ClinicalTrials.gg
Not yet recruitingNCT07600697Updated Sep 15, 2026

Suzetrigine for Opioid-Sparing Postoperative Analgesia Following Transvaginal Pelvic Reconstructive Surgery

A Phase 4 interventional study of Suzetrigine and Opioid Analgesics (Tramadol or Oxycodone) in Pelvic Organ Prolapse (POP), Stress Urinary Incontinence (SUI) and Postoperative Pain, sponsored by University of California, Los Angeles. Not yet recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by University of California, Los Angeles · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Suzetrigine is a selective NaV1.8 inhibitor that provides peripheral analgesia without opioid-related CNS effects. This single-center stepped-wedge randomized clinical trial evaluates whether a suzetrigine-based postoperative analgesic regimen provides non-inferior pain control compared with standard opioid-inclusive care following transvaginal pelvic reconstructive surgery. The study will enroll 120 participants and assess pain, opioid consumption, adverse events, and functional recovery.

Read the detailed description

Suzetrigine has demonstrated analgesic efficacy comparable to hydrocodone/acetaminophen in Phase III trials and is FDA-approved for acute pain. This trial represents the first evaluation of a NaV1.8 inhibitor in pelvic reconstructive surgery. Participants will receive either suzetrigine or standard opioid-inclusive postoperative care according to a stepped-wedge randomization schedule. Pain scores, medication use, and adverse events will be collected at 48 hours, 1 week, and 6 weeks postoperatively.

02

Conditions studied

  • Pelvic Organ Prolapse (POP)
  • Stress Urinary Incontinence (SUI)
  • Postoperative Pain

Keywords

  • Suzetrigine
  • NaV1.8 Inhibitor
  • Non-opioid analgesic
  • pelvic reconstructive surgery
  • transvaginal surgery
  • postoperative pain
  • opioid-sparing analgesia
  • multimodal pain management
  • pelvic organ prolapse
  • randomized clinical trial
  • stepped-wedge design
  • phase 4 trial
03

In context

Pelvic Organ Prolapse

521 studies on the registry are indexed under Pelvic Organ Prolapse; 80 are open to participants now.

This study's planned enrollment of 120 is above the median of 80 across 336 interventional studies indexed under Pelvic Organ Prolapse.

Browse Pelvic Organ Prolapse studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,170 studies on the registry; 195 are open to participants now.

Of its 95 completed or terminated interventional studies of FDA-regulated products, 70 (74%) 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
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years.
  • Undergoing elective transvaginal pelvic reconstructive surgery at UCLA with planned same-day discharge or 23-hour observation.
  • Able to provide written .

Exclusion criteria

Exclusion Criteria:

  • Chronic opioid use.
  • Liver failure.
  • End-stage renal disease (ESRD).
  • Chronic pain syndromes, including:

Fibromyalgia Interstitial cystitis Chronic pelvic pain

  • to acetaminophen or ibuprofen.
  • Use of strong inhibitors within 7 days prior to surgery or anticipated need during the treatment period.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Single (Care provider)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Suzetrigine-Based Regimen

    Participants receive suzetrigine as part of a multimodal postoperative analgesic regimen. Suzetrigine is administered as a loading dose on the morning of surgery followed by twice-daily dosing for 7 days, in combination with scheduled acetaminophen and ibuprofen.

    Drug: Suzetrigine · Drug: Scheduled Acetaminophen and Ibuprofen

  • Active comparator
    Standard Opioid-Inclusive Analgesic Regimen

    Participants receive standard postoperative pain management consisting of scheduled acetaminophen and ibuprofen, with opioid analgesics available as needed per routine clinical care.

    Drug: Opioid Analgesics (Tramadol or Oxycodone) · Drug: Scheduled Acetaminophen and Ibuprofen

Interventions

  • Loading dose: 100 mg orally on the morning of surgery Maintenance dose: 50 mg orally every 12 hours for 7 days Co-administered medications: Scheduled acetaminophen and ibuprofen Mechanism: Selective NaV1.8 sodium channel inhibitor acting on peripheral nociceptive neurons Purpose: Opioid-sparing postoperative analgesia

  • Tramadol: 50 mg orally every 4-6 hours as needed OR Oxycodone: 5 mg orally every 4-6 hours as needed Co-administered medications: Scheduled acetaminophen and ibuprofen Purpose: Standard postoperative analgesia per institutional protocol

  • DrugScheduled Acetaminophen and Ibuprofen

    Participants in both study arms will receive scheduled acetaminophen and ibuprofen as part of standard multimodal postoperative analgesia. These medications are administered routinely following transvaginal pelvic reconstructive surgery to reduce baseline pain, minimize opioid requirements, and support enhanced recovery.

06

What researchers measure

Primary outcomes

  1. Pain intensity (0-10 NRS) at 48 hours postoperatively

    Patient-reported postoperative pain intensity measured using the 0-10 Numerical Rating Scale (NRS).

    Time frame: 48 hours postoperatively

Secondary outcomes

  1. Pain Intensity at 1 Week

    Patient-reported pain intensity using the 0-10 NRS.

    Time frame: 1 week after surgery

  2. Time to Rescue Analgesia in PACU

    Time from arrival in the post-anesthesia care unit to first administration of rescue analgesic medication.

    Time frame: During stay in post-anesthesia care unit, measured in hours up to 23 hours

  3. Post-Discharge Opioid Use

    Total opioid consumption after discharge, measured in morphine milligram equivalents (MME).

    Time frame: Postoperative days 0-7

  4. Post-Discharge Gabapentin Use

    Any gabapentin or pregabalin use after discharge.

    Time frame: Postoperative days 0-7

  5. Constipation

    Time to first bowel movement Additional bowel regimen use

    Time frame: Up to 1 week postoperatively

  6. Nausea and Vomiting

    Incidence of postoperative nausea or vomiting reported by participants.

    Time frame: Up to 1 week postoperatively

  7. Dizziness or Lightheadedness

    Incidence of postoperative dizziness or lightheadedness.

    Time frame: Up to 1 week postoperatively

  8. Time to Return to Driving

    Number of days from surgery until the participant reports resuming driving.

    Time frame: Up to 6 weeks

  9. Time to Return to Work

    Number of days from surgery until the participant reports returning to work.

    Time frame: Up to 6 weeks

  10. Postoperative Patient-Initiated Communication Burden

    Number of patient-initiated messages, calls, or portal contacts related to postoperative pain or medication concerns.

    Time frame: Up to 6 weeks

07

Study locations

1 site
08

References and documents

Publications

  • Dong S, Zhong Y, Chu L, Li H, Tong X, Wang J. Age-stratified analysis of long-term outcomes of transvaginal mesh repair for treatment of pelvic organ prolapse. Int J Gynaecol Obstet. 2016 Oct;135(1):112-6. doi: 10.1016/j.ijgo.2016.03.031. Epub 2016 Jun 20. PubMed 27392806 ↗
  • Jelovsek JE, Maher C, Barber MD. Pelvic organ prolapse. Lancet. 2007 Mar 24;369(9566):1027-38. doi: 10.1016/S0140-6736(07)60462-0. PubMed 17382829 ↗
  • Petrikovets A, Sheyn D, Sun HH, Chapman GC, Mahajan ST, Pollard RR, El-Nashar SA, Hijaz AK, Mangel J. Multimodal opioid-sparing postoperative pain regimen compared with the standard postoperative pain regimen in vaginal pelvic reconstructive surgery: a multicenter randomized controlled trial. Am J Obstet Gynecol. 2019 Nov;221(5):511.e1-511.e10. doi: 10.1016/j.ajog.2019.06.002. Epub 2019 Jun 12. PubMed 31201808 ↗
  • Keam SJ. Suzetrigine: First Approval. Drugs. 2025 Jun;85(6):845-851. doi: 10.1007/s40265-025-02178-w. Epub 2025 May 5. PubMed 40323340 ↗
  • Ali MY, Antunes FTT, Huang S, Chen L, Zamponi GW. Pharmacological inhibition of NaV1.8 by suzetrigine reveals potent analgesic potential without tolerance development in mice. Mol Brain. 2025 Nov 13;18(1):86. doi: 10.1186/s13041-025-01253-3. PubMed 41233910 ↗
  • Stewart RG, Osorno T, Fujita A, Jo S, Ferraiuolo A, Carlin K, Bean BP. Modulation of human dorsal root ganglion neuron firing by the Nav1.8 inhibitor suzetrigine. Proc Natl Acad Sci U S A. 2025 Jun 3;122(22):e2503570122. doi: 10.1073/pnas.2503570122. Epub 2025 May 27. PubMed 40424150 ↗

Individual participant data

Plan to share: No — The investigators do not plan to share individual participant data (IPD). Due to the sensitive nature of postoperative clinical data and institutional policies regarding patient privacy, de-identified datasets will not be made available. Study findings will be disseminated through aggregate results posted on ClinicalTrials.gov and peer-reviewed publications.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07600697
Responsible party
Anne Lenore Ackerman (Associate Professor of Urology at UCLA, Director of Research, Division of Female Pelvic Medicine and Reconstructive Surgery at UCLA, University of California, Los Angeles) — Principal investigator
First posted
May 22, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Jul 1, 2027 (estimated)
Completion
Jul 1, 2028 (estimated)
Last update
Sep 15, 2026

Study contacts

A Lenore Ackerman, MD, PhD
Contact
aackerman@mednet.ucla.edu
310-794-0206
Cindy Gu, MD
Contact
cgu@mednet.ucla.edu
310-794-7700 ext. 35879
A Lenore Ackeman, MD, PhD
principal investigator · University of California, Los Angeles

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Suzetrigine

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