Last reviewed · How we verify

NCT02922582

Study of Local Administration of DepoTXA for Reduced Postsurgical Bleeding in Subjects Undergoing TKA

Terminated Phase 2 Results posted Last updated 11 December 2020
What this trial tests

Phase 2 trial testing DepoTXA in Total Knee Arthroplasty in 16 participants. Terminated before completion.

Timeline
28 October 2016
Primary endpoint
27 November 2017
27 November 2017

Quick facts

Lead sponsorPacira Pharmaceuticals, Inc
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment16
Start date28 October 2016
Primary completion27 November 2017
Estimated completion27 November 2017
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pacira Pharmaceuticals, Inc — full company profile →

Who can join

18 and older, any sex, with Total Knee Arthroplasty. 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.

Area Under the Plasma Concentration-versus-time Curve From Time 0 Extrapolated to Infinity After Drug Administration Primary · Baseline; 5, 15, and 30 min; at 1, 2, 4, 6, 8, 12, 16, and 24 hours after study drug administration for all treatment groups. Additional blood samples were collected at 36, 48, 60, 72, and 96 hours for DepoTXA-treated subjects.
GroupValue95% CI
DepoTXA 400mg46462.15± 6935.828
DepoTXA 800mg106422.7± 42128.84
DepoTXA 1200mg148806.2± 14137.74
IV Tranexamic Acid (TXA)134602.2± 29975.88
Area Under the Plasma Concentration-versus-time Curve From Time 0 to the Last Collection Time After Drug Administration Primary · Baseline; 5, 15, and 30 min; at 1, 2, 4, 6, 8, 12, 16, and 24 hours after study drug administration for all treatment groups. Additional blood samples were collected at 36, 48, 60, 72, and 96 hours for DepoTXA-treated subjects.
GroupValue95% CI
DepoTXA 400mg43784.71± 6463.220
DepoTXA 800mg104546.5± 42813.20
DepoTXA 1200mg143562.9± 13931.94
IV Tranexamic Acid (TXA)131153.0± 27286.97
Maximum Plasma Concentration (Cmax) Primary · Baseline; 5, 15, and 30 min; at 1, 2, 4, 6, 8, 12, 16, and 24 hours after study drug administration for all treatment groups. Additional blood samples were collected at 36, 48, 60, 72, and 96 hours for DepoTXA-treated subjects.
GroupValue95% CI
DepoTXA 400mg2775.0± 741.96
DepoTXA 800mg7722.0± 2015.25
DepoTXA 1200mg9827.0± 1545.83
IV Tranexamic Acid (TXA)125390.0± 154587.6
Time to Maximum Plasma Concentration (Tmax) Primary · Baseline; 5, 15, and 30 min; at 1, 2, 4, 6, 8, 12, 16, and 24 hours after study drug administration for all treatment groups. Additional blood samples were collected at 36, 48, 60, 72, and 96 hours for DepoTXA-treated subjects.
GroupValue95% CI
DepoTXA 400mg1.6± 0.55
DepoTXA 800mg1.5± 0.57
DepoTXA 1200mg2.5± 0.96
IV Tranexamic Acid (TXA)0.1± 0
The Apparent Terminal Elimination Rate Constant Primary · Baseline; 5, 15, and 30 min; at 1, 2, 4, 6, 8, 12, 16, and 24 hours after study drug administration for all treatment groups. Additional blood samples were collected at 36, 48, 60, 72, and 96 hours for DepoTXA-treated subjects.
GroupValue95% CI
DepoTXA 400mg0.048± 0.0084
DepoTXA 800mg0.035± 0.0120
DepoTXA 1200mg0.035± 0.0095
IV Tranexamic Acid (TXA)0.136± 0.0261
The Apparent Terminal Elimination Half-life Primary · Baseline; 5, 15, and 30 min; at 1, 2, 4, 6, 8, 12, 16, and 24 hours after study drug administration for all treatment groups. Additional blood samples were collected at 36, 48, 60, 72, and 96 hours for DepoTXA-treated subjects.
GroupValue95% CI
DepoTXA 400mg14.679± 2.6980
DepoTXA 800mg21.132± 7.2508
DepoTXA 1200mg20.956± 5.7276
IV Tranexamic Acid (TXA)5.220± 0.8540
Summary of Neurological Assessments (Proportion of Subjects Who Were Oriented and Proportion of Subjects Who Had Any of the Neurologic Events) at Each Assessed Timepoint Secondary · 12, 24, 36, 48, 60, 72, and 96 hours after study drug administration

Neurological assessment at 12, 24, 36, 48, 60, 72, and 96 hours after study drug administration

Number of subjects who had any of the neurologic events at baseline
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 12 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 24 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 36 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 48 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 60 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 72 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had any of the neurologic events at 96 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Incidence of Reoperation Due to Hematoma or Wound Dehiscence Secondary · Through day 60

Number of subjects who underwent reoperation due to hematoma or wound dehiscence

GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Incidence of Transfusion (Number of Units, Number of Units/Subject, Number of Subjects Transfused) Secondary · Day 60
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of Participants With 90˚ Passive and Active Knee Flexion Secondary · 24, 48, and 72 hours
Number of subjects who had 90˚ active knee flexion at 24 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had 90˚ active knee flexion at 48 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)1
Number of subjects who had 90˚ active knee flexion at 72 hours
GroupValue95% CI
DepoTXA 400mg1
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Number of subjects who had 90˚ passive knee flexion at 24 hours
GroupValue95% CI
DepoTXA 400mg0
DepoTXA 800mg1
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)1
Number of subjects who had 90˚ passive knee flexion at 48 hours
GroupValue95% CI
DepoTXA 400mg1
DepoTXA 800mg0
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)1
Number of subjects who had 90˚ passive knee flexion at 72 hours
GroupValue95% CI
DepoTXA 400mg2
DepoTXA 800mg1
DepoTXA 1200mg0
IV Tranexamic Acid (TXA)0
Time to Complete Timed Up-and-Go (TUG) Test Secondary · Day 1; at approximately 8:00 am and 8:00 pm (±2 hours) daily from Day 2 through hospital discharge; and on Day 7

Physical therapy assessment (Timed Up-and-Go (TUG) test) was conducted once postsurgically on Day 1; at approximately 8:00 am and 8:00 pm (±2 hours) daily from Day 2 through hospital discharge; and on Day 7

Baseline
GroupValue95% CI
DepoTXA 400mg16.4± 4.25
DepoTXA 800mg18.1± 10.73
DepoTXA 1200mg14.6± 8.97
IV Tranexamic Acid (TXA)15.4± 6.92
Day 1
GroupValue95% CI
DepoTXA 400mg50.0± NA
DepoTXA 800mg80.0± NA
DepoTXA 1200mg40.0± 7.07
IV Tranexamic Acid (TXA)80.0± NA
Day 2 - AM
GroupValue95% CI
DepoTXA 400mg47.5± 10.61
DepoTXA 800mg90.0± 7.07
DepoTXA 1200mg66.7± 23.63
IV Tranexamic Acid (TXA)85.0± 21.88
Day 2- PM
GroupValue95% CI
DepoTXA 400mg48.0± 14.14
DepoTXA 800mg85.0± 7.07
DepoTXA 1200mg69.0± 25.94
IV Tranexamic Acid (TXA)41.0± 6.08
Day 2 -Discharge
GroupValue95% CI
DepoTXA 400mg44.3± 6.03
DepoTXA 800mg51.1± 32.85
DepoTXA 1200mg61.3± 31.76
IV Tranexamic Acid (TXA)40.0± 0.00
Day 7
GroupValue95% CI
DepoTXA 400mg28.4± 11.64
DepoTXA 800mg51.2± 32.89
DepoTXA 1200mg32.3± 15.72
IV Tranexamic Acid (TXA)13.1± NA
Change in Knee and Thigh Measurements Secondary · 48 hours and Day 7

Leg difference in change from baseline is calculated by = (Operated Leg Change from Baseline) - (Non-Operated Leg Change from Baseline)

Leg Difference in Change from Baseline in Thigh Circumference (cm) at 48 hours
GroupValue95% CI
DepoTXA 400mg5.0± 4.73
DepoTXA 800mg6.7± 6.37
DepoTXA 1200mg3.4± 4.54
IV Tranexamic Acid (TXA)6.1± 1.39
Leg Difference in Change from Baseline in Thigh Circumference (cm) at Day 7
GroupValue95% CI
DepoTXA 400mg4.3± 1.70
DepoTXA 800mg5.2± 6.17
DepoTXA 1200mg0.8± 5.09
IV Tranexamic Acid (TXA)3.3± 3.18
Leg Difference in Change from Baseline in Knee Circumference at 48 hours
GroupValue95% CI
DepoTXA 400mg4.1± 3.47
DepoTXA 800mg5.8± 5.37
DepoTXA 1200mg2.2± 4.85
IV Tranexamic Acid (TXA)1.0± 5.25
Leg Difference in Change from Baseline in Knee Circumference at Day 7
GroupValue95% CI
DepoTXA 400mg2.6± 3.20
DepoTXA 800mg3.8± 8.25
DepoTXA 1200mg-1.4± 4.03
IV Tranexamic Acid (TXA)4.3± 0.35

Adverse events — posted to ClinicalTrials.gov

Time frame: From screening to postsurgical day 60. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

DepoTXA 400mg
Serious: 0/4 (0%)
Deaths: 0/4
DepoTXA 800mg
Serious: 0/3 (0%)
Deaths: 0/3
DepoTXA 1200mg
Serious: 0/4 (0%)
Deaths: 0/4
IV Tranexamic Acid (TXA)
Serious: 0/4 (0%)
Deaths: 0/4
Other adverse events (14 terms — click to expand)

ReactionSystemDepoTXA 400mgDepoTXA 800mgDepoTXA 1200mgIV Tranexamic Acid (TXA)
Procedural painInjury, poisoning and procedural complications
InsomniaPsychiatric disorders
PruritusSkin and subcutaneous tissue disorders
Postprocedural hemorrhageInjury, poisoning and procedural complications
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
GoutMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
HypertensionVascular disorders
Sinus tachycardiaCardiac disorders
HypoesthesiaNervous system disorders
Sinus arrhythmiaCardiac disorders

Data from ClinicalTrials.gov NCT02922582 adverse events section.

Sponsor's own description

This is a Phase 2, randomized, single-blind, active-controlled dose-ranging study in subjects scheduled to undergo total knee arthroplasty (TKA).

Publications & conference data

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

  1. Pharmacological interventions for the prevention of bleeding in people undergoing elective hip or knee surgery: a systematic review and network meta-analysis.
    Gibbs VN, Champaneria R, Sandercock J, Welton NJ, et al · · 2024 · cited 19× · PMID 38226724 · DOI 10.1002/14651858.cd013295.pub2

Verify or expand the search:

Other recruiting trials for Total Knee Arthroplasty

Currently open trials in the same condition.

Other Pacira Pharmaceuticals, Inc trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02922582.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing