Study Assessing Pain Relief after Replacement of the Knee (SPARK)

  • Research type

    Research Study

  • Full title

    A Phase 2B, Randomized, Double Blind, Active Comparator, Multicenter, Safety, and Efficacy Trial of ATX 101 in Subjects Undergoing Total Knee Arthroplasty (SPARK)

  • IRAS ID

    1006134

  • Contact name

    Sharon Hall

  • Contact email

    sharon.hall@allaytx.com

  • Sponsor organisation

    Allay Therapeutics Inc.

  • Clinicaltrials.gov Identifier

    NCT05260008

  • Research summary

    This study is for people who are having knee replacement surgery.
    The main aims of the study are to:
    1. see how well two different amounts (dose) of ATX-101 placed in the knee to control pain in the weeks after knee replacement surgery compares to injections of the same medicine injected around the tissues or the nerves in the knee
    2. test the safety and if people in the study have side effects.
    3. decide what dose of ATX-101 works best for pain relief after knee surgery, based on point 1 above
    4. compare the amounts of opioids people participating in the study take over a one-month period
    The test drug, ATX-101 is a medicine in a wafer that is placed in the body during surgery (implant) that the dissolves over time (bioabsorbable) to release the medicine. ATX-101 is made to provide pain relief after knee replacement surgery. The active ingredient in ATX-101 is bupivacaine hydrochloride. Each ATX-101 wafer contains 500 mg of bupivacaine.
    Bupivacaine is a local anaesthetic, a pain numbing medication, which was discovered in 1957 and is on the World Health Organization's List of Essential Medicines. These are considered the most effective and safe medicines needed in a health system.
    People who participate in this study will be randomly assigned (by chance) to get one of the treatments and they will not know what treatment they will receive. All research staff apart from the team doing the knee surgery, will also not know what treatment each person in the study has been given.
    The trial has two parts. People will only participate in either Part A or Part B, but not both.
    People in Part A will get either: one of two doses of ATX-101 (1000mg or 1500mg) or bupivacaine injection. People in Part B of the study will get ATX-101 of the dose that will be decided after the results from Part A have been reviewed or bupivacaine injection. The study treatment will be placed in the knee during the surgery.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    22/SC/0385

  • Date of REC Opinion

    13 Dec 2022

  • REC opinion

    Further Information Favourable Opinion