I picked up Pehnsed's Spear for 2.5k... they just don't sell well...Changed to P/R and used Poison Tip Signet.
For a small investment of 4 points, you can get 10s +33% 9 poison durtion, much longer than Apply Poison (6s +33% at the same level). This is effectively 104 dmg, compared to 63 from blazing spear (at 12 spear)
Add barbed Spear which at 12 spear is 13s of bleeding and you have a foe with -7 degen for 13s. As I was a ranger secondary, I brought along a pet and the sunspear skill, never rampage alone. Add an IAS and an elite of choice and you have.....
[build name="Paragon-Ranger" prof=Paragon/Ranger][Go for the Eye's][Barbed Spear][Cruel Spear][Aggressive Refrain][Poison Tip Signet][Never Rampage Alone][no skill][no skill][/build]
[[Cruel Spear] is said to be replaced by [[Stunning Strike] if wanted and the "no skills" are pet skills of your choice.