NCT03885596

Brief Summary

A Phase 2, open-label study of CA-008 to evaluate post-surgical pain control with CA-008.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
36

participants targeted

Target at below P25 for phase_2 pain

Timeline
Completed

Started Mar 2019

Shorter than P25 for phase_2 pain

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 20, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 21, 2019

Completed
4 days until next milestone

Study Start

First participant enrolled

March 25, 2019

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 2, 2019

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 22, 2019

Completed
2 years until next milestone

Results Posted

Study results publicly available

October 27, 2021

Completed
Last Updated

October 27, 2021

Status Verified

September 1, 2021

Enrollment Period

3 months

First QC Date

March 20, 2019

Results QC Date

August 12, 2021

Last Update Submit

September 29, 2021

Conditions

Outcome Measures

Primary Outcomes (4)

  • Area Under the Curve (AUC) of Numerical Rating Scale (NRS) Scores (at Rest) Over 72h

    Area Under the Curve of pain intensity scores (using a Numeric Rating Scale of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable) over 72 hours

    0-72 hours

  • Pain Intensity Scores at 24 Hours at Rest Using Numerical Rating Scale (NRS)

    Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 24 hours

    24 hours

  • Pain Intensity Scores at 48 Hours at Rest Using Numerical Rating Scale (NRS)

    Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 48 hours

    48 hours

  • Pain Intensity Scores at 72 Hours at Rest Using Numerical Rating Scale (NRS)

    Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 72 hours

    72 hours

Secondary Outcomes (1)

  • Opioid Consumption

    0-72 hours

Study Arms (4)

CA-008 Cohort 1

EXPERIMENTAL

CA-008 4.2 mg reconstituted in saline All subjects received monitored anesthesia care (MAC) and a Mayo block followed by a sciatic (popliteal) nerve block.

Drug: CA-008Drug: KetorolacDrug: Acetaminophen IVDrug: FentanylDrug: Bupivacaine HydrochlorideDrug: Lidocaine HClDrug: CelecoxibDrug: Acetaminophen Oral

CA-008 Cohort 2

EXPERIMENTAL

CA-008 4.2 mg reconstituted in saline All subjects received monitored anesthesia care (MAC) and a Mayo block.

Drug: CA-008Drug: KetorolacDrug: Acetaminophen IVDrug: FentanylDrug: Bupivacaine HydrochlorideDrug: CelecoxibDrug: Acetaminophen OralDrug: Lidocaine Hydrochloride

CA-008 Cohort 3

EXPERIMENTAL

CA-008 4.2 mg reconstituted in saline All subjects received monitored anesthesia care (MAC) and a Mayo block.

Drug: CA-008Drug: KetorolacDrug: Acetaminophen IVDrug: FentanylDrug: Bupivacaine HydrochlorideDrug: Lidocaine Hydrochloride

Exparel

ACTIVE COMPARATOR

106 mg \[8 mL of the 133 mg/10 mL suspension\] only All subjects received monitored anesthesia care (MAC) and a Mayo block.

Drug: KetorolacDrug: Acetaminophen IVDrug: FentanylDrug: Bupivacaine HydrochlorideDrug: Lidocaine HydrochlorideDrug: Exparel

Interventions

CA-008DRUG

Drug: CA-008 4.2 mg reconstituted in saline

Also known as: Vocacapsaicin
CA-008 Cohort 1CA-008 Cohort 2CA-008 Cohort 3

30 mg IV at the onset of anesthesia

CA-008 Cohort 1CA-008 Cohort 2CA-008 Cohort 3Exparel

1 g at the onset of anesthesia

CA-008 Cohort 1CA-008 Cohort 2CA-008 Cohort 3Exparel

100 mcg IV fentanyl administered at the onset of anesthesia and additional 50 mcg near the end of surgery

CA-008 Cohort 1CA-008 Cohort 2CA-008 Cohort 3Exparel

0.25% 30 mL (75 mg) prior to surgery

CA-008 Cohort 1CA-008 Cohort 2CA-008 Cohort 3Exparel

1.5% 12 mL at the end of surgery

CA-008 Cohort 1

200 mg PO bid each day postoperative

CA-008 Cohort 1CA-008 Cohort 2

1 g postoperative

CA-008 Cohort 1CA-008 Cohort 2

2% 15 mL at the end of surgery

CA-008 Cohort 2CA-008 Cohort 3Exparel

Bupivacaine liposome injection suspension

Exparel

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthy adult aged 18 - 65 years old
  • American Society of Anesthesiology (ASA) physical Class 1, 2 or 3
  • Planning elective Bunionectomy repair
  • For both males and females: using an acceptable method of birth control
  • If a female: not pregnant or breastfeeding
  • Have a body mass index ≤ 36 kg/m2

You may not qualify if:

  • Have another painful condition, other than bunion-related pain, that may require pain treatment during the study period
  • Have active skin disease or another abnormality at the anticipated site of surgery that could interfere with the planned surgery.
  • Have a known allergy to study medications.
  • Have a history of significant medical, neuropsychiatric or other condition, including a clinically significant abnormal clinical laboratory test values
  • Have positive results on the alcohol test (breath or saliva) or urine drug screen.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Lotus Clinical Research, LLC

Pasadena, California, 91105, United States

Location

MeSH Terms

Conditions

Pain

Interventions

KetorolacFentanylBupivacaineLidocaineCelecoxibAcetaminophen

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

IndomethacinIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsPiperidinesHeterocyclic Compounds, 1-RingAnilidesAmidesOrganic ChemicalsAniline CompoundsAminesAcetanilidesBenzenesulfonamidesSulfonamidesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsSulfonesSulfur CompoundsPyrazolesAzoles

Results Point of Contact

Title
Head of Clinical Operations
Organization
Concentric Analgesics

Study Officials

  • Nancy Wu

    Concentric Analgesics

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 20, 2019

First Posted

March 21, 2019

Study Start

March 25, 2019

Primary Completion

July 2, 2019

Study Completion

October 22, 2019

Last Updated

October 27, 2021

Results First Posted

October 27, 2021

Record last verified: 2021-09

Locations