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PainReform's PRF-110 Phase 3 Trial Fails to Meet Primary Endpoint in Post-Surgical Pain Management

7 months ago2 min read

Key Insights

  • PainReform's Phase 3 clinical trial of PRF-110 for post-surgical pain management in bunionectomy patients did not meet its primary endpoint.

  • The trial demonstrated statistically significant pain reduction over placebo in the first 48 hours post-surgery, but data from the final 24 hours was unclear.

  • The company has initiated R&D activities to refine PRF-110's pharmacokinetics and pharmacodynamics based on the study data.

PainReform Ltd. (Nasdaq: PRFX) announced that its Phase 3 clinical trial evaluating PRF-110 for post-surgical pain management in patients undergoing bunionectomy did not meet its primary endpoint. While the trial demonstrated statistically significant superiority over placebo in reducing pain during the first 48 hours following surgery, data from the final 24-hour period could not be clarified to satisfy the study's 72-hour primary endpoint requirement.
The company previously disclosed initial topline data from the trial, noting the statistically significant pain reduction compared to placebo during the initial 48 hours. However, the data pertaining to the last 24-hour period of the 72-hour study follow-up was unclear, prompting further investigation to resolve the incoherence and complete the analysis.

R&D Initiatives and Strategic Review

Following further investigation, PainReform determined that the data from the final 24-hour period could not be clarified to satisfy the study’s primary endpoint. Despite this setback, the company has initiated research and development (R&D) activities to better understand and refine the pharmaco-kinetics and pharmaco-dynamics of PRF-110 based on the data received from the study. These efforts are intended to potentially resolve this issue to support future clinical trials.
"We are focused on resolving the issue of the last 24 of the 72-hour requirement through the use of high-level, in-vitro models prior to any additional clinical work," said Dr. Ehud Geller, Chairman and interim CEO of PainReform. "This update reflects our determination to leverage these learnings and continue our mission to provide effective pain relief solutions for surgical patients. Our ongoing R&D efforts aim to deepen our understanding of PRF-110’s profile and enhance its potential in future evaluations. In parallel, we are reviewing our strategic options. There can be no assurance that our review will result in any transaction or that it will enhance shareholder value."

About PRF-110

PRF-110, PainReform's lead product candidate, is based on the local anesthetic ropivacaine and targets the postoperative pain relief market. It is designed as an oil-based, viscous, clear solution for direct deposition into the surgical wound bed prior to closure, aiming to provide localized and extended postoperative analgesia. The company's proprietary extended-release drug-delivery system seeks to offer prolonged pain relief without repeated dose administration, potentially reducing the need for opiates.

Company Focus

PainReform is a clinical-stage specialty pharmaceutical company focused on the reformulation of established therapeutics to improve their efficacy, safety, and patient experience.
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