Efficacy and Safety of TRD205 Tablets for Postoperative Analgesia in Unilateral Total Hip Arthroplasty (Phase IIb) (TRD205)
A Multicenter, Randomized, Double-Blind, Double-Dummy, Active- and Placebo-Controlled Phase IIb Study to Evaluate the Efficacy and Safety of TRD205 Tablets for Postoperative Analgesia in Unilateral Total Hip Arthroplasty
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
- Drug: TRD205 Tablets, oral; 400 mg initial dose, then 200 mg q12h for 3 doses; total 4 doses
- Drug: TRD205 Tablets, oral; 800 mg initial dose, then 400 mg q12h; total 4 doses
- Drug: TRD205 Tablets, oral; 1200 mg initial dose, then 600 mg q12h; total 4 doses
- Drug: Celecoxib, oral; 400 mg initial dose, then 200 mg q12h; total 4 doses
- Drug: Matching placebo tablets and capsules, same dosing schedule
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: xiaohong zhang Beijing Tide Pharmaceutical Co., Ltd
- Phone Number: 86-10-6788-0648-5064
- Email: zhangxh3@tidepharm.com
Study Locations
-
-
Guangdong
-
Guangzhou, Guangdong, China, 130021
- Recruiting
- The Third Affiliated Hospital of Southern Medical University
-
Contact:
- xiaohong zhang Beijing Tide Pharmaceutical Co., Ltd
- Phone Number: 86-10-6788-0648-5064
- Email: zhangxh3@tidepharm.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Able to provide written informed consent
- Age 18 to 80 years, inclusive
- BMI 18-32 kg/m²
- ASA physical status I-II
- Scheduled for elective unilateral total hip arthroplasty under general anesthesia
- Able to understand study procedures and pain rating scales
Exclusion Criteria:
- Hypersensitivity to TRD205, celecoxib, or study-related medications
- Use of prohibited analgesics, sedatives, CYP3A4 inhibitors/inducers, or analgesic herbs within specified washout periods
- Inability to take oral medications postoperatively
- Ipsilateral hip surgery within 1 year; contralateral hip surgery within 1 month
- Hip revision surgery, developmental dysplasia Crowe type IV, or tumor involving hip
- Clinically significant hemodynamic instability or cardiac arrhythmia
- Severe hepatic, renal, cardiovascular, or metabolic disease
- History of NSAID-induced asthma, active peptic ulcer disease
- Drug or alcohol abuse within 1 year
- Pregnancy, breastfeeding, or lack of effective contraception
- Participation in another interventional clinical trial within 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 200mg treatment group
TRD205 Tablets (Low Dose)
|
First dose 2-4 hours before anesthesia induction; subsequent doses q12h (±4 hours window if nighttime)
|
|
Experimental: 400mg treatment group
TRD205 Tablets (Middle Dose)
|
First dose 2-4 hours before anesthesia induction; subsequent doses q12h (±4 hours window if nighttime)
|
|
Experimental: 600mg treatment group
TRD205 Tablets (High Dose)
|
First dose 2-4 hours before anesthesia induction; subsequent doses q12h (±4 hours window if nighttime)
|
|
Active Comparator: Active Control (Celecoxib)
Celecoxib Capsules
|
First dose 2-4 hours before anesthesia induction; subsequent doses q12h (±4 hours window if nighttime)
|
|
Placebo Comparator: Placebo Control
Placebo for TRD205 and Celecoxib
|
First dose 2-4 hours before anesthesia induction; subsequent doses q12h (±4 hours window if nighttime)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Area under the pain intensity-time curve (AUC0-48h) of resting pain NRS from 0 to 48 hours after surgery
Time Frame: 0 to 48 hours after surgery
|
0 to 48 hours after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
AUC of resting pain NRS at 0-4, 0-6, 0-12, 0-24, 24-48 hours postoperatively
Time Frame: 0-4, 0-6, 0-12, 0-24, 24-48 hours postoperatively
|
0-4, 0-6, 0-12, 0-24, 24-48 hours postoperatively
|
|
|
AUC of movement pain NRS at 0-4, 0-6, 0-12, 0-24, 24-48 hours postoperatively
Time Frame: 0-4, 0-6, 0-12, 0-24, 24-48 hours postoperatively
|
0-4, 0-6, 0-12, 0-24, 24-48 hours postoperatively
|
|
|
Cumulative morphine-equivalent rescue analgesic dose at 0-4, 0-6, 0-12, 0-24, 0-48 hours
Time Frame: 0-4, 0-6, 0-12, 0-24, 0-48 hours after surgery
|
0-4, 0-6, 0-12, 0-24, 0-48 hours after surgery
|
|
|
Time to first rescue analgesia
Time Frame: Within 48 hours after the surgery, the period from the end of the surgery to the first administration of analgesic medication for relief purposes
|
Within 48 hours after the surgery, the period from the end of the surgery to the first administration of analgesic medication for relief purposes
|
|
|
Number and proportion of participants using rescue analgesia
Time Frame: 0-48 hours postoperatively
|
0-48 hours postoperatively
|
|
|
Participant and investigator satisfaction with analgesia with the 5-point scale,the score range from 0 to 4, where 0 indicates poor, 1 indicates average, 2 indicates good, 3 indicates very good, and 4 indicates excellent.
Time Frame: 48 hours postoperatively
|
At 48 hours after the surgery, the participants and the research doctors respectively evaluated the overall pain relief satisfaction of the test drug used on a 5-point scale, with the score range from 0 to 4, where 0 indicates poor, 1 indicates average, 2 indicates good, 3 indicates very good, and 4 indicates excellent.
|
48 hours postoperatively
|
|
By evaluating security metrics such as AEs, SAEs and TEAEs to evaluate the safety of multiple administration of TRD205 tablets in patients with postoperative analgesia after unilateral hip arthroplasty.
Time Frame: 5 days
|
5 days
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- TRD205-II-04
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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