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

Last updated: May 22, 2019
Sponsor: Cara Therapeutics, Inc.
Overall Status: Completed

Phase

2/3

Condition

N/A

Treatment

N/A

Clinical Study ID

NCT02542384
CR845-CLIN3001
  • Ages > 21
  • All Genders

Study 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). 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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • A patient will be eligible for study participation if the subject meets the followingcriteria:
  1. Voluntarily provide written informed consent to participate in the study prior to anystudy procedures.

  2. Able to speak, read, and communicate clearly in English or Spanish; able to read andunderstand the study procedures.

  3. Male or female between 21 and older at the time of Screening.

  4. Scheduled for abdominal surgery (hysterectomy; prostatectomy; hemi-colectomy (including partial bowel resections) or ventral hernia repair) with no collateralprocedures.

  5. Patient is categorized as American Society of Anesthesiologists (ASA) risk class of I,II or III.

  6. Has a body mass index (BMI) within 18.0-40.0 kg/m2 and weight between 50 kg and 112kg, inclusive.

  7. For women of childbearing potential- has a negative result on serum pregnancy testingat 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.

  8. 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 sexualintercourse) 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 postmenopausalfor at least 1 year).

  1. If male, the patient must be surgically or biologically sterile. If not sterile, thepatient must agree to use an acceptable form of birth control with heterosexualpartner (as described in inclusion criteria #8a) or abstain from sexual relations for 3 days following the last dose of study drug.

  2. Is free of other physical, mental, or medical conditions, which, in the opinion of theInvestigator, would make study participation inadvisable.

  3. Following surgery, the patient will be eligible for the second dose of study drug.

Exclusion

Exclusion Criteria: A patient will be excluded from the study if any of the following criteria are met:

  1. Has a serum sodium level > 143 mmol/L at Screening.

  2. Has a serum sodium level < 136 mmol/L at Screening.

  3. Patient is unwilling or unable to comply with the study procedures and assessmentsuntil the end of the 48-hour treatment and observation period.

  4. Has moderate to severe obstructive sleep apnea, which, in the opinion of theInvestigator is not being adequately treated (i.e., Nasal/Facial C-PAP), and will posean unacceptable risk.

  5. 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 fentanyland morphine sulfate), propofol or other sedatives, local anesthetics, antiemetics (such as ondansetron) non- steroidal anti-inflammatory drugs (such as ketorolac) oracetaminophen].

  6. Uses antipsychotics, antiepileptics, sedatives, hypnotics, or antianxiety agents,selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants with a dosechange < 30 days prior to surgery.

  7. Has a history or current diagnosis of substance dependence (except caffeine ornicotine) or alcohol abuse, according to the criteria of Diagnostic and StatisticalManual of Mental Disorders, Fifth Edition (DSM-5).

  8. Has a positive urine drug screen for drugs of abuse at Screening.

  9. Is unwilling to abstain from alcohol consumption for a period beginning 24 hours priorto Admission until the time of Discharge from the hospital.

  10. Suffers from chronic dizziness, vestibular disorders, or has experienced severecontinuous diarrhea, retching, vomiting, or moderate or severe nausea and/or dizzinessfor any reason within 72 hours prior to Admission.

  11. Has been diagnosed with a condition of hyperhidrosis (excessive sweating) or primaryhypodipsia (abnormally diminished thirst).

  12. Has donated or had significant loss of whole blood (240 mL or more) within 30 days orplasma within 14 days prior to Admission.

  13. Has a history (within 6 months) of clinically meaningful orthostatic changes in vitalsigns - OR - a decrease in systolic blood pressure by > 20 mm Hg or a decrease indiastolic blood pressure by 10 mm Hg together with an increase in heart rate of > 30beats per minute when transitioning from supine to standing measurements at the timeof Screening.

  14. Hasmedicalconditions(e.g.,cardiovascular,pulmonary,hepatic,renal, hematologic,gastrointestinal, endocrine (adrenal hyperplasia), immunologic, dermatologic,neurologic, oncologic or psychiatric condition) or a significant laboratoryabnormality that, in the Investigator's opinion, would jeopardize the safety of thepatient or is likely to confound the study measurements.

  15. Has congestive heart failure.

  16. Has taken any diuretic medications within 2-weeks prior to the scheduled surgery.

  17. Has an oxygen saturation < 92% on room air at Screening or Admission.

  18. Has impaired renal function indicated by serum creatinine greater than 2 times thereference upper limit of normal (ULN).

  19. Has a serum alanine aminotransferase (ALT) or aspartate aminotransferase AST) greaterthan 2.5 times the reference upper limit of normal (ULN), or total bilirubin greaterthan 2 times the ULN at Screening.

  20. Has, in the opinion of the Investigator, any clinical signs of dehydration orhypovolemia (e.g., symptomatic hypotension) or associated laboratory abnormalities,e.g., elevated hematocrit, elevated blood urea nitrogen (BUN) >1.5 x the reference ULNat Screening.

  21. Has taken opioid analgesics for more than 10 consecutive days for any reason withinthe past 3 months prior to Screening.

  22. Has taken opioid or non-opioid pain medication (e.g., NSAIDs such as naproxen,cyclooxygenase-2 inhibitors) within the 12 hours prior to surgery.

  23. Has received another investigational drug within 30 days prior to Admission or hasplanned to participate in another clinical trial while enrolled in this study.

Study Design

Total Participants: 451
Study Start date:
September 01, 2015
Estimated Completion Date:
June 30, 2018

Study 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.

Connect with a study center

  • Cara Therapeutics Study Site

    Sheffield, Alabama
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Phoenix, Arizona
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Los Angeles, California 90048
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    New Haven, Connecticut
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Bradenton, Florida 34209
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Gainesville, Florida
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Maitland, Florida
    United States

    Site Not Available

  • CCM Clinical Research Group

    Miami, Florida
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Miami Gardens, Florida
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Pensacola, Florida 32503
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Saint Petersburg, Florida 33713
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Wellington, Florida
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Chicago, Illinois
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Boston, Massachusetts
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Jackson, Mississippi
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Camden, New Jersey 08103
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Neptune, New Jersey
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Neptune City, New Jersey
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Albany, New York 12208
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Stony Brook, New York
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Cincinnati, Ohio 45267
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Cleveland, Ohio
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Columbus, Ohio
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Pittsburgh, Pennsylvania
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Chattanooga, Tennessee
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Bellaire, Texas
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Fort Worth, Texas
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Houston, Texas
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Plano, Texas
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    San Antonio, Texas
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Salt Lake City, Utah 84124
    United States

    Site Not Available

  • Cara Therapeutics Study Site

    Madison, Wisconsin
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.