MedPath

A Multi-surgery Assessment of ZYNRELEF (HTX-011), AMAZE

Phase 4
Completed
Conditions
Analgesia
Interventions
Registration Number
NCT06109428
Lead Sponsor
Heron Therapeutics
Brief Summary

This is a Phase 4, randomized, blinded, active-controlled, multicohort study to evaluate HTX-011 compared with bupivacaine HCl in subjects undergoing abdominoplasty (Cohort 2).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Has American Society of Anesthesiologists (ASA) Physical Status of I, II, or III.
  • Is scheduled to undergo 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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment Group 1 Cohort 2HTX-011HTX-011 + MMA regimen
Treatment Group 2 Cohort 2Bupivacaine HydrochlorideBupivacaine HCl + MMA regimen
Treatment Group 1 Cohort 2Luer lock applicatorHTX-011 + MMA regimen
Treatment Group 2 Cohort 2IbuprofenBupivacaine HCl + MMA regimen
Treatment Group 2 Cohort 2AcetaminophenBupivacaine HCl + MMA regimen
Treatment Group 1 Cohort 2IbuprofenHTX-011 + MMA regimen
Treatment Group 1 Cohort 2AcetaminophenHTX-011 + MMA regimen
Primary Outcome Measures
NameTimeMethod
Incidence of treatment-emergent adverse events (TEAEs).Through Day 15
Secondary Outcome Measures
NameTimeMethod
Time of occurrence of maximum concentration (Tmax) of bupivacaine and meloxicamThrough 144 hours
Area under the concentration-time curve from Time 0 to the time of the last quantifiable concentration (AUClast) of bupivacaine and meloxicamThrough 144 hours
Apparent terminal half-life (t½) of bupivacaine and meloxicamThrough 144 hours
Area under the concentration-time curve from Time 0 extrapolated to infinity (AUCinf) of bupivacaine and meloxicamThrough 144 hours
Maximum concentration (Cmax) of bupivacaine and meloxicamThrough 144 hours

Trial Locations

Locations (2)

First Surgical Hospital

🇺🇸

Bellaire, Texas, United States

Endeavor Clinical Trials, LLC

🇺🇸

San Antonio, Texas, United States

First Surgical Hospital
🇺🇸Bellaire, Texas, United States

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