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SABER-Bupivacaine

Phase 3

Post Operative Pain | Small molecule | Pain |DURECT Corporation|Last Updated: Jul 13, 2021

Target and mechanism

ModalitySmall molecule

Also known as SABER-Bupivacaine (Part 1)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment399

FDA Designations

No designations recorded

Clinical trial landscape

SABER-Bupivacaine · 4 trials · 5 indications

Phase 3 2Phase 2 2
NCT02574520Trial of Extended Release Bupivacaine for Pain Relief After SurgeryPost Operative Pain
COMPLETED399 Analytics
NCT01052012Bupivacaine Effectiveness and Safety in SABER® TrialPostoperative Pain
COMPLETED331 Analytics
PHASE3COMPLETED
Trial of Extended Release Bupivacaine for Pain Relief After Surgery
Post Operative PainUnlock trial analytics
PHASE3COMPLETED
Bupivacaine Effectiveness and Safety in SABER® Trial
Postoperative PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Pain Intensity on Movement From 0-48 Hours Post-Treatment
Assessed from 0 to 48 hours post-dose, summary measure (see description) reported.

A derived measure computed based on a patient-reported numerical pain rating scale assessing pain as a whole number from 0 (no pain) to 10 (worst pain imaginable) when the subject sits up from a supine position. This measure was evaluated by electronic diary at 13 planned time points from 0 to 48 hours post-treatment. The values reported are mean pain scores for each treatment group.

Mean Pain Intensity on Movement
0 to 72 hours post-dose

Mean pain intensity on movement AUC (time-normalized AUC) during the period 0 to 72 hours post-dose. Pain intensity was assessed with a standard 0 to 10 numeric rating scale (NRS), where no pain at all was rated as 0 and the worst pain imaginable was rated as 10. The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude.

Supplemental Opioid Use
0-72 hours post dose

Total morphine-equivalent dose during 0-72 hours post dose. Median values were presented because data was not normally distributed.

Mean Pain Intensity on Movement AUC (Time Normalized Area Under the Curve) During the Period 0 to 72 Hours Post-dose.
0 to 72 hours post-dose

Mean pain intensity on movement AUC (time normalized area under the curve) during the period 0 to 72 hours post-dose. Subjects assessed their pain intensity using an 11-point Pain Intensity Numeric Rating Scale (PI-NRS) with NRS scores ranging from 0 (no pain) to 10 (worst pain possible). The pain intensity AUC on movement was computed for each subject using the standard trapezoidal rule. For the purpose of better clinical interpretability of the pain AUC, a normalized AUC was computed by dividing it using the time-interval length over which it was computed.

Pain Intensity on Movement
1 to 72 hours post-dose

Pain intensity on movement normalized AUC over the time period 1 to 72 hours post-surgery. Data on pain intensity were collected using a 0 to 10 NRS with scores ranging from 0 (no pain) to 10 (worst pain possible). The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude.

Proportion (Percent) of Patients Using Supplemental Opioids
0 to 14 days post-dose

Secondary Endpoints

Pain Intensity Using the NPRS-11 With Movement
Assessed from 0 to 72 hours post-dose, summary measure (see description) reported.
Total IV Morphine-equivalent Dose of Rescue Opioids
0-72 hrs. post dose (after surgery)
Composite Endpoint of Silverman's Integrated Analgesic (SIA) Assessment Score
0 to 72 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1PLACEBO_COMPARATORSABER-Bupivacaine and Saline Placebo
Part 2ACTIVE_COMPARATORSABER-Bupivacaine and Bupivacaine HCl
Active: SABER-BupivacaineEXPERIMENTALSABER-Bupivacaine
Comparator: Bupivacaine HClACTIVE_COMPARATORBupivacaine HCl
Placebo: SABER-PlaceboPLACEBO_COMPARATORSABER-Placebo
Group 1: SABER-BupivacaineEXPERIMENTAL5.0 mL SABER-Bupivacaine/Once
Group 2: SABER-PlaceboPLACEBO_COMPARATOR5.0 mL SABER-Placebo/Once
Group 2: SABER-BupivacaineEXPERIMENTAL5.0 mL SABER-Bupivacaine/Once
Group 3: SABER-PlaceboPLACEBO_COMPARATOR2.5 mL or 5.0 mL SABER-Placebo/Once

Interventions

NameTypeDescription
SABER-Bupivacaine (Part 1)DRUG5 ml once at end of surgery
SABER-Bupivacaine (Part 2)DRUG5 ml once at end of surgery
Saline PlaceboDRUG5 ml once at end of surgery
Bupivacaine HClDRUG0.5%, 15 ml, once at end of surgery
SABER-BupivacaineDRUGInjectable Extended Release Solution; SABER-Bupivacaine /Once
SABER-PlaceboDRUGInjectable Solution; SABER-Placebo/Once
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: * Patients scheduled for elective outpatient laparoscopic cholecystectomy using a conventional 4-port laparoscopic procedure. * Must be able and willing to provide written informed consent, complete trial-related procedures, and communicate with the trial staff. * Males and fema...

Countries:United StatesAustraliaNew Zealand
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Competitive Landscape -Surgical and Perioperative 73 trials (matched to "Post Operative Pain")

No competing companies are currently tracked in active development for Surgical and Perioperative.
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Frequently asked questions about SABER-Bupivacaine

What is SABER-Bupivacaine used for?

SABER-Bupivacaine is an investigational long-acting formulation of bupivacaine being developed to treat postoperative pain, including pain after abdominal surgery, hernia repair, and shoulder surgery. It is designed to provide extended pain relief after surgery. It is not approved and remains in clinical development.

Who is developing SABER-Bupivacaine?

SABER-Bupivacaine is being developed by DURECT Corporation, which trades on the Nasdaq under the ticker DRRX. DURECT is the sponsor of the clinical program evaluating the asset in postoperative pain. The drug is an investigational product and has not been approved for commercial use.

What phase is SABER-Bupivacaine in?

SABER-Bupivacaine is in Phase 3 clinical development. Its Phase 3 program includes trials such as NCT02574520 and NCT01052012, both completed. Earlier Phase 2 studies, NCT00974350 and NCT00974350, evaluated the drug after hernia repair and shoulder surgery. The drug is investigational and has not been approved.

What clinical trials is SABER-Bupivacaine in?

SABER-Bupivacaine has been studied in completed trials including NCT02574520, a Phase 3 trial in postoperative pain, and NCT01052012, a Phase 3 trial in postoperative pain and abdominal surgery. Phase 2 trials NCT00974350 and NCT00818363 evaluated hernia repair and shoulder surgery pain. All listed trials are completed.

Is SABER-Bupivacaine the same as SABER-Bupivacaine (Part 1)?

Yes, SABER-Bupivacaine (Part 1) is an alternative name for SABER-Bupivacaine. Both names refer to the same DURECT Corporation investigational product for postoperative pain. The parenthetical designation distinguishes a portion of the clinical program rather than a separate drug asset.

How many patients have been enrolled in SABER-Bupivacaine trials?

Across the reported SABER-Bupivacaine clinical trials, total enrollment is 515 patients. The studies were randomized, double-blind, and placebo-controlled, and enrolled adults aged 18 years and older. Trials were conducted in the United States, Australia, and New Zealand. The program includes both Phase 2 and Phase 3 studies.