Trial Outcomes & Findings for Phase 2 Herniorrhaphy Study for Opioid Elimination (NCT NCT03695367)

NCT ID: NCT03695367

Last Updated: 2026-03-02

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

63 participants

Primary outcome timeframe

72 hours

Results posted on

2026-03-02

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1: HTX-011 + MMA Regimen
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Overall Study
STARTED
33
30
Overall Study
COMPLETED
32
26
Overall Study
NOT COMPLETED
1
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: HTX-011 + MMA Regimen
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Overall Study
Missed the Day 28 visit.
1
0
Overall Study
Lost to Follow-up
0
1
Overall Study
Withdrawal by Subject
0
1
Overall Study
One subject missed the Day 28 visit and one subject missed the Day 10 and Day 28 visits.
0
2

Baseline Characteristics

Phase 2 Herniorrhaphy Study for Opioid Elimination

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Total
n=63 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=76 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=41 Participants
26 Participants
n=35 Participants
56 Participants
n=76 Participants
Age, Categorical
>=65 years
3 Participants
n=41 Participants
4 Participants
n=35 Participants
7 Participants
n=76 Participants
Age, Continuous
50.9 years
STANDARD_DEVIATION 13.52 • n=41 Participants
46.1 years
STANDARD_DEVIATION 14.99 • n=35 Participants
48.7 years
STANDARD_DEVIATION 14.33 • n=76 Participants
Sex: Female, Male
Female
0 Participants
n=41 Participants
4 Participants
n=35 Participants
4 Participants
n=76 Participants
Sex: Female, Male
Male
33 Participants
n=41 Participants
26 Participants
n=35 Participants
59 Participants
n=76 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=41 Participants
9 Participants
n=35 Participants
23 Participants
n=76 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=41 Participants
21 Participants
n=35 Participants
40 Participants
n=76 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=76 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=76 Participants
Race (NIH/OMB)
Asian
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=76 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=76 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=41 Participants
4 Participants
n=35 Participants
5 Participants
n=76 Participants
Race (NIH/OMB)
White
30 Participants
n=41 Participants
26 Participants
n=35 Participants
56 Participants
n=76 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=76 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=76 Participants
Region of Enrollment
United States
33 participants
n=41 Participants
30 participants
n=35 Participants
63 participants
n=76 Participants

PRIMARY outcome

Timeframe: 72 hours

Population: Safety Population

Outcome measures

Outcome measures
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Percentage of Subjects Receiving no Opioid Rescue
30 Participants
27 Participants

SECONDARY outcome

Timeframe: 72 hours

Population: Safety Population

Outcome measures

Outcome measures
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Total Postoperative Opioid Consumption (in IV Morphine Milligram Equivalents [IV MME])
0.59 MME, morphine milligram equivalents
Standard Deviation 2.141
1.32 MME, morphine milligram equivalents
Standard Deviation 4.199

SECONDARY outcome

Timeframe: 0-24 hours, 24-48 hours, 24-72 hours, 48-72 hours

Population: Safety Population

Outcome measures

Outcome measures
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Percentge of Subjects Receiving no Opioid Rescue
0-24 hours
30 Participants
27 Participants
Percentge of Subjects Receiving no Opioid Rescue
24-48 hours
32 Participants
29 Participants
Percentge of Subjects Receiving no Opioid Rescue
24-72 hours
32 Participants
28 Participants
Percentge of Subjects Receiving no Opioid Rescue
48-72 hours
33 Participants
28 Participants

SECONDARY outcome

Timeframe: Day 28

Population: Safety Population

Outcome measures

Outcome measures
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Percentge of Subjects Receiving no Opioid Rescue
28 Participants
24 Participants

SECONDARY outcome

Timeframe: 72 hours

Population: Safety Population

Outcome measures

Outcome measures
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 Participants
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Percentge of Subjects in Severe Pain With Numeric Rating Scale (NRS-R; Windowed Worst Observation Carried Forward) of Pain Intensity Scores >7 on a Scale of 0-10 at Any Point. NRS-R for Pain Where 0 Equals no Pain and 10 Equals Worst Pain Imaginable.
5 Participants
6 Participants

Adverse Events

Cohort 1: HTX-011 + MMA Regimen

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Cohort 2: HTX-011 + MMA Regimen + Ketorolac

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1: HTX-011 + MMA Regimen
n=33 participants at risk
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen.
Cohort 2: HTX-011 + MMA Regimen + Ketorolac
n=30 participants at risk
HTX-011 (bupivacaine/meloxicam), 300 mg/9 mg via instillation; non-opioid multimodal analgesic (MMA) regimen and IV ketorolac.
Nervous system disorders
Headache
3.0%
1/33 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
6.7%
2/30 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
Nervous system disorders
Dizziness
0.00%
0/33 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
6.7%
2/30 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
Respiratory, thoracic and mediastinal disorders
Hypoxia
9.1%
3/33 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
6.7%
2/30 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
Gastrointestinal disorders
Nausea
6.1%
2/33 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
10.0%
3/30 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
Gastrointestinal disorders
Vomiting
0.00%
0/33 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.
6.7%
2/30 • 28 Days.
At each level of summarization (any event, System Organ Class, and Preferred Term), subjects reporting more than one TEAE are counted only once.

Additional Information

Tricia Mulford

Heron Therapeutics, Inc.

Phone: 760-622-3709

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place