Skip to main content
. 2015 Sep 25;2015(9):CD011460. doi: 10.1002/14651858.CD011460.pub2
Study ID Treatment Any AEs SAEs Withdrawals
Imanaka 2013 Tapentadol ER (25 to 200 mg twice daily), n = 168
Oxycodone CR (5 to 40 mg twice daily), n = 172
Tapentadol 147/168
Oxycodone 155/172 Tapentadol 78/168
Oxycodone 69/172
Most SAEs due to disease progression (tapentadol 40, oxycodone 36) and judged unrelated to study medication AE
Tapentadol 12/168
Oxycodone 14/172
Deaths
Tapentadol 3/168
Oxycodone 4/172
LoE
Tapentadol 4/168
Oxycodone 1/172
Disease progression
Tapentadol 10/168
Oxycodone 14/172
Other
Tapentadol 29/168
Oxycodone 18/172
Imanaka 2014 Tapentadol ER titrated to maximum 500 mg daily, n = 50
Morphine SR titrated to maximum 140 mg daily, n = 50
Tapentadol 45/50
Morphine 47/50 Tapentadol 16/50
Morphine 16/50
Deaths
Tapentadol 6/50 (disease progression 5, GI perforation 1)
Oxycodone 4/50 (disease progression)
AE
Tapentadol 5/50
Morphine 8/50
Disease progression
Tapentadol 9/50
Morphine 11/50
LoE
Tapentadol 3/50
Morphine 1/50
Other
Tapentadol 5/50
Morphine 1/50
Kress 2014 Tapentadol PR 100 to 250 mg twice daily, n = 338 (titration) and n = 106 (maintenance)
Morphine CR 40 to 100 mg twice daily, n = 158 (titration) and n = 109 (maintenance)
Placebo n = 112 (maintenance)
During titration
Tapentadol 169/338
Morphine 101/158
During maintenance
Tapentadol 66/106
Morphine 68/109
Placebo 63/112
During titration
Tapentadol 25/338
Morphine 6/158
Most common (7/338, 2/158) were neoplasms
During maintenance
Tapentadol 12/106
Morphine 6/109
Placebo 10/112
(Neoplasms 5/106, 1/109, 2/112)
During and after titration
AE
Tapentadol 29/338
Morphine 11/158
LoE
Tapentadol 58/338
Morphine 17/158
Other
Tapentadol 30/338
Morphine 18/158
Maintenance
AE
Tapentadol 5/106
Morphine 7/109
Placebo 5/112
LoE
Tapentadol 2/106
Morphine 2/109
Placebo 4/112
Other
Tapentadol 7/106
Morphine 8/109
Placebo 5/112
NCT00505414 Tapentadol PR 100 to 250 mg twice daily (titration and maintenance), n = 62 (titration) and n = 15 (maintenance)
Morphine sulphate CR 45 to 90 mg twice daily (titration and maintenance), n = 31 (titration) and n = 18 (maintenance)
Placebo, n = 14 (maintenance)
Over entire treatment period
Tapentadol 39/62
Morphine 25/31
Placebo 6/14
Tapentadol 13/62
Morphine 8/31
Placebo 4/14
Deaths
During titration
Tapentadol 2/62
Morphine 0/31
During maintenance
Tapentadol 0/15
Morphine 2/18
Placebo 1/14
Titration
AE
Tapentadol 8/62
Morphine 3/31
LoE
Tapentadol 10/62
Morphine 1/31
Other
Tapentadol 10/62
Morphine 8/31
Maintenance
AE
Tapentadol 2/15
Morphine 3/18
Placebo 2/14
LoE
Tapentadol 1/15
Morphine 2/18
Placebo 1/14
Other
Tapentadol 2/15
Morphine 0/18
Placebo 3/14
AE: adverse event; CR: controlled release; ER: extended release; GI: gastrointestinal; LoE: lack of efficacy; n: number of participants in treatment arm; PR: prolonged release; SAE: serious adverse event; SR: sustained release.