This is a Phase 2, randomized, double-blind, 2-part comparator- and placebo-controlled study to evaluate the safety, PK, and efficacy of TLC590 via a single infiltrative local administration in adult subjects following bunionectomy.
This is a Phase 2, randomized, double-blind, 2-part comparator- and placebo-controlled study to evaluate the safety, PK, and efficacy of TLC590 via a single infiltrative local administration in adult subjects following bunionectomy. The primary objective of this study is to evaluate the analgesic efficacy of TLC590 for post-surgical pain management in subjects following bunionectomy. The secondary objectives of this study are: * To evaluate the pharmacokinetic (PK) profile and dose-exposure relationship of TLC590, as well as the bioavailability as compared with Naropin®. * To evaluate the safety and tolerability of TLC590 for post-surgical pain management in subjects following bunionectomy. * To evaluate the exposure-response relationship between PK parameters and pain intensity. The study will be divided into two parts: Part 1: Blinded Pharmacokinetics of TLC590 and Naropin®. Approximately 48 subjects will be randomized to treatments. Part 2: Efficacy and Safety of TLC590 versus bupivacaine and Placebo. Part 2 of the study will randomize approximately 150 evaluable subjects who meet all entry criteria.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
150
TLC590, a sustained-release formulation of the local anesthetics with lipid-based excipients
Local infiltration of Naropin to produce anesthesia for surgery and analgesia in postoperative pain management. 50 mg (0.5%, 10 mL)
Normal Saline (0.9% sodium chloride, 10ml)
Arizona Research Center
Phoenix, Arizona, United States
Anaheim Clinical Trials, LLC
Anaheim, California, United States
Chesapeake Research Group
Pasadena, Maryland, United States
Endeavor Clinical Trials
San Antonio, Texas, United States
AUC of numerical pain rating scale
AUC of numerical pain rating scale (NPRS-R) following bunionectomy surgery
Time frame: 0-24 hours, 0-72 hours
PK Cmax
Maximum blood concentration (Cmax)
Time frame: 0-168 hours
PK Tmax
Time to reach maximum blood concentration (Tmax)
Time frame: 0-168 hours
PK t½
Terminal elimination half-life (t½)
Time frame: 0-168 hours
PK AUC
Area under the blood concentration-time curve (AUC)
Time frame: 0-24, 0-48 , 0-72, 0-96 hours
Number of treatment emergent adverse event (TEAE)
Number of treatment emergent adverse event (TEAE) occurred in the study
Time frame: Screening through Day 43
Electrocardiogram (RR interval, QRS duration, QT duration, PR duration, QTcF interval)
The 12-lead electrocardiogram (ECG) result will be assessed including RR interval, QRS duration, QT duration, PR duration, and QTcF interval
Time frame: Screening through Day 43
Wound assessment by Numerical Pain Rating Scale (NPRS)
The surgical site will be examined by the investigator using a 5-point numerical pain rating scale as follows: 1. Normal healing 2. Bruising, erythema, edema 3. Clear or hemoserous drainage 4. Evidence of cellulitis such as heat, spreading erythema, purulent discharge 5. Tissue breakdown, wound dehiscence, hematoma requiring aspiration
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Bupivacaine 50 mg (0.5%, 10 mL)
JBR clinical research
Draper, Utah, United States
Time frame: Day 1 through Day 43
AUC of NPRS-R (0-10)
AUC of NPRS-R (0-10)
Time frame: 0-36, 0-48, 0-72, 0-96, 0-120,24-48, 48-72, 72-96, 96-120, and 120-168 hours
Proportion of pain-free (NPRS-R of 0 or 1) subjects
Proportion of pain-free (NPRS-R of 0 or 1) subjects
Time frame: at 12, 24, 36, 48, 72, 96, 120, and 168 hours
Proportion of subjects who used no rescue opioid analgesic
Proportion of subjects who used no rescue opioid analgesic
Time frame: through 12, 24, 36, 48, 72, 96, 120, and 168 hours
Time to the first postoperative use of rescue opioid analgesics
Time to the first postoperative use of rescue opioid analgesics
Time frame: Day 1 to Day 43
Total postoperative consumption of rescue opioid analgesics used
Total postoperative consumption of rescue opioid analgesics used
Time frame: through 24, 36, 48, 60, 72, 96, 120, and 168 hours