Status:

WITHDRAWN

Study to Evaluate a Preop Dose of Brivoligide Injection for Pain After Knee Replacement in Patients With High PCS Scores

Lead Sponsor:

Adynxx, Inc.

Conditions:

Pain, Postoperative

Eligibility:

All Genders

40+ years

Phase:

PHASE2

Brief Summary

This is a multi-center, Phase 2, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of brivoligide injection administered intrathecally before surgery in patients w...

Detailed Description

The objective of this study is to evaluate the safety and postoperative pain reducing efficacy of a single preoperative intrathecal administration of brivoligide injection in patients with a Pain Cata...

Eligibility Criteria

Inclusion

  • Score of 16 or greater on the PCS scale
  • Scheduled for primary unilateral TKA with spinal anesthesia as the primary anesthetic for painful osteoarthritis without congenital knee pathology
  • American Society of Anesthesiologists Physical Status Classification System ≤ 3
  • Medically stable for elective surgery with spinal anesthetic as determined by the Investigator
  • Body mass index of 18-45 kg/m2
  • Stable medical regimen at least 1 week before randomization
  • Able to read and understand study instructions in English or Spanish, and willing to comply with all study procedures

Exclusion

  • Target knee \> 20 degrees valgus or varus deformity, evidence of significant bone loss or ligamentous laxity, or existing major hardware that requires removal during TKA
  • Inflammatory arthridities (e.g., rheumatoid arthritis, lupus, ankylosing spondylitis, psoriatic arthritis), with the exception of clinically stable/non-active gout
  • Undergoing concomitant surgical procedures or non-elective TKA, or contralateral knee is likely to require TKA within 6 weeks (or would interfere with study assessments)
  • Use of cryoneurolysis (including Iovera) on the current operative knee region within 6 months prior to randomization and/or at any time through the duration of the study
  • Planned use of general anesthesia as the primary anesthetic; planned use of neuroaxial (intrathecal or epidural) opioids, or any use of extended release/long acting opioids or ketamine preoperatively and/or at any time through the duration of the study
  • Use of more than 40 mg per day (on average) of oral morphine or its equivalent within 1 month prior to randomization
  • Current neurologic disorder, which could confound the assessment of pain (e.g., Parkinson's, Multiple Sclerosis)
  • Unstable mental condition and/or evidence of an uncooperative attitude in the opinion of the Investigator; subjects diagnosed with schizophrenia, prescribed antipsychotic medications or MAOIs
  • Women who are pregnant or nursing
  • Subjects engaged in pending or active litigation, or seeking disability compensation; subjects whose cases have been settled or finally decided are not excluded
  • Participation in a clinical trial with the last dose or intervention within 1 month of randomization, or planned participation in a clinical trial during this study
  • Previous participation in any study involving brivoligide injection

Key Trial Info

Start Date :

January 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2022

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT03797612

Start Date

January 1 2021

End Date

February 1 2022

Last Update

July 13 2020

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Research Site

Sheffield, Alabama, United States, 35660

2

Research Site

Phoenix, Arizona, United States, 85023