Trial Outcomes & Findings for Safety and Pharmacokinetics Study of Redosing EXPAREL in Healthy Volunteers (NCT NCT02210247)

NCT ID: NCT02210247

Last Updated: 2021-07-06

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

60 participants

Primary outcome timeframe

Period(P)1 all cohorts (C) 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Results posted on

2021-07-06

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1
Cohort 1 received a single dose of EXPAREL 266 mg on Day 1. No additional dose was given. EXPAREL
Cohort 2
Cohort 2 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
Cohort 3 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
Cohort 4 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
Cohort 5 received a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Overall Study
STARTED
12
12
12
12
12
Overall Study
COMPLETED
12
12
12
12
12
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Pharmacokinetics Study of Redosing EXPAREL in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=12 Participants
Cohort 1 received a single dose of EXPAREL 266 mg on Day 1. No additional dose was given. EXPAREL
Cohort 2
n=12 Participants
Cohort 2 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=12 Participants
Cohort 3 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=12 Participants
Cohort 4 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=12 Participants
Cohort 5 received a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
45.6 years
STANDARD_DEVIATION 11.90 • n=5 Participants
37.8 years
STANDARD_DEVIATION 11.66 • n=7 Participants
36.9 years
STANDARD_DEVIATION 10.83 • n=5 Participants
41.6 years
STANDARD_DEVIATION 12.38 • n=4 Participants
44.1 years
STANDARD_DEVIATION 14.56 • n=21 Participants
41.2 years
STANDARD_DEVIATION 12.39 • n=10 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
6 Participants
n=21 Participants
23 Participants
n=10 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
12 Participants
n=7 Participants
10 Participants
n=5 Participants
4 Participants
n=4 Participants
6 Participants
n=21 Participants
37 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
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
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
12 Participants
n=7 Participants
12 Participants
n=5 Participants
12 Participants
n=4 Participants
12 Participants
n=21 Participants
60 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
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
Race (NIH/OMB)
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
Race (NIH/OMB)
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
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
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
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
10 Participants
n=7 Participants
9 Participants
n=5 Participants
9 Participants
n=4 Participants
8 Participants
n=21 Participants
42 Participants
n=10 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
4 Participants
n=21 Participants
18 Participants
n=10 Participants
Race (NIH/OMB)
More than one race
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
Race (NIH/OMB)
Unknown or Not Reported
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
Region of Enrollment
United States
12 participants
n=5 Participants
12 participants
n=7 Participants
12 participants
n=5 Participants
12 participants
n=4 Participants
12 participants
n=21 Participants
60 participants
n=10 Participants

PRIMARY outcome

Timeframe: Period(P)1 all cohorts (C) 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Outcome measures

Outcome measures
Measure
Cohort 1
n=12 Participants
Cohort 1 will receive a single dose of EXPAREL 266 mg on Day 1. No additional dose will be given. EXPAREL
Cohort 2
n=12 Participants
Cohort 2 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=12 Participants
Cohort 3 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=12 Participants
Cohort 4 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=12 Participants
Cohort 5 will receive a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Maximum Plasma Concentration (Cmax)
129 ng/mL
Standard Deviation 47
207 ng/mL
Standard Deviation 57
202 ng/mL
Standard Deviation 74
290 ng/mL
Standard Deviation 119
246 ng/mL
Standard Deviation 78

PRIMARY outcome

Timeframe: Period(P)1 all cohorts 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Outcome measures

Outcome measures
Measure
Cohort 1
n=12 Participants
Cohort 1 will receive a single dose of EXPAREL 266 mg on Day 1. No additional dose will be given. EXPAREL
Cohort 2
n=12 Participants
Cohort 2 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=12 Participants
Cohort 3 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=12 Participants
Cohort 4 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=12 Participants
Cohort 5 will receive a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Time to Maximum Concentration (Tmax)
24 hours
Interval 24.0 to 72.0
48 hours
Interval 24.0 to 72.0
48 hours
Interval 1.0 to 72.0
36 hours
Interval 24.0 to 72.0
24 hours
Interval 8.0 to 72.0

PRIMARY outcome

Timeframe: Period(P)1 all cohorts (C) 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Outcome measures

Outcome measures
Measure
Cohort 1
n=12 Participants
Cohort 1 will receive a single dose of EXPAREL 266 mg on Day 1. No additional dose will be given. EXPAREL
Cohort 2
n=12 Participants
Cohort 2 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=12 Participants
Cohort 3 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=12 Participants
Cohort 4 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=12 Participants
Cohort 5 will receive a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Area Under the Plasma Concentration Time Curve From Time 0 to the Time of the Last Quantifiable Concentration [AUC(0-last)]
5917 H*ng/mL
Standard Deviation 1738
10976 H*ng/mL
Standard Deviation 2879
10201 H*ng/mL
Standard Deviation 3721
15227 H*ng/mL
Standard Deviation 7463
11567 H*ng/mL
Standard Deviation 3737

PRIMARY outcome

Timeframe: Period(P)1 all cohorts 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Population: Where n per group \<12, values were either not calculated or not reported.

Outcome measures

Outcome measures
Measure
Cohort 1
n=2 Participants
Cohort 1 will receive a single dose of EXPAREL 266 mg on Day 1. No additional dose will be given. EXPAREL
Cohort 2
n=6 Participants
Cohort 2 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=6 Participants
Cohort 3 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=2 Participants
Cohort 4 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=7 Participants
Cohort 5 will receive a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Apparent Terminal Elimination Half-life
80.24 hours
Standard Deviation 22.64
44.88 hours
Standard Deviation 25.64
51.70 hours
Standard Deviation 26.99
33.22 hours
Standard Deviation 3.80
59.13 hours
Standard Deviation 25.03

PRIMARY outcome

Timeframe: Period(P)1 all cohorts 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Population: Where n per group \<12, values were either not calculated or not reported.

Outcome measures

Outcome measures
Measure
Cohort 1
n=2 Participants
Cohort 1 will receive a single dose of EXPAREL 266 mg on Day 1. No additional dose will be given. EXPAREL
Cohort 2
n=6 Participants
Cohort 2 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=6 Participants
Cohort 3 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=2 Participants
Cohort 4 will receive a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=7 Participants
Cohort 5 will receive a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
The Apparent Terminal Elimination Rate Constant (λz)
0.009 1/hours
Standard Deviation 0.003
0.019 1/hours
Standard Deviation 0.007
0.016 1/hours
Standard Deviation 0.007
0.021 1/hours
Standard Deviation 0.002
0.014 1/hours
Standard Deviation 0.006

Adverse Events

Cohort 1

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Cohort 2

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 3

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Cohort 4

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 5

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1
n=12 participants at risk
Cohort 1 received a single dose of EXPAREL 266 mg on Day 1. No additional dose was given. EXPAREL
Cohort 2
n=12 participants at risk
Cohort 2 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 4 at 72 hours. EXPAREL
Cohort 3
n=12 participants at risk
Cohort 3 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 3 at 48 hours. EXPAREL
Cohort 4
n=12 participants at risk
Cohort 4 received a dose of EXPAREL 266 mg on Day 1 and a second dose of EXPAREL 266 mg on Day 2 at 24 hours. EXPAREL
Cohort 5
n=12 participants at risk
Cohort 5 received a single dose of EXPAREL 266 mg on Day 1 followed immediately by a second dose of EXPAREL 266 mg (total of 532 mg/40 mL). EXPAREL
Cardiac disorders
Tachycardia
0.00%
0/12
0.00%
0/12
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Abdominal pain
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Gastrointestinal disorders
Diarrhoea
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Gastrointestinal disorders
Nausea
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
0.00%
0/12
0.00%
0/12
Gastrointestinal disorders
Toothache
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Gastrointestinal disorders
Vomiting
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
0.00%
0/12
0.00%
0/12
General disorders
Injection-site reaction
0.00%
0/12
0.00%
0/12
16.7%
2/12 • Number of events 2
0.00%
0/12
8.3%
1/12 • Number of events 1
General disorders
Vessel puncture site haematoma
16.7%
2/12 • Number of events 2
0.00%
0/12
0.00%
0/12
0.00%
0/12
0.00%
0/12
Infections and infestations
Vaginal infection
0.00%
0/12
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/12
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
Nervous system disorders
Headache
25.0%
3/12 • Number of events 3
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
8.3%
1/12 • Number of events 1
Nervous system disorders
Dysgeusia
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Nervous system disorders
Presyncope
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/12
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Sinus congestion
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12
0.00%
0/12
0.00%
0/12

Additional Information

Pacira Medical Information

Pacira Pharmaceuticals Inc.

Phone: 1-855-793-9727

Results disclosure agreements

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