PF614 Analgesic Activity in Acute Postoperative Pain (PF614-301)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorEnsysce Biosciences

About this trial

The goal of this clinical trial is to evaluate the analgesic activity of PF614 (an oral oxycodone prodrug extended-release analgesic) for control of postsurgical pain in subjects scheduled for abdominoplasty surgery. The main question to be answered is:

• To assess the analgesic efficacy of PF614 compared to placebo in subjects with moderate to severe pain following abdominoplasty.

Participants will be asked to take oral blinded doses of study medication at about one hour before surgery starts, and then every 12 hours after surgery for up to 4 days.

Participants will be asked to:

* Rate their pain on a 0-10 numerical rating scale (NRS) at various timepoints up to 5 days following surgery; * Tell us about the need for rescue medication if they continue to have moderate-to-severe pain; * Tell us about any side effects or adverse effects that they may experience to help us understand the safety and tolerability of the test medications; * Provide periodic blood samples to help us understand how much study drug is in their system.

Participants will stay in a clinic setting and be monitored for safety for 5 days following surgery. We anticipate that participants will be discharged on Day 5, pending medical review, and then keep a diary to record study-related pain and adverse effects for an additional 2-4 days after discharge.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant must provide written informed consent prior to the initiation of any protocol specific procedures.

Male or female participant, between 18 and 75 years of age, inclusive, at the time of Screening.

Participant must be scheduled to undergo a full abdominoplasty procedure without liposuction with no collateral procedures.

Participant must have physical status rated as I-II on the American Society of Anesthesiologists rating scale.

Disqualifiers

Participant has a history or presence of a clinically significant abnormality, as assessed by physical examination, medical history, electrocardiograms (ECGs; including a median QT interval corrected for heart rate [Fridericia; QTcF interval] of >450 milliseconds if male or >470 milliseconds if female at Screening and pre-operatively based on triplicate ECG; a repeat triplicate test is permitted and the median QTcF value will be used to determine eligibility), vital signs, or laboratory values, which, in the opinion of the investigator, would jeopardize the safety of the participant or the validity of the study results. Laboratory tests may be repeated once (one time) at Screening only, after approval by the medical monitor, if the investigator determines that the abnormal laboratory finding(s) was erroneous or caused by a temporary medical condition, for example, an acute infection, or by the temporary use of a prior medication.

Participant has a significant cardiac (e.g., ischemia or infarct, complete bundle branch blocks, symptomatic arrhythmias or predominantly non-sinus-conducted rhythm), pulmonary, gastrointestinal, endocrine, metabolic (except diabetes mellitus [A1c ≤7.0]), neurological, or psychiatric disorder (resulting in disorientation, memory impairment or inability to report accurately; for instance, schizophrenia, Alzheimer's disease), or any other clinically significant disease that, in the investigator's opinion, may affect efficacy or safety assessments, or that may compromise participant safety during trial participation.

Participant has a history of malignancy within the past 2 years, with the exception of basal cell carcinoma that has been treated and is no longer present.

Participant has a history or presence of acute respiratory depression, moderate or severe chronic pulmonary disease, cor pulmonale, delirium tremens, central nervous system (CNS) depression, or increased cerebrospinal or intracranial pressure.

Trial design

Design model

Parallel

Treatments tested in this trial

  • PF614 capsule

    Drug

    Experimental oxycodone prodrug

  • Placebo

    Drug

    Inactive medication

Treatment groups

320 Participants
are divided into 4 treatment groups
Group A: PF614 25 mgExperimental treatment 1 intervention
Group B: PF614 37.5 mgExperimental treatment 1 intervention
Group C: PF614 50 mgExperimental treatment 1 intervention
Group D: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Pain NRS-R area under the curve through 48 hours (AUC4-48)

Pain at rest

Time frame
4-48 hours

Secondary outcomes

1

Pain NRS-A area under the curve through 48 hours (AUC4-48)

Pain with activity

Time frame
4-48 hours
2

Pain NRS-R and NRS-A

Partial AUCs (AUC4-12, AUC4-24, AUC4-36, AUC4-72, AUC12-24, AUC24-36, AUC36-48, AUC24 48, AUC48-72, AUC72-84, AUC72-96); AUC4-84; AUC4-96

Time frame
4-96 hours
3

Time to first use of rescue opioid medication

Time to first use of rescue opioid medication through 96 hours

Time frame
0-96 hours
4

Total rescue opioid consumption through 24, 48, and 72 hours

Use of rescue opioid medication for up to 72 hours after surgery

Time frame
72 hours

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ensysce Biosciences

Lead sponsor

Rho, Inc.

Collaborator