Suzetrigine-enhanced MultimOdal Opioid-sparing THerapy in Cardiac and Bariatric SURGery
SMOOTH-SURG
1 other identifier
interventional
235
1 country
1
Brief Summary
This is prospective, randomized study. The purpose of this study is to evaluate whether the addition of Suzetrigine to well established multimodal pain regimen for participants undergoing bariatric patients undergoing weight-loss surgery and cardiac patients undergoing sternotomy will reduce post-operative opioid consumption and pain scores.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2026
Shorter than P25 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2026
CompletedFirst Submitted
Initial submission to the registry
April 13, 2026
CompletedFirst Posted
Study publicly available on registry
April 20, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 22, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 22, 2026
April 20, 2026
April 1, 2026
9 months
April 13, 2026
April 13, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Opioid Consumption
Total post-operative opioid consumption measured daily in total morphine milligram equivalents.
5 days
Secondary Outcomes (1)
Pain Visual Analog scores
5 days
Study Arms (4)
Bariatric Suzetrigine
EXPERIMENTALParticipants undergoing bariatric surgery will receive 100 mg loading dose (2 pills) of Suzetrigine pre-operatively and 50 mg dose (1 pill) every 12 hours after for a total of 5 days.
Bariatric Placebo
PLACEBO COMPARATORParticipants undergoing bariatric surgery will receive 2 pills of a placebo pill made to look like Suzetrigine capsule pre-operatively and 1 pill every 12 hours after for a total of 5 days.
Cardiac Suzetrigine
EXPERIMENTALParticipants undergoing cardiac surgery with sternotomy will receive 100 mg loading dose (2 pills) of Suzetrigine pre-operatively and 50 mg dose (1 pill) every 12 hours after for a total of 5 days.
Cardiac Placebo
PLACEBO COMPARATORParticipants undergoing cardiac surgery with sternotomy will receive 2 pills made to look like Suzetrigine capsule pre-operatively and 1 pill every 12 hours after for a total of 5 days.
Interventions
Suzetrigine is a new pain medication that works by blocking a specific sodium channel (NAV 1.8) in the peripheral nerves and preventing pain signals from reaching the spinal cord and brain.
Eligibility Criteria
You may qualify if:
- To be eligible to participate in this study, an individual must meet all of the following criteria:
- Adults 18-85 years old
- Scheduled to undergo cardiac procedures via sternotomy or bariatric surgery (laparoscopic or open)
- All genders
You may not qualify if:
- Any individual who meets any of the following criteria will be excluded from participation in this study:
- ASA Class V
- Urgent or emergent surgery
- Contraindications to administration of Suzetrigine (e.g. concomitant use of strong CYP3A inhibitors)
- History of substance use disorder or chronic opioid use
- Reoperation
- Patient refusal or inability to consent
- Patients who take moderate-to-severe CYP3A inhibitors (such as Ritonavir, Voriconazole, and
- Clarithromycin)
- Patients who take moderate-to-severe CYP3A inducers (such as Phenytoin, Carbamazapine, and Rifabutin)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mount Sinai Morningside
New York, New York, 10025, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Himani Bhatt, DO
Icahn School of Medicine at Mount Sinai
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Pharmacy will randomly assign participants. All pills will be made to look identical prior to supplying to participants, investigators, assessors.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
April 13, 2026
First Posted
April 20, 2026
Study Start
April 1, 2026
Primary Completion (Estimated)
December 22, 2026
Study Completion (Estimated)
December 22, 2026
Last Updated
April 20, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share
Reasons not to share individual participant data focus on protecting participant privacy, maintaining study integrity, and respecting intellectual property.