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Acute PainPhase 3NCT05558410

Evaluation of Efficacy and Safety of Suzetrigine for Acute Pain After an Abdominoplasty

A Phase 3 study testing Suzetrigine (SUZ) and HB/APAP in people with Acute Pain, run by Vertex Pharmaceuticals Incorporated at 12 sites in United States.

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

The purpose of this study was to evaluate the efficacy and safety of Suzetrigine (SUZ) in treating acute pain after an abdominoplasty. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Acute Pain
What is being tested?
Suzetrigine (SUZ) and HB/APAP
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,118 participants
Where
12 sitesUnited States
Study dates
10 Oct 2022to 11 Sep 2023
Phase
Phase 3

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Before Surgery
  • Participant scheduled to undergo a standard ("full") abdominoplasty procedure
  • After Surgery
  • Participant is lucid and able to follow commands and able to swallow oral medications
  • All analgesic guidelines were followed during and after the abdominoplasty
  • Abdominoplasty procedure duration less than or equal to (≤3) hours

Who cannot join

  • Before Surgery
  • Prior history of abdominoplasty
  • History of Intra-abdominal and/or pelvic surgery that resulted into complications
  • History of cardiac dysrhythmias within the last 2 years requiring anti-arrhythmia treatment(s)
  • Any prior surgery within 1 month before the first study drug dose
  • After Surgery
Show all 9Show fewer
  • Participant had a non standard abdominoplasty, collateral procedures during the abdominoplasty or any surgical complications during the abdominoplasty
  • Participant had a medical complication during the abdominoplasty that, in the opinion of the investigator, should preclude randomization
  • Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

United States12 sites
  • Atlanta Center for Medical Research | Atlanta, GA

    Atlanta, Georgia, 30331

  • HD Research LLC | First Surgical Hospital

    Bellaire, Texas, 77401

  • Alliance Research Institute, LLC

    Canoga Park, California, 91304

  • HD Research LLC | Houston Heights Hospital

    Houston, Texas, 77008

  • Woodland International Research Group

    Little Rock, Arkansas, 72211

  • Arizona Research Center

    Phoenix, Arizona, 85053

  • JBR Clinical Research

    Salt Lake City, Utah, 84107

  • Endeavor Clinical Trials

    San Antonio, Texas, 78240

  • South Texas Spine & Surgical Hospital

    San Antonio, Texas, 78258

  • Shoals Medical Trials Inc.

    Sheffield, Alabama, 35660

  • New Hope Research Development

    Tarzana, California, 91356

  • Kansas Spine and Specialty Hospital

    Wichita, Kansas, 67226

Other trials in United States

About this study

Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Study Evaluating the Efficacy and Safety of Suzetrigine for Acute Pain After an Abdominoplasty

The purpose of this study was to evaluate the efficacy and safety of Suzetrigine (SUZ) in treating acute pain after an abdominoplasty.

Conditions
Acute Pain
Being tested
Suzetrigine (SUZ), HB/APAP, Placebo (matched to SUZ), Placebo (matched to HB/APAP)
Medical subject headings
Acute Pain

What participants receive

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

  • Suzetrigine (SUZ)Drug

    Also called VX-548

    Tablets for oral administration.

  • HB/APAPDrug

    Capsules for oral administration.

  • Placebo (matched to SUZ)Drug

    Placebo matched to SUZ for oral administration.

  • Placebo (matched to HB/APAP)Drug

    Placebo matched to HB/APAP for oral administration.

Study groups in NCT05558410
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received placebo matched to Suzetrigine (SUZ) and Hydrocodone bitartrate/acetaminophen (HB/APAP) for 48 hours.
Receives: Drug: Placebo (matched to SUZ); Drug: Placebo (matched to HB/APAP)
Hydrocodone bitartrate/acetaminophen (HB/APAP)Active comparatorParticipants received HB 5 milligrams (mg)/ APAP 325 mg every 6 hours (q6h) for 48 hours.
Receives: Drug: HB/APAP; Drug: Placebo (matched to SUZ)
Suzetrigine (SUZ)ExperimentalParticipants received SUZ [100 mg as first dose, followed by 50 mg every 12 hours (q12h)] for 48 hours.
Receives: Drug: Suzetrigine (SUZ); Drug: Placebo (matched to HB/APAP)

What is being measured

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

  1. Time-weighted Sum of the Pain Intensity Difference (SPID) as Recorded on a Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48) SUZ Compared to Placebo

    SPID was calculated as the sum of the product of time (in hours) elapsed since previous measurements and pain intensity difference. Pain intensity difference was calculated by subtracting the baseline pain intensity score from the pain intensity score at each postdose time point (using pain rating score range: 0 =no pain to 10 =worst possible pain). SPID48 was calculated from 0 to 48 hours and the score range was -480 (worst score) to 480 (best score).

    Measured: 0 to 48 hours After First Dose of Study Drug

Secondary outcomes (10)
  1. Time-weighted Sum of the Pain Intensity Difference (SPID) as Recorded on a Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48) SUZ Compared to HB/APAP

    SPID was calculated as the sum of the product of time (in hours) elapsed since previous measurements and pain intensity difference. Pain intensity difference was calculated by subtracting the baseline pain intensity score from the pain intensity score at each post dose time point (using pain rating score range: 0 =no pain to 10 =worst possible pain). SPID48 was calculated from 0 to 48 hours and the score range was -480 (worst score) to 480 (best score).

    Measured: 0 to 48 hours After First Dose of Study Drug

  2. Time to Greater Than or Equal to (≥) 2-point Reduction in NPRS, SUZ Compared to Placebo

    Pain intensity was recorded on 11-point NPRS, score range: 0 to 10, where 0= no pain and 10= worst imaginable pain.

    The time to ≥2-point reduction in NPRS from baseline was the time elapsed from the first dose of study drug until the first time the participant had at least a 2-point reduction in NPRS scores from baseline. Participants who did not reach at least a 2-point reduction in NPRS from baseline by 48 hours were censored at 48 hours.

    Measured: From Baseline Up to 48 Hours After First Dose of Study Drug

  3. Time to ≥1-point Reduction in NPRS, SUZ Compared to Placebo

    Pain intensity was recorded on 11-point NPRS, score range: 0 to 10, where 0= no pain and 10= worst imaginable pain.

    The time to ≥1-point reduction in NPRS from baseline was the time elapsed from the first dose of study drug until the first time the participant had at least a 1-point reduction in NPRS scores from baseline. Participants who did not reach at least a 1-point reduction in NPRS from baseline by 48 hours were censored at 48 hours.

    Measured: From Baseline Up to 48 Hours After First Dose of Study Drug

  4. Percentage of Participants Reporting Good or Excellent on the Patient Global Assessment (PGA) Scale, SUZ Compared to Placebo

    The PGA is a single-item assessment of patient perceptions of the method of pain control with the study drug and is evaluated on a 4-point Likert scale as: (poor, fair, good, or excellent). Percentage of participants who reported good or excellent on the PGA scale were reported. Participants who discontinued study drug or had missing PGA at 48 hours were considered to not have reported good or excellent on the PGA.

    Measured: At 48 hours

  5. Incidence of Vomiting or Nausea, SUZ Compared to HB/APAP

    The incidence with the events of vomiting or nausea during the specified time frame was reported.

    Measured: From Baseline Up to Day 19

  6. Time-weighted SPID as Recorded on the NPRS From 0 to 24 Hours (SPID24), SUZ Compared to Placebo

    SPID was calculated as the sum of the product of time (in hours) elapsed since previous measurements and pain intensity difference. Pain intensity difference (PID) was calculated by subtracting the baseline pain intensity score from the pain intensity score at each post dose time point (NPRS range: 0 = no pain to 10 = worst possible pain). Time-weighted SPID was calculated as the sum of the PIDs at each post-dose time point multiplied by the time interval (in hours) between each time point. SPID 24 was calculated from 0 to 24 hours and the score range was -240 (worst score) to 240 (best score).

    Measured: 0 to 24 Hours After First Dose of Study Drug

  7. Time to First Use of Rescue Medication, SUZ Compared to Placebo

    Time to first use of rescue medication is the time from the first dose of study drug until the first use of rescue medication. Participants who did not take any rescue medication within 48 hours were censored at 48 hours.

    Measured: 0 to 48 Hours After First Dose of Study Drug

  8. Percentage of Participants Using Rescue Medication From 0 to 48 Hours, SUZ Compared to Placebo

    Measured: 0 to 48 Hours After First Dose of Study Drug

  9. Total Rescue Medication Usage, SUZ Compared to Placebo

    Measured: 0 to 48 Hours After First Dose of Study Drug

  10. Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: Day 1 up to Day 19

Timeline

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

  1. First posted28 Sep 2022
  2. Study start10 Oct 2022
  3. Primary completion25 Aug 2023
  4. Study completion11 Sep 2023

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05558410
Sponsor's protocol ID
VX22-548-105
Status last verified
Jun 2025
First submitted
23 Sep 2022
Last updated
1 Jul 2025
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent-research/clinical-trial-data-sharing

Publications

  • Yuan S, Ji H, Lu Y, Zhang Z, Tang H. The Clinical Application of Suzetrigine. J Pain Palliat Care Pharmacother. 2026 Jun;40(2):311-320. doi: 10.1080/15360288.2026.2624502. Epub 2026 Feb 14.

    PubMed 41689837

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