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CompletedNCT06215820Updated Oct 14, 2025

Study of MR-107A-02 for the Treatment of Acute Postoperative Pain Following Bunionectomy

A Phase 3 interventional study of MR-107A-02 and Tramadol in Acute Pain, Post Operative Pain and Pain, sponsored by Viatris Specialty LLC. Completed at 15 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-14.

Sponsored by Viatris Specialty LLC · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Aug 2024, 2 years 1 month ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Aug 2025.
Phase
Phase 3
Study type
Interventional
Enrollment
410
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

MR-107A-02 is being studied to investigate its efficacy and safety for treatment of acute pain after bunionectomy.

02

Conditions studied

  • Acute Pain
  • Post Operative Pain
  • Pain

Keywords

  • Pain
03

In context

Acute Pain

876 studies on the registry are indexed under Acute Pain; 154 are open to participants now.

This study's enrollment of 410 is above the median of 90 across 732 interventional studies indexed under Acute Pain.

Browse Acute Pain studies →

Lead sponsor

Viatris Specialty LLC is the lead sponsor of 5 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Requirement for a primary unilateral bunionectomy
  2. Has an American Society of Anesthesiologists Physical Status of I, II, or III.
  3. Pain Intensity (PI) using a Numeric Rating Scale (NRS-R) ≥4 at any given timepoint during the 9 hours after removal of the popliteal sciatic block
  4. Rating of moderate or severe pain on a 4-point categorical pain rating scale (i.e., none, mild, moderate, severe) during the 9 hours after removal of the popliteal sciatic block
  5. Able to understand and complete the study requirements (including literacy, to enable diary and questionnaire completion), provide written informed consent, and agree to abide by the study protocol and its restrictions.

Key Exclusion Criteria:

  1. Previously dosed with this formulation of MR-107A-02.
  2. Subjects with a contralateral foot bunionectomy in the past 6 months.
  3. Subject has a concurrent acute or chronic painful physical/restrictive condition expected to require analgesic treatment in the postoperative period for pain that is not strictly related to the bunionectomy, and which may confound the postoperative assessments.
  4. Known hypersensitivity to aspirin, NSAIDs or other medication used in the study.
  5. Body mass index (BMI) >40 kg/m2 at screening.
  6. Body weight of \<43 kg at screening.
  7. History of GI bleeding or peptic ulcer disease.
  8. Known active inflammatory bowel disease, e.g., Crohn's Disease or ulcerative colitis.
  9. A history of bleeding disorders that may affect coagulation.
  10. Subjects with prior stroke or transient ischemic attack in the past 12 months prior to screening.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
410 participants (actual)

Study arms

  • Experimental
    MR-107A-02

    15 mg Twice daily (BID) during in patient phase (0-48 hours following randomization) 15 mg BID dosing morning and evening, during out patient phase (5 days) .

    Drug: MR-107A-02 · Procedure: Bunionectomy

  • Active comparator
    Tramadol

    50 mg, administered every 6 hours (q6h) during the in patient phase (0-48 hours following randomization). Placebo will be administered during out patient phase.

    Drug: Tramadol · Drug: Placebo · Procedure: Bunionectomy

  • Placebo comparator
    Placebo

    Placebo is administered every 6 hours (q6h) during the in patient phase (0-48 hours following randomization) and twice daily during the out patient phase.

    Drug: Placebo · Procedure: Bunionectomy

Interventions

  • DrugMR-107A-02

    tablet

  • DrugTramadol

    over-encapsulated tablet

  • DrugPlacebo

    over-encapsulated tablet and/or tablet

  • ProcedureBunionectomy

    Primary unilateral bunionectomy with first metatarsal osteotomy under regional anesthesia

06

What researchers measure

Primary outcomes

  1. Summed Pain Intensity Difference (SPID) for MR-107A-02 versus placebo.

    SPID based on a 0 to 10-point numeric rating scale at rest (NRS-R) for MR-107A-02 versus placebo.

    Time frame: 48 hours after randomization

Secondary outcomes

  1. Number of doses of opioid rescue medication taken for MR-107A-02 versus placebo.

    Number of doses of opioid rescue medication over the combined in-patient and outpatient treatment phases MR-107A-02 versus placebo.

    Time frame: 7 days after randomization

  2. Proportion of subjects using no opioid rescue medication MR-107A-02 versus placebo.

    Proportion of subjects using no opioid rescue medication over the combined in-patient and outpatient treatment phases MR-107A-02 versus placebo.

    Time frame: 7 days after randomization

Other outcomes

  1. Summed Pain Intensity Difference (SPID) for tramadol versus placebo.

    SPID based on a 0 to 10-point numeric rating scale at rest (NRS-R) for tramadol versus placebo.

    Time frame: 48 hours after randomization

  2. Summed Pain Intensity Difference (SPID) for MR-107A-02 versus tramadol

    SPID based on a 0 to 10-point numeric rating scale at rest (NRS-R) for MR-107A-02 versus tramadol.

    Time frame: 48 hours after randomization

07

Study locations

15 sites
  • Investigator site 114
    Sheffield, Alabama 35660, United States
  • Investigator site 115
    Phoenix, Arizona 85053, United States
  • Investigator site 103
    Anaheim, California 92801, United States
  • Investigator site 110
    Riverside, California 92501, United States
  • Investigator site 112
    Miami, Florida 35660, United States
  • Investigator site 108
    Tampa, Florida 33613, United States
  • Investigator site 109
    Atlanta, Georgia 30331, United States
  • Investigator site 104
    O'Fallon, Illinois 62269, United States
  • Investigator site 102
    Pasadena, Maryland 21122, United States
  • Investigator site 113
    Bellaire, Texas 77401, United States
  • Investigator site 107
    Carrollton, Texas 75007, United States
  • Investigator site 106
    Houston, Texas 77008, United States
  • Investigator site 111
    McAllen, Texas 78501, United States
  • Investigator site 105
    San Antonio, Texas 62269, United States
  • Investigator site 101
    Salt Lake City, Utah 84107, United States
08

References and documents

Publications

  • Bertoch T, McCoun JC, Gottlieb I, Vogt S, Haughie S, Ocasio KM, Walker C, Smith JP. MR-107A-02 in Acute Postoperative Pain Management Following Bunionectomy: Results from a Multicenter, Placebo- and Active-Controlled, Phase 3 Trial. Pain Ther. 2026 Jul 27. doi: 10.1007/s40122-026-00870-7. Online ahead of print. PubMed 42509420 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06215820
Lead sponsor
Viatris Specialty LLC
Collaborators
Mylan Specialty, LP
Responsible party
Sponsor
First posted
Jan 22, 2024
Start date
Dec 29, 2023
Primary completion
Aug 24, 2024
Completion
Sep 30, 2024
Last update
Oct 14, 2025

Study contacts

Susanne Vogt
study director · Viatris Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

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