Trial Outcomes & Findings for A Study of TRV130 for the Treatment of Pain After Abdominoplasty (NCT NCT02335294)

NCT ID: NCT02335294

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 24 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (24 hours) to yield values on the 0-10 NPRS.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

200 participants

Primary outcome timeframe

24-hours

Results posted on

2020-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Protocol v1-4 TRV130 0.1 mg
TRV130 loading doses totaling 1.5 mg. TRV130 0.1 mg PCA with 6-min lockout.
Protocol v1-4 Morphine
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v1-4 Placebo
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Protocol v5 TRV130 0.35 mg
TRV130 loading doses totaling 1.5 mg. TRV130 0.35 mg PCA with 6-min lockout.
Protocol v5 Morphine
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v5 Placebo
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Overall Study
STARTED
39
42
19
39
41
20
Overall Study
COMPLETED
36
38
18
36
39
19
Overall Study
NOT COMPLETED
3
4
1
3
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of TRV130 for the Treatment of Pain After Abdominoplasty

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Protocol v1-4 TRV130 0.1 mg
n=39 Participants
TRV130 loading doses totaling 1.5 mg. TRV130 0.1 mg PCA with 6-min lockout.
Protocol v1-4 Morphine
n=42 Participants
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v1-4 Placebo
n=19 Participants
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Protocol v5 TRV130 0.35 mg
n=39 Participants
TRV130 loading doses totaling 1.5 mg. TRV130 0.35 mg PCA with 6-min lockout.
Protocol v5 Morphine
n=41 Participants
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v5 Placebo
n=20 Participants
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Total
n=200 Participants
Total of all reporting groups
Age, Categorical
<=18 years
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=8 Participants
0 Participants
n=8 Participants
Age, Categorical
Between 18 and 65 years
39 Participants
n=5 Participants
42 Participants
n=7 Participants
19 Participants
n=5 Participants
39 Participants
n=4 Participants
41 Participants
n=21 Participants
20 Participants
n=8 Participants
200 Participants
n=8 Participants
Age, Categorical
>=65 years
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=8 Participants
0 Participants
n=8 Participants
Age, Continuous
37.8 years
STANDARD_DEVIATION 8.07 • n=5 Participants
37.0 years
STANDARD_DEVIATION 9.23 • n=7 Participants
36.6 years
STANDARD_DEVIATION 8.60 • n=5 Participants
40.3 years
STANDARD_DEVIATION 11.987 • n=4 Participants
38.4 years
STANDARD_DEVIATION 9.064 • n=21 Participants
38.5 years
STANDARD_DEVIATION 10.018 • n=8 Participants
38.2 years
STANDARD_DEVIATION 9.57 • n=8 Participants
Sex: Female, Male
Female
39 Participants
n=5 Participants
42 Participants
n=7 Participants
19 Participants
n=5 Participants
39 Participants
n=4 Participants
41 Participants
n=21 Participants
18 Participants
n=8 Participants
198 Participants
n=8 Participants
Sex: Female, Male
Male
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
2 Participants
n=8 Participants
2 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
n=5 Participants
14 Participants
n=7 Participants
5 Participants
n=5 Participants
16 Participants
n=4 Participants
16 Participants
n=21 Participants
5 Participants
n=8 Participants
71 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
28 Participants
n=7 Participants
14 Participants
n=5 Participants
23 Participants
n=4 Participants
25 Participants
n=21 Participants
15 Participants
n=8 Participants
129 Participants
n=8 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=8 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
1 Participants
n=8 Participants
3 Participants
n=8 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=8 Participants
4 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
3 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=5 Participants
15 Participants
n=7 Participants
10 Participants
n=5 Participants
18 Participants
n=4 Participants
17 Participants
n=21 Participants
10 Participants
n=8 Participants
82 Participants
n=8 Participants
Race (NIH/OMB)
White
27 Participants
n=5 Participants
24 Participants
n=7 Participants
8 Participants
n=5 Participants
18 Participants
n=4 Participants
21 Participants
n=21 Participants
9 Participants
n=8 Participants
107 Participants
n=8 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=8 Participants
0 Participants
n=8 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
1 Participants
n=21 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
Region of Enrollment
United States
39 participants
n=5 Participants
42 participants
n=7 Participants
19 participants
n=5 Participants
39 participants
n=4 Participants
41 participants
n=21 Participants
20 participants
n=8 Participants
200 participants
n=8 Participants

PRIMARY outcome

Timeframe: 24-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 24 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (24 hours) to yield values on the 0-10 NPRS.

Outcome measures

Outcome measures
Measure
Protocol v1-4 TRV130 0.1 mg
n=39 Participants
TRV130 loading doses totaling 1.5 mg. TRV130 0.1 mg PCA with 6-min lockout.
Protocol v1-4 Placebo
n=19 Participants
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Protocol v5 TRV130 0.35 mg
n=39 Participants
TRV130 loading doses totaling 1.5 mg. TRV130 0.35 mg PCA with 6-min lockout.
Protocol v5 Placebo
n=20 Participants
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Placebo
-3.8 score on a scale
Standard Deviation 2.53
-1.7 score on a scale
Standard Deviation 2.26
-3.5 score on a scale
Standard Deviation 2.32
-1.2 score on a scale
Standard Deviation 2.93

SECONDARY outcome

Timeframe: 24-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 24 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (24 hours) to yield values on the 0-10 NPRS.

Outcome measures

Outcome measures
Measure
Protocol v1-4 TRV130 0.1 mg
n=39 Participants
TRV130 loading doses totaling 1.5 mg. TRV130 0.1 mg PCA with 6-min lockout.
Protocol v1-4 Placebo
n=42 Participants
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Protocol v5 TRV130 0.35 mg
n=39 Participants
TRV130 loading doses totaling 1.5 mg. TRV130 0.35 mg PCA with 6-min lockout.
Protocol v5 Placebo
n=41 Participants
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Morphine
-3.8 score on a scale
Standard Deviation 2.53
-3.4 score on a scale
Standard Deviation 2.74
-3.5 score on a scale
Standard Deviation 2.32
-3.6 score on a scale
Standard Deviation 2.61

Adverse Events

Protocol v1-4 TRV130 0.1 mg

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Protocol v1-4 Morphine

Serious events: 0 serious events
Other events: 39 other events
Deaths: 0 deaths

Protocol v1-4 Placebo

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Protocol v5 TRV130 0.35 mg

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Protocol v5 Morphine

Serious events: 1 serious events
Other events: 39 other events
Deaths: 0 deaths

Protocol v5 Placebo

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

Serious adverse events

Serious adverse events
Measure
Protocol v1-4 TRV130 0.1 mg
n=39 participants at risk
TRV130 loading doses totaling 1.5 mg. TRV130 0.1 mg PCA with 6-min lockout.
Protocol v1-4 Morphine
n=42 participants at risk
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v1-4 Placebo
n=19 participants at risk
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Protocol v5 TRV130 0.35 mg
n=39 participants at risk
TRV130 loading doses totaling 1.5 mg. TRV130 0.35 mg PCA with 6-min lockout.
Protocol v5 Morphine
n=41 participants at risk
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v5 Placebo
n=20 participants at risk
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Blood and lymphatic system disorders
Anemia
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
2.4%
1/41
0.00%
0/20

Other adverse events

Other adverse events
Measure
Protocol v1-4 TRV130 0.1 mg
n=39 participants at risk
TRV130 loading doses totaling 1.5 mg. TRV130 0.1 mg PCA with 6-min lockout.
Protocol v1-4 Morphine
n=42 participants at risk
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v1-4 Placebo
n=19 participants at risk
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Protocol v5 TRV130 0.35 mg
n=39 participants at risk
TRV130 loading doses totaling 1.5 mg. TRV130 0.35 mg PCA with 6-min lockout.
Protocol v5 Morphine
n=41 participants at risk
Morphine loading doses totaling 4 mg. Morphine 1 mg PCA with 6-min lockout.
Protocol v5 Placebo
n=20 participants at risk
Placebo (5% D5W) loading doses totaling 4 ml. Placebo 1 ml PCA with 6-min lockout.
Cardiac disorders
Tachycardia
2.6%
1/39
4.8%
2/42
5.3%
1/19
0.00%
0/39
4.9%
2/41
5.0%
1/20
Gastrointestinal disorders
Nausea
41.0%
16/39
81.0%
34/42
15.8%
3/19
46.2%
18/39
63.4%
26/41
20.0%
4/20
Gastrointestinal disorders
Vomiting
15.4%
6/39
40.5%
17/42
10.5%
2/19
15.4%
6/39
43.9%
18/41
5.0%
1/20
General disorders
Local Swelling
0.00%
0/39
2.4%
1/42
5.3%
1/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/39
0.00%
0/42
5.3%
1/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Musculoskeletal and connective tissue disorders
Back Pain
0.00%
0/39
0.00%
0/42
5.3%
1/19
2.6%
1/39
9.8%
4/41
5.0%
1/20
Nervous system disorders
Headache
15.4%
6/39
14.3%
6/42
0.00%
0/19
15.4%
6/39
19.5%
8/41
25.0%
5/20
Nervous system disorders
Presyncope
5.1%
2/39
2.4%
1/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Nervous system disorders
Sedation
2.6%
1/39
7.1%
3/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Nervous system disorders
Somnolence
0.00%
0/39
16.7%
7/42
0.00%
0/19
5.1%
2/39
7.3%
3/41
0.00%
0/20
Nervous system disorders
Tension Headache
2.6%
1/39
9.5%
4/42
10.5%
2/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Respiratory, thoracic and mediastinal disorders
Hypoventilation
10.3%
4/39
26.2%
11/42
0.00%
0/19
30.8%
12/39
56.1%
23/41
20.0%
4/20
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/39
7.1%
3/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Respiratory, thoracic and mediastinal disorders
Respiratory Depression
7.7%
3/39
21.4%
9/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Skin and subcutaneous tissue disorders
Dermatitis Contact
0.00%
0/39
2.4%
1/42
5.3%
1/19
0.00%
0/39
0.00%
0/41
0.00%
0/20
Skin and subcutaneous tissue disorders
Pruritus
2.6%
1/39
7.1%
3/42
0.00%
0/19
2.6%
1/39
2.4%
1/41
0.00%
0/20
Skin and subcutaneous tissue disorders
Pruritus Generalized
0.00%
0/39
11.9%
5/42
0.00%
0/19
0.00%
0/39
2.4%
1/41
0.00%
0/20
Vascular disorders
Hypotension
15.4%
6/39
9.5%
4/42
5.3%
1/19
7.7%
3/39
7.3%
3/41
0.00%
0/20
Gastrointestinal disorders
Regurgitation
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
5.0%
1/20
General disorders
Infusion Site Discomfort
0.00%
0/39
0.00%
0/42
0.00%
0/19
5.1%
2/39
0.00%
0/41
0.00%
0/20
General disorders
Infusion Site Extravasation
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
4.9%
2/41
10.0%
2/20
General disorders
Infusion Site Inflammation
0.00%
0/39
0.00%
0/42
0.00%
0/19
2.6%
1/39
0.00%
0/41
5.0%
1/20
General disorders
Infusion Site Pain
0.00%
0/39
0.00%
0/42
0.00%
0/19
2.6%
1/39
0.00%
0/41
10.0%
2/20
Injury, poisoning and procedural complications
Postoperative Fever
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
5.0%
1/20
Investigations
Electrocardiogram T-Wave Abnormal
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
4.9%
2/41
5.0%
1/20
Musculoskeletal and connective tissue disorders
Pain in Extremity
0.00%
0/39
2.4%
1/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
10.0%
2/20
Nervous system disorders
Syncope
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
5.0%
1/20
Psychiatric disorders
Insomina
0.00%
0/39
4.8%
2/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
5.0%
1/20
Respiratory, thoracic and mediastinal disorders
Sinus Congestion
0.00%
0/39
0.00%
0/42
0.00%
0/19
0.00%
0/39
0.00%
0/41
5.0%
1/20
Vascular disorders
Phlebitis
0.00%
0/39
0.00%
0/42
0.00%
0/19
5.1%
2/39
2.4%
1/41
20.0%
4/20

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