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
COMPLETED
PHASE1
52 participants
0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours.
2021-07-30
Participant Flow
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
| 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
| 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 hoursPopulation: Summary of Plasma Bupivacaine PK Parameters by Treatment - Per-Protocol PK Population
Time to maximum (peak) plasma concentration
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 hoursPopulation: Per-Protocol PK Population
Lag-time
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 hoursPopulation: Per-Protocol PK Population
Terminal half-life
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 hoursPopulation: Per protocol population
Terminal phase rate constant
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 hoursPopulation: 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
| 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 hoursPopulation: Per protocol population
AUC from Time 0 to infinity
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 hoursAUC = area under the plasma concentration-time curve;
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
Marcaine 0.25% Infiltration
Serious adverse events
Adverse event data not reported
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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place