Dose-Escalation Study of HTX-034 Following Bunionectomy

NCT ID: NCT04398329

Last Updated: 2022-02-15

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

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

73 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-18

Study Completion Date

2021-08-03

Brief Summary

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This is a Phase 1b/2, randomized, blinded, active-controlled study. Phase 1b will evaluate escalating doses of HTX-034 compared with bupivacaine HCl. Phase 2 will be a dose-expansion phase to evaluate additional subjects treated with the HTX-034 dose selected based on Phase 1b compared with bupivacaine HCl.

Detailed Description

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Conditions

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Bunions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Phase 1b (Cohort 1)

Fixed dose of HTX-034.

Group Type EXPERIMENTAL

HTX-034

Intervention Type DRUG

HTX-034, low dose

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation

Phase 1b (Cohort 2)

Individualized dose of HTX-034.

Group Type EXPERIMENTAL

HTX-034

Intervention Type DRUG

HTX-034, high dose

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation

Phase 2 (Expansion): Low Dose

Fixed dose of HTX-034.

Group Type EXPERIMENTAL

HTX-034

Intervention Type DRUG

HTX-034, low dose

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation

Phase 2 (Expansion): High Dose

Individualized dose of HTX-034.

Group Type EXPERIMENTAL

HTX-034

Intervention Type DRUG

HTX-034, high dose

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation

Phase 1b and Phase 2

Bupivacaine HCl.

Group Type ACTIVE_COMPARATOR

Bupivacaine HCl

Intervention Type DRUG

Bupivacaine HCl, 50 mg

Interventions

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HTX-034

HTX-034, low dose

Intervention Type DRUG

HTX-034

HTX-034, high dose

Intervention Type DRUG

Luer lock applicator

Applicator for instillation

Intervention Type DEVICE

Bupivacaine HCl

Bupivacaine HCl, 50 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Is medically fit to undergo an elective unilateral, first metatarsal bunionectomy with osteotomy and internal fixation under regional anesthesia; no neuraxial technique (eg, no spinal, epidural, or general anesthesia).
* Has an American Society of Anesthesiologists (ASA) 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 contralateral foot bunionectomy in the past 3 months.
* Has a planned concurrent surgical procedure.
* Has a contraindication or a known or suspected history of hypersensitivity or clinically significant idiosyncratic reaction to required study medications.
* Has a pre-existing concurrent acute or chronic painful physical/restrictive condition expected to require analgesic treatment in the postoperative period for pain.
* Has received or is taking a contraindicated or prohibited medications.
* 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 history of clinically significant cardiac abnormality such as myocardial infarction within 6 months.
* Has a history of coronary artery bypass graft surgery within 12 months.
* Has a history of known or suspected coagulopathy.
* 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 undergone 3 or more surgeries within 12 months.
* Has a known history of glucose-6-phosphate dehydrogenase deficiency.
* Has any of the following laboratory abnormalities during Screening (1 retest permitted):

* Severe liver function impairment.
* Severe kidney function impairment.
* Platelet count \<100,000/μL, hemoglobin \<12 g/dL, or hematocrit \<35%.
* 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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Arizona Research Center

Phoenix, Arizona, United States

Site Status

First Surgical Hospital

Bellaire, Texas, United States

Site Status

Endeavor Clinical Trials, LLC

San Antonio, Texas, United States

Site Status

JBR Clinical Research

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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HTX-034-101

Identifier Type: -

Identifier Source: org_study_id

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