Safety, Tolerability, PK, and Analgesic Effect of INL-001 in Children Following Open Inguinal Hernia Repair

NCT ID: NCT03262688

Last Updated: 2021-07-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-16

Study Completion Date

2024-01-31

Brief Summary

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A multicenter, single-dose study in children 12 to \<17 years of age, 6 to \<12 years of age, and 2 to \<6 years of age who are scheduled for elective open inguinal hernia repair. Enrollment in this study will start with the oldest age group (12 to \<17 years) and will continue in a stepwise fashion until appropriate doses are established for all 3 pediatric age groups (12 to \<17 years, 6 to \<12 years, 2 to \<6 years).

Detailed Description

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This is a multicenter, single-dose study in children 12 to \<17 years of age, 6 to \<12 years of age, and 2 to \<6 years of age who are scheduled for elective open inguinal hernia repair. Within 21 days of surgery, eligible subjects will be screened and have routine clinical laboratory testing and an electrocardiogram performed. Subjects will then undergo an open inguinal hernia repair under general anesthesia according to the investigator's standard surgical practice on day 1. Enrollment in this study will start with the oldest age group (12 to \<17 years) and will continue in a stepwise fashion until appropriate doses are established for all 3 pediatric age groups. Within each age group, the study will be conducted in 3 parts.

Children in each age group who are randomized to INL-001 will receive approximately less than or equal to 2.5 mg/kg of INL-001. Study drug will be administered prior to wound closure. The INL-001 implant will be cut before placement into the surgical site using sterile technique. Children randomized to 0.25% bupivacaine HCl injection will receive 2.5 mg/kg according to standard practice.

After completion of the surgical procedure, all subjects will remain in the post-anesthesia care unit for at least 3 hours and will be continuously monitored for safety. At the discretion of the investigator, subjects may receive rescue medication (opioid or nonopioid) upon request for the management of breakthrough pain and may receive an antiemetic for the management of nausea or vomiting. After the initial 3-hour period, subjects who are deemed stable may be discharged to the hospital ward. Subjects will remain housed in the hospital ward for at least 48 hours. Blood samples will be collected for pharmacokinetic analysis from a subset of 8 children in each age group after INL-001 is implanted.

Conditions

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Inguinal Hernia Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, controlled
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participant, legal guardian and study personnel involved in the assessment of efficacy and safety are blinded to treatment.

Study Groups

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INL-001

Bupivacaine HCl collagen-matrix implant

Group Type EXPERIMENTAL

Bupivacaine HCl collagen-matrix implant

Intervention Type DRUG

Placement of the bupivacaine collagen-matrix in the surgical site

Infiltration

Bupivacaine HCl infiltration

Group Type ACTIVE_COMPARATOR

Bupivacaine HCl infiltration

Intervention Type DRUG

Infiltration of the surgical site

Interventions

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Bupivacaine HCl collagen-matrix implant

Placement of the bupivacaine collagen-matrix in the surgical site

Intervention Type DRUG

Bupivacaine HCl infiltration

Infiltration of the surgical site

Intervention Type DRUG

Other Intervention Names

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Xaracoll Marcaine

Eligibility Criteria

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Inclusion Criteria

* Be a male or female 2 to \<17 years of age.
* Be eligible for an elective open inguinal hernia repair that will be performed according to standard surgical technique under general anesthesia.
* Be premenarche or have a serum confirmed negative pregnancy test at screening and a negative urine pregnancy test before surgery on day 1, if an adolescent female of childbearing potential.
* Be willing and able to cooperate with all the requirements of the study.
* Be able to speak and understand English or Spanish.
* Have a legally authorized representative (eg, parent, guardian) who is able to read, speak, and understand English or Spanish and who will voluntarily sign and date a parental permission/informed consent form that is approved by the Institutional Review Board/Independent Ethics Committee/Human Research Ethics Committee (IRB/IEC/HREC).
* Be willing to sign an assent (if appropriate dependent upon the child's age, understanding, and IRB requirements), before the conduct of any study procedure.

Exclusion Criteria

* Has a known hypersensitivity to amide local anesthetics, bovine products, or to inactive ingredients of the study drugs.
* Requires any additional surgical procedures, either related or unrelated to the scheduled surgery (ie, open inguinal hernia surgery), during the same hospitalization.
* Requires epidural or spinal blockade perioperatively.
* Is required to receive neuraxial (spinal or epidural) opioid analgesics during the study.
* Has undergone major surgery within 3 months of the scheduled surgery or plans to undergo another surgical procedure within the 30-day postoperative period.
* Has known or suspected history of drug abuse or misuse or evidence of tolerance or physical dependency on opioid analgesics or sedative-hypnotic medications.
* Has participated in a clinical trial (investigational or marketed product) within 30 days before surgery.
* Has any clinically significant medical history or condition (eg, unstable cardiac, neurological, immunological, renal, hepatic, or hematological disease or any other condition) that in the opinion of the investigator, substantially increases the risk associated with the subject's participation in the protocol or compromises the scientific objectives of the study.
Minimum Eligible Age

2 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Premier Research Group plc

UNKNOWN

Sponsor Role collaborator

Innocoll

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gwendolyn Niebler, DO

Role: STUDY_DIRECTOR

Innocoll

Locations

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Alliance Research Centers

Laguna Hills, California, United States

Site Status RECRUITING

Cornerstone Research Institute

Altamonte Springs, Florida, United States

Site Status RECRUITING

Medical Research Center

Miami, Florida, United States

Site Status WITHDRAWN

Elion & Volhard Pharmaceutical Research (E&V PR)

Miami, Florida, United States

Site Status WITHDRAWN

Children's Hospital of Pittsburgh of UPMC (CHP-UPMC)

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Driscoll Children's Hospital

Corpus Christi, Texas, United States

Site Status RECRUITING

El Paso Children's Hospital

El Paso, Texas, United States

Site Status RECRUITING

Memorial Hermann Memorial City Medical Center

Houston, Texas, United States

Site Status RECRUITING

The Woman's Hospital of Texas

Houston, Texas, United States

Site Status WITHDRAWN

Plano Surgical Hospital

Plano, Texas, United States

Site Status RECRUITING

Jean Brown Research

Salt Lake City, Utah, United States

Site Status ACTIVE_NOT_RECRUITING

Countries

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United States

Central Contacts

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Nina Head of Clinical Operations

Role: CONTACT

484-406-5214

Nina Head of Clinical Research, MD

Role: CONTACT

484-406-5205

Facility Contacts

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Tracy Bessette

Role: primary

949-680-3490

Derrica Robinson

Role: primary

407-729-1236

Denise McCarthy

Role: primary

412-692-5585

Debhanhi Gaylan

Role: primary

540-314-1838

Isaac Martinez

Role: primary

915-244-0751

Jayme Carr

Role: primary

832-524-7177

Laura Kade

Role: primary

410-614-5775

Other Identifiers

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INN-CB-020

Identifier Type: -

Identifier Source: org_study_id

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