Phase 2 Herniorrhaphy Study for Opioid Elimination

NCT ID: NCT03695367

Last Updated: 2021-10-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2018-12-15

Brief Summary

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This is a Phase 2, open-label study in subjects undergoing unilateral open inguinal herniorrhaphy.

Detailed Description

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Conditions

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Postoperative Pain

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Cohort 1: HTX-011 + MMA Regimen

HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

HTX-011 (bupivacaine/meloxicam), 300 mg/ 9 mg via instillation.

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation.

Vial access device

Intervention Type DEVICE

Device for withdrawal of drug product.

Ibuprofen

Intervention Type DRUG

Ibuprofen, 600 mg.

Acetaminophen

Intervention Type DRUG

Acetaminophen, 1 g.

Cohort 2: HTX-011 + MMA Regimen + Ketorolac

HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

HTX-011 (bupivacaine/meloxicam), 300 mg/ 9 mg via instillation.

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation.

Vial access device

Intervention Type DEVICE

Device for withdrawal of drug product.

Ibuprofen

Intervention Type DRUG

Ibuprofen, 600 mg.

Acetaminophen

Intervention Type DRUG

Acetaminophen, 1 g.

Ketorolac

Intervention Type DRUG

Intraoperative IV ketorolac.

Interventions

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HTX-011

HTX-011 (bupivacaine/meloxicam), 300 mg/ 9 mg via instillation.

Intervention Type DRUG

Luer lock applicator

Applicator for instillation.

Intervention Type DEVICE

Vial access device

Device for withdrawal of drug product.

Intervention Type DEVICE

Ibuprofen

Ibuprofen, 600 mg.

Intervention Type DRUG

Acetaminophen

Acetaminophen, 1 g.

Intervention Type DRUG

Ketorolac

Intraoperative IV ketorolac.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Is scheduled to undergo a unilateral open inguinal herniorrhaphy with mesh under general anesthesia.
* Has an American Society of Anesthesiologists Physical Status of I, II, or III.
* Female subjects are eligible only if not pregnant, not lactating, not planning to become pregnant during the study, sterile; or using acceptable contraceptives.

Exclusion Criteria

* Had any prior inguinal hernia repair except as a child (less than 6 years of age).
* Has a planned concurrent surgical procedure (eg, bilateral herniorrhaphy).
* Has a pre-existing concurrent acute or chronic painful physical/restrictive condition expected to require analgesic treatment in the postoperative period for pain.
* Has a contraindication or a known or suspected history of hypersensitivity or clinically significant idiosyncratic reaction to required study medications.
* Has known or suspected daily use of opioids for 7 or more consecutive days within the previous 6 months.
* Has taken any NSAIDs within least 10 days prior to the scheduled surgery.
* Has taken long-acting opioids within 3 days prior to the scheduled surgery.
* Has taken any opioids within 24 hours prior to the scheduled surgery.
* Has been administered bupivacaine within 5 days prior to the scheduled surgery.
* Has been administered any local anesthetic within 72 hours prior to the scheduled surgery.
* Has initiated treatment with study medications within 1 month prior to study drug administration that can impact pain control.
* Has been administered systemic steroids within 5 half-lives or 10 days prior to administration of study drug.
* Has a medical condition such that, in the opinion of the Investigator, participating in the study would pose a health risk to the subject or confound the postoperative assessments.
* As per subject history and/or medical records, has active infection or is currently undergoing treatment for Hepatitis B, Hepatitis C, or human immunodeficiency virus (HIV).
* Has uncontrolled anxiety, psychiatric, or neurological disorder.
* Had a malignancy in the last year, with the exception of nonmetastatic basal cell or squamous cell carcinoma of the skin or localized carcinoma in situ of the cervix.
* Has a known or suspected history of drug abuse, a positive drug screen on the day of surgery, or a recent history of alcohol abuse. Note: Subjects with a positive drug screen who are taking an allowed, prescribed medication that is known to result in a positive drug test (eg, amphetamine and dextroamphetamine for attention-deficit/hyperactivity disorder, benzodiazepine for anxiety disorder) may be eligible for participation in the study at the discretion of the Sponsor. Subjects taking any marijuana (medical or recreational) are not allowed to participate in the study.
* Previously participated in an HTX-011 study.
* Received an investigational product or device in a clinical trial within 30 days or within 5 elimination half-lives.
* Has undergone 3 or more surgeries within 12 months.
* Has a body mass index (BMI) \>39 kg/m2.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heron Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neil Singla, MD

Role: STUDY_CHAIR

Lotus Clinical Research, LLC

Locations

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Anaheim Clinical Trials, LLC

Anaheim, California, United States

Site Status

Lotus Clinical Research, LLC

Pasadena, California, United States

Site Status

JBR Clinical Research

Draper, Utah, United States

Site Status

JBR Clinical Research

Murray, Utah, United States

Site Status

JBR Clinical Research

Salt Lake City, Utah, 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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HTX-011-215

Identifier Type: -

Identifier Source: org_study_id