Study of CA-008 (Vocacapsaicin) in Bunionectomy Patients

NCT ID: NCT03599089

Last Updated: 2021-08-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

147 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-09

Study Completion Date

2018-10-23

Brief Summary

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This is a Phase 2, multi-center, randomized, double-blind, placebo-controlled, parallel design study evaluating a single dose of one of three CA-008 dose levels vs. placebo injected during an elective bunionectomy Bunionectomy to assess post-surgical pain management and the need for rescue medication (oxycodone).

Detailed Description

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Primary Objective:

To evaluate the efficacy of a single intraoperative administration of CA- 008 vs placebo in subjects undergoing an elective Bunionectomy .

Secondary Objectives

* To evaluate the safety and tolerability of a single intraoperative administration of CA-008 vs. placebo in subjects undergoing an elective Bunionectomy.
* To evaluate the PK profile of a single intraoperative administration of CA-008 vs. placebo in subjects undergoing an elective Bunionectomy .
* To explore the efficacy of various doses of CA-008 administered intraoperatively in subjects undergoing an elective Bunionectomy .

Conditions

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Post-surgical Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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CA-008 (vocacapsaicin) 0.7 mg (0.05 mg/mL concentration)

Each patient will receive a single dose of 0.7 mg CA-008 injected during an elective Bunionectomy with a multimodal analgesia regimen including a Nonsteroidal anti-inflammatory drug (NSAID) and regional Mayo block with bupivacaine.

Group Type ACTIVE_COMPARATOR

CA-008

Intervention Type DRUG

single-dose wound infiltration prior to surgical incision closure

Ketorolac

Intervention Type DRUG

30mg IV administered intraoperatively

Acetaminophen

Intervention Type DRUG

1000mg IV administered intraoperatively

Oxycodone

Intervention Type DRUG

5mg PO prn post-surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.5% infiltration pre-surgery

CA-008 (vocacapsaicin) 2.1 mg (0.15 mg/mL concentration)

Each patient will receive a single dose of 2.1 mg CA-008 injected during an elective Bunionectomy with a multimodal analgesia regimen including a Nonsteroidal anti-inflammatory drug (NSAID) and regional Mayo block with bupivacaine.

Group Type ACTIVE_COMPARATOR

CA-008

Intervention Type DRUG

single-dose wound infiltration prior to surgical incision closure

Ketorolac

Intervention Type DRUG

30mg IV administered intraoperatively

Acetaminophen

Intervention Type DRUG

1000mg IV administered intraoperatively

Oxycodone

Intervention Type DRUG

5mg PO prn post-surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.5% infiltration pre-surgery

CA-008 (vocacapsaicin) 4.2 mg (0.3 mg/mL concentration)

Each patient will receive a single dose of 4.2 mg CA-008 injected during an elective Bunionectomy with a multimodal analgesia regimen including a Nonsteroidal anti-inflammatory drug (NSAID) and regional Mayo block with bupivacaine.

Group Type ACTIVE_COMPARATOR

CA-008

Intervention Type DRUG

single-dose wound infiltration prior to surgical incision closure

Ketorolac

Intervention Type DRUG

30mg IV administered intraoperatively

Acetaminophen

Intervention Type DRUG

1000mg IV administered intraoperatively

Oxycodone

Intervention Type DRUG

5mg PO prn post-surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.5% infiltration pre-surgery

Placebo

Each patient will receive a single dose of CA-008 vehicle (identical to active treatment but without CA-008) injected during an elective Bunionectomy with a multimodal analgesia regimen including a Nonsteroidal anti-inflammatory drug (NSAID) and regional Mayo block with bupivacaine.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

single-dose wound infiltration prior to surgical incision closure

Ketorolac

Intervention Type DRUG

30mg IV administered intraoperatively

Acetaminophen

Intervention Type DRUG

1000mg IV administered intraoperatively

Oxycodone

Intervention Type DRUG

5mg PO prn post-surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.5% infiltration pre-surgery

Interventions

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CA-008

single-dose wound infiltration prior to surgical incision closure

Intervention Type DRUG

Placebo

single-dose wound infiltration prior to surgical incision closure

Intervention Type DRUG

Ketorolac

30mg IV administered intraoperatively

Intervention Type DRUG

Acetaminophen

1000mg IV administered intraoperatively

Intervention Type DRUG

Oxycodone

5mg PO prn post-surgery

Intervention Type DRUG

Bupivacaine Hydrochloride

0.5% infiltration pre-surgery

Intervention Type DRUG

Other Intervention Names

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Vocacapsaicin

Eligibility Criteria

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Inclusion Criteria

1. Healthy adult aged 18 - 75 years old
2. American Society of Anesthesiology (ASA) physical Class 1, 2 or 3
3. Planning elective Bunionectomy repair
4. For both males and females: using an acceptable method of birth control
5. If a female: not pregnant or breastfeeding
6. Have a body mass index ≤ 40 kg/m2.
7. Be willing and able to sign the informed consent form (ICF)
8. Be able to complete study procedures and pain scales and to communicate meaningfully in English
9. Be willing to undergo 17 blood draws for pharmacokinetic (PK )assessments over 24 hours

Exclusion Criteria

1. Have another painful condition, other than bunion-related pain, that may require pain treatment during the study period
2. Have active skin disease or another abnormality at the anticipated site of surgery that could interfere with the planned surgery.
3. Have a known allergy to chili peppers, capsaicin or the components of CA-008, bupivacaine HCl, ketorolac, acetaminophen or oxycodone.
4. Have a history of significant medical, neuropsychiatric or other condition, including a clinically significant abnormal clinical laboratory test values
5. Be on any medication not allowed per the protocol
6. Within the past year have a history of illicit drug use or prescription medicine or alcohol abuse
7. Have positive results on the alcohol test (breath or saliva) or urine drug screen
8. Have previously participated in a clinical study with CA-008.
9. Have participated in another clinical trial or used an investigational product within 30 days or five half-lives (whichever is longer)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Concentric Analgesics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nancy Wu

Role: STUDY_DIRECTOR

Concentric Analgesics

Locations

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Lotus Clinical Research, LLC

Pasadena, California, United States

Site Status

Chesapeake Research Group

Pasadena, Maryland, United States

Site Status

HD Research Corp

Houston, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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CA-PS-201

Identifier Type: -

Identifier Source: org_study_id

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