This is a Phase 3, randomized, double-blind, saline placebo- and active-controlled, multicenter study to evaluate the analgesic efficacy and safety of HTX 011 administered via local administration into the surgical site in subjects undergoing bunionectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
412
HTX 011 (bupivacaine/meloxicam), 60 mg/1.8 mg by instillation
Saline placebo by instillation
Bupivacaine HCl without epinephrine, 50 mg by injection
Springhill Medical Center
Mobile, Alabama, United States
Orthopaedic Specialists of North America, PLLC
Mesa, Arizona, United States
Arizona Research Center
Mean Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) Pain Intensity Scores With Activity (NRS-A) Through 72 Hours Postsurgery (AUC0-72), Compared With Saline Placebo.
Pain intensity is assessed using an 11-point NRS (0-10) where 0 represents "no pain" and 10 represents "worst pain imaginable" (using windowed worst observation carried forward to adjust for opioid rescue medication use). The theoretical range of AUC0-72 is 0-720. The prescribed activity for NRS-A is sitting with the plantar surface of the ball of the surgically attended foot touching the floor (no weight bearing).
Time frame: 72 hours
Mean Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) Pain Intensity Scores With Activity (NRS-A) Through 72 Hours Postsurgery (AUC0-72), Compared With Bupivacaine HCl.
Pain intensity is assessed using an 11-point NRS (0-10) where 0 represents "no pain" and 10 represents "worst pain imaginable" (using windowed worst observation carried forward to adjust for opioid rescue medication use). The theoretical range of AUC0-72 is 0-720. The prescribed activity for NRS-A is sitting with the plantar surface of the ball of the surgically attended foot touching the floor (no weight bearing).
Time frame: 72 hours
Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Saline Placebo.
Time frame: 72 hours
Percentage of Subjects Who Are Opioid-free for HTX-011 Compared With Bupivacaine HCl.
Time frame: 72 hours
Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Bupivacaine HCl.
Time frame: 72 hours
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Applicator for instillation
Device for withdrawal of drug product
Phoenix, Arizona, United States
Anaheim Clinical Trials, LLC
Anaheim, California, United States
Trovare Clinical Research, Inc.
Bakersfield, California, United States
Alliance Research Centers
Laguna Hills, California, United States
Chesapeake Research Group, LLC
Pasadena, Maryland, United States
Optimal Research , LLC
Austin, Texas, United States
Hermann Drive Surgical Hospital
Houston, Texas, United States
Westside Surgical Hospital
Houston, Texas, United States
...and 5 more locations