Open-Label CA-008 (Vocacapsaicin) in Bunionectomy

NCT ID: NCT03885596

Last Updated: 2021-10-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-25

Study Completion Date

2019-10-22

Brief Summary

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A Phase 2, open-label study of CA-008 to evaluate post-surgical pain control with CA-008.

Detailed Description

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This is a Phase 2, single-center, open-label study evaluating a single dose of CA-008 4.2 mg administered with different standard-of-care anesthetic regimens during an elective unilateral transpositional first metatarsal osteotomy for the correction of hallux valgus deformity (bunionectomy).

Conditions

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Pain

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CA-008 Cohort 1

CA-008 4.2 mg reconstituted in saline

All subjects received monitored anesthesia care (MAC) and a Mayo block followed by a sciatic (popliteal) nerve block.

Group Type EXPERIMENTAL

CA-008

Intervention Type DRUG

Drug: CA-008 4.2 mg reconstituted in saline

Ketorolac

Intervention Type DRUG

30 mg IV at the onset of anesthesia

Acetaminophen IV

Intervention Type DRUG

1 g at the onset of anesthesia

Fentanyl

Intervention Type DRUG

100 mcg IV fentanyl administered at the onset of anesthesia and additional 50 mcg near the end of surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.25% 30 mL (75 mg) prior to surgery

Lidocaine HCl

Intervention Type DRUG

1.5% 12 mL at the end of surgery

Celecoxib

Intervention Type DRUG

200 mg PO bid each day postoperative

Acetaminophen Oral

Intervention Type DRUG

1 g postoperative

CA-008 Cohort 2

CA-008 4.2 mg reconstituted in saline

All subjects received monitored anesthesia care (MAC) and a Mayo block.

Group Type EXPERIMENTAL

CA-008

Intervention Type DRUG

Drug: CA-008 4.2 mg reconstituted in saline

Ketorolac

Intervention Type DRUG

30 mg IV at the onset of anesthesia

Acetaminophen IV

Intervention Type DRUG

1 g at the onset of anesthesia

Fentanyl

Intervention Type DRUG

100 mcg IV fentanyl administered at the onset of anesthesia and additional 50 mcg near the end of surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.25% 30 mL (75 mg) prior to surgery

Celecoxib

Intervention Type DRUG

200 mg PO bid each day postoperative

Acetaminophen Oral

Intervention Type DRUG

1 g postoperative

Lidocaine Hydrochloride

Intervention Type DRUG

2% 15 mL at the end of surgery

CA-008 Cohort 3

CA-008 4.2 mg reconstituted in saline

All subjects received monitored anesthesia care (MAC) and a Mayo block.

Group Type EXPERIMENTAL

CA-008

Intervention Type DRUG

Drug: CA-008 4.2 mg reconstituted in saline

Ketorolac

Intervention Type DRUG

30 mg IV at the onset of anesthesia

Acetaminophen IV

Intervention Type DRUG

1 g at the onset of anesthesia

Fentanyl

Intervention Type DRUG

100 mcg IV fentanyl administered at the onset of anesthesia and additional 50 mcg near the end of surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.25% 30 mL (75 mg) prior to surgery

Lidocaine Hydrochloride

Intervention Type DRUG

2% 15 mL at the end of surgery

Exparel

106 mg \[8 mL of the 133 mg/10 mL suspension\] only

All subjects received monitored anesthesia care (MAC) and a Mayo block.

Group Type ACTIVE_COMPARATOR

Ketorolac

Intervention Type DRUG

30 mg IV at the onset of anesthesia

Acetaminophen IV

Intervention Type DRUG

1 g at the onset of anesthesia

Fentanyl

Intervention Type DRUG

100 mcg IV fentanyl administered at the onset of anesthesia and additional 50 mcg near the end of surgery

Bupivacaine Hydrochloride

Intervention Type DRUG

0.25% 30 mL (75 mg) prior to surgery

Lidocaine Hydrochloride

Intervention Type DRUG

2% 15 mL at the end of surgery

Exparel

Intervention Type DRUG

Bupivacaine liposome injection suspension

Interventions

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CA-008

Drug: CA-008 4.2 mg reconstituted in saline

Intervention Type DRUG

Ketorolac

30 mg IV at the onset of anesthesia

Intervention Type DRUG

Acetaminophen IV

1 g at the onset of anesthesia

Intervention Type DRUG

Fentanyl

100 mcg IV fentanyl administered at the onset of anesthesia and additional 50 mcg near the end of surgery

Intervention Type DRUG

Bupivacaine Hydrochloride

0.25% 30 mL (75 mg) prior to surgery

Intervention Type DRUG

Lidocaine HCl

1.5% 12 mL at the end of surgery

Intervention Type DRUG

Celecoxib

200 mg PO bid each day postoperative

Intervention Type DRUG

Acetaminophen Oral

1 g postoperative

Intervention Type DRUG

Lidocaine Hydrochloride

2% 15 mL at the end of surgery

Intervention Type DRUG

Exparel

Bupivacaine liposome injection suspension

Intervention Type DRUG

Other Intervention Names

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Vocacapsaicin

Eligibility Criteria

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Inclusion Criteria

1. Healthy adult aged 18 - 65 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 ≤ 36 kg/m2

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 study medications.
4. Have a history of significant medical, neuropsychiatric or other condition, including a clinically significant abnormal clinical laboratory test values
5. Have positive results on the alcohol test (breath or saliva) or urine drug screen.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 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

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-205

Identifier Type: -

Identifier Source: org_study_id