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Evaluation of Preoperative N1539 in Total Knee Arthroplasty

Primary Purpose

Pain, Postoperative

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
N1539
Placebo
Sponsored by
Baudax Bio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pain, Postoperative focused on measuring Total Knee Arthroplasty, Pain, Analgesia, N1539, Phase 3b, Knee Replacement

Eligibility Criteria

35 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Voluntarily provide written informed consent.
  • Be planned to undergo an elective, primary (no repeat arthroplasties) open unilateral total knee arthroplasty (TKA), and be expected to require IV analgesia, remain in an inpatient setting for ≥24 hours, and receive at least two doses of study drug.
  • ASA physical status category 1, 2, or 3.
  • Female subjects not pregnant or planning/attempting to become pregnant, not lactating; or commits to the use of an acceptable form of birth control for the duration of the study.
  • Have a body mass index <40 kg/m^2

Exclusion Criteria:

  • Have a known allergy or hypersensitivity to any study treatment.
  • Have a history of previous TKA.
  • Has plans for a concurrent surgical procedure (eg, bilateral TKA).
  • Has TKA planned to be performed under general anesthesia.
  • Have a history of myocardial infarction within the preceding 12 months.
  • Have, as determined by the investigator or the sponsor's medical monitor, a history or clinical manifestations of significant condition that would preclude participation.
  • Have active or recent (within 6 months) gastrointestinal ulceration or bleeding.
  • Have a known bleeding disorder which may be worsened with the administration of an NSAID.
  • Be currently receiving treatment with oral meloxicam (Mobic®) or another NSAID within 48 hours prior to surgery.
  • Have previously received N1539/IV meloxicam or received any investigational product within 30 days before dosing with study medication.
  • Have undergone or be expected to undergo radiation therapy, chemotherapy, or other biological therapy for cancer treatment, within 60 days prior to screening through last follow-up.

Sites / Locations

  • Research Center
  • Research Center
  • Research Center
  • Research Center
  • Research Center
  • Research Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

N1539 30 mg

IV Placebo

Arm Description

N1539 (meloxicam injection for IV use) 30 mg every 24 hours

IV Placebo every 24 hours

Outcomes

Primary Outcome Measures

Opioid Use Hour 0-24
Total use of opioid analgesia, in IV morphine equivalent dose, from Hour 0 through 24.

Secondary Outcome Measures

Full Information

First Posted
February 9, 2018
Last Updated
April 28, 2023
Sponsor
Baudax Bio
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1. Study Identification

Unique Protocol Identification Number
NCT03434275
Brief Title
Evaluation of Preoperative N1539 in Total Knee Arthroplasty
Official Title
A Phase 3b, Randomized, Double-Blind, Placebo-Control, Multicenter, Evaluation of the Safety and Efficacy of N1539 Administered Preoperatively in Open Unilateral Total Knee Arthroplasty
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
February 19, 2018 (Actual)
Primary Completion Date
May 21, 2019 (Actual)
Study Completion Date
May 21, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baudax Bio

4. Oversight

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

5. Study Description

Brief Summary
The primary objective of this study is to assess the effect of preoperative administration of N1539 on opioid consumption in subjects undergoing open unilateral total knee arthroplasty compared to placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Postoperative
Keywords
Total Knee Arthroplasty, Pain, Analgesia, N1539, Phase 3b, Knee Replacement

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
194 (Actual)

8. Arms, Groups, and Interventions

Arm Title
N1539 30 mg
Arm Type
Experimental
Arm Description
N1539 (meloxicam injection for IV use) 30 mg every 24 hours
Arm Title
IV Placebo
Arm Type
Placebo Comparator
Arm Description
IV Placebo every 24 hours
Intervention Type
Drug
Intervention Name(s)
N1539
Other Intervention Name(s)
Intravenous meloxicam
Intervention Description
Once Daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Intravenous placebo
Intervention Description
Once Daily
Primary Outcome Measure Information:
Title
Opioid Use Hour 0-24
Description
Total use of opioid analgesia, in IV morphine equivalent dose, from Hour 0 through 24.
Time Frame
Up to 24 Hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntarily provide written informed consent. Be planned to undergo an elective, primary (no repeat arthroplasties) open unilateral total knee arthroplasty (TKA), and be expected to require IV analgesia, remain in an inpatient setting for ≥24 hours, and receive at least two doses of study drug. ASA physical status category 1, 2, or 3. Female subjects not pregnant or planning/attempting to become pregnant, not lactating; or commits to the use of an acceptable form of birth control for the duration of the study. Have a body mass index <40 kg/m^2 Exclusion Criteria: Have a known allergy or hypersensitivity to any study treatment. Have a history of previous TKA. Has plans for a concurrent surgical procedure (eg, bilateral TKA). Has TKA planned to be performed under general anesthesia. Have a history of myocardial infarction within the preceding 12 months. Have, as determined by the investigator or the sponsor's medical monitor, a history or clinical manifestations of significant condition that would preclude participation. Have active or recent (within 6 months) gastrointestinal ulceration or bleeding. Have a known bleeding disorder which may be worsened with the administration of an NSAID. Be currently receiving treatment with oral meloxicam (Mobic®) or another NSAID within 48 hours prior to surgery. Have previously received N1539/IV meloxicam or received any investigational product within 30 days before dosing with study medication. Have undergone or be expected to undergo radiation therapy, chemotherapy, or other biological therapy for cancer treatment, within 60 days prior to screening through last follow-up.
Facility Information:
Facility Name
Research Center
City
Florence
State/Province
Alabama
ZIP/Postal Code
35630
Country
United States
Facility Name
Research Center
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Research Center
City
Sheffield
State/Province
Alabama
ZIP/Postal Code
35660
Country
United States
Facility Name
Research Center
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85284
Country
United States
Facility Name
Research Center
City
Tamarac
State/Province
Florida
ZIP/Postal Code
33321
Country
United States
Facility Name
Research Center
City
Vero Beach
State/Province
Florida
ZIP/Postal Code
32960
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
33502533
Citation
Berkowitz RD, Steinfeld R, Sah AP, Mack RJ, McCallum SW, Du W, Black LK, Freyer A, Coyle E. Safety and Efficacy of Perioperative Intravenous Meloxicam for Moderate-to-Severe Pain Management in Total Knee Arthroplasty: A Randomized Clinical Trial. Pain Med. 2021 Jun 4;22(6):1261-1271. doi: 10.1093/pm/pnab016.
Results Reference
derived

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Evaluation of Preoperative N1539 in Total Knee Arthroplasty

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