Total Knee Arthroplasty (TKA) Study of HTX-011 in an Multimodal Analgesic Regimen (MMA) Regimen

NCT ID: NCT03974932

Last Updated: 2023-08-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-05

Study Completion Date

2021-01-07

Brief Summary

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Phase 3b, open-label single-arm study in which all subjects receive HTX-011 as part of a scheduled non-opioid MMA regimen.

Detailed Description

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Conditions

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Analgesia

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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Cohort 1

HTX-011 + MMA

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

Dual-acting local anesthetic. Dose 1.

Ibuprofen

Intervention Type DRUG

NSAID.

Acetaminophen

Intervention Type DRUG

Analgesic.

Celecoxib

Intervention Type DRUG

NSAID.

Luer Lock Applicator

Intervention Type DEVICE

Applicator for instillation.

Cohort 2

HTX-011 + MMA

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

Dual-acting local anesthetic. Dose 1.

Ibuprofen

Intervention Type DRUG

NSAID.

Acetaminophen

Intervention Type DRUG

Analgesic.

Celecoxib

Intervention Type DRUG

NSAID.

Luer Lock Applicator

Intervention Type DEVICE

Applicator for instillation.

Cohort 3

HTX-011 + MMA

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

NSAID.

Acetaminophen

Intervention Type DRUG

Analgesic.

Celecoxib

Intervention Type DRUG

NSAID.

+/- Bupivacaine HCl

Intervention Type DRUG

Local anesthetic.

Luer Lock Applicator

Intervention Type DEVICE

Applicator for instillation.

HTX-011

Intervention Type DRUG

Dual-acting local anesthetic. Dose 2.

Cohort 4

HTX-011 + MMA

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

Dual-acting local anesthetic. Dose 1.

Ibuprofen

Intervention Type DRUG

NSAID.

Acetaminophen

Intervention Type DRUG

Analgesic.

Luer Lock Applicator

Intervention Type DEVICE

Applicator for instillation.

Interventions

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HTX-011

Dual-acting local anesthetic. Dose 1.

Intervention Type DRUG

Ibuprofen

NSAID.

Intervention Type DRUG

Acetaminophen

Analgesic.

Intervention Type DRUG

Celecoxib

NSAID.

Intervention Type DRUG

+/- Bupivacaine HCl

Local anesthetic.

Intervention Type DRUG

Luer Lock Applicator

Applicator for instillation.

Intervention Type DEVICE

HTX-011

Dual-acting local anesthetic. Dose 2.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Is scheduled to undergo primary unilateral TKA under spinal anesthesia.
* Has not previously undergone TKA in either knee.
* Has an American Society of Anesthesiologists (ASA) Physical Status of I, II, or III.
* Is able to walk at least 20 feet with optional use of a 4-legged walker for balance.
* Female subjects are eligible only if not pregnant, not lactating, not planning to become pregnant during the study, sterile; or is at least 2 years post-menopausal; or is in a monogamous relationship with a partner who is surgically sterile; or using acceptable contraceptives.

Exclusion Criteria

* Has a planned concurrent surgical procedure.
* Has other 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.
* Using or expected to use Factor IX Complex or anti-inhibitor coagulant concentrates during the study.
* Has known or suspected daily use of opioids for 7 or more consecutive days within the previous 6 months.
* Has taken NSAIDs within 10 days prior to the scheduled surgery with the exception of subjects on low-dose (≤100 mg) daily acetylsalicylic acid for cardioprotection.
* Has taken opioids within 24 hours prior to the scheduled surgery (3 days for long-acting).
* 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 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.
* Received an investigational product or device in a clinical trial within 30 days or within 5 elimination half lives.
* 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.
* 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.
* Is currently undergoing treatment for hepatitis B, hepatitis C, or HIV.
* Has uncontrolled anxiety, psychiatric, or neurological disorder that, in the opinion of the Investigator, might interfere with study assessments.
* Has acquired defective color vision or acute gastrointestinal ulcers, either of which could interfere with scheduled study medications.
* Has any chronic neuromuscular deficit of either femoral nerve function or thigh musculature.
* Has any chronic condition or disease that would compromise neurological or vascular assessments.
* 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 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

Locations

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Helen Keller Hospital

Sheffield, Alabama, United States

Site Status

Phoenix Clinical Research, LLC

Tamarac, Florida, United States

Site Status

Midwest Clinical Research Center, LLC

Dayton, Ohio, United States

Site Status

First Surgical Hospital

Bellaire, Texas, United States

Site Status

Plano Surgical Hospital

Plano, Texas, United States

Site Status

Endeavor Clinical Trials, LLC.

San Antonio, 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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HTX-011-306

Identifier Type: -

Identifier Source: org_study_id

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