Total Knee Arthroplasty Infiltration Study for Postoperative Analgesia
Postoperative Pain
About this trial
This is an interventional treatment trial for Postoperative Pain focused on measuring knee, knee replacement, arthroplasty, joint replacement, knee pain
Eligibility Criteria
Inclusion Criteria:
- Is scheduled to undergo primary unilateral TKA under general anesthesia.
- Has not previously undergone TKA in either knee.
- Has an American Society of Anesthesiologists Physical Status of I, II, or III.
- Is able to demonstrate motor function by performing a timed 20-meter walk unassisted, but with the optional use of a 4-legged walker for balance.
- Female subjects are eligible only if not pregnant, not lactating, not planning to become pregnant during the study, sterile; or using acceptable contraceptives.
Exclusion Criteria:
- Has a planned concurrent surgical procedure (eg, bilateral TKA).
- Has a pre-existing concurrent acute or chronic painful/restrictive physical condition that may require analgesic treatment in the postoperative period for pain.
- Has a contraindication or a known or suspected history of hypersensitivity or idiosyncratic reaction to required study medications.
- Has known or suspected daily use of opioids for 7 or more consecutive days within the previous 6 months.
- Has taken NSAIDs within 10 days prior to the scheduled surgery.
- Has taken opioids within 24 hours prior to the scheduled surgery (3 days for long-acting).
- Has been administered bupivacaine within 5 days prior to the scheduled surgery.
- Has initiated treatment with medications within 1 month prior to study drug administration that can impact pain control.
- Has been administered systemic steroids within 5 half-lives or 10 days prior to administration of study drug.
- Has a medical condition such that, in the opinion of the Investigator, participating in the study would pose a health risk to the subject or confound the postoperative assessments.
- Has a known history of Hepatitis B, human immunodeficiency virus (HIV), or active Hepatitis C.
- Has uncontrolled anxiety, psychiatric, or neurological disorder that might interfere with study assessments.
- Has any chronic neuromuscular deficit of either femoral nerve function or thigh musculature. Has any chronic condition or disease that would compromise neurological or vascular assessments.
- Had a malignancy in the last year, with the exception of non-metastatic basal cell or squamous cell carcinoma of the skin or localized carcinoma in situ of the cervix.
- Has a known or suspected history of drug abuse, a positive drug screen on the day of surgery, or a recent history of alcohol abuse.
- Received an investigational product or device in a clinical trial within 30 days or within 5 elimination half lives.
- Has undergone 3 or more surgeries within 12 months.
- Has a body mass index (BMI) >38 kg/m2.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Experimental
Experimental
Placebo Comparator
Active Comparator
Experimental
Experimental
Placebo Comparator
Active Comparator
Cohort 1, Group 1: HTX-011
Cohort 1, Group 2: HTX-011
Cohort 1, Group 3: Saline Placebo
Cohort 1, Group 4: Bupivacaine HCI
Cohort 2, Group 1: HTX-011
Cohort 2, Group 2: HTX-011 + Ropivacaine
Cohort 2, Group 3: Saline Placebo
Cohort 2, Group 4: Bupivacaine HCI
HTX-011 (bupivacaine/meloxicam), 200 mg/6 mg via instillation
HTX-011 (bupivacaine/meloxicam), 200 mg/6 mg via injection and instillation (combination)
Saline placebo via injection
Bupivacaine HCl without epinephrine, 125 mg via injection
HTX-011 (bupivacaine/meloxicam), 400 mg/12 mg via instillation
HTX-011 (bupivacaine/meloxicam), 400 mg/12 mg via instillation; Ropivacaine, 50 mg via injection
Saline placebo via injection
Bupivacaine HCl without epinephrine, 125 mg via injection