AzTrials
AzTrials

Acute Postoperative PainPhase 2NCT04855240

Evaluate the Efficacy and Safety of ACP-044 for the Treatment of Acute Postoperative Pain Following Bunionectomy

A Phase 2 study testing ACP-044 Dose A and ACP-044 Dose B in people with Acute Postoperative Pain and Bunionectomy, run by ACADIA Pharmaceuticals Inc. at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To evaluate the efficacy of ACP-044 compared with placebo in the treatment of acute postoperative pain Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Acute Postoperative Pain, Bunionectomy
What is being tested?
ACP-044 Dose A and ACP-044 Dose B
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
239 participants
Where
4 sitesUnited States
Study dates
29 Mar 2021to 14 Mar 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥18 and <60 years of age at the time of Screening
  • Has a body mass index (BMI) <40 kg/m2
  • Able to understand and provide signed informed consent
  • Able to complete subject-reported outcome measures
  • Is in need of a primary unilateral, first metatarsal bunionectomy with osteotomy and internal fixation under regional anesthesia and sedation
  • Willing to remain inpatient at the study center for 4 days following surgery

Who cannot join

  • Has had a contralateral foot bunionectomy in the past 3 months
  • Has a planned concurrent surgical procedure (e.g. bilateral bunionectomy or collateral procedures like hammertoe correction on the surgical foot)
  • Any subacute or chronic pain condition or use of a medication that would impair/impact the ability to rate the pain associated with the bunionectomy, in the opinion of the Investigator and Medical Monitor
  • Has known or suspected regular use of opioids within the previous 6 months
  • Has taken opioids within 24 hours prior to the scheduled surgery or within five half-lives of the drug, whichever is longer
  • Has a known or suspected history of drug abuse, a positive drug screen at Screening or Day -1, or a recent (i.e., within the last 5 years) history of alcohol abuse. Subjects using marijuana are not allowed to participate in the study.
Show all 12Show fewer
  • Has taken any aspirin (ASA) or non-steroidal anti-inflammatory drugs (NSAIDs) within 2 days prior to the scheduled surgery or within five half-lives of the drug, whichever is longer
  • Has initiated treatment with any medications within 1 month prior to study drug administration that could impact pain control or quantitation of their pain response
  • Has been administered systemic steroids within five half-lives or 10 days prior to administration of study drug, whichever is longer
  • Has current evidence, or medical history of a serious and/or unstable psychiatric, neurologic, cardiovascular, respiratory, gastrointestinal, renal, hepatic, hematologic, endocrinologic, or other medical disorder, within the previous 12 weeks prior to Screening and on Day -1, that in the judgment of the Investigator and/or Medical Monitor would jeopardize the safe participation of the subject in the study. Also, subject must not have had a malignancy in the last year, with the exception of nonmetastatic basal cell of the skin or localized carcinoma in situ of the cervix.
  • Is judged by the Investigator or the Medical Monitor to be inappropriate for the study
  • Additional inclusion/exclusion criteria apply. Patients will be evaluated at screening to ensure that all criteria for study participation are met. Patients may be excluded from the study based on these assessments (and specifically, if it is determined that their baseline health and psychiatric condition do not meet all pre-specified entry criteria).

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Anaheim Clinical Trials

    Anaheim, California, 92801

  • Chesapeake Ambulatory Surgery Center

    Pasadena, Maryland, 21122

  • JBR Cinical Research

    Salt Lake City, Utah, 84107

  • Endeavor Clinical Trials of San Antonio, TX

    San Antonio, Texas, 78229

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of ACP-044 for Acute Postoperative Pain Following Orthopedic Surgery (Bunionectomy)

To evaluate the efficacy of ACP-044 compared with placebo in the treatment of acute postoperative pain

Being tested
ACP-044 Dose A, ACP-044 Dose B, Placebo
Medical subject headings
Pain, Postoperative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ACP-044 Dose ADrug

    Oral dose of ACP-044 Dose A

  • ACP-044 Dose BDrug

    Oral dose of ACP-044 Dose B

  • PlaceboDrug

    Oral dose of placebo

Study groups in NCT04855240
Study groupRoleWhat they receive
Drug - ACP-044 Dose AExperimentalACP-044 Dose A
Receives: Drug: ACP-044 Dose A
Drug - ACP-044 Dose BExperimentalACP-044 Dose B
Receives: Drug: ACP-044 Dose B
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) of Pain Intensity Scores From Time 0 (When First Dose on Day 1 is Administered) Through 24 Hours

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, and 24 hours.

    Measured: 0-24 hours

Secondary outcomes (29)
  1. Time to First Rescue Medication Use After Time 0 (When First Dose on Day 1 is Administered)

    Measured: 0-72 hours

  2. Proportion of Subjects Who Were Opioid Free Through 24 Hours

    Measured: 0-24 hours

  3. Proportion of Subjects Who Were Opioid Free Through 48 Hours

    Measured: 0-48 hours

  4. Proportion of Subjects Who Were Opioid Free Through 72 Hours

    Measured: 0-72 hours

  5. Mean AUC of the NRS of Pain Intensity Scores From Time 0 Through 48 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 30, 36, 42, and 48 hours.

    Measured: 0-48 hours

  6. Mean AUC of the NRS of Pain Intensity Scores From Time 0 Through 72 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 30, 36, 42, 48, 54, 60, 66, and 72 hours.

    Measured: 0-72 hours

  7. Mean AUC of the NRS of Pain Intensity Scores From Time 0 Through 4 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 0, 1, 2, 3, and 4 hours.

    Measured: 0-4 hours

  8. Mean AUC of the NRS of Pain Intensity Scores From Time 0 Through 6 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 0, 1, 2, 3, 4, 5, and 6 hours.

    Measured: 0-6 hours

  9. Mean AUC of the NRS of Pain Intensity Scores From Time 0 Through 12 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12 hours.

    Measured: 0-12 hours

  10. Mean AUC of the NRS of Pain Intensity Scores From 24 Through 48 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 24, 30, 36, 42, and 48 hours.

    Measured: 24-48 hours

  11. Mean AUC of the NRS of Pain Intensity Scores From Time 48 Through 72 Hours for ACP-044

    Pain (efficacy) assessments were recorded hourly (±15 minutes) for a 12-hour interval on Day 1 beginning immediately prior to the fifth dose (time 0) administered in the study. Pain assessments were continued every 3 hours during the subsequent 12 hour interval, and then every 6 hours thereafter until 72 hours, then once daily in the morning until the follow-up clinical visit. Pain assessments were also obtained immediately prior to the administration of rescue medication.

    A 0 to 10 Numeric Rating Scale of Pain Intensity (NRS) was used to assess the subject's pain.

    Subjects were asked: "Please describe your foot pain at the present time from 0 to 10 where "0" means "no pain at all" and "10" means "the worst pain imaginable." The area under the curve is generated using the following timepoints beginning immediately prior to the fifth dose (time 0): 48, 54, 60, 66, and 72 hours.

    Measured: 48-72 hours

  12. Rescue Medication Taken During 0-24 Hours

    Number of instances of rescue medication taken during first 24 hours.

    Measured: 0-24 hours

  13. Rescue Medication Taken During 24-48 Hours

    Number of instances of rescue medication taken during 24-48 hours.

    Measured: 24-48 hours

  14. Rescue Medication Taken During 48-72 Hours

    Number of instances of rescue medication taken during 48-72 hours.

    Measured: 48-72 hours

  15. Rescue Medication Taken During 0-48 Hours

    Number of instances of rescue medication taken during first 48 hours.

    Measured: 0-48 hours

  16. Rescue Medication Taken During 0-72 Hours

    Number of instances of rescue medication taken during first 72 hours.

    Measured: 0-72 hours

  17. Proportion of Subjects Who Did Not Use Rescue Medication Through 24 Hours

    Measured: 0-24 hours

  18. Proportion of Subjects Who Did Not Use Rescue Medication Through 48 Hours

    Measured: 0-48 hours

  19. Proportion of Subjects Who Did Not Use Rescue Medication Through 72 Hours

    Measured: 0-72 Hours

  20. Proportion of Subjects Who Are Pain Free (NRS ≤2) at 24 Hours

    Measured: 0-24 hours

  21. Proportion of Subjects Who Are Pain Free (NRS ≤2) at 48 Hours

    Measured: 0-48 hours

  22. Proportion of Subjects Who Are Pain Free (NRS ≤2) at 72 Hours

    Measured: 0-72 hours

  23. Number of Hours Subjects Are Pain Free (NRS ≤2)

    Measured: 0-72 hours

  24. Proportion of Subjects Who Were Opioid Free During 24-48 Hours

    Measured: 24-48 hours

  25. Proportion of Subjects Who Were Opioid Free During 48-72 Hours

    Measured: 48-72 hours

  26. Global Evaluation of Study Drug Just Before Time of First Rescue Medication Relative to Time 0 (When First Dose on Day 1 is Administered)

    5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent

    Measured: First rescue medication dose, up to 24 hours post first dose.

  27. Global Evaluation of Study Drug at the End of 24 Hours Relative to Time 0 (When First Dose on Day 1 is Administered)

    5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent

    Measured: 24 hours

  28. Global Evaluation of Study Drug at the End of 48 Hours Relative to Time 0 (When First Dose on Day 1 is Administered)

    5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent

    Measured: 48 hours

  29. Global Evaluation of Study Drug at the End of 72 Hours Relative to Time 0 (When First Dose on Day 1 is Administered)

    5 point scale (0-4) with categories of 0-poor, 1-fair, 2-good, 3-very good, or 4-excellent

    Measured: 72 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Apr 2021
  2. Study start29 Mar 2021
  3. Primary completion11 Feb 2022
  4. Study completion14 Mar 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
239 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04855240
Sponsor's protocol ID
ACP-044-004
Status last verified
Feb 2023
First submitted
19 Apr 2021
Last updated
3 May 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ACP-044 Dose A and ACP-044 Dose B in people with Acute Postoperative Pain and Bunionectomy, run by ACADIA Pharmaceuticals Inc. at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 May 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) of Pain Intensity Scores From Time 0 (When First Dose on Day 1 is Administered) Through 24 Hours (time frame: 0-24 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in