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A Study Evaluating Efficacy and Safety of VX-993 for Acute Pain After a Bunionectomy

Phase 2
Recruiting
Conditions
Acute Pain
Interventions
Drug: HB/APAP
Drug: Placebo (matched to HB/APAP)
Drug: Placebo (matched to VX-993)
Registration Number
NCT06619847
Lead Sponsor
Vertex Pharmaceuticals Incorporated
Brief Summary

The purpose of this study is to evaluate the efficacy, safety, tolerability and pharmacokinetics of VX-993 in treating acute pain after a bunionectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
355
Inclusion Criteria

Before Surgery:

  • Participant scheduled to undergo a primary unilateral bunionectomy with distal first metatarsal osteotomy (i.e., Austin procedure) and internal fixation under regional anesthesia (Mayo block)

After Surgery:

  • Participant is lucid and able to follow commands
  • All analgesic guidelines were followed during and after the bunionectomy

Key

Exclusion Criteria

Before Surgery:

  • Prior history of bunionectomy or other foot surgery on the index foot
  • History of cardiac dysrhythmias requiring anti-arrhythmia treatment(s) within the last 2 years
  • A known or clinically suspected active infection with human immunodeficiency virus or hepatitis B or C viruses

After Surgery:

  • Participant had a Type 3 deformity requiring a base wedge osteotomy or concomitant surgery such as hammertoe repair, or had medical complications during the bunionectomy

Other protocol defined inclusion/exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
VX-993VX-993Participants will be randomized to receive different dose levels of VX-993.
VX-993Placebo (matched to HB/APAP)Participants will be randomized to receive different dose levels of VX-993.
Hydrocodone bitartrate/acetaminophen (HB/APAP)HB/APAPParticipants will be randomized to receive HB/APAP.
Hydrocodone bitartrate/acetaminophen (HB/APAP)Placebo (matched to VX-993)Participants will be randomized to receive HB/APAP.
PlaceboPlacebo (matched to VX-993)Participants will be randomized to receive placebos matched to VX-993 and HB/APAP.
PlaceboPlacebo (matched to HB/APAP)Participants will be randomized to receive placebos matched to VX-993 and HB/APAP.
Primary Outcome Measures
NameTimeMethod
Time-weighted Sum of Pain Intensity Difference (SPID) as Recorded on the Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48)From 0 to 48 Hours After the First Dose of Study Drug
Secondary Outcome Measures
NameTimeMethod
Proportion of Participants With Greater Than or Equal To (>=) 30 Percent (%) Reduction in NPRS at 48 HoursAt 48 Hours After the First Dose of Study Drug
Proportion of Participants With >=50% Reduction in NPRS at 48 HoursAt 48 Hours After the First Dose of Study Drug
Proportion of Participants With >=70% Reduction in NPRS at 48 HoursAt 48 Hours After the First Dose of Study Drug
Maximum Observed Plasma Concentration (Cmax) of VX-993 and its MetabolitePre-dose to 12 Hours and 24 to 36 Hours After the First Dose of Study Drug
Area Under the Concentration Versus Time Curve During a Dosing Interval (AUCtau) of VX-993 and its MetabolitePre-dose to 12 Hours and 24 to 36 Hours After the First Dose of Study Drug
Time to Reach Maximum Observed Plasma Concentration (Tmax) of VX-993 and its MetabolitePre-dose to 12 Hours and 24 to 36 Hours After the First Dose of Study Drug
Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Day 1 up to Day 19

Trial Locations

Locations (14)

Shoals Medical Trials Inc.

🇺🇸

Sheffield, Alabama, United States

Arizona Research Center

🇺🇸

Phoenix, Arizona, United States

Woodland International Research Group

🇺🇸

Little Rock, Arkansas, United States

Trovare Clinical Research

🇺🇸

Bakersfield, California, United States

New Hope Research Development | Tarzana, CA

🇺🇸

Tarzana, California, United States

Clinical Pharmacology of Miami

🇺🇸

Miami, Florida, United States

ForCare Clinical Research

🇺🇸

Tampa, Florida, United States

Atlanta Center for Medical Research

🇺🇸

Atlanta, Georgia, United States

BioBehavioral Research of Austin

🇺🇸

Austin, Texas, United States

HD Research LLC | First Surgical Hospital

🇺🇸

Bellaire, Texas, United States

HD Research LLC | Legent Orthopedic Hospital

🇺🇸

Carrollton, Texas, United States

Memorial Hermann Village

🇺🇸

Houston, Texas, United States

Endeavor Clinical Trials

🇺🇸

San Antonio, Texas, United States

JBR Clinical Research

🇺🇸

Salt Lake City, Utah, United States

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