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HysterectomyPhase 2NCT01084161

Study to Evaluate the Efficacy, Safety and Tolerability of N1539

A Phase 2 study testing N1539 and Morphine in people with Hysterectomy, run by Alkermes, Inc. at 12 sites in 3 countries.

Completed

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

Official record
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Trial summary

To determine the analgesic efficacy, duration of effect, and safety of single doses of N1539 in subjects undergoing open abdominal hysterectomy Read more about this study

Who is it for?
Ages 18 to 65 years, women only
Conditions the study is for
Hysterectomy
What is being tested?
N1539 and Morphine
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
486 participants
Where
12 sitesin 3 countries
Study dates
Mar 2010to Jan 2011
Phase
Phase 2
Are there results?
None posted in the registry

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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • moderate to severe pain with VAS of >/= 45 mm
  • undergo open abdominal hysterectomy
  • ASA I or II
  • signed ICF
  • BMI >18.5 and < 31.5 kg/m^2

Who cannot join

  • suspected metastatic cervical or endometrial cancer
  • prior abdominal surgery with postoperative complications
  • active pancreatitis, obstruction of biliary tree or total bilirubin> 2.5 mg/dL
  • active GI bleeding, or peptic ulcer disease
  • unstable medical condition
  • HbA1c >9.5 or uncontrolled diabetes
Show all 21Show fewer
  • SBP >150 mmHg or DBP > 95 mmHg
  • personal or familial contraindication to undergoing general anesthesia
  • Antihypertensive agents or diabetic regimen that is not stable (4 weeks prior to surgery)
  • taking CNS agents for pain
  • acetaminophen or NSAIDs not discontinued for at least 5 half-lives prior to planned surgery
  • currently taking an opioid or has taken an opioid chronically for pain in past 2 years
  • corticosteroid or systemic corticosteroids within 6 weeks of planned surgery
  • has a known bleeding disorder or taking agents affecting coagulation
  • history of intolerance or allergic reactions to NSAIDs, COX-2 inhibitors, aspirin and other salicylates
  • receiving lithium or a combination of furosemide with an ACE inhibitor or angiotensin receptor blocker
  • Known to have sleep apnea
  • History of hepatitis B or C
  • AST or ALT > 2 times the upper limit of normal
  • Known or suspected COPD with retention of carbon dioxide
  • psychiatric condition that impairs the capability of the subject to report pain

Trial locations and contacts

12 sites in 3 countries.

12 sites in 3 countries

Poland7 sites
  • Study site

    Bialystok, 15-276

  • Study site

    Gdansk, 80-402

  • Study site

    Lodz, 94-029

  • Study site

    Lublin, 20-081

  • Study site

    Poznan, 60-535

  • Study site

    Ruda Śląska, 41-703

  • Study site

    Szczecin, 70-111

Other trials in Poland

Serbia3 sites
  • Study site

    Belgrade, 11000

  • Study site

    Kragujevac, 34000

  • Study site

    Novi Sad, 21000

Other trials in Serbia

Georgia2 sites
  • Study site

    Tbilisi, 0159

  • Study site

    Tbilisi, 0186

Other trials in Georgia

About this study

Official title: A Randomized Double-Blind, Placebo- and Active-Controlled, Dose-Ranging Study to Evaluate the Analgesic, Efficacy, Safety and Tolerability of Intravenous N1539 in Subjects After Open Abdominal Hysterectomy

To determine the analgesic efficacy, duration of effect, and safety of single doses of N1539 in subjects undergoing open abdominal hysterectomy

Conditions
Hysterectomy
Being tested
N1539, placebo, Morphine

What participants receive

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

  • N1539Drug

    5 mg IV once per day

  • N1539Drug

    7.5 mg IV once per day

  • N1539Drug

    15 mg IV once per day

  • N1539Drug

    30 mg IV once per day

  • placeboDrug

    IV placebo once per day

  • MorphineDrug

    morphine 10-15 mg IV once per day

  • N1539Drug

    60 mg IV once per day

Study groups in NCT01084161
Study groupRoleWhat they receive
N1539 5 mgExperimentalNot described
Receives: Drug: N1539
N1539 7.5 mgExperimentalNot described
Receives: Drug: N1539
N1539 15 mgExperimentalNot described
Receives: Drug: N1539
N1539 30 mgExperimentalNot described
Receives: Drug: N1539
N1539 60 mgExperimentalNot described
Receives: Drug: N1539
PlaceboPlacebo comparatorNot described
Receives: Drug: placebo
morphineActive comparatorNot described
Receives: Drug: Morphine

What is being measured

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

  1. To determine the analgesic efficacy, duration of effect and safety of single doses of IV N1539 as measured by the SPID (summary of pain intensity) and TOPAR (summary of the time-weighted pain relief scores) from 0-24 hours.

    Additionally, to determine the efficacy seen within the first hour after study drug administration, as measured by the SPID 0-60 minutes post-dose.

    Measured: at 60 minutes post dose and at 24 hours

Secondary outcomes (1)
  1. To assess the safety and tolerability of IV N1539 by laboratory data, vital signs, wound site evaluation and Adverse Events

    Measured: 5-7 days post initial dosing

Timeline

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

  1. First posted10 Mar 2010 (estimated)
  2. Study startMar 2010
  3. Primary completionJan 2011
  4. Study completionJan 2011

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
486 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01084161
Sponsor's protocol ID
N1539-04
Status last verified
Nov 2011
First submitted
5 Mar 2010
Last updated
2 Dec 2011
Results posted
No
Data monitoring committee
No

Publications

  • Rechberger T, Mack RJ, McCallum SW, Du W, Freyer A. Analgesic Efficacy and Safety of Intravenous Meloxicam in Subjects With Moderate-to-Severe Pain After Open Abdominal Hysterectomy: A Phase 2 Randomized Clinical Trial. Anesth Analg. 2019 Jun;128(6):1309-1318. doi: 10.1213/ANE.0000000000003920.

    PubMed 31094806
  • Viscusi ER, Gan TJ, Bergese S, Singla N, Mack RJ, McCallum SW, Du W, Hobson S. Intravenous meloxicam for the treatment of moderate to severe acute pain: a pooled analysis of safety and opioid-reducing effects. Reg Anesth Pain Med. 2019 Mar;44(3):360-368. doi: 10.1136/rapm-2018-100184. Epub 2019 Feb 7.

    PubMed 30737315

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing N1539 and Morphine in people with Hysterectomy, run by Alkermes, Inc. at 12 sites in 3 countries.

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 5 inclusion and 21 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 2 Dec 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Poland, Serbia, Georgia. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

To determine the analgesic efficacy, duration of effect and safety of single doses of IV N1539 as measured by the SPID (summary of pain intensity) and TOPAR (summary of the time-weighted pain relief scores) from 0-24 hours. (time frame: at 60 minutes post dose and at 24 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01084161, which also lists 2 linked publications.

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 2 Dec 2011.

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