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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Study to Evaluate Analgesic Effect of Intravenous Administration of Kappa Agonist CR845 After Hysterectomy Surgery

Overview

Status
Completed
Phase
Phase 2
Enrollment
114 participants (actual)
Sponsor
Cara Therapeutics, Inc. · Industry
Design
Randomized · Triple masking
Countries
1 country

United States

Start
Mar 2009
Primary completion
Dec 2009
Completion
Jan 2010
First posted
8 Apr 2009 (estimated)
Last update posted
12 May 2015 (estimated)
Conditions
Acute Pain

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
200920102011
  1. Ph 2

    Study to Evaluate Analgesic Effect of Intravenous Administration of Kappa Agonist CR845 After Hysterectomy Surgery

    NCT00877799

    Mar 2009 to Jan 2010

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The purpose of this study is to determine the effectiveness and safety of single intravenous doses of the kappa opioid agonist CR845 in relieving pain in patients following laparoscopic-assisted hysterectomy surgery. The study protocol was divided into two parts with subjects either dosed with study drug the day following surgery (Cohort 1), or immediately after surgery (Cohort 2).

Interventions

  • CR845Drug
  • CR845Drug
  • CR845Drug
  • PlaceboDrug
  • PlaceboDrug

Arms2

  • Experimental

    CR845

    CR845 administered as a single 15-min i.v. infusion at doses of 0.008 or 0.024 mg/kg on the day after surgery (Cohort 1), or at a dose of 0.040 mg/kg immediately after surgery (Cohort 2)

  • Placebo comparator

    Placebo

    Matched placebo administered as a single 15-min i.v. infusion on the day after surgery (Cohort 1), or the immediately after surgery (Cohort 2)

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Responders on Pain Intensity(PI) and Pain Relief (PR) Composite Endpoint

    Time frame · 15 and 30 minutes after study drug administration

    Registry description

    The primary efficacy endpoint was the percentage of treatment responders compared to placebo. A responder was defined as a subject who had at least a 40% reduction in their pain intensity score and a pain relief score of "some," "a lot," or "complete" at 15 and 30 min following the start of the study drug infusion.

Secondary outcomes(1)
  1. Total PCA Morphine Consumption in the 0-16 Hour Period Following Postoperative Study Drug Treatment

    Time frame · 0 to 16 hours

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeNumber· 15 and 30 minutes after study drug administration

Responders on Pain Intensity(PI) and Pain Relief (PR) Composite Endpoint

GroupValue (responders)
Cohort 2: Placebo1
Cohort 2: CR845 0.040 mg/kg1
Secondary and other outcome results(3)
Secondary outcomeMean· 0 to 16 hours

Total PCA Morphine Consumption in the 0-16 Hour Period Following Postoperative Study Drug Treatment

GroupValue (mg)Spread
Cohort 2: Placebo24.015.4
Cohort 2: CR845 0.040 mg/kg15.811.8
Other pre specified outcomeMean· 4 to 8 hours

Total PCA Morphine Consumption in the 4-8 Hour Period Following Postoperative Study Drug Treatment

GroupValue (mg)Spread
Cohort 2: Placebo5.94.56
Cohort 2: CR845 0.040 mg/kg2.92.63
Other pre specified outcomeMean· 8 to 16 hours

Total PCA Morphine Consumption in the 8-16 Hour Period Following Postoperative Study Drug Treatment

GroupValue (mg)Spread
Cohort 2: Placebo6.55.28
Cohort 2: CR845 0.040 mg/kg13.811.5

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Cohort 1: PlaceboMatched placebo administered 24 hours after surgery (Day 1)–2 / 2517 / 25
Cohort 1: CR845 0.008 mg/kgCR845 (0.008 mg/kg) administered 24 hours after surgery (Day 1)–1 / 2214 / 22
Cohort 1: CR845 0.024 mg/kgCR845 (0.024 mg/kg) administered 24 hours after surgery (Day 1)–2 / 2118 / 21
Cohort 2: PlaceboMatched Placebo administered within 3 hours after surgery (Day 0)–1 / 2614 / 26
Cohort 2: CR845 0.040 mg/kgCohort 2: CR845 (0.040 mg/kg) administered within 3 hours after surgery (Day 0)–3 / 2012 / 20

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
Female
Age
from 21 Years up to 60 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * The patients will have an elective laparoscopic-assisted hysterectomy under general anesthesia. * The patient's preoperative health is graded as the American Society of Anesthesiologists (ASA) risk class of I to III Exclusion Criteria: * The patient has a history of known allergies to opioids * The patient is currently taking opioid analgesics chronically or took opioid analgesics on at least 4 days during the week before surgery. * Patients having additional procedures (such as those involving the bladder) at the same time as the laparoscopic-assisted hysterectomy. * Patients taking short-acting oral analgesics (eg, acetaminophen, aspirin, ibuprofen, ketorolac) within 6 hours before administration of study drug; long-acting nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, naproxen, oxaprozin, piroxicam, celecoxib) within 3 days before administration of study drug; systemic steroids within 72 hours before administration of study drug; or any opioid analgesics or tramadol daily for greater than 10 days of the last 30 days before administration of study drug. * Patients taking the following herbal agents or nutraceuticals within 7 days prior to beginning of the study: chaparral, comfrey, germander, gin bu huan, kava, pennyroyal, skullcap, St. John's wort, or valerian. * Patients with clinically significant cardiovascular disease, or cardiac arrhythmias, or significant major risk factors for cardiovascular disease such as poorly controlled hypertension, poorly controlled hypercholesterolemia, poorly controlled diabetes mellitus or serious medical conditions, such as cancer. * Patient has a history of hepatitis B or C or HIV infection with positive hepatitis B surface antigen (HBsAg), or anti-hepatitis C virus (HCV) antibody test.

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