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Evaluation of N1539 Following Major Surgery

Primary Purpose

Pain, Post-operative

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

About this trial

This is an interventional treatment trial for Pain, Post-operative focused on measuring Pain, Analgesia, N1539, Phase 3

Eligibility Criteria

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

Inclusion Criteria:

  • Voluntarily provide written informed consent.
  • Male or female between 18 and 80 years of age, inclusive.
  • Be planning to undergo major elective surgery, and be expected to require intravenous analgesia and remain in an inpatient setting for at least 24-48 hours and are expected to receive at least two study doses.
  • Female subjects are eligible only if all the following apply:

    • Not pregnant;
    • Not breastfeeding;
    • Not able to become pregnant;
    • Not planning to become pregnant during the study or 28 day follow up;
    • Commit to the use of an acceptable form of birth control for the duration of the study.
  • Have a body mass index ≤40 kg/m2
  • Be able to understand the study procedures, comply with all study procedures, and agree to participate in the study program.
  • For oncology cases, have a histologically confirmed diagnosis of a primary solid tumor, affecting any one of the following organs: breast, skin, colon, prostate, uterus, ovaries, urethra, penis, or vulva; AND based on clinical, laboratory, radiologic, pathologic, and surgical findings, the tumor is confined to the primary organ, without evidence of local, regional or distal spread; AND have a performance status such that they are able to carry on normal activities of daily life without limitations.

Exclusion Criteria:

  • Have a known allergy to meloxicam or any excipient of N1539, aspirin, other non-steroidal anti-inflammatory drugs (NSAIDs).
  • Be scheduled to undergo cranial surgery, open heart procedure, any type of coronary artery bypass graft, organ transplant, or any other surgical procedure in which NSAIDs are contraindicated.
  • Planned or actual admission to the intensive care unit at any time during study participation.
  • Have clinically significant laboratory abnormalities.
  • Have a history of myocardial infarction within the preceding 12 months.
  • Have history of HIV, or hepatitis B or C.
  • Have a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, respiratory, or other condition that would preclude participation in the study.
  • Have active or recent (within 6 months) gastrointestinal ulceration or bleeding
  • Have a known bleeding disorder which may be worsened with the administration of a NSAID.
  • Have evidence of a clinically significant 12 lead ECG abnormality.
  • Have a history of alcohol abuse (regularly drinks > 4 units of alcohol per day; 8 oz. beer, 3 oz. wine, 1 oz. spirits) or a history of prescription/illicit drug abuse within the past 5 years.
  • Have positive results on the urine drug screen for cocaine or PCP or alcohol breath test indicative of illicit drug or alcohol abuse.
  • Unable to discontinue medications, that have not been at a stable dose for at least 14 days prior to the scheduled surgical procedure, within 5 half-lives of the specific prior medication (or, if half-life is not known, within 48 hours) before dosing with study medication.
  • Be unable to discontinue herbal medications at least 7 days prior to surgery through last dose of study medication.
  • Be receiving lithium, or a combination of furosemide with either an angiotensin converting enzyme inhibitor or an angiotensin receptor blocker
  • Be currently receiving treatment with oral meloxicam (Mobic®) or other NSAID within 7 days prior to surgery.
  • Have received any investigational product within 30 days before dosing with study medication.
  • Have previously received N1539 in clinical trials, or had major surgery in the last 3 months that would interfere with study assessments.
  • Have undergone or be expected to undergo radiation therapy, chemotherapy, or other biological therapy for cancer treatment, within 60 days prior to screening, through the last study visit, approximately 30 days after dosing.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

N1539 30mg

IV Placebo

Arm Description

N1539 (Intravenous meloxicam) 30mg every 24 hours for up to 7 doses.

IV Placebo every 24 hours for up to 7 doses.

Outcomes

Primary Outcome Measures

Number of Subjects With Adverse Events
Number of subjects reporting 1 or more treatment-emergent adverse events

Secondary Outcome Measures

Investigator Satisfaction With Surgical Wound Healing
Investigators assessed their satisfaction with the healing of the surgical wound according to an 11-point numeric rating scale (0-10) where a score of 0 was completely unsatisfied (worse outcome), and a score of 10 was completely satisfied (better outcome).
Postoperative Opioid Use
Postoperative opioid use was measured throughout the inpatient phase and converted to the total IV morphine equivalent dose

Full Information

First Posted
March 22, 2016
Last Updated
May 25, 2023
Sponsor
Baudax Bio
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1. Study Identification

Unique Protocol Identification Number
NCT02720692
Brief Title
Evaluation of N1539 Following Major Surgery
Official Title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Evaluation of the Safety of N1539 Following Major Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
March 2016 (Actual)
Primary Completion Date
March 2017 (Actual)
Study Completion Date
May 2017 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the safety and tolerability of N1539 in a variety of post-surgical conditions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Post-operative
Keywords
Pain, Analgesia, N1539, Phase 3

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
N1539 30mg
Arm Type
Experimental
Arm Description
N1539 (Intravenous meloxicam) 30mg every 24 hours for up to 7 doses.
Arm Title
IV Placebo
Arm Type
Placebo Comparator
Arm Description
IV Placebo every 24 hours for up to 7 doses.
Intervention Type
Drug
Intervention Name(s)
N1539
Other Intervention Name(s)
Intravenous meloxicam
Intervention Type
Drug
Intervention Name(s)
Intravenous Placebo
Primary Outcome Measure Information:
Title
Number of Subjects With Adverse Events
Description
Number of subjects reporting 1 or more treatment-emergent adverse events
Time Frame
28 Days
Secondary Outcome Measure Information:
Title
Investigator Satisfaction With Surgical Wound Healing
Description
Investigators assessed their satisfaction with the healing of the surgical wound according to an 11-point numeric rating scale (0-10) where a score of 0 was completely unsatisfied (worse outcome), and a score of 10 was completely satisfied (better outcome).
Time Frame
Up to 7 days after last study dose
Title
Postoperative Opioid Use
Description
Postoperative opioid use was measured throughout the inpatient phase and converted to the total IV morphine equivalent dose
Time Frame
Up to 7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntarily provide written informed consent. Male or female between 18 and 80 years of age, inclusive. Be planning to undergo major elective surgery, and be expected to require intravenous analgesia and remain in an inpatient setting for at least 24-48 hours and are expected to receive at least two study doses. Female subjects are eligible only if all the following apply: Not pregnant; Not breastfeeding; Not able to become pregnant; Not planning to become pregnant during the study or 28 day follow up; Commit to the use of an acceptable form of birth control for the duration of the study. Have a body mass index ≤40 kg/m2 Be able to understand the study procedures, comply with all study procedures, and agree to participate in the study program. For oncology cases, have a histologically confirmed diagnosis of a primary solid tumor, affecting any one of the following organs: breast, skin, colon, prostate, uterus, ovaries, urethra, penis, or vulva; AND based on clinical, laboratory, radiologic, pathologic, and surgical findings, the tumor is confined to the primary organ, without evidence of local, regional or distal spread; AND have a performance status such that they are able to carry on normal activities of daily life without limitations. Exclusion Criteria: Have a known allergy to meloxicam or any excipient of N1539, aspirin, other non-steroidal anti-inflammatory drugs (NSAIDs). Be scheduled to undergo cranial surgery, open heart procedure, any type of coronary artery bypass graft, organ transplant, or any other surgical procedure in which NSAIDs are contraindicated. Planned or actual admission to the intensive care unit at any time during study participation. Have clinically significant laboratory abnormalities. Have a history of myocardial infarction within the preceding 12 months. Have history of HIV, or hepatitis B or C. Have a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, respiratory, or other condition that would preclude participation in the study. Have active or recent (within 6 months) gastrointestinal ulceration or bleeding Have a known bleeding disorder which may be worsened with the administration of a NSAID. Have evidence of a clinically significant 12 lead ECG abnormality. Have a history of alcohol abuse (regularly drinks > 4 units of alcohol per day; 8 oz. beer, 3 oz. wine, 1 oz. spirits) or a history of prescription/illicit drug abuse within the past 5 years. Have positive results on the urine drug screen for cocaine or PCP or alcohol breath test indicative of illicit drug or alcohol abuse. Unable to discontinue medications, that have not been at a stable dose for at least 14 days prior to the scheduled surgical procedure, within 5 half-lives of the specific prior medication (or, if half-life is not known, within 48 hours) before dosing with study medication. Be unable to discontinue herbal medications at least 7 days prior to surgery through last dose of study medication. Be receiving lithium, or a combination of furosemide with either an angiotensin converting enzyme inhibitor or an angiotensin receptor blocker Be currently receiving treatment with oral meloxicam (Mobic®) or other NSAID within 7 days prior to surgery. Have received any investigational product within 30 days before dosing with study medication. Have previously received N1539 in clinical trials, or had major surgery in the last 3 months that would interfere with study assessments. Have undergone or be expected to undergo radiation therapy, chemotherapy, or other biological therapy for cancer treatment, within 60 days prior to screening, through the last study visit, approximately 30 days after dosing.
Facility Information:
City
Florence
State/Province
Alabama
ZIP/Postal Code
35630
Country
United States
City
Montgomery
State/Province
Alabama
ZIP/Postal Code
36116
Country
United States
City
Sheffield
State/Province
Alabama
ZIP/Postal Code
35660
Country
United States
City
Gilbert
State/Province
Arizona
ZIP/Postal Code
85295
Country
United States
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85023
Country
United States
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
City
Bakersfield
State/Province
California
ZIP/Postal Code
93301
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
City
Tamarac
State/Province
Florida
ZIP/Postal Code
33321
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33605
Country
United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
City
Great Falls
State/Province
Montana
ZIP/Postal Code
59405
Country
United States
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44111
Country
United States
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
City
Tyrone
State/Province
Pennsylvania
ZIP/Postal Code
16686
Country
United States
City
Hendersonville
State/Province
Tennessee
ZIP/Postal Code
37075
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84124
Country
United States
City
Chermside
State/Province
Queensland
ZIP/Postal Code
4032
Country
Australia
City
Kippa-Ring
State/Province
Queensland
ZIP/Postal Code
4021
Country
Australia
City
Southport
State/Province
Queensland
ZIP/Postal Code
4215
Country
Australia
City
Richmond
State/Province
Victoria
ZIP/Postal Code
3121
Country
Australia
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B#H2Y
Country
Canada
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7L2V7
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5T2S8
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T2M4
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4A3J1
Country
Canada
City
Auckland
Country
New Zealand
City
Christchurch
ZIP/Postal Code
8024
Country
New Zealand
City
Hamilton
ZIP/Postal Code
3206
Country
New Zealand

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
32021411
Citation
Sharpe KP, Berkowitz R, Tyndall WA, Boyer D, McCallum SW, Mack RJ, Du W. Safety, Tolerability, and Effect on Opioid Use of Meloxicam IV Following Orthopedic Surgery. J Pain Res. 2020 Jan 21;13:221-229. doi: 10.2147/JPR.S216219. eCollection 2020.
Results Reference
derived
PubMed Identifier
30786162
Citation
Bergese SD, Melson TI, Candiotti KA, Ayad SS, Mack RJ, McCallum SW, Du W, Gomez A, Marcet JE. A Phase 3, Randomized, Placebo-Controlled Evaluation of the Safety of Intravenous Meloxicam Following Major Surgery. Clin Pharmacol Drug Dev. 2019 Nov;8(8):1062-1072. doi: 10.1002/cpdd.666. Epub 2019 Feb 20. Erratum In: Clin Pharmacol Drug Dev. 2020 Aug;9(6):774.
Results Reference
derived
PubMed Identifier
30737315
Citation
Viscusi ER, Gan TJ, Bergese S, Singla N, Mack RJ, McCallum SW, Du W, Hobson S. Intravenous meloxicam for the treatment of moderate to severe acute pain: a pooled analysis of safety and opioid-reducing effects. Reg Anesth Pain Med. 2019 Mar;44(3):360-368. doi: 10.1136/rapm-2018-100184. Epub 2019 Feb 7.
Results Reference
derived

Learn more about this trial

Evaluation of N1539 Following Major Surgery

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