NCT03974932

Brief Summary

Phase 3b, open-label single-arm study in which all subjects receive HTX-011 as part of a scheduled non-opioid MMA regimen.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
116

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jun 2019

Geographic Reach
1 country

6 active sites

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

June 3, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 5, 2019

Completed
Same day until next milestone

Study Start

First participant enrolled

June 5, 2019

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 7, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 7, 2021

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

August 31, 2023

Completed
Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

1.5 years

First QC Date

June 3, 2019

Results QC Date

December 17, 2021

Last Update Submit

February 10, 2026

Conditions

Keywords

total knee arthroplastypostoperative painmultimodal analgesia

Outcome Measures

Primary Outcomes (1)

  • Mean Area Under the Curve (AUC) of the Visual Analogue Scale (VAS).

    The Visual Analog Scale (VAS) consists of a straight 10-cm line that represents pain ranging from "no pain" to "pain as bad as it could be". Subjects were asked to mark their current pain level on the line.

    12 through 48 hours

Secondary Outcomes (18)

  • Mean AUC of VAS Scores.

    72 hours

  • Mean AUC of the NRS of Pain Intensity at Rest (NRS-R).

    72 hours

  • Percentage of Subjects With Severe Pain.

    24 hours, 48 hours, 72 hours

  • Mean Total Postoperative Opioid Consumption (in IV Morphine Milligram Equivalents [MME]).

    72 hours

  • Percentage of Subjects Who Are Opioid-free

    72 Hours to Day 11

  • +13 more secondary outcomes

Study Arms (4)

Cohort 1

EXPERIMENTAL

HTX-011 + MMA

Drug: HTX-011Drug: IbuprofenDrug: AcetaminophenDrug: CelecoxibDevice: Luer Lock Applicator

Cohort 2

EXPERIMENTAL

HTX-011 + MMA

Drug: HTX-011Drug: IbuprofenDrug: AcetaminophenDrug: CelecoxibDevice: Luer Lock Applicator

Cohort 3

EXPERIMENTAL

HTX-011 + MMA

Drug: IbuprofenDrug: AcetaminophenDrug: CelecoxibDrug: +/- Bupivacaine HClDevice: Luer Lock ApplicatorDrug: HTX-011

Cohort 4

EXPERIMENTAL

HTX-011 + MMA

Drug: HTX-011Drug: IbuprofenDrug: AcetaminophenDevice: Luer Lock Applicator

Interventions

Analgesic.

Cohort 1Cohort 2Cohort 3Cohort 4

NSAID.

Cohort 1Cohort 2Cohort 3

Local anesthetic.

Cohort 3

Applicator for instillation.

Cohort 1Cohort 2Cohort 3Cohort 4

Dual-acting local anesthetic. Dose 1.

Cohort 1Cohort 2Cohort 4

NSAID.

Cohort 1Cohort 2Cohort 3Cohort 4

Eligibility Criteria

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

You may qualify if:

  • Is scheduled to undergo primary unilateral TKA under spinal anesthesia.
  • Has not previously undergone TKA in either knee.
  • Has an American Society of Anesthesiologists (ASA) Physical Status of I, II, or III.
  • Is able to walk at least 20 feet with 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 is at least 2 years post-menopausal; or is in a monogamous relationship with a partner who is surgically sterile; or using acceptable contraceptives.

You may not qualify if:

  • Has a planned concurrent surgical procedure.
  • Has other pre-existing concurrent acute or chronic painful physical/restrictive condition expected to require analgesic treatment in the postoperative period for pain.
  • Has a contraindication or a known or suspected history of hypersensitivity or clinically significant idiosyncratic reaction to required study medications.
  • Using or expected to use Factor IX Complex or anti-inhibitor coagulant concentrates during the study.
  • 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 with the exception of subjects on low-dose (≤100 mg) daily acetylsalicylic acid for cardioprotection.
  • 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 been administered any local anesthetic within 72 hours 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.
  • Received an investigational product or device in a clinical trial within 30 days or within 5 elimination half lives.
  • 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.
  • 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.
  • Is currently undergoing treatment for hepatitis B, hepatitis C, or HIV.
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Helen Keller Hospital

Sheffield, Alabama, 35660, United States

Location

Phoenix Clinical Research, LLC

Tamarac, Florida, 33321, United States

Location

Midwest Clinical Research Center, LLC

Dayton, Ohio, 45417, United States

Location

First Surgical Hospital

Bellaire, Texas, 77401, United States

Location

Plano Surgical Hospital

Plano, Texas, 75093, United States

Location

Endeavor Clinical Trials, LLC.

San Antonio, Texas, 78229, United States

Location

MeSH Terms

Conditions

AgnosiaPain, Postoperative

Interventions

IbuprofenAcetaminophenCelecoxibBupivacaine

Condition Hierarchy (Ancestors)

Perceptual DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsPostoperative ComplicationsPathologic ProcessesPain

Intervention Hierarchy (Ancestors)

PhenylpropionatesAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsAcetanilidesAnilidesAmidesAniline CompoundsAminesBenzenesulfonamidesSulfonamidesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsSulfonesSulfur CompoundsPyrazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Tricia Mulford
Organization
Heron Therapeutics, Inc.

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 3, 2019

First Posted

June 5, 2019

Study Start

June 5, 2019

Primary Completion

December 7, 2020

Study Completion

January 7, 2021

Last Updated

March 2, 2026

Results First Posted

August 31, 2023

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations