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Withdrawn due to lack of enrollment.
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This is a Phase 2 study in pediatric subjects undergoing inguinal herniorrhaphy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 Part A: HTX-011 | Experimental | Adolescents ≥12 to <17 years of age. A single dose of HTX-011 via instillation into the surgical site. |
|
| Cohort 1 Part A: bupivacaine HCl | Active Comparator | Adolescents ≥12 to <17 years of age. A single dose of bupivacaine HCl 0.25% (without epinephrine) via injection into the surgical site. |
|
| Cohort 1 Part B: HTX-011 | Experimental | Adolescents ≥12 to <17 years of age. Dose to be determined from Cohort 1 Part A. |
|
| Cohort 1 Part B: bupivacaine HCl | Active Comparator | Adolescents ≥12 to <17 years of age. A single dose of bupivacaine HCl 0.25% (without epinephrine) via injection into the surgical site |
|
| Cohort 2 Part A: HTX-011 | Experimental | Children ≥6 to <12 years of age. Dose to be determined from Cohort 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HTX-011 | Drug | Single-dose instillation of approximately 0.17 mL/kg (total dose does not exceed 10.5 mL) of HTX-011. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration-time curve (AUC) from Time 0 extrapolated to infinity (AUCinf) | 72 hours | |
| Maximum concentration (Cmax) | 72 hours | |
| Time of occurrence of maximum concentration (Tmax) | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Adolescents ≥12 to <17 years of age (Cohort 1): area under the curve (AUC) of the Numeric Rating Scale of pain intensity scores with activity (NRS-A) | 72 hours | |
| Children ≥6 to <12 years of age (Cohort 2): AUC of the Faces-Pain-Scale (FPS)-Revised pain intensity scores |
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Inclusion Criteria:
Exclusion Criteria:
In addition to the preceding exclusion criteria 1 through 14, subjects to be enrolled in Cohort 1 Part B, Cohort 2 Part B, or Cohort 3 who meet any of the following criteria prior to randomization will be excluded from the study:
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| D006552 | Hernia, Inguinal |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Cohort 2 Part A: bupivacaine HCl | Active Comparator | Children ≥6 to <12 years of age. A single dose of bupivacaine HCl 0.25% (without epinephrine) via injection into the surgical site |
|
| Cohort 2 Part B: HTX-011 | Experimental | Children ≥6 to <12 years of age. Dose to be determined from Cohort 1. |
|
| Cohort 2 Part B: bupivacaine HCl | Active Comparator | Children ≥6 to <12 years of age. A single dose of bupivacaine HCl 0.25% (without epinephrine) via injection into the surgical site |
|
| Cohort 3: HTX-011 | Experimental | Children ≥3 to <6 years of age. Dose to be determined from Cohorts 1 and 2. |
|
| Cohort 3: bupivacaine HCl | Active Comparator | Children ≥3 to <6 years of age. A single dose of bupivacaine HCl 0.25% (without epinephrine) via injection into the surgical site |
|
| Bupivacaine HCl | Drug | Bupivacaine HCl 0.25% (without epinephrine) (total dose not to exceed 75 mg). |
|
| HTX-011 | Drug | Dose to be determined from Cohort 1. |
|
| HTX-011 | Drug | Dose to be determined from Cohorts 1 and 2. |
|
| HTX-011 | Drug | Dose to be determined from Cohort 1 Part A. |
|
| Luer Lock Applicator | Device | Applicator for instillation. |
|
| 72 hours |
| Children ≥3 to <6 years of age (Cohort 3): AUC of the Faces, Legs, Activity, Cry, Consolability (FLACC) scale pain intensity scores | 72 hours |
| Total postoperative opioid consumption (in IV morphine milligram equivalents) | 72 hours |
| Proportion of subjects who are opioid-free | 72 hours |
| AUC of the Numeric Rating Scale pain intensity scores at rest (NRS-R) | 72 hours |
| Proportion of subjects who do not receive an opioid prescription at discharge. | 72 hours |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D010146 | Pain |
| D000588 |
| Amines |