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Study to Evaluate EB-001 in Reducing Musculoskeletal Pain

Primary Purpose

Musculoskeletal Pain

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Placebo
EB-001
Sponsored by
Bonti, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Musculoskeletal Pain

Eligibility Criteria

18 Years - 55 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Women 18 to 55 years of age, inclusive
  2. Women who are in good health as determined by medical history, physical examination, clinical laboratory studies, ECGs, vital signs, and Investigator judgment
  3. Scheduled to undergo primary breast augmentation under general anesthesia (endotracheal or otherwise) with:

    1. Sub-pectoral implants placement,
    2. Infra-mammary surgical approach,
    3. Implant size between 250 and 400cc and
    4. Non-textured saline breast implants
  4. American Society of Anesthesiologist (ASA) Physical Class 1-2
  5. Women of non-childbearing potential or postmenopausal (at least 12 consecutive months of amenorrhea)
  6. Women of childbearing potential must not be pregnant, lactating, or planning to become pregnant during the study
  7. Women of childbearing potential agreeing to use either:

    1. a highly effective method of contraception with failures rates less than 1% per year such as implant, intrauterine device (IUD), or confirmed sterilization and sterilization procedure at least 3 months prior to the day of dosing
    2. dual methods of contraception with overall failures rate less than 1% per year such as injectable, pill, patch, ring, and diaphragm from the day of dosing for 3 months (subjects using oral contraception must have initiated treatment at least 2 months prior to the day of dosing)
  8. Willing and able to complete protocol requirements and instructions, which includes completion of all required visits, procedures and in-clinic stays until the end of the study
  9. Willing and able to sign and date IRB-approved informed consent
  10. Able to speak, read, and understand the language of the informed consent form (ICF) and study questionnaires

Exclusion Criteria:

  1. History of surgical procedure involving the breast, including, but not limited to, breast augmentation. History of minor localized breast biopsy is not exclusionary if it occurred at least 1 year prior to the screening visit, and if considered not clinically significant in the opinion of the investigator.
  2. Pre-existing lung disease that could impact subject safety in the opinion of the investigator
  3. History of smoking within the past two years
  4. Slow vital capacity that is below 80% of normal value for respective race, age, height, and gender
  5. Pulse oximetry below 95%
  6. Body weight less than 50 kg (110 pounds) or a Body Mass Index (BMI) of ≥ 32
  7. Documented diagnosis of chronic pain condition, or other painful pre-operative condition that, in the opinion of the investigator, may require analgesic treatment in the post-operative period (e.g. significant joint pain, neuropathic pain)
  8. Known hypersensitivity to any botulinum toxin serotype or to any component of the formulation
  9. Reported use of any botulinum toxin within 3 months prior to the date of surgery
  10. Anticipated use of any botulinum toxin of any serotype during the study
  11. Use of long acting opioids within 3 days or any opioid medication within 24 hours prior to surgery
  12. Aminoglycoside intake within 48 hours prior to or during surgery
  13. Pre-existing disorders of the neuromuscular junction (myasthenia gravis, Eaton- Lambert syndrome, or amyotrophic lateral Sclerosis)
  14. Any past or current medical condition that in opinion of investigator, puts subject at undue safety risk for surgical complications or for use of the investigational product.
  15. Any clinically significant psychiatric condition that, in opinion of investigator, may interfere with study assessments or protocol compliance
  16. History of alcohol or drug abuse in the last 3 years, based on investigator judgement
  17. Current enrollment in an investigational drug or device study or participation in such a study within 30 days or 5 half-lives of the drug, whichever is longer, of entry into this study
  18. Subject plans to donate blood or plasma from 30 days prior to screening until last follow-up visit (Day 29)
  19. Reported pain score of 2 or more at screening on the 11-point scale NPRS-A following strength testing with PM activation

Sites / Locations

  • Lotus Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Placebo Injections

EB-001 Dose 1

EB-001 Dose 2 (1.6X)

EB-001 Dose 3 (3.3X)

EB-001 Dose 4 (6.7X)

EB-001 Dose 5 (10X)

EB-001 Dose 6 (13.3X)

Arm Description

Intervention: Drug: Placebo Single Saline Injection into the Pectoralis Muscle

Intervention: Drug: EB-001 1st Dose in escalation paradigm. Single Injection of active drug into the pectoralis muscle

Intervention: Drug: EB-001 2nd Dose in escalation paradigm, 1.6X Dose 1. Single Injection of active drug into the pectoralis muscle

Intervention: Drug: EB-001 3rd Dose in escalation paradigm, 3.3X Dose 1. Single Injection of active drug into the pectoralis muscle

Intervention: Drug: EB-001 4th Dose in escalation paradigm, 6.7X Dose 1. Single Injection of active drug into the pectoralis muscle

Intervention: Drug: EB-001 5th Dose in escalation paradigm, 10X Dose 1. Single Injection of active drug into the pectoralis muscle

Intervention: Drug: EB-001 6th Dose in escalation paradigm, 13.3X Dose 1. Single Injection of active drug into the pectoralis muscle

Outcomes

Primary Outcome Measures

Subject's Assessment of Pain Using the Numeric Pain Rating Scale (AUC16h-96h)
Subject's assessment of pain using the Numeric Pain Rating Scale (1= No Pain, 10= Maximum Pain) for the first 96 hours following injection, expressed as AUC over the 16h to 96h period following dosing.

Secondary Outcome Measures

Full Information

First Posted
June 19, 2017
Last Updated
January 23, 2019
Sponsor
Bonti, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03193593
Brief Title
Study to Evaluate EB-001 in Reducing Musculoskeletal Pain
Official Title
Phase 2 Placebo-Controlled, Double Blind, Ascending Dose Cohort Study to Evaluate Safety and Efficacy of EB-001 IM Injections in Reducing Musculoskeletal Pain in Subjects Undergoing Elective Augmentation Mammoplasty (Breast Augmentation)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
August 29, 2017 (Actual)
Primary Completion Date
April 26, 2018 (Actual)
Study Completion Date
August 7, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bonti, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To determine the safety and efficacy of single intra-operative treatment of EB-001 IM injections into the Pectoralis Major (PM) in subjects undergoing breast augmentation with subpectoral implants
Detailed Description
This study will evaluate the safety and efficacy of EB-001 in decreasing post-surgical pain in patients undergoing surgical breast augmentation with subpectoral placement of the implants. Intramuscular (IM) injection of EB-001 into the PM bilaterally during surgery may decrease pain related to stretching of the PM by the implants. The safety objective is to determine the safety and tolerability of single intraoperative treatment of EB-001 IM injections into the PM in subjects undergoing breast augmentation with subpectoral implants. The efficacy objective is to evaluate the efficacy of intraoperative administration of EB-001 IM into the PM in reducing the pain and use of rescue pain medications in subjects undergoing breast augmentation with subpectoral implants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Musculoskeletal Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo Injections
Arm Type
Placebo Comparator
Arm Description
Intervention: Drug: Placebo Single Saline Injection into the Pectoralis Muscle
Arm Title
EB-001 Dose 1
Arm Type
Active Comparator
Arm Description
Intervention: Drug: EB-001 1st Dose in escalation paradigm. Single Injection of active drug into the pectoralis muscle
Arm Title
EB-001 Dose 2 (1.6X)
Arm Type
Active Comparator
Arm Description
Intervention: Drug: EB-001 2nd Dose in escalation paradigm, 1.6X Dose 1. Single Injection of active drug into the pectoralis muscle
Arm Title
EB-001 Dose 3 (3.3X)
Arm Type
Active Comparator
Arm Description
Intervention: Drug: EB-001 3rd Dose in escalation paradigm, 3.3X Dose 1. Single Injection of active drug into the pectoralis muscle
Arm Title
EB-001 Dose 4 (6.7X)
Arm Type
Active Comparator
Arm Description
Intervention: Drug: EB-001 4th Dose in escalation paradigm, 6.7X Dose 1. Single Injection of active drug into the pectoralis muscle
Arm Title
EB-001 Dose 5 (10X)
Arm Type
Active Comparator
Arm Description
Intervention: Drug: EB-001 5th Dose in escalation paradigm, 10X Dose 1. Single Injection of active drug into the pectoralis muscle
Arm Title
EB-001 Dose 6 (13.3X)
Arm Type
Active Comparator
Arm Description
Intervention: Drug: EB-001 6th Dose in escalation paradigm, 13.3X Dose 1. Single Injection of active drug into the pectoralis muscle
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo- Single injection of saline into Pectoralis Muscle
Intervention Type
Drug
Intervention Name(s)
EB-001
Intervention Description
Single injection of EB-001 into Pectoralis Muscle
Primary Outcome Measure Information:
Title
Subject's Assessment of Pain Using the Numeric Pain Rating Scale (AUC16h-96h)
Description
Subject's assessment of pain using the Numeric Pain Rating Scale (1= No Pain, 10= Maximum Pain) for the first 96 hours following injection, expressed as AUC over the 16h to 96h period following dosing.
Time Frame
16 hours to 96 hours following dosing

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women 18 to 55 years of age, inclusive Women who are in good health as determined by medical history, physical examination, clinical laboratory studies, ECGs, vital signs, and Investigator judgment Scheduled to undergo primary breast augmentation under general anesthesia (endotracheal or otherwise) with: Sub-pectoral implants placement, Infra-mammary surgical approach, Implant size between 250 and 400cc and Non-textured saline breast implants American Society of Anesthesiologist (ASA) Physical Class 1-2 Women of non-childbearing potential or postmenopausal (at least 12 consecutive months of amenorrhea) Women of childbearing potential must not be pregnant, lactating, or planning to become pregnant during the study Women of childbearing potential agreeing to use either: a highly effective method of contraception with failures rates less than 1% per year such as implant, intrauterine device (IUD), or confirmed sterilization and sterilization procedure at least 3 months prior to the day of dosing dual methods of contraception with overall failures rate less than 1% per year such as injectable, pill, patch, ring, and diaphragm from the day of dosing for 3 months (subjects using oral contraception must have initiated treatment at least 2 months prior to the day of dosing) Willing and able to complete protocol requirements and instructions, which includes completion of all required visits, procedures and in-clinic stays until the end of the study Willing and able to sign and date IRB-approved informed consent Able to speak, read, and understand the language of the informed consent form (ICF) and study questionnaires Exclusion Criteria: History of surgical procedure involving the breast, including, but not limited to, breast augmentation. History of minor localized breast biopsy is not exclusionary if it occurred at least 1 year prior to the screening visit, and if considered not clinically significant in the opinion of the investigator. Pre-existing lung disease that could impact subject safety in the opinion of the investigator History of smoking within the past two years Slow vital capacity that is below 80% of normal value for respective race, age, height, and gender Pulse oximetry below 95% Body weight less than 50 kg (110 pounds) or a Body Mass Index (BMI) of ≥ 32 Documented diagnosis of chronic pain condition, or other painful pre-operative condition that, in the opinion of the investigator, may require analgesic treatment in the post-operative period (e.g. significant joint pain, neuropathic pain) Known hypersensitivity to any botulinum toxin serotype or to any component of the formulation Reported use of any botulinum toxin within 3 months prior to the date of surgery Anticipated use of any botulinum toxin of any serotype during the study Use of long acting opioids within 3 days or any opioid medication within 24 hours prior to surgery Aminoglycoside intake within 48 hours prior to or during surgery Pre-existing disorders of the neuromuscular junction (myasthenia gravis, Eaton- Lambert syndrome, or amyotrophic lateral Sclerosis) Any past or current medical condition that in opinion of investigator, puts subject at undue safety risk for surgical complications or for use of the investigational product. Any clinically significant psychiatric condition that, in opinion of investigator, may interfere with study assessments or protocol compliance History of alcohol or drug abuse in the last 3 years, based on investigator judgement Current enrollment in an investigational drug or device study or participation in such a study within 30 days or 5 half-lives of the drug, whichever is longer, of entry into this study Subject plans to donate blood or plasma from 30 days prior to screening until last follow-up visit (Day 29) Reported pain score of 2 or more at screening on the 11-point scale NPRS-A following strength testing with PM activation
Facility Information:
Facility Name
Lotus Clinical Research
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Study to Evaluate EB-001 in Reducing Musculoskeletal Pain

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