AzTrials
AzTrials

Post Abdominal Surgery PainPhase 2/3NCT02542384

A Study Evaluating the Overall Pain Relief and Safety of Intravenous (IV) CR845 in Patients Undergoing Abdominal Surgery

A Phase 2/3 study testing CR845 IV 1 mcg/kg and CR845 IV 0.5 mcg/kg in people with Post Abdominal Surgery Pain, run by Cara Therapeutics, Inc. at 23 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

The study schedule is comprised of a 14-day Screening Period, a treatment period and an observation period. All eligible subjects will be randomized into one of 3 treatment groups (1 of 2 dose levels or matched placebo). Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Post Abdominal Surgery Pain
What is being tested?
CR845 IV 1 mcg/kg and CR845 IV 0.5 mcg/kg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
451 participants
Where
23 sitesUnited States
Study dates
Sep 2015to Jun 2018
Phase
Phase 2/3
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A patient will be eligible for study participation if the subject meets the following criteria:
  • Voluntarily provide written informed consent to participate in the study prior to any study procedures.
  • Able to speak, read, and communicate clearly in English or Spanish; able to read and understand the study procedures.
  • Male or female between 21 and older at the time of Screening.
  • Scheduled for abdominal surgery (hysterectomy; prostatectomy; hemi-colectomy (including partial bowel resections) or ventral hernia repair) with no collateral procedures.
  • Patient is categorized as American Society of Anesthesiologists (ASA) risk class of I, II or III.
Show all 14Show fewer
  • Has a body mass index (BMI) within 18.0-40.0 kg/m2 and weight between 50 kg and 112 kg, inclusive.
  • For women of childbearing potential- has a negative result on serum pregnancy testing at Screening and urine pregnancy test at Admission and does not currently breast feed, or is planning to do so within 30 days of receiving the last dose of study drug.
  • If female, the patient must be:
  • Of childbearing potential and practicing an acceptable form of birth control (defined as the use of an intrauterine device; a barrier method with spermicide; condoms, any form of hormonal contraceptives; or abstinence from sexual intercourse) for 3 days following the last dose of study drug.
  • Of non-childbearing potential defined as surgically or biologically sterile (hysterectomy, bilateral oophorectomy, bilateral tubal ligation or postmenopausal for at least 1 year).
  • If male, the patient must be surgically or biologically sterile. If not sterile, the patient must agree to use an acceptable form of birth control with heterosexual partner (as described in inclusion criteria #8a) or abstain from sexual relations for 3 days following the last dose of study drug.
  • Is free of other physical, mental, or medical conditions, which, in the opinion of the Investigator, would make study participation inadvisable.
  • Following surgery, the patient will be eligible for the second dose of study drug.

Who cannot join

  • A patient will be excluded from the study if any of the following criteria are met:
  • Has a serum sodium level > 143 mmol/L at Screening.
  • Has a serum sodium level < 136 mmol/L at Screening.
  • Patient is unwilling or unable to comply with the study procedures and assessments until the end of the 48-hour treatment and observation period.
  • Has moderate to severe obstructive sleep apnea, which, in the opinion of the Investigator is not being adequately treated (i.e., Nasal/Facial C-PAP), and will pose an unacceptable risk.
  • Has known allergies or hypersensitivity to drugs that may be used during the study, including those used during the surgical procedure and in the post-operative period [e.g., inhaled anesthetics (such as sevoflurane), midazolam, opioids (such as fentanyl and morphine sulfate), propofol or other sedatives, local anesthetics, antiemetics (such as ondansetron) non- steroidal anti-inflammatory drugs (such as ketorolac) or acetaminophen].
Show all 24Show fewer
  • Uses antipsychotics, antiepileptics, sedatives, hypnotics, or antianxiety agents, selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants with a dose change < 30 days prior to surgery.
  • Has a history or current diagnosis of substance dependence (except caffeine or nicotine) or alcohol abuse, according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  • Has a positive urine drug screen for drugs of abuse at Screening.
  • Is unwilling to abstain from alcohol consumption for a period beginning 24 hours prior to Admission until the time of Discharge from the hospital.
  • Suffers from chronic dizziness, vestibular disorders, or has experienced severe continuous diarrhea, retching, vomiting, or moderate or severe nausea and/or dizziness for any reason within 72 hours prior to Admission.
  • Has been diagnosed with a condition of hyperhidrosis (excessive sweating) or primary hypodipsia (abnormally diminished thirst).
  • Has donated or had significant loss of whole blood (240 mL or more) within 30 days or plasma within 14 days prior to Admission.
  • Has a history (within 6 months) of clinically meaningful orthostatic changes in vital signs - OR - a decrease in systolic blood pressure by > 20 mm Hg or a decrease in diastolic blood pressure by 10 mm Hg together with an increase in heart rate of > 30 beats per minute when transitioning from supine to standing measurements at the time of Screening.
  • Hasmedicalconditions(e.g.,cardiovascular,pulmonary,hepatic,renal, hematologic, gastrointestinal, endocrine (adrenal hyperplasia), immunologic, dermatologic, neurologic, oncologic or psychiatric condition) or a significant laboratory abnormality that, in the Investigator's opinion, would jeopardize the safety of the patient or is likely to confound the study measurements.
  • Has congestive heart failure.
  • Has taken any diuretic medications within 2-weeks prior to the scheduled surgery.
  • Has an oxygen saturation < 92% on room air at Screening or Admission.
  • Has impaired renal function indicated by serum creatinine greater than 2 times the reference upper limit of normal (ULN).
  • Has a serum alanine aminotransferase (ALT) or aspartate aminotransferase AST) greater than 2.5 times the reference upper limit of normal (ULN), or total bilirubin greater than 2 times the ULN at Screening.
  • Has, in the opinion of the Investigator, any clinical signs of dehydration or hypovolemia (e.g., symptomatic hypotension) or associated laboratory abnormalities, e.g., elevated hematocrit, elevated blood urea nitrogen (BUN) >1.5 x the reference ULN at Screening.
  • Has taken opioid analgesics for more than 10 consecutive days for any reason within the past 3 months prior to Screening.
  • Has taken opioid or non-opioid pain medication (e.g., NSAIDs such as naproxen, cyclooxygenase-2 inhibitors) within the 12 hours prior to surgery.
  • Has received another investigational drug within 30 days prior to Admission or has planned to participate in another clinical trial while enrolled in this study.

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

United States23 sites
  • Cara Therapeutics Study Site

    Bellaire, Texas

  • Cara Therapeutics Study Site

    Boston, Massachusetts

  • Cara Therapeutics Study Site

    Bradenton, Florida, 34209

  • Cara Therapeutics Study Site

    Camden, New Jersey, 08103

  • Cara Therapeutics Study Site

    Chattanooga, Tennessee

  • Cara Therapeutics Study Site

    Chicago, Illinois

  • Cara Therapeutics Study Site

    Cleveland, Ohio

  • Cara Therapeutics Study Site

    Columbus, Ohio

  • Cara Therapeutics Study Site

    Durham, North Carolina, 27710

  • Cara Therapeutics Study Site

    Fort Worth, Texas

  • Cara Therapeutics Study Site

    Gainesville, Florida

  • Cara Therapeutics Study Site

    Houston, Texas

  • Cara Therapeutics Study Site

    Maitland, Florida

  • Cara Therapeutics Study Site

    Miami Gardens, Florida

  • Cara Therapeutics Study Site

    Neptune City, New Jersey

  • Cara Therapeutics Study Site

    New Haven, Connecticut

  • Cara Therapeutics Study Site

    Pensacola, Florida, 32503

  • Cara Therapeutics Study Site

    Pittsburgh, Pennsylvania

  • Cara Therapeutics Study Site

    Plano, Texas

  • Cara Therapeutics Study Site

    Salt Lake City, Utah, 84124

  • Cara Therapeutics Study Site

    San Antonio, Texas

  • Cara Therapeutics Study Site

    Sheffield, Alabama

  • Cara Therapeutics Study Site

    St. Petersburg, Florida, 33713

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Adaptive Design Study Evaluating the Analgesic Efficacy and Safety of Intravenous CR845 in Patients Undergoing Abdominal Surgery

The study schedule is comprised of a 14-day Screening Period, a treatment period and an observation period. All eligible subjects will be randomized into one of 3 treatment groups (1 of 2 dose levels or matched placebo). Study drug CR845 will be administered intravenously prior to surgery, and at specific time intervals post surgery. Additional rescue pain and anti-nausea medication will be made available. Post surgical changes in pain intensity, nausea and vomiting will be assessed.

Read the detailed description

Patients will be admitted to the surgical center on the day of their abdominal surgery (Day 1, unless admission the night before is required). All patients will be seen by the study staff to confirm eligibility, review study procedures, and conduct all pre-surgical assessments required for randomization.

Qualified patients will be randomized into 1 of 3 treatment groups, corresponding to 1 of 2 dose levels of intravenous (IV) CR845 (0.5 or 1 mcg/kg) or matched placebo, respectively.

Study drug will be administered every 6 hours during the 24-hour post-operative treatment period following these initial 2 drug administrations:

  • Pre-Operative dose: Within one hour prior to anesthetic induction for surgery. This dose will be a 2X loading dose.
  • Baseline post-operative dose: within 30-minutes of being considered stable in the Post-Anesthesia Care Unit (PACU)

Subsequent dosing will be administered at 6, 12 and 18 hours.

During the Treatment and Observation Period, pain intensity scores will be obtained at specified time points and episodes of nausea or vomiting will be recorded. Upon request, patients may be provided with analgesic or anti-nausea rescue medication (restricted to morphine (if tolerated), and ondansetron, respectively) at any time after the Baseline dose of study drug is administered.

Blood sampling and safety assessments will be conducted during this period as well.

Patients will remain in the hospital until Day 3 (48-hours after surgery) at which point they will be evaluated for discharge. A follow-up medical evaluation will be scheduled within 7 - 10 days post-surgery.

Being tested
CR845 IV 1 mcg/kg, CR845 IV 0.5 mcg/kg, Placebo IV
Keywords
abdominal surgery, laparoscopy, Hysterectomy, Prostatectomy, Hemi-colectomy, Ventral Hernia repair, CR845, analgesic, kappa opioid, partial bowel resection, difelikefalin

What participants receive

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

  • CR845 IV 1 mcg/kgDrug

    CR845 IV 1 mcg/kg will be administered as an IV bolus 2x loading dose one hour prior to anesthetic induction for surgery, then a dose within 30 minutes of the patient being considered stable in the post operative recovery room. Subsequent dosing will be administered at 6, 12 and 18 hours.

    Antinausea rescue medication (ondansetron 4 mg IV) may be requested, as well as analgesic rescue medication (morphine 5mg IV), post surgery, as needed. Saline infusion (IV 0.45%) for fluid replenishment will be provided.

  • CR845 IV 0.5 mcg/kgDrug

    CR845 IV 0.5 mcg/kg will be administered as an IV bolus 2x loading dose one hour prior to anesthetic induction for surgery, then a dose within 30 minutes of the patient being considered stable in the post operative recovery room. Subsequent dosing will be administered at 6, 12 and 18 hours.

    Antinausea rescue medication (ondansetron 4 mg IV) may be requested, as well as analgesic rescue medication (morphine 5mg IV), post surgery, as needed.

    Saline infusion (IV 0.45%) for fluid replenishment will be provided.

  • Placebo IVDrug

    Placebo IV will be administered as an IV bolus 2x loading dose one hour prior to anesthetic induction for surgery, then a dose within 30 minutes of the patient being considered stable in the post operative recovery room. Subsequent dosing will be administered at 6, 12 and 18 hours.

    Antinausea rescue medication (ondansetron 4 mg IV) may be requested, as well as analgesic rescue medication (morphine 5mg IV), post surgery, as needed.

    Saline infusion (IV 0.45%) for fluid replenishment will be provided.

Study groups in NCT02542384
Study groupRoleWhat they receive
CR845 IV 1 mcg/kgActive comparatorCR845 IV solution will be supplied in 2 mL glass vials.Study drug will be administered as an IV bolus into an infusion line, the volume is dependent upon the patient's body weight.
Receives: Drug: CR845 IV 1 mcg/kg
CR845 IV 0.5 mcg/kgActive comparatorCR845 solution will be supplied in 2 mL glass vials. Study drug will be administered as an IV bolus into an infusion line, the volume is dependent upon the patient's body weight.
Receives: Drug: CR845 IV 0.5 mcg/kg
Placebo IVPlacebo comparatorPlacebo will be supplied in matched vials containing the same volume of buffer but with no active drug. It will be administered as an IV bolus into an infusion line, the volume is dependent upon the patient's body weight.
Receives: Drug: Placebo IV

What is being measured

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

  1. A comparison of the change in Pain Intensity over time using the Numeric Rating Scale

    Using the Numeric Rating Scale (NRS) to quantify the difference between CR845-treated patients and placebo-treated patients.

    Measured: 24 hours

Secondary outcomes (3)
  1. A study of the comparison of Post Surgical Nausea and Vomiting (PONV) scores

    Incidence of vomiting will be analyzed against placebo

    Measured: 6 hours

  2. A comparison of the number of rescue medication doses administered

    Count the number of rescue medication doses administered following surgery for the CR845 IV patients vs Placebo-treated patients

    Measured: 24 hours

  3. Patient Global Assessment of study drug

    Patients will complete a PGA (Patient Global Assessment) of the study drug.

    Measured: 24 hours (or early termination)

Timeline

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

  1. First posted7 Sep 2015 (estimated)
  2. Study startSep 2015
  3. Primary completionApr 2018
  4. Study completionJun 2018

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
451 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02542384
Sponsor's protocol ID
CR845-CLIN3001
Status last verified
May 2019
First submitted
3 Sep 2015
Last updated
31 May 2019
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing CR845 IV 1 mcg/kg and CR845 IV 0.5 mcg/kg in people with Post Abdominal Surgery Pain, run by Cara Therapeutics, Inc. at 23 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 14 inclusion and 24 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 31 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 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 combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

A comparison of the change in Pain Intensity over time using the Numeric Rating Scale (time frame: 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 31 May 2019.

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