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Not yet recruitingNCT07839715Updated Sep 24, 2026

Suzetrigine Post DIEP

A Phase 3 interventional study of Suzetrigine Group in Post-operative Pain, DIEP Flap Breast Reconstruction and DIEP Flap, sponsored by Vanderbilt University Medical Center. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Vanderbilt University Medical Center · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
198
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 18 studies testing suzetrigine in Pain, Postoperative — 17 open to participants now, 17 under way, 4 of them phase 3. suzetrigine · Pain, Postoperative.

Planned enrollment
5th of 18
198 · median 115
Started
2026
with 14 others
Phase 3
4 of 18
4 open now
Primary completion
2027-08
later than 8 of 16 live
Registered
11th of 18
by date

Among the 18 studies testing suzetrigine in Pain, Postoperative, this one is the 5th largest by planned enrollment, is one of 15 that started in 2026, is one of 4 in phase 3, reaches primary completion later than 8 of the 16 other live ones, and was the 11th registered.

By phase

18 studies; the count open now beside each. This study's row is marked.

Phase 414 · 13 open
Phase 3this study4 · 4 open

By the year they started

First in 2025; this study’s year is marked. 15 started in 2026.

Size and results

Median enrollment 115 across the 18 interventional studies. Of the 1 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 18 studies testing suzetrigine in Pain, Postoperative, or all of them as a file.
02

Study summary

This research study is being conducted to see whether adding suzetrigine (Journavx), an FDA-approved non-opioid pain medication, to the standard Enhanced Recovery After Surgery (ERAS) pain management protocol can improve pain after surgery. This is to see if we can decrease the use of opioids, since Journavx works on nerve cells outside of the brain to block pain signals and has no addictive potential.

Patients will be provided suzetrigine at a pre-operative clinic visit before you come for surgery so they will have it available during your hospital stay. Oral morphine equivalents will be calculated during the inpatient and outpatient duration to assess if individuals who are assigned to the suzetrigine group have decreased use of opioids compared to the non-suzetrigine patient groups.

The hypothesis is that suzetrigine will allow for decreased opioid usage.

Read the detailed description

The current Enhanced Recovery After Surgery (ERAS) protocol for deep inferior epigastric perforator (DIEP) flap breast reconstruction has consistently shown significant reduction in patient post-operative pain and oral morphine milligram equivalents (MME). Currently the protocol incorporates opioids as an analgesic for breakthrough pain, which is usually needed, but the protocol has decreased MME to 90-115 from 275+ with standard care. Though patient opioid consumption has decreased with ERAS protocol compliance, completely opioid free recovery remains uncommon for this procedure. Therefore, additional opioid-sparing methods are of interest to further optimize post-operative pain in these patients. Suzetrigine (journavx) is a non-opioid oral analgesic approved by the FDA in 2025 for treatment of moderate to severe acute pain, making it the first approved drug in its class. It has been used to manage moderate to severe acute pain in adults and works by selectively blocking the NaV1.8 voltage-gated sodium channel. Despite the reduction in patient reported pain and MME after DIEP flap reconstruction with the adoption of ERAS protocols, opioid use for breakthrough pain remains common. The addition of a non-opioid adjunct may further reduce opioid exposure without compromising pain control. This study will evaluate whether the incorporation of Suzetrigine into the post-operative analgesic regimen improves pain management and reduces opioid requirements in patients undergoing DIEP flap reconstruction.

03

Conditions studied

  • Post-operative Pain
  • DIEP Flap Breast Reconstruction
  • DIEP Flap
  • Opioid
  • Suzetrigine
  • ERAS

Browse trials for

Keywords

  • post-operative pain
  • DIEP flap reconstruction
  • autologous breast flap reconstruction
  • Opioid
  • suzetrigine
  • ERAS
  • ERAS protocol
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
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

  • Adults 18 years and older
  • undergoing elective autologous breast reconstruction with deep inferior epigastric (DIEP)flap (unilateral or bilateral)
  • english speaking

Exclusion criteria

Exclusion Criteria:

  • chronic opioid use (daily use greater than 30 days within 90 days preceeding surgery)
  • history of substance use disorder
  • chronic pain condition requiring daily analgesic therapy
  • active infection requiring systemic antibiotics
  • significant hepatic impairment
  • pregnant women
  • prisoners
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
198 participants (estimated)

Study arms

  • Experimental
    Suzetrigine Group

    Patients assigned after DIEP surgery with ERAS in conjunction with suzetrigine. Dosage of Suzetrigine is as follows: Initial dose: 100 mg orally once Maintenance dose: 50 mg orally every 12 hours, with or without food

    Drug: Suzetrigine Group

  • No intervention
    Control Group

    ERAS Protocol without Suzetrigine

Interventions

06

What researchers measure

Primary outcomes

  1. Oral Morphine Equivalent

    total oral morphine equivalent amount in mg

    Time frame: Pre-operative baseline pain, immediate post op day 1 and 2 pain, amount of pain medication utilized via medication history. After discharge, one phone call assessing pain and the quantity of pain meds, and at clinic visit 1 week after surgery

Secondary outcomes

  1. Renewal of Opioid Prescription

    If patient renewed an opioid prescription secondary to pain

    Time frame: Evaluated as a binary outcome (Y/N), and quantity of pain medication evaluated at clinic approximately visit 7 days after surgery

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided — Pending initial data collection steps

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Aug 2027, 11 months later.

Of 123 non-industry phase 3 interventional studies under Pain, Postoperative, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 38. This study's planned 11 months is below that.

Counting every sponsor, half of 166 studies reached it within 17 months; a quarter within 8 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 26, 2026
First posted
Sep 24, 2026
StartEst.
Sep 2026
Primary completionEst.
Aug 2027
CompletionEst.
Aug 2027
Last update
Sep 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07839715
Responsible party
Galen Perdikis (Principal Investigator, Vanderbilt University Medical Center) — Principal investigator
First posted
Sep 24, 2026
Start date
Sep 2026 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Sep 24, 2026

Study contacts

Andrea C Lin, MD
Contact
andrea.lin@vumc.org
6154216600
Sydney Record, MD
Contact
sydney.record@vumc.org
6154216598
Galen Perdikis, MD
principal investigator · Vanderbilt University Medical Center

Oversight

Data monitoring committee
No
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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Discussion

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Studies of the drug tested here: Suzetrigine

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