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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-002420-88 | EudraCT Number |
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| Name | Class |
|---|---|
| Premier Research | OTHER |
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This study is designed to assess and characterize the safety and tolerability profile of LIQ865A and LIQ865B formulations compared to diluent or aqueous bupivacaine hydrochloride when infiltrated into a defined area of the medial calf, and to characterize bupivacaine plasma pharmacokinetic (PK) and pharmacodynamic (PD) profiles after a single dose of LIQ865A or LIQ865B, and to determine the individual plasma concentration/time curves and mean PK parameters of each product.
Infiltration of an aqueous local anesthetic, for example, bupivacaine, into surgical sites at closure provides temporary analgesia, typically lasting up to 6 hours, and is one aspect of the multimodal approach to postsurgical analgesia or fast-track surgery. However, the limited duration of action of local anesthetics, even longer acting agents such as bupivacaine, result in patients who are likely to experience end of duration breakthrough pain before they are able to take or tolerate oral analgesics, thus necessitating the use of strong parenteral analgesics in the immediate postsurgical period. LIQ865A and LIQ865B are two distinct formulations of bupivacaine manufactured via Liquidia Technologies PRINT (Particle Replication In Non-wetting Templates), which Liquidia intends to pursue for product approval. Both formulations being tested have the potential for producing long-lasting control of post-surgical incisional pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LIQ865A bupivacaine formulation | Experimental | Liquidia's PRINT bupivacaine free base/PLGA (poly D,L-lactic-co-glycolic acid) suspension for subcutaneous injection at doses ranging from 150mg to 600mg |
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| LIQ865B bupivacaine formulation | Experimental | Liquidia's PRINT bupivacaine free base suspension for subcutaneous injection at doses ranging from 150mg to 600mg |
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| Diluent for LIQ865 | Placebo Comparator | Negative control for subcutaneous injection. Each subject will act as his own control, receiving a LIQ865 formulation subcutaneous injection in one calf, and a diluent subcutaneous injection in his other calf |
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| 0.5% bupivacaine hydrochoride | Active Comparator | Positive control arm to be used with one of the LIQ865 cohorts, with each subject acting as his own positive control (i.e., one leg will receive subcutaneous injection of LIQ865A or LIQ865B, and the other leg will receive subcutaneous injection of 0.5% bupivacaine hydrochloride). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LIQ865A bupivacaine formulation | Drug | single subcutaneous injection in medial calf |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment Emergent Adverse Events (AEs) | Safety assessments will include the incidence and severity of AEs during treatment and the follow-up period of the study | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic - Area under the plasma concentration curve from time zero to Day 5 | Timepoints (draws) at 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24 hours and 2, 3, 4, 5 days after treatment | |
| Pharmacokinetic - Cmax (ng/mL) | Maximum plasma concentration over the entire sampling period, directly obtained from the experimental data of plasma concentration versus time curves, without interpolation. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mads U Werner, MD | Multidisciplinary Pain Center, Rigshospitalet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DanTrial Aps | Copenhagen | 2400 | Denmark |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D004194 | Disease |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D006820 | Hyaluronic Acid |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| LIQ865B bupivacaine formulation | Drug | single subcutaneous injection in medial calf |
|
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| Diluent for LIQ865 | Drug | Sterile diluent composed of 12.5mg/g sodium hyaluronate, 5.8mg/g sodium chloride, 1mg/g polysorbate 80, 6.1mg/g Tris base, in sterile water for injection - single subcutaneous injection |
|
|
| 0.5% bupivacaine hydrochoride | Drug | single subcutaneous injection |
|
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| Timepoints (draws) at 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24 hours and 2, 3, 4, 5 days after treatment |
| Pharmacokinetic - Tmax (h) | Time to reach maximum plasma concentration | Timepoints (draws) at 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24 hours and 2, 3, 4, 5 days after treatment |
| Pharmacokinetic - t1/2 (h) | Apparent terminal elimination half-life | Timepoints (draws) at 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24 hours and 2, 3, 4, 5 days after treatment |
| Pharmacokinetic - CST1/2 (h) | Context-sensitive half-time measured from Tmax to time for plasma concentration to reach half of Cmax following study medication injection. | Timepoints (draws) at 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24 hours and 2, 3, 4, 5 days after treatment |
| Pharmacodynamic Response - Pain intensity (Numeric Rating Scale) with Short Tonic Heat Stimulus (STHS) testing at various time points | Testing done to calculate time-weighted Sum of Pain Intensity Differences (SPID) at the time points noted, compared to Baseline, and time specific SPID results | 1, 2, 12, 24, 48, 72, 96, and 120 hours |
| Pharmacodynamic Response - Change in Mechanical Pain Threshold (MPT) compared to Baseline using various time points | Calculate the time-weighted sum of threshold differences (calculated as area-under-the-curve (AUC): AUC12, AUC24, AUC48, AUC72, AUC96, AUC120 | 12, 24, 48, 72, 96, and 120 hours |
| Pharmacodynamic Response - Change in Heat Pain Threshold (HPT) compared to Baseline using various time points | Calculate the time-weighted sum of threshold differences (calculated as area-under-the-curve (AUC): AUC12, AUC24, AUC48, AUC72, AUC96, AUC120 | 12, 24, 48, 72, 96, and 120 hours |
| Pharmacodynamic Response - Change Mechanical Detection Threshold (MDT) compared to Baseline using various time points | Calculate the time-weighted sum of threshold differences (calculated as area-under-the-curve (AUC): AUC12, AUC24, AUC48, AUC72, AUC96, AUC120 | 12, 24, 48, 72, 96, and 120 hours |
| Pharmacodynamic Response - Change in Warmth Detection Threshold (WDT) compared to Baseline using various time points | Calculate the time-weighted sum of threshold differences (calculated as area-under-the-curve (AUC): AUC12, AUC24, AUC48, AUC72, AUC96, AUC120 | 12, 24, 48, 72, 96, and 120 hours |
| Pharmacodynamic Response - Change in Cold Detection Threshold (CDT) compared to Baseline using various time points | Calculate the time-weighted sum of threshold differences (calculated as area-under-the-curve (AUC): AUC12, AUC24, AUC48, AUC72, AUC96, AUC120 | 12, 24, 48, 72, 96, and 120 hours |
| D010335 | Pathologic Processes |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
| D000588 |
| Amines |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |