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NCT00749749

Efficacy and Safety of the CollaRx Bupivacaine Implant Compared to the ON-Q Painbuster Following Abdominal Hysterectomy

Completed Phase 2 Results posted Last updated 4 November 2020
What this trial tests

Phase 2 trial testing Bupivacaine Collagen Sponge (CollaRx Bupivacaine Implant) in Pain, Postoperative in 27 participants. Completed in 22 December 2008.

Timeline
10 September 2008
Primary endpoint
22 December 2008
22 December 2008

Quick facts

Lead sponsorInnocoll
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment27
Start date10 September 2008
Primary completion22 December 2008
Estimated completion22 December 2008
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Innocoll — full company profile →

Who can join

Adults 18 to 75, female only, with Pain, Postoperative. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Total Amount of Opioid Rescue Analgesia Used Primary · 0 to 24 hours postoperatively

Higher value means worse outcome - Higher number reflects a need for more analgesia - For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. Measurement recorded in total Morphine Milligrams

GroupValue95% CI
Bupivacaine Collagen Sponge46.85± 21.57
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System67.03± 32.416
Total Amount of Opioid Rescue Analgesia Used Secondary · 0 to 48 hours postoperatively

Higher score means worse outcome - Higher number means more Analgesia was needed. For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. After 24 hours, patients were offered hydrocodone/acetaminophen (maximum could not exceed 8 tablets per 24 hours of the 5/500 mg tablets \[40 mg hydrocodone and 4000 mg acetaminophen\]) or similar medication as determined by the Investigator for pain until discharge. If oral medication was insufficient for control of pain, IM or IV morphine could be administered.

GroupValue95% CI
Bupivacaine Collagen Sponge55.43± 22.770
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System74.85± 35.381
The Total Amount of Opioid Rescue Analgesia Used Secondary · 0 to 96 hours postoperatively

Higher score means worse outcome. Higher number means more Analgesia was needed. For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. After 24 hours, patients were offered hydrocodone/acetaminophen (maximum could not exceed 8 tablets per 24 hours of the 5/500 mg tablets \[40 mg hydrocodone and 4000 mg acetaminophen\]) or similar medication as determined by the Investigator for pain until discharge. If oral medication was insufficient for control of pain, IM or IV morphine could be administered.

GroupValue95% CI
Bupivacaine Collagen Sponge67.87± 28.175
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System90.77± 46.114
Total Use of Opioid Rescue Analgesia (mg) Over 0 to 72 Hours Secondary · 0 to 72 Hours

Higher score means worse outcome. Higher number means more Analgesia was needed. For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. After 24 hours, patients were offered hydrocodone/acetaminophen (maximum could not exceed 8 tablets per 24 hours of the 5/500 mg tablets \[40 mg hydrocodone and 4000 mg acetaminophen\]) or similar medication as determined by the Investigator for pain until discharge. If oral medication was insufficient for control of pain, IM or IV morphine could be administered.

GroupValue95% CI
Bupivacaine Collagen Sponge61.98± 25.27
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System85.36± 41.887
Time to First Use of Opioid Rescue Analgesia Secondary · 0 to 72 hours

Higher score has a better outcome

GroupValue95% CI
Bupivacaine Collagen Sponge0.780.43 – 1.02
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System0.570.33 – 0.58
VAS Pain Intensity Scores Over Time AT REST Secondary · Hour 1, 1.5, 2,3,6,9,12,18,24,36,48,72,96

For the VAS assessment, patients measured their pain intensity at rest using a horizontal 100-mm VAS scale labeled as follows: No Pain (0 mm) as the left anchor and Worst Pain Imaginable (100 mm) as the right anchor.

Hour 1.0
GroupValue95% CI
Bupivacaine Collagen Sponge75.2± 21.32
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System74.5± 22.75
Hour 1.5
GroupValue95% CI
Bupivacaine Collagen Sponge66.3± 24.96
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System66.5± 28.65
Hour 2
GroupValue95% CI
Bupivacaine Collagen Sponge61.5± 26.92
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System68.6± 26.52
Hour 3
GroupValue95% CI
Bupivacaine Collagen Sponge52.2± 21.71
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System60.9± 29.85
Hour 6
GroupValue95% CI
Bupivacaine Collagen Sponge49.9± 32.15
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System45.8± 24.49
Hour 9
GroupValue95% CI
Bupivacaine Collagen Sponge38.1± 29.37
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System35.8± 24.48
Hour 12
GroupValue95% CI
Bupivacaine Collagen Sponge43.6± 33.33
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System38.9± 25.87
Hour 18
GroupValue95% CI
Bupivacaine Collagen Sponge44.5± 29.46
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System50.7± 30.59
VAS (mm) Pain Intensity Scores Over Time (After Cough) Secondary · Hour 1, 1.5, 2,3,6,9,12,18,24,36,48,72,96

For the VAS assessment, patients measured their pain intensity after aggravated movement (cough) using a horizontal 100-mm VAS scale labeled as follows: No Pain (0 mm) as the left anchor and Worst Pain Imaginable (100 mm) as the right anchor.

Hour 1
GroupValue95% CI
Bupivacaine Collagen Sponge84.4± 21.41
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System86.1± 21.72
Hour 1.5
GroupValue95% CI
Bupivacaine Collagen Sponge76.5± 24.54
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System79.8± 25.33
Hour 2.0
GroupValue95% CI
Bupivacaine Collagen Sponge73.8± 26.25
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System84.6± 24.19
Hour 3.0
GroupValue95% CI
Bupivacaine Collagen Sponge62.1± 26.52
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System77.1± 31.40
hour 6.0
GroupValue95% CI
Bupivacaine Collagen Sponge61.9± 33.51
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System65.8± 28.50
Hour 9.0
GroupValue95% CI
Bupivacaine Collagen Sponge51.5± 33.07
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System52.5± 28.08
Hour 12
GroupValue95% CI
Bupivacaine Collagen Sponge43.6± 33.33
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System38.9± 25.87
Hour 18
GroupValue95% CI
Bupivacaine Collagen Sponge44.5± 29.46
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System50.7± 30.59

Adverse events — posted to ClinicalTrials.gov

Time frame: Information regarding AEs was collected from the time of hospital admission through Day 30. Normal postoperative sequelae were not considered to be AEs unless they occurred in a more severe form, as judged by the Investigator. Information on AEs was also collected during the Day 8 and Day 30 follow-up calls.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Bupivacaine Collagen Sponge
Serious: 0/14 (0%)
Deaths: 0/14
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System
Serious: 0/13 (0%)
Deaths: 0/13
Other adverse events (10 terms — click to expand)

ReactionSystemBupivacaine Collagen SpongeON-ON-Q PainBuster Post-op…
ConstipationGastrointestinal disorders
FlatulenceGastrointestinal disorders
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
HeadacheNervous system disorders
RashSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Oedema peripheralGeneral disorders
ChillsGeneral disorders

Data from ClinicalTrials.gov NCT00749749 adverse events section.

Sponsor's own description

The purpose of this study is to determine whether the CollaRx Bupivacaine Implant is safe and effective in reducing the amount of narcotic pain medication needed to control pain during the first 96 hours after abdominal hysterectomy when compared to the ON-Q PainBuster Post-op Pain Relief System.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A randomized, multicenter, pilot study comparing the efficacy and safety of a bupivacaine-collagen implant (XaraColl(®)) with the ON-Q PainBuster(®) Post-op Pain Relief System following open gynecological surgery.
    Cusack SL, Minkowitz HS, Kuss M, Jaros M, et al · · 2012 · cited 10× · PMID 23152696 · DOI 10.2147/jpr.s37310

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