Trial Outcomes & Findings for Pharmacokinetics, Relative Bioavailability and Safety of INL-001 Compared to Marcaine After Open Hernioplasty (NCT NCT03234374)

NCT ID: NCT03234374

Last Updated: 2021-07-30

Results Overview

Maximum (peak) plasma concentration

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

52 participants

Primary outcome timeframe

0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours.

Results posted on

2021-07-30

Participant Flow

Participant milestones

Participant milestones
Measure
INL-001
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
Overall Study
STARTED
35
17
Overall Study
COMPLETED
34
16
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetics, Relative Bioavailability and Safety of INL-001 Compared to Marcaine After Open Hernioplasty

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
Total
n=50 Participants
Total of all reporting groups
Age, Continuous
45.6 years
STANDARD_DEVIATION 14.84 • n=5 Participants
41.6 years
STANDARD_DEVIATION 12.18 • n=7 Participants
44.3 years
STANDARD_DEVIATION 14.04 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
16 Participants
n=7 Participants
49 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
15 Participants
n=7 Participants
46 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
34 participants
n=5 Participants
16 participants
n=7 Participants
50 participants
n=5 Participants

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours.

Population: Per-Protocol PK Population

Maximum (peak) plasma concentration

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
Cmax
663.412 ng/ml
Standard Deviation 263.826
641.000 ng/ml
Standard Deviation 262.684

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Population: Summary of Plasma Bupivacaine PK Parameters by Treatment - Per-Protocol PK Population

Time to maximum (peak) plasma concentration

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
Tmax
3.03 hours
Interval 1.48 to 24.02
1.01 hours
Interval 0.53 to 3.97

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Population: Per-Protocol PK Population

Lag-time

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
Tlag
0.51 hours
Standard Deviation 0.13
0.47 hours
Standard Deviation 0.13

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Population: Per-Protocol PK Population

Terminal half-life

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
t½ Terminal Half Life
0.04 hours
Standard Deviation 0.01
0.09 hours
Standard Deviation 0.04

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Population: Per protocol population

Terminal phase rate constant

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
λz
18.95 1/hour
Standard Deviation 5.95
9.08 1/hour
Standard Deviation 3.75

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Population: Per Protocol Population

Area under the plasma concentration-time curve from Time 0 to last time of last quantifiable plasma concentration (AUC0-last)

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
AUC
18,186.9 h*ng/[mL*mg]
Geometric Coefficient of Variation 39.0
8836.9 h*ng/[mL*mg]
Geometric Coefficient of Variation 46.3

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Population: Per protocol population

AUC from Time 0 to infinity

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
AUC0-∞
19,012.5 h*ng/[mL*mg]
Geometric Coefficient of Variation 38.7
8920.1 h*ng/[mL*mg]
Geometric Coefficient of Variation 0.65

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

AUC = area under the plasma concentration-time curve;

Outcome measures

Outcome measures
Measure
INL-001
n=34 Participants
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 Participants
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
AUC Extrapolated
2.96 (h*ng/mL)
Standard Deviation 120.9
0.65 (h*ng/mL)
Standard Deviation 122.5

Adverse Events

INL-001

Serious events: 0 serious events
Other events: 33 other events
Deaths: 0 deaths

Marcaine 0.25% Infiltration

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
INL-001
n=34 participants at risk
3 x 100 mg INL-001 (bupivacaine HCl collagen implants). Total bupivacaine HCl dose 300 mg. INL-001 (bupivacaine HCl collagen implant): 3 x 100 mg INL-001 bupivacaine HCl collagen-matrix implants (total bupivacaine HCl dose 300 mg)
Marcaine 0.25% Infiltration
n=16 participants at risk
Marcaine 0.25% infiltration (bupivacaine HCl 175 mg). Marcaine 0.25% infiltration: Marcaine 0.25% (bupivacaine HCl) 175 mg infiltration
Nervous system disorders
Somnolence
55.9%
19/34 • Number of events 19 • 30 days
Safety Population
62.5%
10/16 • Number of events 10 • 30 days
Safety Population
Nervous system disorders
Dizziness
35.3%
12/34 • Number of events 12 • 30 days
Safety Population
43.8%
7/16 • Number of events 7 • 30 days
Safety Population
Nervous system disorders
Tremor
17.6%
6/34 • Number of events 6 • 30 days
Safety Population
18.8%
3/16 • Number of events 3 • 30 days
Safety Population
Nervous system disorders
Dysgeusia
11.8%
4/34 • Number of events 4 • 30 days
Safety Population
25.0%
4/16 • Number of events 4 • 30 days
Safety Population
Nervous system disorders
Headache
11.8%
4/34 • Number of events 4 • 30 days
Safety Population
6.2%
1/16 • Number of events 1 • 30 days
Safety Population
Gastrointestinal disorders
Constipation
23.5%
8/34 • Number of events 8 • 30 days
Safety Population
6.2%
1/16 • Number of events 1 • 30 days
Safety Population
Gastrointestinal disorders
Hypoaesthesia oral
8.8%
3/34 • Number of events 3 • 30 days
Safety Population
12.5%
2/16 • Number of events 2 • 30 days
Safety Population
Gastrointestinal disorders
Nausea
8.8%
3/34 • Number of events 3 • 30 days
Safety Population
12.5%
2/16 • Number of events 2 • 30 days
Safety Population
Gastrointestinal disorders
Paraesthesia oral
8.8%
3/34 • Number of events 3 • 30 days
Safety Population
12.5%
2/16 • Number of events 2 • 30 days
Safety Population
Eye disorders
Vision blurred
23.5%
8/34 • Number of events 8 • 30 days
Safety Population
18.8%
3/16 • Number of events 3 • 30 days
Safety Population
Psychiatric disorders
Restlessness
17.6%
6/34 • Number of events 6 • 30 days
Safety Population
12.5%
2/16 • Number of events 2 • 30 days
Safety Population
Psychiatric disorders
Anxiety
5.9%
2/34 • Number of events 2 • 30 days
Safety Population
6.2%
1/16 • Number of events 1 • 30 days
Safety Population
Injury, poisoning and procedural complications
Incision site complication
8.8%
3/34 • Number of events 3 • 30 days
Safety Population
0.00%
0/16 • 30 days
Safety Population
Ear and labyrinth disorders
Tinnitus
8.8%
3/34 • Number of events 3 • 30 days
Safety Population
6.2%
1/16 • Number of events 1 • 30 days
Safety Population
Cardiac disorders
Bradycardia
5.9%
2/34 • Number of events 2 • 30 days
Safety Population
6.2%
1/16 • Number of events 1 • 30 days
Safety Population

Additional Information

Charlene A. Tucker, MS Executive Director, Medical Writing and Document Management

Innocoll

Phone: 484-406-5211

Results disclosure agreements

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