rat administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID150036Inhibitory binding constant in guinea pig brain homogenate was reported at Opioid receptor delta 1 at a a temperature 25 degree Celsius labeled with [3H](D-Ala2-D-Leu5)-enkephalin (0.7 nM)1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID152387Displacement of [3H]- diprenorphine from mu-W318A-receptor expressed in HEK 2932001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID149087Displacement of [3H]- diprenorphine from delta-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID1476816Displacement of [3H]-DAMGO from recombinant human MOR expressed in CHO cell membranes after 60 mins by liquid scintillation counting2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID1476823Antinociceptive activity in sc dosed CD1 mouse assessed as increase in latency in response to heat stimulus at 30 mins by hot plate assay2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID195694The ability of compound was measured to replace [3H]-labeled [D-Ala2, Met5]-enkephalinamide in rat brain homogenates by using [3H]-opiate binding assay1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Long-acting opiate agonists and antagonists: 14-hydroxydihydromorphinone hydrazones.
AID692548Displacement of [3H]-DPDPE from mouse DOR expressed in HEK293 cells2012ACS medicinal chemistry letters, Aug-09, Volume: 3, Issue:8
Tuned-Affinity Bivalent Ligands for the Characterization of Opioid Receptor Heteromers.
AID624621Specific activity of expressed human recombinant UGT2B7Y2000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID148585Displacement of [3H]diprenorphine from k-Y312A-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID678713Inhibition of human CYP2C9 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-methoxy-4-trifluoromethylcoumarin-3-acetic acid as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1209582Unbound volume of distribution in Sprague-Dawley rat brain slices at 100 nM after 5 hrs2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID588220Literature-mined public compounds from Kruhlak et al phospholipidosis modelling dataset2008Toxicology mechanisms and methods, , Volume: 18, Issue:2-3
Development of a phospholipidosis database and predictive quantitative structure-activity relationship (QSAR) models.
AID1179653Activity at human P-glycoprotein assessed as ATPase activity using firefly luciferase at 200 uM by Pgp-Glo assay in presence of MgATP2014Bioorganic & medicinal chemistry letters, Aug-01, Volume: 24, Issue:15
Opioids and efflux transporters. Part 4: influence of N-substitution on P-glycoprotein substrate activity of noroxymorphone analogues.
AID604023Ratio of total drug level in brain to plasma in Sprague-Dawley rat administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID149036Concentration for 50% inhibition of [3H]naloxone (1 M) binding to opioid receptor in rat brain membrane was determined in the absence of NaCl1984Journal of medicinal chemistry, Dec, Volume: 27, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 1. Highly potent opioid agonists in the series of (-)-14-methoxy-N-methylmorphinan-6-ones.
AID603729Displacement of [3H]NTI from delta opioid receptor in guinea pig forebrain homogenate by scintillation counting2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID1476821Agonist activity at recombinant human MOR expressed in CHO cell membranes after 60 mins by [35S]GTPgammaS binding assay2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID678712Inhibition of human CYP1A2 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using ethoxyresorufin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID149086Displacement of [3H]- diprenorphine from delta-W284E-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID148475Inhibition of total opioid receptor by displacing 0.5 nM [3H]bremazocine in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID132333Agonist activity in the mouse vas deferens.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID147960Inhibition of opioid receptor kappa by displacing 0.5 nM [3H]bremazocine in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID624620Specific activity of expressed human recombinant UGT2B7H2000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID149439Inhibitory binding constant in guinea pig brain homogenate was reported at Opioid receptor kappa 1 at temperature 25 degree Celsius labeled with (-)-[3H]immazocine (0.1 nM).1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID1476818Displacement of [3H]-HS665 from recombinant human KOR expressed in CHO cell membranes after 30 mins by liquid scintillation counting2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID1526733Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.5 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID678721Metabolic stability in human liver microsomes assessed as GSH adduct formation at 100 uM after 90 mins by HPLC-MS analysis2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID78000Agonist activity in the guinea pig ileum longitudinal muscle myenteric plexus.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID678717Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-benzyloxyquinoline as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1526732Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.1 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID692551Displacement of [3H]-DAMGO from mouse MOR/DOR expressed in HEK293 cells2012ACS medicinal chemistry letters, Aug-09, Volume: 3, Issue:8
Tuned-Affinity Bivalent Ligands for the Characterization of Opioid Receptor Heteromers.
AID1133440Narcotic agonist activity in mouse by writhing test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1476819Selectivity ratio of Ki for recombinant human DOR expressed in CHO cell membranes to Ki for recombinant human MOR expressed in CHO cell membranes2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID148058Inhibitory binding constant in guinea pig brain homogenate was reported at mu site at a temperature 25 degree Centigrade labeled with [3H](D-Ala2-MePhe4,Gly-ol5)enkephalin(1 nM)1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID231774Ratio for 50% inhibition of [3H]naloxone (1 M) binding to opioid receptor in rat brain membrane was determined in the absence of NaCl to that of presence of NaCl1984Journal of medicinal chemistry, Dec, Volume: 27, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 1. Highly potent opioid agonists in the series of (-)-14-methoxy-N-methylmorphinan-6-ones.
AID678714Inhibition of human CYP2C19 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 3-butyryl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID692550Displacement of [3H]-DAMGO from mouse MOR expressed in HEK293 cells2012ACS medicinal chemistry letters, Aug-09, Volume: 3, Issue:8
Tuned-Affinity Bivalent Ligands for the Characterization of Opioid Receptor Heteromers.
AID1526751Inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1209593Dissociation constant, pKa of the acidic compound by capillary electrophoresis-mass spectrometry analysis2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID1526731Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.05 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1211697Transactivation of human AhR at 0.1 to 30 uM after 24 to 48 hrs by cell-based luciferase reporter gene assay2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Induction of xenobiotic receptors, transporters, and drug metabolizing enzymes by oxycodone.
AID111971Percent analgesia of compound was measured in mice by using tail-flick assay1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Long-acting opiate agonists and antagonists: 14-hydroxydihydromorphinone hydrazones.
AID604021Unbound volume of distribution in Sprague-Dawley rat brain measured per gram of brain tissue administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr b2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID1211695Transactivation of human PXR transfected in human HepG2 cells assessed as CYP2B6 expression at 1 to 30 uM by luciferase reporter gene assay2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Induction of xenobiotic receptors, transporters, and drug metabolizing enzymes by oxycodone.
AID244113Ratio of binding affinities for opioid receptors delta and mu2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1526734Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.05 to 0.5 uM incubated for 2 mins in presence of 2 mM MPP+ by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1211698Transactivation of human CAR1 transfected in human HepG2 cells assessed as CYP2B6 expression at 1 to 30 uM after 24 hrs by luciferase reporter gene assay2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Induction of xenobiotic receptors, transporters, and drug metabolizing enzymes by oxycodone.
AID1211696Transactivation of rat PXR at 0.1 to 30 uM after 24 to 48 hrs by cell-based luciferase reporter gene assay2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Induction of xenobiotic receptors, transporters, and drug metabolizing enzymes by oxycodone.
AID152389Displacement of [3H]- diprenorphine from mu-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID603727Selectivity ratio of Ki for delta opioid receptor in guinea pig forebrain homogenate to Ki for kappa opioid receptor in guinea pig cerebellum homogenate2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID603731Selectivity ratio of Ki for mu opioid receptor in guinea pig forebrain homogenate to Ki for kappa opioid receptor in guinea pig cerebellum homogenate2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID692547Displacement of [3H]-DPDPE from mouse MOR/DOR expressed in HEK293 cells2012ACS medicinal chemistry letters, Aug-09, Volume: 3, Issue:8
Tuned-Affinity Bivalent Ligands for the Characterization of Opioid Receptor Heteromers.
AID698730Displacement of [125I]-BNtxA from Mu-type opioid receptor exon 11-associated truncated six transmembrane domain splice variant in mouse brain membranes after 90 mins2012Journal of medicinal chemistry, Jul-26, Volume: 55, Issue:14
Synthesis and evaluation of aryl-naloxamide opiate analgesics targeting truncated exon 11-associated μ opioid receptor (MOR-1) splice variants.
AID149913Binding affinity against Opioid receptor delta 1 of guinea pig brain membranes using 1 nM of [3H]DADLE as radioligand1986Journal of medicinal chemistry, Jul, Volume: 29, Issue:7
Peptides as receptor selectivity modulators of opiate pharmacophores.
AID152385Displacement of [3H]- diprenorphine from mu-K303E-receptor expressed in HEK 2932001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID149630Inhibition of Opioid receptor delta 1 by displacing 1 nM [3H]DPDPE in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID678716Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using diethoxyfluorescein as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID678715Inhibition of human CYP2D6 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 4-methylaminoethyl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID239182Inhibition of [3H]DAMGO binding to opioid receptor mu from rat brain membranes2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1476820Selectivity ratio of Ki for recombinant human KOR expressed in CHO cell membranes to Ki for recombinant human MOR expressed in CHO cell membranes2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID1476817Displacement of [3H]-diprenorphine from recombinant human DOR expressed in CHO cell membranes after 60 mins by liquid scintillation counting2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID239441Inhibition of [3H][Ile5,6]deltorphin II binding to opioid receptor delta from rat brain membranes2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1211699Transactivation of mouse CAR1 transfected in human HepG2 cells assessed as CYP2B6 expression at 1 to 30 uM after 24 hrs by luciferase reporter gene assay2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Induction of xenobiotic receptors, transporters, and drug metabolizing enzymes by oxycodone.
AID1133436Binding affinity to pig ileum opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID678722Covalent binding affinity to human liver microsomes assessed per mg of protein at 10 uM after 60 mins presence of NADPH2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1476822Agonist activity at recombinant human MOR expressed in CHO cell membranes after 60 mins by [35S]GTPgammaS binding assay relative to MOR full agonist DAMGO2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID128651Analgesic potency (antinociceptive activity) (administered icv) at peak time of 10 min in male Swiss-Webster mice1987Journal of medicinal chemistry, Nov, Volume: 30, Issue:11
Hybrid bivalent ligands with opiate and enkephalin pharmacophores.
AID244114Ratio of binding affinities for opioid receptors kappa and mu2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID148584Displacement of [3H]diprenorphine from k-E297A-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID1133443Narcotic agonist activity in rat by hot plate test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID239358Inhibition of [3H]U-69593 binding to opioid receptor kappa from guinea pig brain membranes2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1209583Unbound drug partitioning coefficient, Kp of the compound assessed as ratio of unbound concentration in Sprague-Dawley rat brain to unbound concentration in plasma2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID148045Binding affinity against Opioid receptor mu 1 of guinea pig brain membranes using 0.5 nM of [3H]naloxone as radioligand1986Journal of medicinal chemistry, Jul, Volume: 29, Issue:7
Peptides as receptor selectivity modulators of opiate pharmacophores.
AID1526752Passive membrane permeability by LC-MS/MS analysis based PAMPA2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1133438Binding affinity to rat brain opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID603730Displacement of [3H]DAMGO from mu opioid receptor in guinea pig forebrain homogenate by scintillation counting2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID148586Displacement of [3H]diprenorphine from opioid receptor kappa 1 expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID127853Compound was evaluated in vivo for its effective dose at which half of the mice were effected using hotplate assay (HPA) by administering the compound perorally (po).1984Journal of medicinal chemistry, Dec, Volume: 27, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 1. Highly potent opioid agonists in the series of (-)-14-methoxy-N-methylmorphinan-6-ones.
AID1211701Transactivation of human CAR1 Ala retention mutant transfected in human HepG2 cells assessed as CYP2B6 expression at 1 to 30 uM after 24 hrs by luciferase reporter gene assay2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Induction of xenobiotic receptors, transporters, and drug metabolizing enzymes by oxycodone.
AID127855Compound was evaluated in vivo for its effective dose at which half of the mice were effected using hotplate assay (HPA) by administering the compound subcutaneously.1984Journal of medicinal chemistry, Dec, Volume: 27, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 1. Highly potent opioid agonists in the series of (-)-14-methoxy-N-methylmorphinan-6-ones.
AID604020Unbound drug concentration in Sprague-Dawley rat plasma administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID603728Displacement of [3H]U69593 from kappa opioid receptor in guinea pig cerebellum homogenate by scintillation counting2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID1133437Agonist activity at pig ileum opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (472)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990173 (36.65)18.7374
1990's63 (13.35)18.2507
2000's90 (19.07)29.6817
2010's122 (25.85)24.3611
2020's24 (5.08)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 79.25

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index79.25 (24.57)
Research Supply Index6.42 (2.92)
Research Growth Index4.56 (4.65)
Search Engine Demand Index141.04 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (79.25)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials82 (15.41%)5.53%
Reviews31 (5.83%)6.00%
Case Studies28 (5.26%)4.05%
Observational3 (0.56%)0.25%
Other388 (72.93%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (27)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Single Dose, Two-Period, Two-Treatment, Two-Sequence Crossover Bioequivalence Study of Oxymorphone Hydrochloride IR 10 mg Tablets, With a Naltrexone Block, Under Fasted Conditions [NCT01210638]Phase 142 participants (Actual)Interventional2008-06-30Completed
A Randomized, Double-blind, Placebo-controlled, Clinical Trial of Structured Opioid Discontinuation Versus Continued Opioid Therapy in Suboptimal and Optimal Responders to High-dose Long-term Opioid Analgesic Therapy for Chronic Pain. [NCT02741076]Phase 444 participants (Actual)Interventional2016-09-14Terminated(stopped due to Inability to recruit sufficient no. of subjects over an acceptable time period)
AN OPEN-LABEL, NON-RANDOMIZED, MULTICENTER EFFECTIVENESS, SAFETY AND TOLERABILITY STUDY OF OXYMORPHONE HCl IMMEDIATE-RELEASE ORAL LIQUID IN OPIOID-TOLERANT PEDIATRIC SUBJECTS WITH CHRONIC PAIN REQUIRING AN AROUND THE CLOCK OPIOID [NCT01206907]Phase 30 participants (Actual)Interventional2010-10-31Withdrawn(stopped due to The study is no longer required for the PREA for this product.)
A Pilot Study of Ultra Rapid Opioid Rotation and Titration of Oxymorphone [NCT00945919]12 participants (Anticipated)Interventional2009-07-31Recruiting
Lumbar Stenosis Outcomes Research II: Opana IR Versus Placebo and Active Control (Darvocet) for the Treatment of Walking Impairment in Lumbar Spinal Stenosis: A Double-Blind Randomized, Cross-Over Trial [NCT00652093]Phase 424 participants (Actual)Interventional2008-03-31Terminated(stopped due to Removal of Darvocet from US market)
An Open-Label Single-Dose And Randomized, Double-Blind, Placebo-Controlled Multiple-Dose Study To Evaluate The Efficacy, Safety, Tolerability, And Pharmacokinetics Of Oxymorphone Hydrochloride (HCl) For Acute Moderate To Severe Postoperative Pain In Pedia [NCT02687451]Phase 328 participants (Actual)Interventional2016-04-30Terminated(stopped due to Released from PMR)
Effect of Extended-release Oxymorphone Hydrochloride (Opana® ER), Taken Fasting Versus With Food, on Cognitive Functioning in Opioid-tolerant Subjects: a Randomized, Single-blinded, Cross-over Study [NCT00930943]Phase 430 participants (Actual)Interventional2009-05-31Completed
A Randomized, Double-Blind, Placebo- and Active-Controlled, Crossover Study to Evaluate the Abuse Potential of Oxymorphone Compared to Other Mu Opioid Agonists in Physically Dependent Opioid Users With Moderate-to-Severe Opioid Use Disorder [NCT03389750]Phase 216 participants (Actual)Interventional2018-03-15Completed
An Open-Label Extension Study to Evaluate the Long-Term Safety, Tolerability and Analgesic Efficacy of Numorphan® CR (Oxymorphone HCL Controlled Release) in Subjects With Cancer Pain or Chronic Lower Back Pain. [NCT00904280]Phase 3239 participants (Actual)Interventional2001-03-31Completed
A Randomized, Double-blind Evaluation of the Analgesic Efficacy and Safety of a Low Dose Oxymorphone Immediate Release in Patients Following Ambulatory Arthroscopic Knee Surgery [NCT00904085]Phase 3122 participants (Actual)Interventional2003-04-30Completed
An Open-Label Long Term Effectiveness and Safety Study of Oxymorphone Extended Release Tablets in Patients With Cancer or Neuropathic Pain [NCT00911261]Phase 3223 participants (Actual)Interventional2003-08-31Completed
An Open-Label Assessment of the Long-Term Safety and Utility of Numorphan® for the Relief of Moderate to Severe Pain in Patients With Cancer [NCT00904449]Phase 324 participants (Actual)Interventional2001-04-30Completed
A Study to Evaluate the Relative Bioavaility of Oxymorphone Hydrochloride 40 mg Extended-Release Tablets(Sandoz, Inc. Compared to Opana ER (Oxymorphone Hydrochloride) Extended-Release Tablets, 40 mg (Edo Pharmaceuticals Inc.) in Healthy Volunteers Under N [NCT00857142]Phase 132 participants (Actual)Interventional2007-11-30Completed
Randomized, Double-Blind, Placebo- and Active-Control, Single- and Multiple-Dose Evaluation of the Analgesic Efficacy and Safety of Oxymorphone Immediate Release (IR) Tablets in Patients With Moderate/Severe Pain Following Abdominal Surgery [NCT00226395]Phase 3320 participants Interventional2004-09-30Completed
An Open-Label Titration Followed by a Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Tolerability, and Safety of Oxymorphone Extended Release Tablets in Opioid-Naïve Patients With Chronic Low Back Pain [NCT00225797]Phase 3160 participants Interventional2004-11-30Completed
A Study to Evaluate the Relative Bioavailability of Oxymorphone 40 mg Extended-Release Tablets (Sandoz, Inc.) Compared to Opana ER (Oxymorphone Hydrochloride) Extended-Release Tablets, 40 mg (Endo Pharmaceuticals, Inc.) in Healthy Volunteers Under Fasted [NCT00857428]Phase 150 participants (Actual)Interventional2007-11-30Completed
An Open-Label Effectiveness and Safety Study of Oxymorphone Extended Release in Opioid-Naive Patients With Chronic Pain. [NCT00911287]Phase 3129 participants (Actual)Interventional2003-06-30Completed
An Open-Label, Non-randomized, Multicenter, Ascending Dose by Age, Single- and Multiple-Dose Evaluation of the Effectiveness, Safety, and Tolerability of Oral Liquid Oxymorphone HCl Immediate-Release Oral Liquid for Acute Postoperative Pain in Pediatric S [NCT01210352]Phase 361 participants (Actual)Interventional2010-12-13Completed
An Exploratory, Single-Dose, Double-Blind, Randomized, Placebo-Controlled Crossover Study to Evaluate The Subjective and Objective Effects of Extended-Release Oxymorphone Compared to Controlled-Release Oxycodone in Healthy Non-Dependent Recreational Opioi [NCT00955110]Phase 478 participants (Actual)Interventional2009-06-30Completed
A Multicenter Study of the Safety, Tolerability, Effectiveness, and Pharmacokinetics of Oxymorphone HCL Extended-Release Tablets in Pediatric Subjects Requiring an Around-The-Clock Opioid for an Extended Period of Time [NCT04681027]Phase 315 participants (Actual)Interventional2013-03-11Suspended(stopped due to Study Suspended 06Feb2020 per FDA Request)
An Open-Label, Ascending, Two-Part, Single- and Multiple-Dose Evaluation of the Safety, Pharmacokinetics, and Effectiveness of Oxymorphone for Acute Postoperatiave Pain in Pediatric Subjects [NCT00801398]Phase 358 participants (Actual)Interventional2009-02-17Completed
An Open-Label Titration Followed by a Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Tolerability, and Safety of Oxymorphone Extended Release Tablets in Opioid-Experienced Patients With Chronic Low Back Pain [NCT00226421]Phase 3120 participants Interventional2004-10-31Completed
An Open-Label Safety and Tolerability Study of Immediate-Release and Extended-Release Oxymorphone in Opioid-Tolerant Pediatric Subjects With Chronic Pain. [NCT00765856]Phase 327 participants (Actual)Interventional2008-11-17Terminated(stopped due to Terminated new protocol developed which incorporated Pharmacokinetics)
Project 1 Aim 2, Adaptations of the Brain in Chronic Pain With Opioid Exposure [NCT05463367]Phase 280 participants (Anticipated)Interventional2021-01-01Recruiting
Levorphanol as a Second Line Opioid in Cancer Patients Undergoing Opioid Rotation: An Open Label Study [NCT03579446]Early Phase 143 participants (Actual)Interventional2018-11-29Completed
Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis [NCT02625181]27,034 participants (Actual)Interventional2016-07-31Completed
A Pilot Study of Rapid Opioid Rotation and Titration of Oxymorphone [NCT00580294]12 participants (Actual)Interventional2007-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00580294 (1) [back to overview]Change in Patient Global Impression of Change
NCT00652093 (12) [back to overview]Total Distance
NCT00652093 (12) [back to overview]Visual Analog Scale (VAS)
NCT00652093 (12) [back to overview]Area Under the Curve
NCT00652093 (12) [back to overview]Final Pain
NCT00652093 (12) [back to overview]Modified Brief Pain Inventory (mBPI)- Interference Score
NCT00652093 (12) [back to overview]Oswestry Disability Index (ODI) Score
NCT00652093 (12) [back to overview]Patient Global Assessment (PGA)
NCT00652093 (12) [back to overview]Recovery Time
NCT00652093 (12) [back to overview]Roland Morris Disability Questionnaire (RMDQ)
NCT00652093 (12) [back to overview]Swiss Spinal Stenosis Score- Physical Function
NCT00652093 (12) [back to overview]Swiss Spinal Stenosis Score- Symptom Severity
NCT00652093 (12) [back to overview]Time to First Symptoms (Tfirst) of Moderate Pain
NCT00765856 (5) [back to overview]Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Daily Dose
NCT00765856 (5) [back to overview]Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Average Number of Daily Rescues
NCT00765856 (5) [back to overview]Extent of Exposure to Oxymorphone Extended-Release: Total Number of Tablets Taken
NCT00765856 (5) [back to overview]Extent of Exposure to Oxymorphone Extended-Release: Average Daily Dose
NCT00765856 (5) [back to overview]Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Number of Doses
NCT00801398 (11) [back to overview]Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet
NCT00801398 (11) [back to overview]Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet
NCT00801398 (11) [back to overview]Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet
NCT00801398 (11) [back to overview]Tmax of Single Dose of Oxymorphone by Treatment Group
NCT00801398 (11) [back to overview]Terminal Rate Constant of Single Dose of Oxymorphone by Treatment Group
NCT00801398 (11) [back to overview]Terminal Half-life of Single Dose of Oxymorphone by Treatment Group
NCT00801398 (11) [back to overview]Subjects Taking Rescue Medication
NCT00801398 (11) [back to overview]Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet
NCT00801398 (11) [back to overview]AUC(0-t) of Single Dose of Oxymorphone by Treatment Group
NCT00801398 (11) [back to overview]AUC(0-inf) of Single Dose of Oxymorphone by Treatment Group
NCT00801398 (11) [back to overview]Cmax of Single Dose of Oxymorphone by Treatment Group
NCT00930943 (6) [back to overview]Rapid Visual Information Processing (RVP) Response Latency
NCT00930943 (6) [back to overview]Rapid Visual Information Processing (RVP) Sensitivity [A']
NCT00930943 (6) [back to overview]Spatial Recognition Memory (SRM) Test Percentage of Correct Hits
NCT00930943 (6) [back to overview]Spatial Recognition Memory (SRM) Test Response Latency
NCT00930943 (6) [back to overview]Spatial Working Memory (SWM) Test Strategy Score
NCT00930943 (6) [back to overview]Spatial Working Memory (SWM) Test Total Errors
NCT00955110 (1) [back to overview]High VAS - Emax (mm)
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone AUC0-24 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone AUC0-inf Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone AUC0-inf Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone AUC0-t Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone AUC0-t Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Clast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Clast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Cmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Cmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone t1/2 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone t1/2 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Tlast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Tlast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Tmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone Tmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Dose-Normalized 6 Beta-Hydroxyoxymorphone CL/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Dose-Normalized 6 Beta-Hydroxyoxymorphone V/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Dose-Normalized Oxymorphone CL/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Dose-Normalized Oxymorphone V/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone AUC0-24 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone AUC0-24 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone AUC0-inf Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone AUC0-inf Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone AUC0-t Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone AUC0-t Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone Clast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone Clast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone Cmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone Cmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone t1/2 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone t1/2 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone Tlast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone Tlast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Oxymorphone Tmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Oxymorphone Tmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase
NCT01210352 (46) [back to overview]Descriptive Statistics of Pain Intensity Difference (PID) by Age Group and Time Points in Multiple-Dose Phase
NCT01210352 (46) [back to overview]Descriptive Statistics of Pain Intensity Difference (PID) by Age Group and Time Points in Multiple-Dose Phase
NCT01210352 (46) [back to overview]Descriptive Statistics of the Pain Intensity Difference (PID) by Age Group and Time Points in Single-Dose Phase
NCT01210352 (46) [back to overview]Descriptive Statistics of the Pain Intensity Difference (PID) by Age Group and Time Points in Single-Dose Phase
NCT01210352 (46) [back to overview]Descriptive Statistics of the Pain Intensity Difference (PID) by Age Group and Time Points in Single-Dose Phase
NCT01210352 (46) [back to overview]Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Multiple Dose Phase
NCT01210352 (46) [back to overview]Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Multiple Dose Phase
NCT01210352 (46) [back to overview]Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Single Dose Phase
NCT01210352 (46) [back to overview]Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Single Dose Phase
NCT01210352 (46) [back to overview]6 Beta-Hydroxyoxymorphone AUC0-24 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7
NCT01210352 (46) [back to overview]Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Single Dose Phase
NCT02625181 (4) [back to overview]Adherence to PONV Guidelines
NCT02625181 (4) [back to overview]PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting
NCT02625181 (4) [back to overview]The Number of Prophylactic Interventions for PONV
NCT02625181 (4) [back to overview]Time to Discharge From the Postanesthesia Care Unit (PACU)
NCT02687451 (2) [back to overview]Cumulative Total Amount of Morphine Rescue Medication Required for Analgesia in the Active Treatment Group (Single Dose)
NCT02687451 (2) [back to overview]Cumulative Total Amount of Morphine Rescue Medication Required for Analgesia in the Active Treatment Group Versus Placebo Group (Multiple Dose).
NCT02741076 (14) [back to overview]Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women
NCT02741076 (14) [back to overview]Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women
NCT02741076 (14) [back to overview]Patient Global Impression of Change (PGIC)
NCT02741076 (14) [back to overview]Participants Sleep Quantity Measured by Medical Outcomes Study (MOS)
NCT02741076 (14) [back to overview]Participant Reported Quality of Life Assessment Using Visual Analog Scale (EQ-5D-5L Standardized Instrument)
NCT02741076 (14) [back to overview]Participant Reported Quality of Life Assessment Using EQ-5D-5L Standardized Instrument
NCT02741076 (14) [back to overview]Number of Suboptimal Responders With Pain Intensity (PI) Score Worsening Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Change in the Mean Average Pain Intensity (PI) Score on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Number of Suboptimal Responders With Pain Intensity (PI) Score Improvement Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Number of Participants Reporting Major or Severe Major Depression Using Patient Health Questionnaire Depression Scale (PHQ-8)
NCT02741076 (14) [back to overview]Digit Symbol Substitution Test
NCT02741076 (14) [back to overview]Change in Mean Average Pain Intensity Score (PI) Score on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Change From Baseline on Sleep Quality Measured by Medical Outcomes Study (MOS)
NCT02741076 (14) [back to overview]Change From Baseline in the Patient Health Questionnaire Depression Scale (PHQ-8)
NCT03389750 (1) [back to overview]"Positive Subjective Drug Effects (i.e., Drug Liking)."

Change in Patient Global Impression of Change

PGIC score - participants answered 2 questions regarding change in overall status and overall activity from baseline using a 7-point scale (1 = Very Much Improved, 2 = Much Improved, 3 = Minimally Improved, 4 = No Change, 5 = Minimally Worse, 6 = Much Worse, 7 = Very Much Worse) (NCT00580294)
Timeframe: baseline and 12 hours

Interventionunits on a scale (Mean)
Oxymorphone0.19

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Total Distance

Subjects were instructed to walk on the treadmill and to tell the research coordinator to stop testing when they reached the point at which they typically would need to stop and sit down, or until 15 minutes had elapsed. When the subject reached their maximum distance, the treadmill testing was stopped. This was recorded as total distance based on number of minutes and seconds walked. Minutes was converted to meters based on calculation of defined speed of the treadmill. (NCT00652093)
Timeframe: study visit

Interventionmeters (Mean)
Opana Then Darvocet Then Placebo266.6
Opana Then Placebo Then Darvocet249.5
Placebo Then Opana Then Darvocet177.9
Placebo Then Darvocet Then Opana290.1
Darvocet Then Opana Then Placebo160.8
Darvocet Then Placebo Then Opana294.8

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Visual Analog Scale (VAS)

The VAS asked subjects to place a mark indicative of their low back pain during the past day on a 100mm line, with 0mm representing no pain and 100mm representing extreme pain. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo51.3
Opana Then Placebo Then Darvocet57.9
Placebo Then Opana Then Darvocet56.2
Placebo Then Darvocet Then Opana46.7
Darvocet Then Opana Then Placebo63.3
Darvocet Then Placebo Then Opana55.1

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Area Under the Curve

Subjects were instructed to walk on the treadmill and to tell the research coordinator to stop testing when they reached the point at which they typically would need to stop and sit down, or until 15 minutes had elapsed. At defined intervals (every 30 seconds) subjects were asked what their pain level was according to the NRS. The area under the curve of present pain intensity is the total area combined for the amount of time the subject walked. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale * minutes (Mean)
Opana Then Darvocet Then Placebo76.0
Opana Then Placebo Then Darvocet95.7
Placebo Then Opana Then Darvocet95.0
Placebo Then Darvocet Then Opana86.4
Darvocet Then Opana Then Placebo123.3
Darvocet Then Placebo Then Opana79.6

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Final Pain

Subjects were instructed to walk on the treadmill and to tell the research coordinator to stop testing when they reached the point at which they typically would need to stop and sit down, or until 15 minutes had elapsed. At defined intervals subjects were asked what their pain level was according to the NRS. When the subject reached their maximum distance, they were asked their NRS score. This was recorded as final pain intensity. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo4.6
Opana Then Placebo Then Darvocet6.6
Placebo Then Opana Then Darvocet6.2
Placebo Then Darvocet Then Opana6.7
Darvocet Then Opana Then Placebo8.0
Darvocet Then Placebo Then Opana7.1

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Modified Brief Pain Inventory (mBPI)- Interference Score

The mBPI is a series of questions that rates the severity and impact of pain on daily function. The questionnaire is made up of 4 pain severity items using the NRS scale, and seven 11-point pain interference scales (0 indicating no interference and 10 indicating complete interference). For the interference score, a total score of 10 indicates pain completely interferes with activities. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo3.7
Opana Then Placebo Then Darvocet4.2
Placebo Then Opana Then Darvocet2.7
Placebo Then Darvocet Then Opana4.3
Darvocet Then Opana Then Placebo6.2
Darvocet Then Placebo Then Opana2.8

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Oswestry Disability Index (ODI) Score

The ODI is a set of 10 questions each with five choices (maximum score of 5 points per question) designed to determine how back pain has affected the ability to manage everyday life (pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and change positions). A score of 0 indicates no disability and total score of 50 would indicate 100% disability. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo37.9
Opana Then Placebo Then Darvocet98.4
Placebo Then Opana Then Darvocet38.0
Placebo Then Darvocet Then Opana44.1
Darvocet Then Opana Then Placebo37.0
Darvocet Then Placebo Then Opana29.7

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Patient Global Assessment (PGA)

Subjects were asked to rate their low back pain according to the PGA. PGA is the impact of disease activity. PGA was measured on a 5-point scale, where 1=very good, 2=good, 3=fair, 4=poor, and 5=very poor. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo2.8
Opana Then Placebo Then Darvocet2.8
Placebo Then Opana Then Darvocet3.1
Placebo Then Darvocet Then Opana2.6
Darvocet Then Opana Then Placebo3.3
Darvocet Then Placebo Then Opana2.6

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Recovery Time

After the subject completed the treadmill test they were asked to immediately return to the seated position. At this point a timer was started. When the subjects pain level returned to baseline (level of pain subject felt in a seated position before walking) the time was stopped. This was recorded as recovery time. Maximum recovery time is 15 minutes. (NCT00652093)
Timeframe: study visit

Interventionminutes (Mean)
Opana Then Darvocet Then Placebo1.10
Opana Then Placebo Then Darvocet1.50
Placebo Then Opana Then Darvocet2.02
Placebo Then Darvocet Then Opana1.58
Darvocet Then Opana Then Placebo2.15
Darvocet Then Placebo Then Opana1.57

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Roland Morris Disability Questionnaire (RMDQ)

The RMDQ consists of 24 yes/no statements about activity limitations due to back pain. These questions center on movement, ambulation, and self-care activities. Positive (yes) answers each contribute 1 point to cumulative score with total scores ranging from 0 (no disability) to 24 (severely disabled). (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo12.8
Opana Then Placebo Then Darvocet15.3
Placebo Then Opana Then Darvocet13.2
Placebo Then Darvocet Then Opana15.2
Darvocet Then Opana Then Placebo13.7
Darvocet Then Placebo Then Opana7.4

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Swiss Spinal Stenosis Score- Physical Function

The SSS is a series of questions asking about symptom severity, physical function, and satisfaction. The physical function section is a series of 5 questions (maximum 4 points per question) and asks to rate function for each question based on comfortably, sometimes with pain, always with pain, no functional ability. The total score (max=20) is divided by five. The maximum score for the physical function section (max=4) indicates no ability to function. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo2.5
Opana Then Placebo Then Darvocet2.5
Placebo Then Opana Then Darvocet2.6
Placebo Then Darvocet Then Opana2.6
Darvocet Then Opana Then Placebo2.6
Darvocet Then Placebo Then Opana2.2

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Swiss Spinal Stenosis Score- Symptom Severity

The SSS is a series of questions asking about symptom severity, physical function, and satisfaction. The symptom severity section is a set of 7 questions (maximum score is 5 points per question) and asks to rate pain for each question based on no pain, mild, moderate, severe or very severe pain. The total score (maximum=35) is added up and divided by seven. The maximum score for the symptom severity section (score=5) indicates very severe symptom severity. (NCT00652093)
Timeframe: study visit

Interventionunits on a scale (Mean)
Opana Then Darvocet Then Placebo2.6
Opana Then Placebo Then Darvocet2.9
Placebo Then Opana Then Darvocet3.2
Placebo Then Darvocet Then Opana3.2
Darvocet Then Opana Then Placebo3.6
Darvocet Then Placebo Then Opana2.9

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Time to First Symptoms (Tfirst) of Moderate Pain

Using the Numeric Rating Scale (NRS) (0=no pain, 10=worst pain imaginable)the time to first symptoms (Tfirst) with a NRS score greater than or equal to 4 (moderate pain level), with treadmill ambulation was measured. Patients were excluded from the trial if there pain at rest was greater than or equal to 4/10. (NCT00652093)
Timeframe: study visit

Interventionminutes (Mean)
Opana Then Darvocet Then Placebo1.73
Opana Then Placebo Then Darvocet3.02
Placebo Then Opana Then Darvocet3.93
Placebo Then Darvocet Then Opana2.65
Darvocet Then Opana Then Placebo0.83
Darvocet Then Placebo Then Opana5.43

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Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Daily Dose

Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons. (NCT00765856)
Timeframe: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

Interventionmg (Mean)
Titration Period7.9
Maintenance Period5.5

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Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Average Number of Daily Rescues

Average number of daily rescues per day by participants. Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons. (NCT00765856)
Timeframe: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

InterventionRescue doses/day (Mean)
Titration Period1.5
Maintenance Period1.1

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Extent of Exposure to Oxymorphone Extended-Release: Total Number of Tablets Taken

Data based on drug accountability data from the case report forms. Data is based on the number of enrolled participants in each treatment period. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons. (NCT00765856)
Timeframe: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

InterventionTablets (Mean)
Titration Period36.1
Maintenance Period162.7

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Extent of Exposure to Oxymorphone Extended-Release: Average Daily Dose

Data based on drug accountability data from the case report forms. Data is based on the number of enrolled participants in each treatment period. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons. (NCT00765856)
Timeframe: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

Interventionmg (Mean)
Titration Period35.25
Maintenance Period39.11

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Extent of Exposure to Oxymorphone Immediate-Release Rescue Medication: Total Number of Doses

Total number of doses (Tablets) taken by participants. Data based on drug accountability data from the case report forms. Data with missing dates are included in calculation. Data is based on the number of enrolled participants in each treatment period. Two (2) participants did not use Oxymorphone IR as rescue medication in the Titration period. Therefore, 25 out of 27 participants were analyzed for this outcome measure. All participants entering maintenance period finished titration period. Study was terminated early by Sponsor due to a change in the FDA postmarketing requirement. The study was not terminated for safety reasons. (NCT00765856)
Timeframe: Day 1 up to Day 112 (approximately 4 weeks for titration period and 12 weeks for the maintenance period)

InterventionTotal number of doses (Mean)
Titration Period19.0
Maintenance Period17.4

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Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet

Change from Baseline in 100-mm Visual Analog Scales (VAS) in Multiple Dose of Oxymorphone IR Tablet (NCT00801398)
Timeframe: Single Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h or Rescue; Multiple Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h, subsequent doses every 4-6 hours (Multiple Dose #1-11), and Early Termination

,,
Interventionmm (Mean)
15 Minutes Post Dose/ 15 Minutes Post First Dose30 Minutes Post Dose/30 Minutes Post First Dose1 Hour Post Dose/1 Hour Post First Dose2 Hours Post Dose/2 Hours Post First Dose3 Hours Post Dose/3 Hours Post First Dose4 Hours Post Dose/4 Hours Post First Dose6 Hrs Post Dose or Rescue/6 Hours Post First Dose
Change From Baseline Single Dose of Oxymorphone IR: 5mg Tablet-13.4-12.8-24.70-19.3-35.4-36.2-34.4
Change From Baseline Single Dose Oxymorphone IR: 10mg Tablet-22.2-13.7-17.4-29.0-29.3-19.5-3.0
Change From Baseline Single Dose Oxymorphone IR: 15mg Tablet-21.6-22.9-29.8-33.8-28.6-31.5-18.2

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Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet

Change from Baseline in 100-mm Visual Analog Scales (VAS) in Multiple Dose of Oxymorphone IR Tablet (NCT00801398)
Timeframe: Single Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h or Rescue; Multiple Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h, subsequent doses every 4-6 hours (Multiple Dose #1-11), and Early Termination

Interventionmm (Mean)
15 Minutes Post Dose/ 15 Minutes Post First Dose30 Minutes Post Dose/30 Minutes Post First Dose1 Hour Post Dose/1 Hour Post First Dose2 Hours Post Dose/2 Hours Post First Dose3 Hours Post Dose/3 Hours Post First Dose4 Hours Post Dose/4 Hours Post First Dose6 Hrs Post Dose or Rescue/6 Hours Post First DoseMultiple Dose #1Multiple Dose #2Multiple Dose #3Multiple Dose #4Multiple Dose #5Multiple Dose #6Multiple Dose #7Multiple Dose #8Multiple Dose #9Multiple Dose #10Multiple Dose #11Early Termination
Change From Baseline Multiple Dose Oxymorphone IR: 10mg Tablet0.53.1-7.8-6.3-15.5-7.5-6.0-15.00.84.018.5-19.0-1.0-36.0-8.0-6.0-6.0-29.07.4

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Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet

Change from Baseline in 100-mm Visual Analog Scales (VAS) in Multiple Dose of Oxymorphone IR Tablet (NCT00801398)
Timeframe: Single Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h or Rescue; Multiple Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h, subsequent doses every 4-6 hours (Multiple Dose #1-11), and Early Termination

Interventionmm (Mean)
15 Minutes Post Dose/ 15 Minutes Post First Dose30 Minutes Post Dose/30 Minutes Post First Dose1 Hour Post Dose/1 Hour Post First Dose2 Hours Post Dose/2 Hours Post First Dose3 Hours Post Dose/3 Hours Post First Dose4 Hours Post Dose/4 Hours Post First Dose6 Hrs Post Dose or Rescue/6 Hours Post First DoseMultiple Dose #1Multiple Dose #2Multiple Dose #3Multiple Dose #4Multiple Dose #5Multiple Dose #6Multiple Dose #7Multiple Dose #8Multiple Dose #9Early Termination
Change From Baseline Multiple Dose Oxymorphone IR: 5mg Tablet-16.7-18.3-22.0-14.4-25.8-34.8-41.0-28.0-33.5-33.5-33.0-38.0-38.0-33.0-35.0-34.01.8

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Tmax of Single Dose of Oxymorphone by Treatment Group

Tmax: The time at which Cmax was observed (NCT00801398)
Timeframe: Baseline, 2h, 4h, 8h, 12h, 24h, 28h, 32h, 36h and 48h

Interventionhour (Mean)
Single Dose of Oxymorphone IR: 5mg Tablet4.898
Single Dose of Oxymorphone IR: 10mg Tablet3.681
Single Dose of Oxymorphone IR: 15mg Tablet6.193
Single Dose of 6-OH-Oxymorphone: 5mg Tablet3.885
Single Dose of 6-OH-Oxymorphone: 10mg Tablet4.631
Single Dose 6-OH-Oxymorphone: 15mg Tablet3.785

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Terminal Rate Constant of Single Dose of Oxymorphone by Treatment Group

λ: Terminal rate constant, calculated as the negative slope of the ln-linear portion of the terminal plasma concentration-time curve (single-dose period only) (NCT00801398)
Timeframe: Baseline, 2h, 4h, 8h, 12h, 24h, 28h, 32h, 36h and 48h

InterventionTime -1 (Mean)
Single Dose of Oxymorphone IR: 5mg Tablet0.209
Single Dose of Oxymorphone IR: 10mg Tablet0.214
Single Dose of Oxymorphone IR: 15mg Tablet0.073
Single Dose of 6-OH-Oxymorphone: 5mg Tablet0.281
Single Dose of 6-OH-Oxymorphone: 10mg Tablet0.101
Single Dose 6-OH-Oxymorphone: 15mg Tablet0.042

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Terminal Half-life of Single Dose of Oxymorphone by Treatment Group

t½: Terminal half-life, calculated as terminal rate constant/(ln 2) (single-dose period only) (NCT00801398)
Timeframe: Baseline, 2h, 4h, 8h, 12h, 24h, 28h, 32h, 36h and 48h

Interventionhour (Mean)
Single Dose of Oxymorphone IR: 5mg Tablet12.099
Single Dose of Oxymorphone IR: 10mg Tablet15.900
Single Dose of Oxymorphone IR: 15mg Tablet19.974
Single Dose of 6-OH-Oxymorphone: 5mg Tablet19.215
Single Dose of 6-OH-Oxymorphone: 10mg Tablet23.635
Single Dose 6-OH-Oxymorphone: 15mg Tablet22.520

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Subjects Taking Rescue Medication

Percentages are based on the number of subjects in each treatment group. (NCT00801398)
Timeframe: first dose through 48 hours after first dose

InterventionParticipants (Count of Participants)
Single Dose of Oxymorphone IR: 5mg Tablet9
Single Dose of Oxymorphone IR: 10mg Tablet9
Single Dose of Oxymorphone IR: 15mg Tablet7
Multiple Dose of Oxymorphone: 5mg Tablet5
Multiple Dose of Oxymorphone IR: 10mg Tablet6
Multiple Dose of Oxymorphone IR: 15mg Tablet4

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Summary of Visual Analog Scales (VAS) of Pain Intensity Change From Baseline by Treatment Group With Single Dose of Oxymorphone IR Tablet and Multiple Dose of Oxymorphone IR Tablet

Change from Baseline in 100-mm Visual Analog Scales (VAS) in Multiple Dose of Oxymorphone IR Tablet (NCT00801398)
Timeframe: Single Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h or Rescue; Multiple Dose Timeframe: 15min, 30min, 1h, 2h, 3h, 4h, 6h, subsequent doses every 4-6 hours (Multiple Dose #1-11), and Early Termination

Interventionmm (Mean)
15 Minutes Post Dose/ 15 Minutes Post First Dose30 Minutes Post Dose/30 Minutes Post First Dose1 Hour Post Dose/1 Hour Post First Dose2 Hours Post Dose/2 Hours Post First Dose3 Hours Post Dose/3 Hours Post First Dose4 Hours Post Dose/4 Hours Post First Dose6 Hrs Post Dose or Rescue/6 Hours Post First DoseMultiple Dose #1Multiple Dose #2Multiple Dose #3Multiple Dose #4Multiple Dose #5Multiple Dose #6Multiple Dose #7Multiple Dose #8Multiple Dose #9Multiple Dose #10Multiple Dose #11
Change From Baseline Multiple Dose Oxymorphone IR: 15mg Tablet-17.4-23.0-28.3-12.9-24.7-10.8-38.3-25.2-17.6-26.4-25.4-21.6-32.8-26.6-32.7-22.7-29.0-17.0

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AUC(0-t) of Single Dose of Oxymorphone by Treatment Group

AUC0-t: Area under the concentration versus time curve from time 0 to the last measured concentration (Ct), calculated by linear trapezoidal rule (NCT00801398)
Timeframe: Baseline, 2h, 4h, 8h, 12h, 24h, 28h, 32h, 36h and 48h

Interventionng*hr/mL (Mean)
Single Dose of Oxymorphone IR: 5mg Tablet6.395
Single Dose of Oxymorphone IR: 10mg Tablet3.766
Single Dose of Oxymorphone IR: 15mg Tablet67.040
Single Dose of 6-OH-Oxymorphone: 5mg Tablet1.544
6-OH-Oxymorphone (ng/mL): 10mg3.040
6-OH-Oxymorphone (ng/mL): 15mg7.354

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AUC(0-inf) of Single Dose of Oxymorphone by Treatment Group

AUC0-inf: Area under the concentration versus time curve from time 0 to infinity, calculated as AUC0-t + Ct/terminal rate constant (single-dose period only), where Ct is the concentration at the time of the last quantifiable concentration (NCT00801398)
Timeframe: Baseline, 2h, 4h, 8h, 12h, 24h, 28h, 32h, 36h and 48h

Interventionng*hr/mL (Mean)
Single Dose of Oxymorphone IR: 5mg Tablet7.632
Single Dose of Oxymorphone IR: 10mg Tablet10.223
Single Dose of Oxymorphone IR: 15mg Tablet109.294
Single Dose of 6-OH-Oxymorphone: 5mg Tablet4.987
Single Dose of 6-OH-Oxymorphone: 10mg Tablet8.692
Single Dose 6-OH-Oxymorphone: 15mg Tablet12.795

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Cmax of Single Dose of Oxymorphone by Treatment Group

Cmax: Maximum plasma concentration; the highest concentration observed during a dosage interval (NCT00801398)
Timeframe: Baseline, 2h, 4h, 8h, 12h, 24h, 28h, 32h, 36h and 48h

Interventionng/mL (Mean)
Single Dose of Oxymorphone IR: 5mg Tablet1.243
Single Dose of Oxymorphone IR: 10mg Tablet0.828
Single Dose of Oxymorphone IR: 15mg Tablet5.295
Single Dose of 6-OH-Oxymorphone: 5mg Tablet0.314
Single Dose of 6-OH-Oxymorphone: 10mg Tablet0.487
Single Dose 6-OH-Oxymorphone: 15mg Tablet0.940

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Rapid Visual Information Processing (RVP) Response Latency

RVP is a test of sustained attention. It is a sensitive measure of general cognitive performance. A white box appears in the center of the computer screen, inside which digits, from 2 to 9, appear in a pseudorandom order, at the rate of 100 digits per minute. The subject is requested to detect target sequences of three digits (for example, 2-4-6, 3-5-7, 4-6-8) and to register responses using the response box. The two main outcome measures are the probability to detect the predefined sequence (sensitivity [A']) and the speed at which the sequence is registered (response latency [ms]). (NCT00930943)
Timeframe: 1 and 3 hours postdose

,
Interventionmilliseconds (Mean)
1-hour post dose3-hours post dose
Oxymorphone 40 mg Fasting455.96424.62
Oxymorphone 40 mg With High-fat Meal447.52422.33

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Rapid Visual Information Processing (RVP) Sensitivity [A']

RVP is a test of sustained attention. It is a sensitive measure of general cognitive performance. A white box appears in the center of the computer screen, inside which digits, from 2 to 9, appear in a pseudorandom order, at the rate of 100 digits per minute. The subject is requested to detect target sequences of three digits (for example, 2-4-6, 3-5-7, 4-6-8) and to register responses using the response box. The two main outcome measures are the probability to detect the predefined sequence (sensitivity [A']) and the speed at which the sequence is registered (response latency [ms]). (NCT00930943)
Timeframe: 1 and 3 hours postdose

,
Interventionprobability of detecting sequence (Mean)
1-hour post dose3-hours post dose
Oxymorphone 40 mg Fasting0.930.96
Oxymorphone 40 mg With High-fat Meal0.940.95

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Spatial Recognition Memory (SRM) Test Percentage of Correct Hits

SRM tests visual spatial recognition memory in a two-choice forced discrimination paradigm. The subject is presented with a white square, which appears in sequence at five different locations on the screen. In the recognition phase, the subject sees a series of five pairs of squares, one of which is in a place previously seen in the presentation phase. The other square is in a location not seen in the presentation phase. Locations are tested in the reverse of the presentation order. The two main outcome measures are the percentage of correct trials (correct hits [%]) and the speed of the subject's response (response latency [ms]). (NCT00930943)
Timeframe: 1 and 3 hours postdose

,
Interventionpercentage of hits (Mean)
1-hour post dose3-hours post dose
Oxymorphone 40 mg Fasting83.1781.83
Oxymorphone 40 mg With High-fat Meal81.6780.50

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Spatial Recognition Memory (SRM) Test Response Latency

SRM tests visual spatial recognition memory in a two-choice forced discrimination paradigm. The subject is presented with a white square, which appears in sequence at five different locations on the screen. In the recognition phase, the subject sees a series of five pairs of squares, one of which is in a place previously seen in the presentation phase. The other square is in a location not seen in the presentation phase. Locations are tested in the reverse of the presentation order. The two main outcome measures are the percentage of correct trials (correct hits [%]) and the speed of the subject's response (response latency [ms]). (NCT00930943)
Timeframe: 1 and 3 hours postdose

,
Interventionmilliseconds (Mean)
1-hour post dose3-hours post dose
Oxymorphone 40 mg Fasting1907.211606.26
Oxymorphone 40 mg With High-fat Meal1843.871555.51

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Spatial Working Memory (SWM) Test Strategy Score

SWM is a test of the subject's ability to retain spatial information and to manipulate remembered items in working memory. The test is a sensitive measure of executive function. It begins with a number of colored squares (boxes) being shown on the screen. By touching the boxes and using a process of elimination, the subject finds blue tokens in a number of boxes and uses them to fill up an empty column on the screen. The number of boxes is gradually increased, until it is necessary to search a total of eight boxes. The color and position of the boxes are changed from trial to trial to discourage the use of stereotyped search strategies. The two main outcome measures are errors (touching boxes that have been found to be empty and revisiting boxes that have already been found to contain a token - total errors) and a measure of strategy (For assessed problems with six boxes or more, the number of distinct boxes used by the subject to begin a new search for a token) (NCT00930943)
Timeframe: 1 and 3 hours postdose

,
Interventionnumber of boxes (Mean)
1-hour post dose3-hours post dose
Oxymorphone 40 mg Fasting35.4335.57
Oxymorphone 40 mg With High-fat Meal35.1335.50

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Spatial Working Memory (SWM) Test Total Errors

SWM is a test of the subject's ability to retain spatial information and to manipulate remembered items in working memory. It is a self-ordered task, which also assesses heuristic strategy. The test is a sensitive measure of executive function. It begins with a number of colored squares (boxes) being shown on the screen. By touching the boxes and using a process of elimination, the subject finds blue tokens in a number of boxes and uses them to fill up an empty column on the screen. The number of boxes is gradually increased, until it is necessary to search a total of eight boxes. The color and position of the boxes are changed from trial to trial to discourage the use of stereotyped search strategies. The two main outcome measures are errors (touching boxes that have been found to be empty and revisiting boxes that have already been found to contain a token - total errors) and a measure of strategy (strategy score). (NCT00930943)
Timeframe: 1 and 3 hours postdose

,
Interventionnumber of errors (Mean)
1-hour post dose3-hours post dose
Oxymorphone 40 mg Fasting38.6337.40
Oxymorphone 40 mg With High-fat Meal40.0035.73

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High VAS - Emax (mm)

"The High Visual Analog Scale (VAS) consisted of a horizontal line with a statement presented above the bar (I am feeling high). The ends of the line were marked with the descriptive anchors (Definitely not and Definitely so). Using a laptop computer, participants were instructed to click and drag the mouse to the appropriate position along the line, according to how they felt at that moment. Each scale was scored as an integer from 0 (Definitely not) to 100 (Definitely so), representing the position on the line." (NCT00955110)
Timeframe: High VAS was administered at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose.

Interventionmm (Mean)
Placebo23.1
Oxymorphone ER 15 mg30.6
Oxymorphone ER 30 mg62.5
Oxycodone CR 30 mg81.4
Oxycodone CR 60 mg93.0

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6 Beta-Hydroxyoxymorphone AUC0-24 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

AUC0-24: Area under the concentration versus time curve from time 0 to 24 hours calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh*ng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.09
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.09
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.08
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.45
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose3.08
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose2.61

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6 Beta-Hydroxyoxymorphone AUC0-inf Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

AUC0-inf: Area under the concentration versus time curve from time 0 to infinity, calculated as AUC0-t + Clast/λn (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh*ng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 12.15
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 11.79
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 77.66

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6 Beta-Hydroxyoxymorphone AUC0-inf Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

AUC0-inf: Area under the concentration versus time curve from time 0 to infinity, calculated as AUC0-t + Clast/λn (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh*ng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.83
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.11
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.535
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.76
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose7.58
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose2.76

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6 Beta-Hydroxyoxymorphone AUC0-t Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

AUC0-t: Area under the concentration versus time curve from time 0 to the last measured concentration (Clast) calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh*ng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 11.35
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 11.61
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 72.25

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6 Beta-Hydroxyoxymorphone AUC0-t Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

AUC0-t: Area under the concentration versus time curve from time 0 to the last measured concentration (Clast) calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh*ng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.459
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.467
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.22
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.27
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose2.64
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose2.26

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6 Beta-Hydroxyoxymorphone Clast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Clast: Minimum plasma concentration; the last concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 10.201
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 10.225
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 71.25

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6 Beta-Hydroxyoxymorphone Clast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Clast: Minimum plasma concentration; the last concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.0453
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.0418
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.0568
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.0332
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.204
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.0994

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6 Beta-Hydroxyoxymorphone Cmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Cmax: Maximum plasma concentration; the highest concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 10.547
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 10.829
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 71.41

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6 Beta-Hydroxyoxymorphone Cmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Cmax: Maximum plasma concentration; the highest concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.104
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.1
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.384
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.437
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.603
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.587

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6 Beta-Hydroxyoxymorphone t1/2 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

t1/2: Terminal half-life, calculated as λn/(ln 2) (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 13.61
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 11.42
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 74.9

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6 Beta-Hydroxyoxymorphone t1/2 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

t1/2: Terminal half-life, calculated as λn/(ln 2) (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose20.5
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose4.48
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose2.31
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose8.67
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose18.7
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose5.18

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6 Beta-Hydroxyoxymorphone Tlast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Tlast: The time at which Clast was observed (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 13.97
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 14.47
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 72.09

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6 Beta-Hydroxyoxymorphone Tlast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Tlast: The time at which Clast was observed (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose9.66
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose8.86
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose14.4
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose16.1
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose12.6
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose18.4

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6 Beta-Hydroxyoxymorphone Tmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Tmax: The time at which Cmax was observed (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 11.67
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 11.37
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 71.36

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6 Beta-Hydroxyoxymorphone Tmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Tmax: The time at which Cmax was observed (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose2.86
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose2.91
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.38
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.86
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose3.08
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.93

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Dose-Normalized 6 Beta-Hydroxyoxymorphone CL/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

CL/F: Apparent oral clearance, calculated as Dose/AUC0-inf (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

InterventionL/h/kg (Mean)
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 6 Years to ≤ 12 Years70.7
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 2 Years to <6 Years65

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Dose-Normalized 6 Beta-Hydroxyoxymorphone V/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

V/F: Apparent volume of distribution, calculated as Dose/(AUC0-inf * λn) (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

InterventionL/kg (Mean)
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 6 Years to ≤ 12 Years631
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 2 Years to <6 Years575

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Dose-Normalized Oxymorphone CL/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

CL/F: Apparent oral clearance, calculated as Dose/AUC0-inf (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

InterventionL/h/kg (Mean)
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 6 Years to ≤ 12 Years31.2
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 2 Years to <6 Years26.4

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Dose-Normalized Oxymorphone V/F Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

V/F: Apparent volume of distribution, calculated as Dose/(AUC0-inf * λn) (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

InterventionL/kg (Mean)
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 6 Years to ≤ 12 Years205
Combined 0.05, 0.1, and 0.2 mg/kg - Aged 2 Years to <6 Years154

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Oxymorphone AUC0-24 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

AUC0-24: Area under the concentration versus time curve from time 0 to 24 hours calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh*ng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 14.01
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 14.53

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Oxymorphone AUC0-24 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

AUC0-24: Area under the concentration versus time curve from time 0 to 24 hours calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh*ng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose3.75
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose2.65
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose3.01
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose3.69
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose6.11
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose14

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Oxymorphone AUC0-inf Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

AUC0-inf: Area under the concentration versus time curve from time 0 to infinity, calculated as AUC0-t + Clast/λn (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh*ng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 14.01
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 14.53

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Oxymorphone AUC0-inf Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

AUC0-inf: Area under the concentration versus time curve from time 0 to infinity, calculated as AUC0-t + Clast/λn (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh*ng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single DoseNA
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose3.22
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose3.01
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose3.69
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose6.92
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose14.3

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Oxymorphone AUC0-t Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

AUC0-t: Area under the concentration versus time curve from time 0 to the last measured concentration (Clast) calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh*ng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 13.49
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 13.88
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 74.24

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Oxymorphone AUC0-t Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

AUC0-t: Area under the concentration versus time curve from time 0 to the last measured concentration (Clast) calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh*ng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose2.56
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.69
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose3.01
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose3.99
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose5.32
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose9.37

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Oxymorphone Clast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Clast: Minimum plasma concentration; the last concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 10.452
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 10.508
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 72.3

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Oxymorphone Clast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Clast: Minimum plasma concentration; the last concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.0759
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.0618
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.11
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.0671
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.269
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.645

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Oxymorphone Cmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Cmax: Maximum plasma concentration; the highest concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 11.46
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 12.58
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 72.66

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Oxymorphone Cmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Cmax: Maximum plasma concentration; the highest concentration observed during a dosage interval (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionng/mL (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose0.415
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose0.33
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.14
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.76
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.33
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose3.16

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Oxymorphone t1/2 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

t1/2: Terminal half-life, calculated as λn/(ln 2) (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 12.18
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 11.17

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Oxymorphone t1/2 Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

t1/2: Terminal half-life, calculated as λn/(ln 2) (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single DoseNA
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose5.01
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose7.5
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose4.38
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose5.13
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose4.39

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Oxymorphone Tlast Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Tlast: The time at which Clast was observed (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 14
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 14.47
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 72.09

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Oxymorphone Tlast Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Tlast: The time at which Clast was observed (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose15.4
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose13.2
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose18
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose16
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose12.6
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose18.4

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Oxymorphone Tmax Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

Tmax: The time at which Cmax was observed (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 11.37
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 10.967
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 71.21

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Oxymorphone Tmax Following Single-Dose Administration of 0.05, 0.1, and 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Single-Dose Phase

Tmax: The time at which Cmax was observed (NCT01210352)
Timeframe: Serial blood samples were collected at time 0 (Baseline), at 15 and 30 minutes, and at 1, 1.5, 2, 4, 6, 8, 12, and 24 hours post-dose

Interventionh (Mean)
0.05 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose2.7
0.05 mg/kg - Children Aged 2 Years to <6 Years in Single Dose2.64
0.1 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose1.38
0.1 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.45
0.2 mg/kg - Children Aged 6 Years to ≤12 Years in Single Dose2.49
0.2 mg/kg - Children Aged 2 Years to <6 Years in Single Dose1.59

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Descriptive Statistics of Pain Intensity Difference (PID) by Age Group and Time Points in Multiple-Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain).~PID is calculated as the pain intensity score at baseline minus the current pain intensity score at each corresponding time point." (NCT01210352)
Timeframe: 0.5, 1, 1.5, 2, hours post dose 1 through to Dose 12, 0 Hour; End of Study/Early Termination

Interventionscore on a scale (Mean)
Dose 1, 30 Minutes Post-DoseDose 1, 1 Hour Post-DoseDose 1, 1.5 Hours Post-DoseDose 1, 2 Hours Post-DoseDose 2, 0 HourDose 3, 0 HourDose 4, 0 HourDose 5, 0 HourDose 6, 0 HourEnd of Study/Early Termination
2 to <6 Years Age Group: 0.20 mg/kg2.22.04.84.80.31.73.02.52.03.5

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Descriptive Statistics of Pain Intensity Difference (PID) by Age Group and Time Points in Multiple-Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain).~PID is calculated as the pain intensity score at baseline minus the current pain intensity score at each corresponding time point." (NCT01210352)
Timeframe: 0.5, 1, 1.5, 2, hours post dose 1 through to Dose 12, 0 Hour; End of Study/Early Termination

Interventionscore on a scale (Mean)
Dose 1, 30 Minutes Post-DoseDose 1, 1 Hour Post-DoseDose 1, 1.5 Hours Post-DoseDose 1, 2 Hours Post-DoseDose 2, 0 HourDose 3, 0 HourDose 4, 0 HourDose 5, 0 HourDose 6, 0 HourDose 7, 0 HourDose 8, 0 HourDose 9, 0 HourDose 10, 0 HourDose 11, 0 HourDose 12, 0 HourEnd of Study/Early Termination
6 to ≤12 Years Age Group: 0.20 mg/kg0.40.91.10.0-2.3-3.5-0.81.01.00.5-2.02.72.03.00.0-0.5

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Descriptive Statistics of the Pain Intensity Difference (PID) by Age Group and Time Points in Single-Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain).~PID was calculated as the pain intensity score at baseline minus the current pain intensity score at each corresponding time point." (NCT01210352)
Timeframe: Baseline (prior to dose); 15, 30 minutes, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose; and at the time of rescue

Interventionscore on a scale (Mean)
15 Minutes Post-Dose30 Minutes Post-Dose1 Hour Post-Dose1.5 Hours Post-Dose2 Hours Post-Dose3 Hours Post-Dose4 Hours Post-Dose6 Hours Post-Dose8 Hours Post-Dose12 Hours Post-Dose
6 Years to ≤ 12 Years Age Group in Single Dose Phase1.11.62.43.01.53.02.73.11.33.3

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Descriptive Statistics of the Pain Intensity Difference (PID) by Age Group and Time Points in Single-Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain).~PID was calculated as the pain intensity score at baseline minus the current pain intensity score at each corresponding time point." (NCT01210352)
Timeframe: Baseline (prior to dose); 15, 30 minutes, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose; and at the time of rescue

Interventionscore on a scale (Mean)
15 Minutes Post-Dose30 Minutes Post-Dose1 Hour Post-Dose2 Hours Post-Dose3 Hours Post-Dose4 Hours Post-Dose6 Hours Post-Dose8 Hours Post-Dose12 Hours Post-Dose24 Hours Post-Dose
0 Years to < 2 Years Age Group in Single Dose Phase1.12.02.32.02.01.01.01.71.70.0

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Descriptive Statistics of the Pain Intensity Difference (PID) by Age Group and Time Points in Single-Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain).~PID was calculated as the pain intensity score at baseline minus the current pain intensity score at each corresponding time point." (NCT01210352)
Timeframe: Baseline (prior to dose); 15, 30 minutes, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose; and at the time of rescue

Interventionscore on a scale (Mean)
15 Minutes Post-Dose30 Minutes Post-Dose1 Hour Post-Dose1.5 Hours Post-Dose2 Hours Post-Dose3 Hours Post-Dose4 Hours Post-Dose6 Hours Post-Dose8 Hours Post-Dose12 Hours Post-Dose24 Hours Post-Dose
2 Years to < 6 Years Age Group in Single Dose Phase2.12.12.63.82.6-1.02.53.02.43.23.0

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Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Multiple Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain)" (NCT01210352)
Timeframe: Baseline, 0.5, 1, 1.5, 2, hours post dose, and immediately prior to all remaining doses administered through 48 hours after administration of the initial dose; and at time of rescue

Interventionscore on a scale (Mean)
Dose 1, Baseline (Prior to Treatment)Dose 1, 30 Minutes Post DoseDose 1, 1 Hour Post DoseDose 1, 1.5 Hours Post DoseDose 1, 2 Hours Post DoseDose 2, 0 HourDose 3, 0 HourDose 4, 0 HourDose 5, 0 HourDose 6, 0 HourEnd of Study/Early Termination
2 Years to < 6 Years Age Group in Multiple Dose Phase3.51.31.80.00.05.03.74.55.06.01.3

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Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Multiple Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain)" (NCT01210352)
Timeframe: Baseline, 0.5, 1, 1.5, 2, hours post dose, and immediately prior to all remaining doses administered through 48 hours after administration of the initial dose; and at time of rescue

Interventionscore on a scale (Mean)
Dose 1, Baseline (Prior to Treatment)Dose 1, 30 Minutes Post DoseDose 1, 1 Hour Post DoseDose 1, 1.5 Hours Post DoseDose 1, 2 Hours Post DoseDose 2, 0 HourDose 3, 0 HourDose 4, 0 HourDose 5, 0 HourDose 6, 0 HourDose 7, 0 HourDose 8, 0 HourDose 9, 0 HourDose 10, 0 HourDose 11, 0 HourDose 12, 0 HourEnd of Study/Early Termination
6 Years to ≤ 12 Years Age Group in Multiple Dose Phase3.12.72.02.32.84.05.64.02.52.53.04.71.32.02.05.04.0

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Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Single Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain)." (NCT01210352)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post dose; and at the time of rescue

Interventionscore on a scale (Mean)
Baseline (Prior to Treatment)15 Minutes Post Dose30 Minutes Post Dose1 Hour Post Dose2 Hours Post Dose3 Hours Post Dose4 Hours Post Dose6 Hours Post Dose8 Hours Post Dose12 Hours Post Dose24 Hours Post Dose
0 Years to < 2 Years Age Group in Single Dose Phase2.41.30.40.10.40.41.30.80.00.00.0

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Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Single Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain)." (NCT01210352)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post dose; and at the time of rescue

Interventionscore on a scale (Mean)
Baseline (Prior to Treatment)15 Minutes Post Dose30 Minutes Post Dose1 Hour Post Dose1.5 Hours Post Dose2 Hours Post Dose3 Hours Post Dose4 Hours Post Dose6 Hours Post Dose8 Hours Post Dose12 Hours Post Dose24 Hours Post Dose
2 Years to < 6 Years Age Group in Single Dose Phase3.41.21.20.20.20.42.01.50.70.80.00.0

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6 Beta-Hydroxyoxymorphone AUC0-24 Following Multiple-Dose Administration of 0.2 mg/kg Oxymorphone HCl Immediate-Release Oral Liquid in Children Aged 2 Years to ≤12 Years in the Multiple-Dose Phase From Dose 1 and Dose 7

AUC0-24: Area under the concentration versus time curve from time 0 to 24 hours calculated by linear trapezoidal rule (NCT01210352)
Timeframe: Serial blood samples were collected at: time 0 (Baseline), at 0.5, 1, 1.5, and 2 hours post-Dose 1, immediately prior to Doses 2, 3, 4, 5, 6, 7, and at 0.5, 1, 1.5, and 2 hours post-Dose 7

Interventionh*ng/mL (Mean)
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 12.11
0.2 mg/kg - Children Aged 2 Years to <6 Years - Dose 11.78
0.2 mg/kg - Children Aged 6 Years to ≤12 Years - Dose 77.38

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Pain Intensity Score of Oxymorphone IR Oral Liquid in Pediatric Subjects by Age Group and Time Points in Single Dose Phase

"Faces Pain Scale-Revised (FPS-R) was used for the 6 to ≤ 12 years age group, (0 = no pain and 10 = very much pain).~Face, Legs, Activity, Cry, and Consolability (FLACC) behavior measurement was used for the 2 years to < 6 years and 0 years to < 2 years age groups, (0 = no pain and 10 = very much pain)." (NCT01210352)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post dose; and at the time of rescue

Interventionscore on a scale (Mean)
Baseline (Prior to Treatment)15 Minutes Post Dose30 Minutes Post Dose1 Hour Post Dose1.5 Hours Post Dose2 Hours Post Dose3 Hours Post Dose4 Hours Post Dose6 Hours Post Dose8 Hours Post Dose12 Hours Post Dose
6 Years to ≤ 12 Years Age Group in Single Dose Phase4.53.52.71.82.03.10.01.82.33.31.3

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Adherence to PONV Guidelines

PONV guideline adherence: percentage of patients who received the exact number of prophylactic interventions for PONV that were recommended by the decision support. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic case

InterventionParticipants (Count of Participants)
Baseline Measurement666
CDS Email Recommendations5260
CDS Email + Real TIme Recommenations5863

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PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting

The occurrence of PONV, as defined by the administration of antiemetics in the PACU between admission to PACU and discharge from PACU. (NCT02625181)
Timeframe: PACU recovery period

InterventionParticipants (Count of Participants)
Baseline Measurement139
CDS Email Recommendations1323
CDS Email + Real TIme Recommenations1343

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The Number of Prophylactic Interventions for PONV

the absolute number of prophylactic interventions applied between the admission of the patient in the holding room until admission to the PACU. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic case

Interventionprophylactic antiemetics administered (Mean)
Baseline Measurement2.196
CDS Email Recommendations2.176
CDS Email + Real TIme Recommenations2.129

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Time to Discharge From the Postanesthesia Care Unit (PACU)

This is the number of minutes from admission to the PACU until discharge, assessed up to 2 days (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU

Interventionminutes (Mean)
Baseline Measurement266
CDS Email Recommendations264
CDS Email + Real TIme Recommenations266

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Cumulative Total Amount of Morphine Rescue Medication Required for Analgesia in the Active Treatment Group (Single Dose)

(NCT02687451)
Timeframe: Up to 24 hours post dose

Interventionmg (Mean)
Group A (6 Months - <2 Years) 0.05 mg/kg3.348
Group A (6 Months - <2 Years) 0.10 mg/kg1.886
Group A (6 Months - <2 Years) 0.15 mg/kg1.400
Group B (61 Days - <6 Months) 0.10 mg/kg0.725

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Cumulative Total Amount of Morphine Rescue Medication Required for Analgesia in the Active Treatment Group Versus Placebo Group (Multiple Dose).

(NCT02687451)
Timeframe: Up to 24 hours post dose

Interventionmg (Mean)
Placebo0.80

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Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women

For the International Index of Erectile Function (IIEF)(15-items) each question is scored on a scale of 0 or 1 to 5, with 0 as no sexual attempts, 1 as the highest frequency, and 5 as the lowest, except where 1=1-2, 2=3-4, 3=5-6, 4=7-10 attempts, and 5=11 or more attempts. Missing responses are scored as 0. For the Female Sexual Function Index (FSFI)(19 items) each question is scored on a scale of 0-5 or 1-5. The FSFI examines the following 6 domains with minimum and maximum scores as indicated: desire(1.2-6.0), arousal(0-6.0), lubrication(0-6.0), orgasm(0-6.0), satisfaction(0.8-6.0), and pain(0-6.0). A computational formula sums the scores within each domain and multiplies that sum by a prescribed weighting factor: desire 0.6, arousal 0.3, lubrication 0.3, orgasm 0.4, satisfaction 0.4, pain 0.4. Higher scores indicate greater functionality. The single final score range is 2.0 to 36, which is reported as an average for each group of female study participants as change from baseline. (NCT02741076)
Timeframe: Change from Baseline to 12 and 24 week visit

InterventionScore on a scale (Mean)
Male Erectile Function Week 12Male Erectile Function Week 24Male Orgasmic Function Week 12Male Orgasmic Function Week 24Male Sexual Desire Week 12Male Sexual Desire Week 24Male Intercourse Satisfaction Week 12Male Intercourse Satisfaction Week 24Male Overall Satisfaction Week 12Male Overall Satisfaction Week 24Female Desire Week 12Female Arousal Week 12Female Lubrication Week 12Female Orgasm Week 12Female Satisfaction Week 12Female Pain Week 12
Structured Discontinuation Opioid Therapy Optimal Responder4.07.00.51.50.0-1.50.52.01.50.00.00-6.00-3.60-4.40-0.40-3.20

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Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women

For the International Index of Erectile Function (IIEF)(15-items) each question is scored on a scale of 0 or 1 to 5, with 0 as no sexual attempts, 1 as the highest frequency, and 5 as the lowest, except where 1=1-2, 2=3-4, 3=5-6, 4=7-10 attempts, and 5=11 or more attempts. Missing responses are scored as 0. For the Female Sexual Function Index (FSFI)(19 items) each question is scored on a scale of 0-5 or 1-5. The FSFI examines the following 6 domains with minimum and maximum scores as indicated: desire(1.2-6.0), arousal(0-6.0), lubrication(0-6.0), orgasm(0-6.0), satisfaction(0.8-6.0), and pain(0-6.0). A computational formula sums the scores within each domain and multiplies that sum by a prescribed weighting factor: desire 0.6, arousal 0.3, lubrication 0.3, orgasm 0.4, satisfaction 0.4, pain 0.4. Higher scores indicate greater functionality. The single final score range is 2.0 to 36, which is reported as an average for each group of female study participants as change from baseline. (NCT02741076)
Timeframe: Change from Baseline to 12 and 24 week visit

,,
InterventionScore on a scale (Mean)
Male Erectile Function Week 12Male Erectile Function Week 24Male Orgasmic Function Week 12Male Orgasmic Function Week 24Male Sexual Desire Week 12Male Sexual Desire Week 24Male Intercourse Satisfaction Week 12Male Intercourse Satisfaction Week 24Male Overall Satisfaction Week 12Male Overall Satisfaction Week 24Female Desire Week 12Female Desire Week 24Female Arousal Week 12Female Arousal Week 24Female Lubrication Week 12Female Lubrication Week 24Female Orgasm Week 12Female Orgasm Week 24Female Satisfaction Week 12Female Satisfaction Week 24Female Pain Week 12Female Pain Week 24
Continuation of Opioid Therapy Suboptimal Responder-4.6-0.4-1.00.41.00.8-1.40.41.42.2-0.86-1.40-0.47-0.900.940.300.910.27-0.40-0.672.690.80
Continuation of Opioid Therapy Optimal Responder2.004.51.52.00.00.00.01.50.50.00.300.001.350.900.3000.20-0.400.00.00-0.400.40
Structured Discontinuation Opioid Therapy Suboptimal Responder2.01.4-1.0-0.62.21.8-1.0-1.01.83.40.230.480.381.800.000.30-0.050.40-0.10-0.720.650.88

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Patient Global Impression of Change (PGIC)

The Patient Global Impression of Change (PGIC) is a self-administered questionnaire that assesses the participant's level of improvement/worsening from the beginning to the end of treatment. Participants are asked to select the category of change that most closely describes any change experienced in the pain of their painful areas from the beginning of the Blinded Structured Opioid Discontinuation Period to Week 12 and to Week 24. The scale has levels describing change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. (NCT02741076)
Timeframe: Baseline to 12 and 24 week visit

,,,
InterventionParticipants (Count of Participants)
Very much improved Week 12Much improved Week 12Minimally improved Week 12No change Week 12Minimally Worse Week 12Much Worse Week 12Very Much Worse Week 12Very much improved Week 24Much improved Week 24Minimally improved Week 24No change Week 24Minimally Worse Week 24Much Worse Week 24Very Much Worse Week 24
Continuation of Opioid Therapy Optimal Responder01101100200010
Continuation of Opioid Therapy Suboptimal Responder01531200141200
Structured Discontinuation Opioid Therapy Optimal Responder00101010020000
Structured Discontinuation Opioid Therapy Suboptimal Responder03811000333100

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Participants Sleep Quantity Measured by Medical Outcomes Study (MOS)

Optimal Sleep Index is based on the average number of hours of sleep each night during the past 4 weeks. Index=1 represents 7-8 hours and Index=0 represents < 7 hours or > 8 hours. (NCT02741076)
Timeframe: 4 weeks prior to baseline and prior to 12 and 24 week visits

,,,
InterventionParticipants (Count of Participants)
Index=0 BaselineIndex=1 BaselineIndex=0 Week 12Index=1 Week 12Index=0 Week 24Index=1 Week 24
Continuation of Opioid Therapy Optimal Responder311321
Continuation of Opioid Therapy Suboptimal Responder9310271
Structured Discontinuation Opioid Therapy Optimal Responder212111
Structured Discontinuation Opioid Therapy Suboptimal Responder10311291

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Participant Reported Quality of Life Assessment Using Visual Analog Scale (EQ-5D-5L Standardized Instrument)

The EQ-5D-5L is a self-administered general measure of health outcome applicable to a wide range of health conditions and treatments. The visual analog scale (VAS) rates the subject's health on a 0-100 scale from the worst imaginable health state to the best imaginable health state. (NCT02741076)
Timeframe: Baseline to 12 and 24 week visit

,,,
InterventionScore on a scale (Mean)
Week 12 visitWeek 24 visit
Continuation of Opioid Therapy Optimal Responder-6.30.3
Continuation of Opioid Therapy Suboptimal Responder3.28.4
Structured Discontinuation Opioid Therapy Optimal Responder-17.7-4.5
Structured Discontinuation Opioid Therapy Suboptimal Responder5.54.5

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Participant Reported Quality of Life Assessment Using EQ-5D-5L Standardized Instrument

The EQ-5D-5L is a self-administered general measure of health outcome applicable to a wide range of health conditions and treatments.The EQ-5D-5L measures quality of life in 5 dimensions: Mobility, Self-care, Usual activities, Pain/discomfort, and Anxiety/depression. Each is rated in 5 levels from no problems/pain/anxiety to being unable/extreme pain/extreme anxiety. The responses for each category are summarized by treatment and visit with frequencies and percentages reporting each level. (NCT02741076)
Timeframe: Baseline and weeks 12, 24

,,,
InterventionParticipants (Count of Participants)
No problem Walking BaselineSlight Problem Walking BaselineModerate Problem Walking BaselineSevere Problem Walking BaselineUnable to Walk BaselineNo problem washing or dressing BaselineSlight problem washing or dressing baselineModerate problem washing or dressing baselineSevere problem washing or dressing baselineUnable to wash or dress baselineNo problem doing usual activities BaselineSlight problem doing usual activities BaselineModerate problem doing usual activities baselineSevere problem doing usual activities baselineUnable to do usual activities baselineNo pain or discomfort baselineSlight pain or discomfort baselineModerate pain or discomfort baselineSevere pain or discomfort baselineExtreme pain or discomfort baselineNot anxious or depressed baselineSlightly anxious or depressed baselineModerately anxious or depressed baselineSeverely anxious or depressed baselineExtremely anxious or depressed baselineNo problem Walking Week 12Slight Problem Walking Week 12Moderate Problem Walking Week 12Severe Problem Walking Week 12Unable to Walk Week 12No problem washing or dressing Week 12Slight problem washing or dressing Week 12Moderate problem washing or dressing week 12Severe problem washing or dressing Week 12Unable to wash or dress Week 12No problem doing usual activities Week 12Slight problem doing usual activities Week 12Moderate problem doing usual activities Week 12Severe problem doing usual activities Week 12Unable to do usual activities Week 12No pain or discomfort Week 12Slight pain or discomfort Week 12Moderate pain or discomfort Week 12Severe pain or discomfort Week 12Extreme pain or discomfort Week 12Not anxious or depressed Week 12Slightly anxious or depressed Week 12Moderately anxious or depressed Week 12Severely anxious or depressed Week 12Extremely anxious or depressed Week 12No problem Walking Week 24Slight Problem Walking Week 24Moderate Problem Walking Week 24Severe Problem Walking Week 24Unable to Walk Week 24No problem washing or dressing Week 24Slight problem washing or dressing Week 24Moderate problem washing or dressing Week 24Severe problem washing or dressing Week 24Unable to washing or dressing Week 24No problem doing usual activities Week 24Slight problem doing usual activities Week 24Moderate problem doing usual activities Week 24Severe problem doing usual activities Week 24Unable to do usual activities Week 24No pain or discomfort Week 24Slight pain or discomfort Week 24Moderate pain or discomfort Week 24Severe pain or discomfort Week 24Extreme pain or discomfort Week 24Not anxious or depressed Week 24Slightly anxious or depressed Week 24Moderately anxious or depressed Week 24Severely anxious or depressed Week 24Extremely anxious or depressed Week 24
Continuation of Opioid Therapy Optimal Responder211003100012100022002200012100301001120001210301001200021000111001110021000
Continuation of Opioid Therapy Suboptimal Responder027213351001560006603450003720363000363001911741001411124020051200413050300
Structured Discontinuation Opioid Therapy Optimal Responder120003000002100012001200010200102000111000210102000110010100101000110011000
Structured Discontinuation Opioid Therapy Suboptimal Responder118301110100010300067045400128202452014440001120724002251033310124210154043300

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Number of Suboptimal Responders With Pain Intensity (PI) Score Worsening Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)

"Percent pain intensity difference (PID) relative to baseline is defined as 100* ((baseline Average PI - mean Average PI at visit)/baseline Average PI). The percentages are based on number of subjects in the Intent-to-Treat set per treatment group. PI is measured on the Numerical Ratings Scale (NRS). Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10.~This outcome measure applies only to Optimal Responders." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionParticipants (Count of Participants)
greater than or equal to 40% Week 12Greater than or equal to 30% Week 12greater than or equal to 20% Week 12Greater than or equal to 10% Week 12Equal to 0% (any worsening) Week 12Greater than or equal to 40% week 24greater than or equal to 30% Week 24greater than or equal to 20% Week 24Greater than or equal to 10% Week 24Greater than 0% (any worsening) Week 24
Continuation of Opioid Therapy Optimal Responder0022201111
Continuation of Opioid Therapy Suboptimal Responder0000000000
Structured Discontinuation Opioid Therapy Optimal Responders1111100011
Structured Discontinuation Opioid Therapy Suboptimal Responder0000000000

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Change in the Mean Average Pain Intensity (PI) Score on the 0-10 Numerical Ratings Scale (NRS)

"Baseline is defined as the mean of the available Average PI scores on the 0-10 Numerical Ratings Scale (NRS) over the 7-day Baseline Period. For the scheduled post-randomization visits, mean Average Pain Intensity is defined as the means of the respective PI scores over the 7 days preceding the visit. If there is only one daily PI score available, the mean is not calculated, and the data point is considered missing.~PI = Pain Intensity. Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10." (NCT02741076)
Timeframe: From baseline to the 1 week period prior to the Week 12 visit

InterventionScore on a scale (Mean)
Structured Discontinuation Opioid Therapy Suboptimal Responder-0.2198
Continuation of Opioid Therapy Suboptimal Responder-0.3328
Structured Discontinuation Opioid Therapy Optimal Responder0.3750
Continuation of Opioid Therapy Optimal Responder1.00

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Number of Suboptimal Responders With Pain Intensity (PI) Score Improvement Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)

"Percent pain intensity difference (PID) relative to baseline is defined as 100* ((baseline Average PI - mean Average PI at visit)/baseline Average PI). The percentages are based on number of subjects in the Intent-to-Treat set per treatment group. PI is measured on the Numerical Ratings Scale (NRS). Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10.~This outcome measure applies only to Suboptimal Responders." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionParticipants (Count of Participants)
greater than or equal to 30% Week 12greater than or equal to 20% Week 12greater than or equal to 10% Week 12>0% (any improvement) Week 12greater than or equal to 30% Week 24greater than or equal to 20% Week 24greater than or equal to 10% Week 24>0% (any improvement) Week 24
Continuation of Opioid Therapy Optimal Responder00000000
Continuation of Opioid Therapy Suboptimal Responder01350133
Structured Discontinuation Opioid Therapy Optimal Responder00000000
Structured Discontinuation Opioid Therapy Suboptimal Responder11370158

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Number of Participants Reporting Major or Severe Major Depression Using Patient Health Questionnaire Depression Scale (PHQ-8)

"The PHQ-8 is an 8-item questionnaire that aims at assessing the level of depression of a subject. Each item is scored from 0 = not at all to 3= nearly every day; the total score, which is the sum of the scores for each item, can be from 0 to 24. A score >= 10 is considered major depression and >= 20 is severe major depression." (NCT02741076)
Timeframe: Baseline, 12 and 24 week visit

,,,
InterventionParticipants (Count of Participants)
Major Depression BaselineSevere Major Depression BaselineMajor Depression Week 12Severe Major Depression Week 12Major Depression Week 24Severe Major Depression Week 24
Continuation of Opioid Therapy Optimal Responder001000
Continuation of Opioid Therapy Suboptimal Responder503000
Structured Discontinuation Opioid Therapy Optimal Responder001000
Structured Discontinuation Opioid Therapy Suboptimal Responder201020

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Digit Symbol Substitution Test

Overall neuropsychological function is assessed using the DSST, a test that is sensitive to brain damage, dementia, age, and depression, and is a widely used instrument for measuring the neuropsychological effects of opioid therapy. The digits (1-9) are paired with symbols, and the test consists of matching the symbol for a series of digits as fast as possible. Score is number of correct symbols in 90 seconds. A decrease from baseline detects deterioration in processing speed. An increase from baseline detects improvement in processing speed. (NCT02741076)
Timeframe: Change from Baseline to 12 and 24 week visit

,,,
InterventionScore on a test (Mean)
Week 12 from baselineWeek 24 from baseline
Continuation of Opioid Therapy Optimal Responder0.00-3.3
Continuation of Opioid Therapy Suboptimal Responder6.10.1
Structured Discontinuation Opioid Therapy Optimal Responder3.3-6.0
Structured Discontinuation Opioid Therapy Suboptimal Responder7.88.9

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Change in Mean Average Pain Intensity Score (PI) Score on the 0-10 Numerical Ratings Scale (NRS)

"Baseline is defined as the mean of the available Average PI scores on the 0-10 Numerical Ratings Scale (NRS) over the 7-day Baseline Period. For the scheduled post-randomization visits, mean Average Pain Intensity is defined as the means of the respective PI scores over the 7 days preceding the visit. If there is only one daily PI score available, the mean is not calculated, and the data point is considered missing.~PI = Pain Intensity. Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10." (NCT02741076)
Timeframe: From baseline to weeks 4, 8, 16, 20, and 24

,,,
InterventionScore on a scale (Mean)
4 weeks8 weeks16 weeks20 weeks24 weeks
Continuation of Opioid Therapy Optimal Responder0.31430.14130.4508-0.30951.5
Continuation of Opioid Therapy Suboptimal Responder-0.14130.0984-0.5714-0.6873-0.1532
Structured Discontinuation Opioid Therapy Optimal Responder0.49400.3393-0.6964-0.48210.2857
Structured Discontinuation Opioid Therapy Suboptimal Responder-0.1123-0.3671-0.3462-0.4153-0.5000

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Change From Baseline on Sleep Quality Measured by Medical Outcomes Study (MOS)

"The MOS Sleep Scale is a 12-item questionnaire which measures sleep quality in 7 scales over the past 4 weeks: sleep disturbance, snoring, sleep short of breath or headache, sleep adequacy, sleep somnolence, and 2 sleep problems indexes. In addition, the average hours of sleep over the past 4 weeks is recorded as a raw measure and also coded as an optimal sleep index.~The MOS is scored and the sleep scales calculated according to the MOS Sleep Scale User's Manual v1.0 (Spritzer and Hays, 2003). The scores on the dimensions and the sleep indices were converted to a 0-100 scale, with higher scores reflecting more of the attribute implied by the name (e.g. greater sleep disturbance, greater sleep adequacy of sleep)." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionScore on a scale (Mean)
Sleep Disturbance Week 12Snoring Week 12Awaken Short of Breath or Headache Week 12Sleep Adequacy Week 12Sleep Somnolence Week 12Sleep Problems Index I Week 12Sleep Problems Index II Week 12Sleep Quantity Week 12Sleep Disturbance Week 24Snoring Week 24Awaken Short of Breath or Headache Week 24Sleep Adequacy Week 24Sleep Somnolence Week 24Sleep Problems Index I Week 24Sleep Problems Index II Week 24Sleep Quantity Week 24
Continuation of Opioid Therapy Optimal Responder2.81315.0010.005.008.33330.83331.80560.5-10.00013.340.000.00-11.1111-2.2222-2.22220.0
Continuation of Opioid Therapy Suboptimal Responder-5.0010.000.000.82.7778-0.2778-2.222-0.1-10.3130.010.013.8-4.1667-9.1667-6.8056-0.1
Structured Discontinuation Opioid Therapy Optimal Responder-0.4170.0013.33.36.66674.44442.0370-2.3-5.0040.0020.025.016.6667-6.6667-2.22220.5
Structured Discontinuation Opioid Therapy Suboptimal Responder-5.6730.003.110.00-4.6154-4.1026-5.42740.15.3750.010.00.06.00006.66674.8333-0.8

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Change From Baseline in the Patient Health Questionnaire Depression Scale (PHQ-8)

"The PHQ-8 is an 8-item questionnaire that aims at assessing the level of mood of a subject. Each item is scored from 0 = not at all to 3= nearly every day; the total score, which is the sum of the score for each item, can be from 0 to 24. A score ≥10 is considered major depression and ≥20 is severe major depression." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionScore on a scale (Mean)
12 Weeks24 Weeks
Continuation of Opioid Therapy Optimal Responder3.3-1.3
Continuation of Opioid Therapy Suboptimal Responder-0.8-1.1
Structured Discontinuation Opioid Therapy Optimal Responder3.30.00
Structured Discontinuation Opioid Therapy Suboptimal Responder-1.20.7

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"Positive Subjective Drug Effects (i.e., Drug Liking)."

"The positive subjective effects of the most efficacious dose of the intravenous challenge drugs. These are measured using self-reported assessment by the participant in terms of drug liking rated on a visual analog scale of 0-100. Higher values indicate a greater drug effect." (NCT03389750)
Timeframe: Throughout study enrollment period (8-9 weeks)

Interventionunits on a scale (Mean)
IV Placebo52.1
IV Oxymorphone 1.8 mg57.5
IV Oxymorphone 3.2 mg71.8
IV Oxymorphone 5.6 mg71.5
IV Oxymorphone 10 mg84
IV Hydromorphone 3.2 mg66.3
IV Hydromorphone 5.6 mg71.3
IV Hydromorphone 10 mg84.3
IV Hydromorphone 18 mg79.6
IV Oxycodone 10 mg59.5
IV Oxycodone 18 mg63.3
IV Oxycodone 32 mg70.3
IV Oxycodone 56 mg79.1

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