Trial Outcomes & Findings for A Study of TRV130 for the Treatment of Pain After Bunionectomy (NCT NCT02100748)

NCT ID: NCT02100748

Last Updated: 2020-09-16

Results Overview

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 48 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (48 hours) to yield values on the 0-10 NPRS.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

333 participants

Primary outcome timeframe

48 hours

Results posted on

2020-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Part A - TRV130 1 mg
TRV130 1 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 2 mg
TRV130 2 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 3 mg
TRV130 3 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 4 mg
TRV130 4 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - Morphine
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Part A - Placebo
Placebo (D5W) IV Q4H x 48 h Placebo: Placebo will be administered every 4 hours
Part B - TRV130 0.5 mg
TRV130 0.5 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 1 mg
TRV130 1 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 2 mg
TRV130 2 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 3 mg
TRV130 3 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - Placebo
Placebo (D5W) IV Q3H x 48 h Placebo: Placebo will be administered every 3 hours
Part B - Morphine
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Overall Study
STARTED
25
24
22
22
25
23
20
38
36
31
28
39
Overall Study
COMPLETED
23
23
21
21
23
23
18
34
33
29
26
39
Overall Study
NOT COMPLETED
2
1
1
1
2
0
2
4
3
2
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of TRV130 for the Treatment of Pain After Bunionectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Part A - TRV130 1 mg
n=25 Participants
TRV130 1 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 2 mg
n=24 Participants
TRV130 2 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 3 mg
n=22 Participants
TRV130 3 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 4 mg
n=22 Participants
TRV130 4 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - Morphine
n=25 Participants
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Part A - Placebo
n=23 Participants
Placebo (D5W) IV Q4H x 48 h Placebo: Placebo will be administered every 4 hours
Part B - TRV130 0.5 mg
n=20 Participants
TRV130 0.5 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 1 mg
n=38 Participants
TRV130 1 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 2 mg
n=36 Participants
TRV130 2 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 3 mg
n=31 Participants
TRV130 3 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - Placebo
n=28 Participants
Placebo (D5W) IV Q3H x 48 h Placebo: Placebo will be administered every 3 hours
Part B - Morphine
n=39 Participants
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Total
n=333 Participants
Total of all reporting groups
Age, Continuous
47.1 years
STANDARD_DEVIATION 12.52 • n=5 Participants
41.8 years
STANDARD_DEVIATION 12.06 • n=7 Participants
40.3 years
STANDARD_DEVIATION 13.33 • n=5 Participants
42.1 years
STANDARD_DEVIATION 13.66 • n=4 Participants
41.5 years
STANDARD_DEVIATION 12.53 • n=21 Participants
43.5 years
STANDARD_DEVIATION 9.94 • n=10 Participants
38.6 years
STANDARD_DEVIATION 11.38 • n=115 Participants
43.3 years
STANDARD_DEVIATION 11.02 • n=6 Participants
36.7 years
STANDARD_DEVIATION 12.23 • n=6 Participants
37.5 years
STANDARD_DEVIATION 10.58 • n=64 Participants
39.9 years
STANDARD_DEVIATION 11.04 • n=17 Participants
42.6 years
STANDARD_DEVIATION 13.09 • n=21 Participants
41.2 years
STANDARD_DEVIATION 12.11 • n=22 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
22 Participants
n=7 Participants
19 Participants
n=5 Participants
20 Participants
n=4 Participants
24 Participants
n=21 Participants
21 Participants
n=10 Participants
18 Participants
n=115 Participants
34 Participants
n=6 Participants
32 Participants
n=6 Participants
29 Participants
n=64 Participants
25 Participants
n=17 Participants
31 Participants
n=21 Participants
297 Participants
n=22 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
1 Participants
n=21 Participants
2 Participants
n=10 Participants
2 Participants
n=115 Participants
4 Participants
n=6 Participants
4 Participants
n=6 Participants
2 Participants
n=64 Participants
3 Participants
n=17 Participants
8 Participants
n=21 Participants
36 Participants
n=22 Participants
Race/Ethnicity, Customized
White
22 Participants
n=5 Participants
22 Participants
n=7 Participants
16 Participants
n=5 Participants
21 Participants
n=4 Participants
22 Participants
n=21 Participants
17 Participants
n=10 Participants
16 Participants
n=115 Participants
28 Participants
n=6 Participants
24 Participants
n=6 Participants
24 Participants
n=64 Participants
22 Participants
n=17 Participants
27 Participants
n=21 Participants
261 Participants
n=22 Participants
Race/Ethnicity, Customized
Black
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants
6 Participants
n=10 Participants
2 Participants
n=115 Participants
6 Participants
n=6 Participants
10 Participants
n=6 Participants
5 Participants
n=64 Participants
5 Participants
n=17 Participants
11 Participants
n=21 Participants
58 Participants
n=22 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
1 Participants
n=115 Participants
1 Participants
n=6 Participants
1 Participants
n=6 Participants
1 Participants
n=64 Participants
1 Participants
n=17 Participants
0 Participants
n=21 Participants
5 Participants
n=22 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
1 Participants
n=115 Participants
1 Participants
n=6 Participants
1 Participants
n=6 Participants
0 Participants
n=64 Participants
0 Participants
n=17 Participants
1 Participants
n=21 Participants
4 Participants
n=22 Participants
Race/Ethnicity, Customized
Other - Race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
2 Participants
n=6 Participants
0 Participants
n=6 Participants
1 Participants
n=64 Participants
0 Participants
n=17 Participants
0 Participants
n=21 Participants
5 Participants
n=22 Participants
Race/Ethnicity, Customized
Hispanic or Latino
9 Participants
n=5 Participants
8 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
10 Participants
n=21 Participants
6 Participants
n=10 Participants
3 Participants
n=115 Participants
8 Participants
n=6 Participants
8 Participants
n=6 Participants
11 Participants
n=64 Participants
6 Participants
n=17 Participants
9 Participants
n=21 Participants
88 Participants
n=22 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
16 Participants
n=5 Participants
16 Participants
n=7 Participants
19 Participants
n=5 Participants
15 Participants
n=4 Participants
15 Participants
n=21 Participants
17 Participants
n=10 Participants
17 Participants
n=115 Participants
30 Participants
n=6 Participants
28 Participants
n=6 Participants
20 Participants
n=64 Participants
22 Participants
n=17 Participants
30 Participants
n=21 Participants
245 Participants
n=22 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
24 participants
n=7 Participants
22 participants
n=5 Participants
22 participants
n=4 Participants
25 participants
n=21 Participants
23 participants
n=10 Participants
20 participants
n=115 Participants
38 participants
n=6 Participants
36 participants
n=6 Participants
31 participants
n=64 Participants
28 participants
n=17 Participants
39 participants
n=21 Participants
333 participants
n=22 Participants

PRIMARY outcome

Timeframe: 48 hours

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 48 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (48 hours) to yield values on the 0-10 NPRS.

Outcome measures

Outcome measures
Measure
Part A - TRV130 1 mg
n=25 Participants
TRV130 1 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 2 mg
n=24 Participants
TRV130 2 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 3 mg
n=22 Participants
TRV130 3 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 4 mg
n=22 Participants
TRV130 4 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - Morphine
n=25 Participants
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Part A - Placebo
n=23 Participants
Placebo (D5W) IV Q4H x 48 h Placebo: Placebo will be administered every 4 hours
Part B - TRV130 0.5 mg
n=20 Participants
TRV130 0.5 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 1 mg
n=38 Participants
TRV130 1 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 2 mg
n=36 Participants
TRV130 2 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 3 mg
n=31 Participants
TRV130 3 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - Placebo
n=28 Participants
Placebo (D5W) IV Q3H x 48 h Placebo: Placebo will be administered every 3 hours
Part B - Morphine
n=39 Participants
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Time Weighted Average (TWA) Change From Baseline in Pain Score Over 48 Hours Between TRV130 and Placebo
-3.1 score on a scale
Standard Deviation 2.11
-3.1 score on a scale
Standard Deviation 2.25
-2.6 score on a scale
Standard Deviation 1.82
-3.3 score on a scale
Standard Deviation 1.51
-4.1 score on a scale
Standard Deviation 2.02
-3.2 score on a scale
Standard Deviation 1.79
-3.0 score on a scale
Standard Deviation 2.36
-2.9 score on a scale
Standard Deviation 2.64
-3.7 score on a scale
Standard Deviation 2.10
-5.0 score on a scale
Standard Deviation 2.14
-2.8 score on a scale
Standard Deviation 2.12
-4.0 score on a scale
Standard Deviation 1.89

Adverse Events

Part A - TRV130 1 mg

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Part A - TRV130 2 mg

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Part A - TRV130 3 mg

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Part A - TRV130 4 mg

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Part A - Morphine

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

Part A - Placebo

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Part B - TRV130 0.5 mg

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Part B - TRV130 1 mg

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Part B - TRV130 2 mg

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Part B - TRV130 3 mg

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Part B - Placebo

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Part B - Morphine

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Part A - TRV130 1 mg
n=25 participants at risk
TRV130 1 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 2 mg
n=24 participants at risk
TRV130 2 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 3 mg
n=22 participants at risk
TRV130 3 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - TRV130 4 mg
n=22 participants at risk
TRV130 4 mg IV Q4H x 48 h TRV130: TRV130 1 - 4 mg will be administered every 4 hours
Part A - Morphine
n=25 participants at risk
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Part A - Placebo
n=23 participants at risk
Placebo (D5W) IV Q4H x 48 h Placebo: Placebo will be administered every 4 hours
Part B - TRV130 0.5 mg
n=20 participants at risk
TRV130 0.5 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 1 mg
n=38 participants at risk
TRV130 1 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 2 mg
n=36 participants at risk
TRV130 2 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - TRV130 3 mg
n=31 participants at risk
TRV130 3 mg IV Q3H x 48 h TRV130: TRV130 0.5 - 4 mg will be administered every 3 hours
Part B - Placebo
n=28 participants at risk
Placebo (D5W) IV Q3H x 48 h Placebo: Placebo will be administered every 3 hours
Part B - Morphine
n=39 participants at risk
Morphine 4 mg IV Q4H x 48 h Morphine: Morphine 4 mg will be administered every 4 hours
Gastrointestinal disorders
Nausea
36.0%
9/25
58.3%
14/24
50.0%
11/22
72.7%
16/22
64.0%
16/25
13.0%
3/23
35.0%
7/20
34.2%
13/38
55.6%
20/36
74.2%
23/31
25.0%
7/28
56.4%
22/39
Nervous system disorders
Dizziness
36.0%
9/25
54.2%
13/24
59.1%
13/22
77.3%
17/22
44.0%
11/25
8.7%
2/23
20.0%
4/20
57.9%
22/38
47.2%
17/36
58.1%
18/31
14.3%
4/28
43.6%
17/39
Gastrointestinal disorders
Vomiting
8.0%
2/25
20.8%
5/24
31.8%
7/22
50.0%
11/22
44.0%
11/25
4.3%
1/23
0.00%
0/20
10.5%
4/38
27.8%
10/36
54.8%
17/31
0.00%
0/28
30.8%
12/39
Nervous system disorders
Headache
20.0%
5/25
25.0%
6/24
18.2%
4/22
22.7%
5/22
28.0%
7/25
13.0%
3/23
25.0%
5/20
26.3%
10/38
19.4%
7/36
22.6%
7/31
17.9%
5/28
23.1%
9/39
Nervous system disorders
Somnolence
16.0%
4/25
8.3%
2/24
40.9%
9/22
18.2%
4/22
32.0%
8/25
4.3%
1/23
20.0%
4/20
13.2%
5/38
11.1%
4/36
12.9%
4/31
10.7%
3/28
17.9%
7/39
Gastrointestinal disorders
Constipation
12.0%
3/25
8.3%
2/24
9.1%
2/22
18.2%
4/22
16.0%
4/25
4.3%
1/23
10.0%
2/20
15.8%
6/38
8.3%
3/36
16.1%
5/31
3.6%
1/28
5.1%
2/39
Vascular disorders
Hot Flash
8.0%
2/25
12.5%
3/24
13.6%
3/22
27.3%
6/22
0.00%
0/25
0.00%
0/23
0.00%
0/20
5.3%
2/38
13.9%
5/36
12.9%
4/31
0.00%
0/28
10.3%
4/39
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/25
4.2%
1/24
9.1%
2/22
13.6%
3/22
16.0%
4/25
4.3%
1/23
0.00%
0/20
2.6%
1/38
11.1%
4/36
9.7%
3/31
7.1%
2/28
5.1%
2/39
Gastrointestinal disorders
Dry Mouth
4.0%
1/25
12.5%
3/24
9.1%
2/22
4.5%
1/22
8.0%
2/25
0.00%
0/23
0.00%
0/20
5.3%
2/38
11.1%
4/36
3.2%
1/31
7.1%
2/28
2.6%
1/39
Skin and subcutaneous tissue disorders
Hyperhydrosis
0.00%
0/25
12.5%
3/24
4.5%
1/22
18.2%
4/22
4.0%
1/25
0.00%
0/23
0.00%
0/20
0.00%
0/38
8.3%
3/36
16.1%
5/31
0.00%
0/28
2.6%
1/39
Vascular disorders
Flushing
4.0%
1/25
12.5%
3/24
4.5%
1/22
4.5%
1/22
0.00%
0/25
0.00%
0/23
0.00%
0/20
7.9%
3/38
16.7%
6/36
9.7%
3/31
0.00%
0/28
10.3%
4/39
Nervous system disorders
Paraesthesia
0.00%
0/25
12.5%
3/24
4.5%
1/22
9.1%
2/22
0.00%
0/25
0.00%
0/23
0.00%
0/20
5.3%
2/38
5.6%
2/36
0.00%
0/31
0.00%
0/28
5.1%
2/39
Metabolism and nutrition disorders
Decreased Appetite
0.00%
0/25
4.2%
1/24
13.6%
3/22
0.00%
0/22
4.0%
1/25
0.00%
0/23
5.0%
1/20
0.00%
0/38
5.6%
2/36
6.5%
2/31
3.6%
1/28
5.1%
2/39
Skin and subcutaneous tissue disorders
Dermatitis Contact
12.0%
3/25
0.00%
0/24
4.5%
1/22
0.00%
0/22
0.00%
0/25
0.00%
0/23
0.00%
0/20
0.00%
0/38
0.00%
0/36
3.2%
1/31
3.6%
1/28
2.6%
1/39
General disorders
Feeling Hot
0.00%
0/25
0.00%
0/24
9.1%
2/22
18.2%
4/22
4.0%
1/25
0.00%
0/23
0.00%
0/20
2.6%
1/38
0.00%
0/36
0.00%
0/31
0.00%
0/28
0.00%
0/39
Skin and subcutaneous tissue disorders
Pruritus Generalized
0.00%
0/25
0.00%
0/24
4.5%
1/22
9.1%
2/22
16.0%
4/25
0.00%
0/23
5.0%
1/20
2.6%
1/38
2.8%
1/36
3.2%
1/31
0.00%
0/28
5.1%
2/39

Additional Information

Kelly Arscott

Trevena, Inc.

Phone: 6103548840

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER