A Phase 3 interventional study of N1539 and Intravenous Placebo in Pain, Post-operative, sponsored by Baudax Bio. Completed at 4 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-11-17.
Sponsored by Baudax Bio · Phase 3, Interventional, and Treatment
The primary objective of this study is to evaluate the analgesic efficacy of N1539 in subjects with acute moderate to severe pain following unilateral bunionectomy.
5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.
This study's enrollment of 201 is above the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.
Browse Pain, Postoperative studies →Baudax Bio is the lead sponsor of 10 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Female subject are eligible only if all the following apply:
Exclusion Criteria:
N1539 (Intravenous meloxicam) 30mg every 24 hours for up to 3 doses.
Drug: N1539
IV Placebo every 24 hours for up to 3 doses.
Drug: Intravenous Placebo
Also known as: Intravenous meloxicam
Summed Pain Intensity Difference Over the First 48 Hours (SPID48)
Pain intensity was recorded using a Numeric Pain Rating Scale (Range 0-10) where 0 equates to no pain (better), and 10 equates to the worst pain imaginable (worse). Pain intensity scores were to be recorded at the following time points: 0.25, 0.5, 0.75, 1, and 2 hours post Dose 1. Thereafter pain assessments were to be recorded every 2 hours until 48 hours post Dose 1. Pain intensity differences from baseline at each time point were calculated and a time weighted summed pain intensity difference (SPID) was then calculated. Time weighted SPID calculations were computed by multiplying a weight factor to each score prior to summation. The weight factor at each time point was the time elapsed since the previous observation. A smaller SPID value (i.e. more negative) was better.
Time frame: 48 Hours
Summed Pain Intensity Difference (SPID) at Other Intervals
Pain intensity was recorded using a Numeric Pain Rating Scale (Range 0-10) where 0 equates to no pain (better), and 10 equates to the worst pain imaginable (worse). Pain intensity scores were to be recorded at the following time points: 0.25, 0.5, 0.75, 1, and 2 hours post Dose 1. Thereafter pain assessments were to be recorded every 2 hours until 48 hours post Dose 1. Pain intensity differences from baseline at each time point were calculated and a time weighted summed pain intensity difference (SPID) was then calculated. Time weighted SPID calculations were computed by multiplying a weight factor to each score prior to summation. The weight factor at each time point was the time elapsed since the previous observation. A smaller SPID value (i.e. more negative) was better.
Time frame: 48 Hours
Time to First Dose of Rescue Analgesia
Rescue analgesia (oral oxycodone 5 mg) was available to subjects with inadequately controlled pain upon request. Time to first rescue was calculated as the elapsed time from administration of Dose 1 to the administration of the first dose of rescue analgesia.
Time frame: 48 Hours
Number of Subjects Utilizing Rescue Analgesia
Rescue analgesia (oral oxycodone 5 mg) was available to subjects with inadequately controlled pain upon request.
Time frame: 48 Hours
Number of Doses of Rescue Analgesia Utilized Per Subject
Rescue analgesia (oral oxycodone 5 mg) was available to subjects with inadequately controlled pain upon request.
Time frame: 48 Hours
Time to Perceptible Pain Relief (TTPPR)
Time to perceptible and meaningful pain relief was measured using the double stopwatch method. For each randomized subject, two stopwatches were started immediately after administration of the first study dose (Hour 0). The subject was to stop the first watch when they first perceived pain relief to occur (time to perceptible relief). Once the first watch was stopped, the second stopwatch was given to the subject with the instructions to stop the watch when they first experienced meaningful pain relief (time to meaningful relief).
Time frame: 12 Hours
Time to Meaningful Pain Relief (TTMPR)
Time to perceptible and meaningful pain relief was measured using the double stopwatch method. For each randomized subject, two stopwatches were started immediately after administration of the first study dose (Hour 0). The subject was to stop the first watch when they first perceived pain relief to occur (time to perceptible relief). Once the first watch was stopped, the second stopwatch was given to the subject with the instructions to stop the watch when they first experienced meaningful pain relief (time to meaningful relief).
Time frame: 12 Hours
Subjects With ≥ 30% Improvement in Pain From Baseline to Hour 6
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 6 = 100 \* SPID6 / (BaselinePI \* 6 \* 60), and SPID6 \< 0 as an indication for improvement.
Time frame: 6 Hours
Subjects With ≥ 30% Improvement in Pain From Baseline to Hour 24
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 24 = 100 \* SPID24 / (BaselinePI \* 24 \* 60), and SPID24 \< 0 as an indication for improvement.
Time frame: 24 Hours
Subjects With ≥ 50% Improvement in Pain From Baseline to Hour 6
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 6 = 100 \* SPID6 / (BaselinePI \* 6 \* 60), and SPID6 \< 0 as an indication for improvement.
Time frame: 6 Hours
Subjects With ≥ 50% Improvement in Pain From Baseline to Hour 24
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 24 = 100 \* SPID24 / (BaselinePI \* 24 \* 60), and SPID24 \< 0 as an indication for improvement.
Time frame: 24 Hours
Patient Global Assessment (PGA) of Pain Control at Hour 24
PGA of pain control was evaluated at Hour 24 and Hour 48 with subject reported degree of pain control over the preceding interval according to a 5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent.
Time frame: 24 Hours
Patient Global Assessment (PGA) of Pain Control at Hour 48
PGA of pain control was evaluated at Hour 24 and Hour 48 with subject reported degree of pain control over the preceding interval according to a 5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent.
Time frame: 48 Hours
| Milestone | N1539 30 mg | IV Placebo |
|---|---|---|
| Started | 100 | 101 |
| Completed | 95 | 96 |
| Not completed | 5 | 5 |
| Withdrew: Lack of efficacy | 4 | 4 |
| Withdrew: Withdrawal by subject | 1 | 1 |
| Milestone | N1539 30 mg | IV Placebo |
|---|---|---|
| Started | 100 | 101 |
| Completed | 97 | 97 |
| Not completed | 3 | 4 |
| Withdrew: Lack of efficacy | 1 | 0 |
| Withdrew: Withdrawal by subject | 2 | 2 |
| Withdrew: Lost to follow-up | 0 | 2 |
Pain intensity was recorded using a Numeric Pain Rating Scale (Range 0-10) where 0 equates to no pain (better), and 10 equates to the worst pain imaginable (worse). Pain intensity scores were to be recorded at the following time points: 0.25, 0.5, 0.75, 1, and 2 hours post Dose 1. Thereafter pain assessments were to be recorded every 2 hours until 48 hours post Dose 1. Pain intensity differences from baseline at each time point were calculated and a time weighted summed pain intensity difference (SPID) was then calculated. Time weighted SPID calculations were computed by multiplying a weight factor to each score prior to summation. The weight factor at each time point was the time elapsed since the previous observation. A smaller SPID value (i.e. more negative) was better.
| units on a scale | N1539 30 mg | IV Placebo |
|---|---|---|
| Summed Pain Intensity Difference Over the First 48 Hours (SPID48) | -6956.0 ± 521.69 | -4829.3 ± 519.56 |
Pain intensity was recorded using a Numeric Pain Rating Scale (Range 0-10) where 0 equates to no pain (better), and 10 equates to the worst pain imaginable (worse). Pain intensity scores were to be recorded at the following time points: 0.25, 0.5, 0.75, 1, and 2 hours post Dose 1. Thereafter pain assessments were to be recorded every 2 hours until 48 hours post Dose 1. Pain intensity differences from baseline at each time point were calculated and a time weighted summed pain intensity difference (SPID) was then calculated. Time weighted SPID calculations were computed by multiplying a weight factor to each score prior to summation. The weight factor at each time point was the time elapsed since the previous observation. A smaller SPID value (i.e. more negative) was better.
| units on a scale | N1539 30 mg | IV Placebo |
|---|---|---|
| SPID6 (Hour 0-6) | -510.78 ± 66.22 | -288.33 ± 65.95 |
| SPID12 (Hour 0-12) | -957.83 ± 123.30 | -480.15 ± 122.80 |
| SPID24 (Hour 0-24) | -2071.0 ± 247.01 | -1167.9 ± 246.00 |
| SPID12-48 (Hour 12-48) | -5998.2 ± 439.21 | -4349.1 ± 437.42 |
| SPID24-48 (Hour 24-48) | -4885.1 ± 313.60 | -3661.4 ± 312.32 |
Rescue analgesia (oral oxycodone 5 mg) was available to subjects with inadequately controlled pain upon request. Time to first rescue was calculated as the elapsed time from administration of Dose 1 to the administration of the first dose of rescue analgesia.
| hours | N1539 30 mg | IV Placebo |
|---|---|---|
| Time to First Dose of Rescue Analgesia | 1.99 (1.53 to 4.12) | 2.09 (1.15 to 3.31) |
Rescue analgesia (oral oxycodone 5 mg) was available to subjects with inadequately controlled pain upon request.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| Hour 0-24 | 83 | 99 |
| Hour 24-48 | 48 | 71 |
| Hour 0-48 | 83 | 99 |
Rescue analgesia (oral oxycodone 5 mg) was available to subjects with inadequately controlled pain upon request.
| doses of rescue analgesia | N1539 30 mg | IV Placebo |
|---|---|---|
| Hour 0-24 | 3.97 ± 0.26 | 5.06 ± 0.26 |
| Hour 24-48 | 1.63 ± 0.25 | 2.51 ± 0.25 |
| Hour 0-48 | 5.45 ± 0.46 | 7.49 ± 0.46 |
Time to perceptible and meaningful pain relief was measured using the double stopwatch method. For each randomized subject, two stopwatches were started immediately after administration of the first study dose (Hour 0). The subject was to stop the first watch when they first perceived pain relief to occur (time to perceptible relief). Once the first watch was stopped, the second stopwatch was given to the subject with the instructions to stop the watch when they first experienced meaningful pain relief (time to meaningful relief).
| hours | N1539 30 mg | IV Placebo |
|---|---|---|
| Time to Perceptible Pain Relief (TTPPR) | 0.52 (0.35 to 0.74) | 1.59 (0.48 to 2.00) |
Time to perceptible and meaningful pain relief was measured using the double stopwatch method. For each randomized subject, two stopwatches were started immediately after administration of the first study dose (Hour 0). The subject was to stop the first watch when they first perceived pain relief to occur (time to perceptible relief). Once the first watch was stopped, the second stopwatch was given to the subject with the instructions to stop the watch when they first experienced meaningful pain relief (time to meaningful relief).
| hours | N1539 30 mg | IV Placebo |
|---|---|---|
| Time to Meaningful Pain Relief (TTMPR) | 2.16 (1.00 to 12.01) | 3.19 (2.39 to 4.82) |
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 6 = 100 \* SPID6 / (BaselinePI \* 6 \* 60), and SPID6 \< 0 as an indication for improvement.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| Subjects With ≥ 30% Improvement in Pain From Baseline to Hour 6 | 32 | 20 |
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 24 = 100 \* SPID24 / (BaselinePI \* 24 \* 60), and SPID24 \< 0 as an indication for improvement.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| Subjects With ≥ 30% Improvement in Pain From Baseline to Hour 24 | 37 | 21 |
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 6 = 100 \* SPID6 / (BaselinePI \* 6 \* 60), and SPID6 \< 0 as an indication for improvement.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| Subjects With ≥ 50% Improvement in Pain From Baseline to Hour 6 | 16 | 8 |
Percent improvement in pain is the cumulative pain intensity percent reduction from baseline over the defined interval (6 or 24 hours), calculated as SPID for the defined interval (SPID6 or SPID24) divided by the baseline pain intensity (BaselinePI) extrapolated across that interval. Example: % Improvement through Hour 24 = 100 \* SPID24 / (BaselinePI \* 24 \* 60), and SPID24 \< 0 as an indication for improvement.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| Subjects With ≥ 50% Improvement in Pain From Baseline to Hour 24 | 13 | 5 |
PGA of pain control was evaluated at Hour 24 and Hour 48 with subject reported degree of pain control over the preceding interval according to a 5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| 0 - Poor | 17 | 29 |
| 1 - Fair | 23 | 26 |
| 2 - Good | 28 | 26 |
| 3 - Very Good | 17 | 13 |
| 4 - Excellent | 10 | 3 |
PGA of pain control was evaluated at Hour 24 and Hour 48 with subject reported degree of pain control over the preceding interval according to a 5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent.
| Participants | N1539 30 mg | IV Placebo |
|---|---|---|
| 0 - Poor | 7 | 15 |
| 1 - Fair | 8 | 18 |
| 2 - Good | 26 | 25 |
| 3 - Very Good | 30 | 30 |
| 4 - Excellent | 24 | 8 |
Collected over AEs collected from time of first dose through last followup (30 days). Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| N1539 30 mg | 0/100 (0%) | 0/100 (0%) | 44/100 (44%) |
| IV Placebo | 1/101 (1%) | 2/101 (2%) | 54/101 (53.5%) |
| Event | N1539 30 mg | IV Placebo |
|---|---|---|
| Sudden deathGeneral disorders | 0/100 | 1/101 |
| FractureInjury, poisoning and procedural complications | 0/100 | 1/101 |
| Event | N1539 30 mg | IV Placebo |
|---|---|---|
| NauseaGastrointestinal disorders | 20/100 | 26/101 |
| HeadacheNervous system disorders | 8/100 | 12/101 |
| VomitingGastrointestinal disorders | 3/100 | 9/101 |
| PruritusSkin and subcutaneous tissue disorders | 8/100 | 3/101 |
| Decreased appetiteMetabolism and nutrition disorders | 2/100 | 7/101 |
| ConstipationGastrointestinal disorders | 4/100 | 5/101 |
| DizzinessNervous system disorders | 3/100 | 4/101 |
| SomnolenceNervous system disorders | 3/100 | 2/101 |
| FlushingVascular disorders | 3/100 | 1/101 |
| Alanine aminotransferase increasedInvestigations | 0/100 | 3/101 |
| Age, Categorical(Participants) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 92 | 92 | 184 |
| >=65 years | 8 | 9 | 17 |
| Age, Continuous(years) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| Mean | 46.7 ± 12.79 | 48.4 ± 12.17 | 47.6 ± 12.48 |
| Sex: Female, Male(Participants) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| Female | 84 | 87 | 171 |
| Male | 16 | 14 | 30 |
| Ethnicity (NIH/OMB)(Participants) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| Hispanic or Latino | 28 | 36 | 64 |
| Not Hispanic or Latino | 72 | 65 | 137 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 2 | 3 | 5 |
| Native Hawaiian or Other Pacific Islander | 2 | 2 | 4 |
| Black or African American | 32 | 26 | 58 |
| White | 61 | 68 | 129 |
| More than one race | 3 | 2 | 5 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(Participants) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| United States | 100 | 101 | 201 |
| Body Mass Index (BMI)(kg/m^2) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| Mean | 26.9 ± 4.80 | 28.3 ± 4.02 | 27.6 ± 4.46 |
| Time from End of Surgery to First Dose(hours) | N1539 30 mg | IV Placebo | Total |
|---|---|---|---|
| Mean | 0.514 ± 0.2397 | 0.485 ± 0.2001 | 0.500 ± 0.2206 |
1 further baseline measures are reported on the registry.
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