Status:

COMPLETED

A Study to Evaluate Safety, PK, Efficacy of TLC590 for Postsurgical Pain Management Following Bunionectomy

Lead Sponsor:

Taiwan Liposome Company

Conditions:

Hallux Valgus

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

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 ...

Detailed Description

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 ...

Eligibility Criteria

Inclusion

  • Able and willing to provide a written informed consent.
  • Male or female between 18 and 65 years of age.
  • Body mass index ≤ 35 kg/m2.
  • Mild to moderate hallux valgus deformity.
  • Scheduled to undergo a primary, unilateral first metatarsal bunionectomy repair under local anesthesia.
  • American Society of Anesthesiology Physical Status Classification of 1 or 2 at screening.
  • Female subjects are eligible only if all of the following apply:
  • Not pregnant;
  • Not lactating;
  • Not planning to become pregnant during the study;
  • Commits to the use of an acceptable form of birth control for the duration of the study and for 42 days from administration of study drug.
  • Male subjects must be surgically sterile (biologically or surgically) or commit to the use of a reliable method of birth control, for the duration of the study until at least 1 week after the administration of study medication.

Exclusion

  • Clinically significant abnormal clinical laboratory test value.
  • Evidence of a clinically significant 12-lead ECG abnormality.
  • History or evidence of orthostatic hypotension, syncope or other syncopal attacks.
  • History or clinical manifestations of significant renal, hepatic, gastrointestinal, cardiovascular, metabolic, neurologic, psychiatric, or other condition that would preclude participation in the study.
  • A history of seizure disorder or currently taking anticonvulsants.
  • History of hypersensitivity to ropivacaine, any other amide-type local anesthetic, propofol, lidocaine, midazolam, acetaminophen, naproxen, morphine or oxycodone (or other opioids).
  • Concurrent painful physical condition that may confound post-operative pain assessments.
  • Persistent or recurrent nausea and/or vomiting due to other etiologies.
  • History of severe or refractory post-operative nausea or vomiting (PONV) deemed clinically significant.
  • History of alcohol abuse or prescription/illicit drug abuse within 2 years.
  • Current evidence of alcohol abuse within 6 months.
  • Received opioid therapy for longer than 4 days per week within 2 months or opioid use within 2 weeks.
  • Use of concurrent therapy that could interfere with the evaluation of efficacy or safety.
  • Unable to discontinue medications that have not been at a stable dose for at least 14 days prior to the study surgical procedure, within 5 half-lives of the specific prior medication.
  • Use of any of the following medications within 5 half-lives or as specified prior to the study surgical procedure:
  • Low-dose aspirin therapy for cardiovascular protection
  • Class III antiarrhythmic drugs
  • Strong CYP1A2 inhibitors
  • CYP1A2 substrates
  • Strong CYP3A4 inhibitors
  • Corticosteroids, either systemically, inhaled either intranasally or orally, or by intra-articular injection, or NSAIDs within 14 days
  • Any investigational product within 30 days.
  • Positive results on the urine drug screen or alcohol breath test indicative of illicit drug or alcohol abuse.
  • History or positive test results for HIV; active Hepatitis B or C.
  • Contralateral foot bunionectomy in the last 3 months or have collateral procedures.
  • Malignancy in the last 2 years, with the exception of non-metastatic basal cell or squamous cell carcinoma of the skin or localized carcinoma in situ of the cervix.
  • History of rheumatoid disease, Type 1 or Type 2 diabetes or peripheral circulatory disorders.
  • Documented sleep apnea or are on home continuous positive airway pressure.

Key Trial Info

Start Date :

March 5 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 31 2020

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT03838133

Start Date

March 5 2019

End Date

March 31 2020

Last Update

April 7 2020

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Arizona Research Center

Phoenix, Arizona, United States, 85053

2

Anaheim Clinical Trials, LLC

Anaheim, California, United States, 92801

3

Chesapeake Research Group

Pasadena, Maryland, United States, 21122-1020

4

Endeavor Clinical Trials

San Antonio, Texas, United States, 78229