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Evaluation of the Safety, Efficacy, and Pharmacokinetics of SKY0402 in Subjects Undergoing Inguinal Hernia Repair

Primary Purpose

Inguinal Hernia

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
SKY0402
Bupivacaine HCl
Sponsored by
Pacira Pharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Inguinal Hernia focused on measuring Postoperative pain, Analgesia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males ≥18 years of age at the Screening visit.
  2. Scheduled to undergo unilateral inguinal hernia repair under general anesthesia, using an open, tension free procedure (e.g., Lichtenstein technique with or without mesh).
  3. American Society of Anesthesiology (ASA) Physical Class 1 or 2.
  4. Able and willing to comply with all study visits and procedures.
  5. Capable of speaking and understanding the local language sufficiently to provide responses to pain assessment scales.
  6. Willing and capable of providing written informed consent.

Exclusion Criteria:

  1. Clinically significant electrocardiogram abnormalities at Screening or on Day 1 (pre administration).
  2. Albumin and/or alpha 1 acid glycoprotein (AAG) below normal levels.
  3. Current or historical evidence of any clinically significant disease or condition that, in the opinion of the Investigator, might have increased the risk of surgery or complicated the subject's postoperative course.
  4. Opioid medication usage during the 7 day period preceding the administration of study drug.
  5. Current medical conditions that could have required treatment with analgesic medications in the postoperative period for pain that was not surgically related (e.g., rheumatoid arthritis).
  6. Body mass index >30 kg/m^2
  7. Body weight <60 kg.
  8. History of hypersensitivity or idiosyncratic reaction to amide type local anesthetic agents.
  9. History of hypersensitivity, idiosyncratic reactions, and other contraindications to the pain control agents (opioid or non-opioid) anticipated to be used postoperatively. These contraindications may have included: angioedema and bronchospastic reactivity to non steroidal anti inflammatory drug, peptic ulcer (active within the last three months), hepatic or renal insufficiency.
  10. Coagulation disorders or ongoing anticoagulation treatment.
  11. Administration of an investigational drug within 30 days or five half lives (of elimination), whichever was longer, prior to study drug administration.
  12. Suspected or known history of substance abuse and/or alcoholism.
  13. Clinically significant complications during the hernia repair surgery (e.g., excessive bleeding), which might have rendered the subject medically unstable or might have complicated the subject's postoperative course.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Bupivacaine HCl

    SKY0402

    Arm Description

    (e.g., Marcaine with epinephrine 1:200,000) is the reference-listed drug for bupivacaine and contains the same active, local anesthetic as SKY0402

    Low dose, low-mid dose, mid-dose, and high dose

    Outcomes

    Primary Outcome Measures

    Time to First Use of Supplemental Pain Medication
    The primary efficacy endpoint was the time to first use of supplemental pain medication (opioid or non-opioid) postoperatively for surgical wound pain

    Secondary Outcome Measures

    Adverse Events
    Safety assessments included monitoring of treatment-emergent adverse events

    Full Information

    First Posted
    September 15, 2010
    Last Updated
    January 4, 2021
    Sponsor
    Pacira Pharmaceuticals, Inc
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01203644
    Brief Title
    Evaluation of the Safety, Efficacy, and Pharmacokinetics of SKY0402 in Subjects Undergoing Inguinal Hernia Repair
    Official Title
    A Phase 2, Multicenter, Randomized, Double Blind, Dose Escalating/ De Escalating Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of a Single Dose of Sustained Release Encapsulated Bupivacaine (SKY0402) in the Management of Postoperative Pain in Subjects Undergoing Inguinal Hernia Repair
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2021
    Overall Recruitment Status
    Completed
    Study Start Date
    December 2004 (undefined)
    Primary Completion Date
    January 2006 (Actual)
    Study Completion Date
    December 2006 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Pacira Pharmaceuticals, Inc

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary objective of this study was to determine the appropriate dose of SKY0402 for the management of postoperative pain following inguinal hernia repair. This study evaluated the safety, efficacy, and pharmacokinetics of SKY0402 compared with a 100 mg dose of bupivacaine HCl for the treatment of postoperative pain in subjects undergoing inguinal hernia repair. Study drug was administered by surgical wound infiltration at the end of the hernia repair procedure.
    Detailed Description
    SKY0402 was administered in a dose escalating/de-escalating fashion, with a low starting dose in Cohort 1 that was to be increased or decreased in subsequent cohorts based on safety and analgesic effects. The decision to proceed to the next cohort (i.e., increase or decrease the dose) was made by a Cohort Data Review Committee following a review of the data from the previous cohort. Subjects were randomized to receive either SKY0402 or bupivacaine HCl at a ratio of 1:1 in Cohort 1 and at a ratio of 3:1 in subsequent cohorts. The dose of bupivacaine HCl (100 mg) remained constant for all cohorts.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Inguinal Hernia
    Keywords
    Postoperative pain, Analgesia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    76 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Bupivacaine HCl
    Arm Type
    Active Comparator
    Arm Description
    (e.g., Marcaine with epinephrine 1:200,000) is the reference-listed drug for bupivacaine and contains the same active, local anesthetic as SKY0402
    Arm Title
    SKY0402
    Arm Type
    Active Comparator
    Arm Description
    Low dose, low-mid dose, mid-dose, and high dose
    Intervention Type
    Drug
    Intervention Name(s)
    SKY0402
    Intervention Description
    Single dose of SKY0402 administered locally into the surgical wound.
    Intervention Type
    Drug
    Intervention Name(s)
    Bupivacaine HCl
    Intervention Description
    Single dose of bupivacaine HCl (100 mg) administered locally into the surgical wound.
    Primary Outcome Measure Information:
    Title
    Time to First Use of Supplemental Pain Medication
    Description
    The primary efficacy endpoint was the time to first use of supplemental pain medication (opioid or non-opioid) postoperatively for surgical wound pain
    Time Frame
    Through 96 hours postdose
    Secondary Outcome Measure Information:
    Title
    Adverse Events
    Description
    Safety assessments included monitoring of treatment-emergent adverse events
    Time Frame
    Through 30 days postdose

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Males ≥18 years of age at the Screening visit. Scheduled to undergo unilateral inguinal hernia repair under general anesthesia, using an open, tension free procedure (e.g., Lichtenstein technique with or without mesh). American Society of Anesthesiology (ASA) Physical Class 1 or 2. Able and willing to comply with all study visits and procedures. Capable of speaking and understanding the local language sufficiently to provide responses to pain assessment scales. Willing and capable of providing written informed consent. Exclusion Criteria: Clinically significant electrocardiogram abnormalities at Screening or on Day 1 (pre administration). Albumin and/or alpha 1 acid glycoprotein (AAG) below normal levels. Current or historical evidence of any clinically significant disease or condition that, in the opinion of the Investigator, might have increased the risk of surgery or complicated the subject's postoperative course. Opioid medication usage during the 7 day period preceding the administration of study drug. Current medical conditions that could have required treatment with analgesic medications in the postoperative period for pain that was not surgically related (e.g., rheumatoid arthritis). Body mass index >30 kg/m^2 Body weight <60 kg. History of hypersensitivity or idiosyncratic reaction to amide type local anesthetic agents. History of hypersensitivity, idiosyncratic reactions, and other contraindications to the pain control agents (opioid or non-opioid) anticipated to be used postoperatively. These contraindications may have included: angioedema and bronchospastic reactivity to non steroidal anti inflammatory drug, peptic ulcer (active within the last three months), hepatic or renal insufficiency. Coagulation disorders or ongoing anticoagulation treatment. Administration of an investigational drug within 30 days or five half lives (of elimination), whichever was longer, prior to study drug administration. Suspected or known history of substance abuse and/or alcoholism. Clinically significant complications during the hernia repair surgery (e.g., excessive bleeding), which might have rendered the subject medically unstable or might have complicated the subject's postoperative course.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Kay Warnott, RN, ACNP
    Organizational Affiliation
    Pacira Pharmaceuticals, Inc
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    22900785
    Citation
    Dasta J, Ramamoorthy S, Patou G, Sinatra R. Bupivacaine liposome injectable suspension compared with bupivacaine HCl for the reduction of opioid burden in the postsurgical setting. Curr Med Res Opin. 2012 Oct;28(10):1609-15. doi: 10.1185/03007995.2012.721760. Epub 2012 Sep 3.
    Results Reference
    derived

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    Evaluation of the Safety, Efficacy, and Pharmacokinetics of SKY0402 in Subjects Undergoing Inguinal Hernia Repair

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