A Multi-surgery Assessment of ZYNRELEF (HTX-011), AMAZE. Master Protocol HTX-011-401.

NCT ID: NCT05109312

Last Updated: 2023-10-26

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-12

Study Completion Date

2024-06-30

Brief Summary

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This is a Phase 4, randomized, blinded, active-controlled, multicohort study to evaluate HTX-011 compared with bupivacaine HCl in subjects undergoing different surgical procedures. Each parallel cohort will enroll subjects undergoing a unique surgical procedure: total shoulder arthroplasty (TSA) in Cohort 1 and abdominoplasty in Cohort 2.

Detailed Description

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Conditions

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Analgesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In each cohort, subjects will be randomized in a 2:1 ratio to HTX-011 or bupivacaine HCl, respectively. All subjects will receive a scheduled postoperative non opioid multimodal analgesic (MMA) regimen.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Treatment Group 1 Cohort 1

HTX-011 + multimodal analgesic (MMA) regimen

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

400 mg

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation

Ibuprofen

Intervention Type DRUG

400 mg

Acetaminophen

Intervention Type DRUG

1 g

Treatment Group 2 Cohort 1

Bupivacaine HCl + MMA

Group Type ACTIVE_COMPARATOR

Bupivacaine Hydrochloride

Intervention Type DRUG

100 mg

Ibuprofen

Intervention Type DRUG

400 mg

Acetaminophen

Intervention Type DRUG

1 g

Treatment Group 1 Cohort 2

HTX-011 + MMA

Group Type EXPERIMENTAL

HTX-011

Intervention Type DRUG

400 mg

Luer lock applicator

Intervention Type DEVICE

Applicator for instillation

Ibuprofen

Intervention Type DRUG

400 mg

Acetaminophen

Intervention Type DRUG

1 g

Treatment Group 2 Cohort 2

Bupivacaine HCl + MMA

Group Type ACTIVE_COMPARATOR

Bupivacaine Hydrochloride

Intervention Type DRUG

125 mg

Ibuprofen

Intervention Type DRUG

400 mg

Acetaminophen

Intervention Type DRUG

1 g

Interventions

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Bupivacaine Hydrochloride

100 mg

Intervention Type DRUG

Bupivacaine Hydrochloride

125 mg

Intervention Type DRUG

HTX-011

400 mg

Intervention Type DRUG

Luer lock applicator

Applicator for instillation

Intervention Type DEVICE

Ibuprofen

400 mg

Intervention Type DRUG

Acetaminophen

1 g

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Has American Society of Anesthesiologists (ASA) Physical Status of I, II, or III.
* Is scheduled to undergo a unilateral Total Shoulder Arthroplasty (TSA) or abdominoplasty.

Exclusion Criteria

* Is undergoing a revision surgery.
* Has a known or suspected history of hypersensitivity or clinically significant idiosyncratic reaction to bupivacaine (or other local anesthetics), NSAIDs, acetaminophen, oxycodone, morphine, or hydromorphone.
* History of severe allergic reaction to aspirin or other NSAIDs, or known history of severe gastrointestinal adverse reactions associated with NSAID use.
* Has taken meloxicam within 10 days prior to the scheduled surgery, or any NSAID within 24 hours prior to the scheduled surgery, with the exception of subjects on low-dose (≤100 mg) daily acetylsalicylic acid for cardioprotection.
* Opioid use for most days within the last 3 months prior to Screening in the opinion of the Investigator.
* Has been administered immediate-release bupivacaine HCl within 5 days prior to the scheduled surgery, or a modified-release bupivacaine product within 14 days prior to the scheduled surgery.
* Has initiated treatment with any of the following medications within 1 month prior to study drug administration: selective serotonin reuptake inhibitors, selective norepinephrine reuptake inhibitors, gabapentin, pregabalin, duloxetine, or cyclooxygenase-2 inhibitors.
* Has been administered systemic steroids within 5 half-lives or 10 days prior to the scheduled surgery (whichever is longer).
* Has a known or suspected history of drug abuse, a positive drug screen (except for cannabinoids) on the day of surgery, or a history of alcohol abuse within the past 5 years.
* Suspected or confirmed active coronavirus disease 2019 (COVID-19) infection.
* 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, other than for diagnostic procedures (eg, colonoscopy).
* Has a body mass index (BMI) \>40 kg/m2.
* Had undergone prior abdominoplasty or major abdominal wall surgery.
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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Woodland International Research Group, LLC

Little Rock, Arkansas, United States

Site Status

Gulfcoast Research Institute

Sarasota, Florida, United States

Site Status

The Orthopaedic Center

Tulsa, Oklahoma, United States

Site Status

First Surgical Hospital

Bellaire, Texas, United States

Site Status

Legent Orthopedic Hospital

Carrollton, 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-011-401

Identifier Type: -

Identifier Source: org_study_id

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