Status:
COMPLETED
Efficacy, Safety and Pharmacokinetic Profile of a Collagen Bupivacaine Implant in Men After Open Mesh Herniorrhaphy
Lead Sponsor:
Innocoll
Collaborating Sponsors:
Premier Research
Conditions:
Postoperative Pain
Inguinal Hernia
Eligibility:
MALE
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this study is to determine whether the CollaRx Bupivacaine implant is safe and effective in reducing the amount of narcotic pain medication needed to control pain during the first 24 ho...
Detailed Description
Inguinal herniorrhaphy is a common surgery; and common surgical methods used include laparoscopic and open placement of synthetic mesh. The use of synthetic mesh can greatly reduce the risk of hernia ...
Eligibility Criteria
Inclusion
- Has body mass index (BMI) \> 19 and \< 40 kg/m2.
- Has a planned unilateral inguinal herniorrhaphy (open mesh, tension free technique) to be performed according to standard surgical technique under general anesthesia.
- Has a risk classification of I, II or III according to the ASA.
- Is free of other physical or mental conditions that, in the opinion of the Investigator, may confound the quantification of postoperative pain after herniorrhaphy.
- Has the ability and willingness to comply with the study procedures and the use of the pain scales.
- Is willing to use only permitted medications and anesthetics throughout the study.
- Is willing to use opioid rescue analgesia for moderate to severe incisional pain only.
- Must voluntarily sign and date an informed consent form (ICF) that is approved by an Institutional Review Board (IRB) before the conduct of any study specific procedures.
- Must be able to fluently speak and understand English and be able to provide meaningful written informed consent for the study.
Exclusion
- Has a known hypersensitivity to amide local anesthetics, opioids, bovine products or inactive ingredients of the test article.
- Is scheduled for bilateral inguinal herniorrhaphy.
- Has undergone a prior herniorrhaphy on the side that is currently scheduled for repair.
- Has cardiac arrhythmias or atrioventricular (AV) conduction disorders.
- Concomitantly uses antiarrhythmics (eg, amiodarone), propranolol or strong/moderate cytochrome P450 (CYP) 3A4 inhibitors or inducers (eg, macrolide antibiotics and grapefruit juice).
- Has used long acting analgesics within 24 hours of surgery. Short acting analgesics such as acetaminophen may be used on the day of surgery
- Has used aspirin or aspirin containing products within 7 days of surgery. Aspirin at a dose of ≤ 325 mg is allowed for cardiovascular prophylaxis if the patient has been on a stable dose regimen for ≥ 30 days before Screening.
- Has undergone major surgery within 3 months of the scheduled herniorrhaphy.
- Has known or suspected history of alcohol or drug abuse or misuse within 3 years of Screening or evidence of tolerance or physical dependency on opioid analgesics or sedative-hypnotic medications.
- Has used opioids or tramadol on an extended daily basis (\> 7 days) before surgery. Patients who, in the Investigator's opinion, are developing opioid tolerance are to be excluded.
- Has impaired liver function, aspartate aminotransferase (AST)/alanine aminotransferase (ALT)/bilirubin ≥ 3.0 times the upper limit of normal (ULN), active hepatic disease, evidence of clinically significant liver disease or another condition (eg, alcoholism, cirrhosis or hepatitis) that may suggest the potential for an increased susceptibility to hepatic toxicity with exposure to test article.
- Has any clinically significant unstable cardiac, neurological, immunological, renal or hematological disease or any other condition that, in the opinion of the Investigator, could compromise the patient's welfare, ability to communicate with the study staff or otherwise contraindicate study participation.
- Is judged by the Investigator to be at risk for infection or slow wound healing.
- Has a chronic painful condition that might confound the assessment of pain associated with the herniorrhaphy.
- Routinely uses pain medication that, in the opinion of the Investigator, could confound the pain assessments during the study.
- Has been treated with agents that could affect the analgesic response (such as central alpha agents, neuroleptic agents and other antipsychotic agents) within 2 weeks of surgery.
- Has been treated with monoamine oxidase inhibitors (MAOIs) within 10 days of surgery.
- Has been treated with systemic corticosteroids within 7 days of surgery (inhaled and topical corticosteroids are allowed).
- Has participated in a clinical trial within 30 days of surgery.
Key Trial Info
Start Date :
March 11 2008
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 29 2009
Estimated Enrollment :
53 Patients enrolled
Trial Details
Trial ID
NCT00626886
Start Date
March 11 2008
End Date
January 29 2009
Last Update
January 11 2021
Active Locations (1)
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1
Advanced Clinical Research Institute
Anaheim, California, United States, 92801