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
About this trial
This is an interventional treatment trial for Inguinal Hernia focused on measuring Postoperative pain, Analgesia
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.
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
NCT ID
NCT01203644
First Posted
September 15, 2010
Last Updated
January 4, 2021
Sponsor
Pacira Pharmaceuticals, Inc
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
Learn more about this trial
Evaluation of the Safety, Efficacy, and Pharmacokinetics of SKY0402 in Subjects Undergoing Inguinal Hernia Repair
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