CPL-01 in the Management of Postoperative Pain After Bunionectomy

Sponsor
Cali Pharmaceuticals LLC (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05831449
Collaborator
(none)
574
1
3
6.8
84.8

Study Details

Study Description

Brief Summary

Subjects receive study drug during bunionectomy and are followed for pain and opioid use, with the hypothesis that those who receive CPL-01 will have less pain and less opioid use than either control arm.

Condition or Disease Intervention/Treatment Phase
  • Drug: Local anesthetic injection of CPL-01
  • Drug: Naropin, 0.5% Injectable Solution
  • Drug: Placebo
Phase 3

Detailed Description

After signing informed consent, subjects will be randomly assigned to receive study drug (either Investigational product, positive control, or negative control) during unilateral distal bunionectomy with osteotomy. Subjects will then remain at the hospital for 72-hours where pain and rescue medication usage will be assessed. Follow-up will then occur at 7 and 30 days afterwards.

The hypothesis is that subjects who receive CPL-01 will have less pain and require fewer opioids than subjects in the other two arms.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
574 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Randomized, Double-Blind, Placebo- and Active-Controlled Study to Evaluate the Efficacy and Safety of CPL-01 in the Management of Postoperative Pain After Unilateral Distal First Metatarsal Bunionectomy With Osteotomy
Anticipated Study Start Date :
May 8, 2023
Anticipated Primary Completion Date :
Oct 31, 2023
Anticipated Study Completion Date :
Nov 30, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: CPL-01

Local infiltration of study drug

Drug: Local anesthetic injection of CPL-01
Local anesthetic injection (either IP, positive control [Naropin], or negative control [saline placebo])
Other Names:
  • CPL-01
  • Long-acting ropivacaine
  • Active Comparator: Ropivacaine HCl

    Local infiltration of study drug

    Drug: Naropin, 0.5% Injectable Solution
    Local anesthetic injection (either IP, positive control [Naropin], or negative control [saline placebo])
    Other Names:
  • ropivacaine HCl
  • Placebo Comparator: Placebo

    Local infiltration of study drug

    Drug: Placebo
    Local anesthetic injection (either IP, positive control [Naropin], or negative control [saline placebo])
    Other Names:
  • Saline placebo
  • Outcome Measures

    Primary Outcome Measures

    1. Cumulative Pain Score [72 hours]

      Area Under the Curve of the Numeric Rating Scale Score for Pain with Activity. Activity is resting the operative foot with the ball on the floor. Pain Score spans from 0 to 10, where 0 is no pain and 10 is worst pain imaginable.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Ability to sign ICF

    • Bunion for elective primary unilateral, distal, first metatarsal bunionectomy with osteotomy and internal fixation under regional anesthesia, without collateral procedures or additional surgeries

    • BMI ≤ 39 kg/m2

    • If biologically female, not pregnant or planning to become pregnant over the study

    • If biologically male, either sterile or using acceptable form of birth control

    • Be willing and able to complete study procedures

    Exclusion Criteria:
    • Has previously undergone unilateral simple bunionectomy.

    • Has a planned concurrent surgical procedure

    • Has a concurrent painful condition that may require analgesic treatment during the study period or may confound postsurgical pain assessments

    • Has a history or clinical manifestation of significant medical, neuropsychiatric, or other condition that could preclude or impair study participation or interfere with study assessments.

    • Has a history of malignant hyperthermia or glucose-6-phosphate dehydrogenase deficiency.

    • Has history or evidence of impaired liver function (e.g., alanine aminotransferase [ALT] > 3 × upper limit of normal [ULN] or total bilirubin > 2 × ULN), active hepatic disease, or cirrhosis.

    • Has history or evidence of impaired renal function (e.g., creatinine > 1.5 × ULN).

    • Has a history of malignancy in the past year

    • Has known or suspected daily use of opioids for 7 or more consecutive days within the previous 6 months

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Todd Bertoch Salt Lake City Utah United States 84101

    Sponsors and Collaborators

    • Cali Pharmaceuticals LLC

    Investigators

    • Study Director: Erol Onel, Cali Biosciences

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Cali Pharmaceuticals LLC
    ClinicalTrials.gov Identifier:
    NCT05831449
    Other Study ID Numbers:
    • CPL-01-302
    First Posted:
    Apr 26, 2023
    Last Update Posted:
    Apr 26, 2023
    Last Verified:
    Apr 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 26, 2023