Study to Evaluate the Efficacy, Safety and Tolerability of N1539
A Randomized Double-Blind, Placebo- and Active-Controlled, Dose-Ranging Study to Evaluate the Analgesic, Efficacy, Safety and Tolerability of Intravenous N1539 in Subjects After Open Abdominal Hysterectomy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Tbilisi, Georgia, 0159
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Tbilisi, Georgia, 0186
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Tblisi, Georgia, 0186
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-
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Bialystok, Poland, 15-276
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Gdansk, Poland, 80-402
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Lodz, Poland, 94-029
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Lublin, Poland, 20-081
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Poznan, Poland, 60-535
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Ruda Slaska, Poland, 41-703
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Szczecin, Poland, 70-111
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Belgrade, Serbia, 11000
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Kragujevac, Serbia, 34000
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Novi Sad, Serbia, 21000
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- moderate to severe pain with VAS of >/= 45 mm
- undergo open abdominal hysterectomy
- ASA I or II
- signed ICF
- BMI >18.5 and < 31.5 kg/m^2
Exclusion Criteria:
- suspected metastatic cervical or endometrial cancer
- prior abdominal surgery with postoperative complications
- active pancreatitis, obstruction of biliary tree or total bilirubin> 2.5 mg/dL
- active GI bleeding, or peptic ulcer disease
- unstable medical condition
- HbA1c >9.5 or uncontrolled diabetes
- SBP >150 mmHg or DBP > 95 mmHg
- personal or familial contraindication to undergoing general anesthesia
- Antihypertensive agents or diabetic regimen that is not stable (4 weeks prior to surgery)
- taking CNS agents for pain
- acetaminophen or NSAIDs not discontinued for at least 5 half-lives prior to planned surgery
- currently taking an opioid or has taken an opioid chronically for pain in past 2 years
- corticosteroid or systemic corticosteroids within 6 weeks of planned surgery
- has a known bleeding disorder or taking agents affecting coagulation
- history of intolerance or allergic reactions to NSAIDs, COX-2 inhibitors, aspirin and other salicylates
- receiving lithium or a combination of furosemide with an ACE inhibitor or angiotensin receptor blocker
- Known to have sleep apnea
- History of hepatitis B or C
- AST or ALT > 2 times the upper limit of normal
- Known or suspected COPD with retention of carbon dioxide
- psychiatric condition that impairs the capability of the subject to report pain
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
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IV placebo once per day
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Active Comparator: morphine
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morphine 10-15 mg IV once per day
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Experimental: N1539 15 mg
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5 mg IV once per day
7.5 mg IV once per day
15 mg IV once per day
30 mg IV once per day
60 mg IV once per day
|
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Experimental: N1539 30 mg
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5 mg IV once per day
7.5 mg IV once per day
15 mg IV once per day
30 mg IV once per day
60 mg IV once per day
|
|
Experimental: N1539 60 mg
|
5 mg IV once per day
7.5 mg IV once per day
15 mg IV once per day
30 mg IV once per day
60 mg IV once per day
|
|
Experimental: N1539 5 mg
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5 mg IV once per day
7.5 mg IV once per day
15 mg IV once per day
30 mg IV once per day
60 mg IV once per day
|
|
Experimental: N1539 7.5 mg
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5 mg IV once per day
7.5 mg IV once per day
15 mg IV once per day
30 mg IV once per day
60 mg IV once per day
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To determine the analgesic efficacy, duration of effect and safety of single doses of IV N1539 as measured by the SPID (summary of pain intensity) and TOPAR (summary of the time-weighted pain relief scores) from 0-24 hours.
Time Frame: at 60 minutes post dose and at 24 hours
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Additionally, to determine the efficacy seen within the first hour after study drug administration, as measured by the SPID 0-60 minutes post-dose.
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at 60 minutes post dose and at 24 hours
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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To assess the safety and tolerability of IV N1539 by laboratory data, vital signs, wound site evaluation and Adverse Events
Time Frame: 5-7 days post initial dosing
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5-7 days post initial dosing
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- 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.
- Rechberger T, Mack RJ, McCallum SW, Du W, Freyer A. Analgesic Efficacy and Safety of Intravenous Meloxicam in Subjects With Moderate-to-Severe Pain After Open Abdominal Hysterectomy: A Phase 2 Randomized Clinical Trial. Anesth Analg. 2019 Jun;128(6):1309-1318. doi: 10.1213/ANE.0000000000003920.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- N1539-04
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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