A Study to Evaluate the Safety, Pharmacokinetics and Preliminary Efficacy of PRF110 in Bunionectomy Surgery

A Single-Dose, Open-Label, Multi-Center Study to Evaluate the Safety, Pharmacokinetics and Preliminary Efficacy of PRF110 in Bunionectomy Surgery

PRF110 is new extended release oily solution formulation of ropivacaine that is intended for local infiltration into surgical wounds. The purpose of this study is to determine the safety and early efficacy of PRF110 in bunionectomy surgery, to measure the pharmacokinetic profile of PRF110 over 72 hours and evaluate the duration of analgesia witnessed in the surgical setting.

Study Overview

• Status: Unknown
• Conditions: Post Operative Pain
• Intervention / Treatment: Drug: PRF110

Detailed Description

PRF110 is new extended release oily solution formulation of ropivacaine that is intended for local infiltration into surgical wounds. The formulation is designed to slowly release the ropivacaine over 36-72 hours. By providing local analgesia over a long time span, the need for systemic analgesics is expected to be reduced. The purpose of this study is to determine the safety and early efficacy of PRF110 in bunionectomy surgery, to measure the pharmacokinetic profile of PRF110 over 72 hours and evaluate the duration of analgesia witnessed in the surgical setting.

• Study Type: Interventional
• Enrollment (Anticipated): 15
• Phase: Phase 2

Contacts and Locations

• Study Contact: Name: Sigal Aviel, Dr.; Phone Number: +972-9-9601911; Email: saviel@painreform.com

Study Locations

• Israel
  • Ramat Gan, Israel, 52621
    • The Chaim Sheba Medical Center
    • Contact: Natan Bruck, Dr.; Phone Number: +972-3-530-3030
  • Zerifin, Israel, 70300
    • Assaf Harofeh Medical Center
    • Contact: Shai Efrati, Dr.; Phone Number: +972-8-977-9393/5

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 85 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Able to provide written informed consent prior to any study procedures;
2. Able to communicate clearly with the Investigators and study staff;
3. Males and females aged between 18 - 85 years of age;
4. Scheduled for elective primary unilateral first metatarsal bunionectomy surgery (osteotomy and internal fixation) with no collateral procedures;
5. Females must be physically incapable of childbearing potential (postmenopausal for more than at least 2 years or surgically sterile) or practicing an acceptable method of contraception (hormonal, barrier with spermicide, intrauterine device, vasectomized partner, or abstinence). Subjects using hormonal birth control must have received at least 1 cycle of treatment prior to study drug administration. At Baseline, all females of childbearing potential must have a negative pregnancy test and not be breast feeding;
6. Negative urine drug screen for drugs of abuse at Screening and on Day 1 prior to surgery; a positive drug screen result may be permitted if the subject has been on a stable dose of an allowed medication for >30 days (antipsychotics, antiepileptics, sedatives, hypnotics, antianxiety agents, or antidepressants);
7. American Society of Anesthesiologists (ASA) risk class of I to II;
8. Body Mass Index ≤32.

Exclusion Criteria:

1. Has known allergies to an opioid, unless has subsequently tolerated other opioids and, in the opinion of the Investigator, could tolerate a rescue drug containing fentanyl;
2. Has a known or suspected allergy to paracetamol, ibuprofen or dipyrone;
3. Has a known or suspected allergy to any local anesthetic;
4. Has atrial fibrillation/flutter, an inserted pacemaker, or complete left bundle branch block (LBBB) on ECG; or myocardial infarction within 6 months prior to surgery;
5. Has a clinically significant abnormal ECG at screening;
6. Has a known or suspected history of diagnosed alcohol, opiate or other substance abuse within 12 months prior to screening;
7. Is unable to refrain from alcohol consumption for a period beginning 24 hours prior to surgery through the end of the 72 hour evaluation period;
8. Has taken any analgesic within 12 hours or any aspirin-containing product within 7 days of the Baseline assessments;
9. Has taken any opioid analgesics or used systemic steroids within 4 days of surgery;
10. Has been using opiates or any non-steroidal anti-inflammatory drug chronically (more than 10 consecutive days) anytime over the past 3 months;
11. Has used antipsychotics, antiepileptics, sedatives, hypnotics, antianxiety agents or antidepressants for < 30 days prior to surgery or had a dose change within the previous 30 days;
12. Has taken any prescription or over-the-counter medication within 4 days prior to surgery that, in the opinion of the Investigator, could potentially confound the analgesic response;
13. Has taken herbal agents or nutraceuticals during any of the 7 days prior to surgery that, in the opinion of the Investigator, could potentially confound the analgesic response;
14. Has any clinically significant condition or a significant laboratory abnormality that would, in the opinion of the Investigator, preclude study participation;
15. Unable or unwilling, in the opinion of the Investigator to comply with the requirements of the protocol;
16. Has received another investigational drug within 30 days of scheduled surgery;
17. Has donated blood within three months prior to start of the study;
18. Employees of the Investigator and study site or the sponsor, as well as family members of the employees or the investigator or the sponsor.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: PRF110- oily solution; Post-operative application of new extended release PRF110- oily solution (Ropivacaine)	Drug: PRF110; Other Names: Ropivacaine oily solution

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Incidence of treatment emergent adverse events	All adverse events (AE) reported by the subjects will be recorded throughout the trial period	10 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time to first rescue medication	Time to first rescue medication	72 hours
Total amount of rescue medication used during the study	Total amount of rescue medication used during the study	10 days
Pain intensity recorded at rest	Pain intensity which will be recorded at rest at Hours 1, 2, 4, 6, 8, 10, 12, 18 (optional) 24, 28, 32, 36, 48, 52, 56, 60 and 72.	72 hours
Subject global assessment of PRF110	Subject global assessment which will be recorded at Hours 24, 48 and 72.	72 hours

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
PRF110 plasma concentrations	Samples will be collected at designated times up to 72hrs post drug application	72 hours

Collaborators and Investigators

• Sponsor: PainReform LTD
• Investigators: Principal Investigator: Shai Efrati, Dr., Assaf-Harofeh Medical Center; Principal Investigator: Natan Bruck, Dr., The Chaim Sheba Medical Center

Study record dates

Study Major Dates

• Study Start: August 1, 2016
• Primary Completion (Anticipated): April 1, 2017
• Study Completion (Anticipated): June 1, 2017

Study Registration Dates

• First Submitted: May 24, 2016
• First Submitted That Met QC Criteria: May 24, 2016
• First Posted (Estimate): May 27, 2016

Study Record Updates

• Last Update Posted (Estimate): May 27, 2016
• Last Update Submitted That Met QC Criteria: May 24, 2016
• Last Verified: May 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Pain, Postoperative; Physiological Effects of Drugs; Central Nervous System Depressants; Peripheral Nervous System Agents; Sensory System Agents; Anesthetics; Anesthetics, Local; Ropivacaine
• Other Study ID Numbers: PRF110-102