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HTX-034 low dose

Phase 1

Bunions | Small molecule | Musculoskeletal |Heron Therapeutics, Inc.|Trials Updated: Jun 9, 2026

HTX-034 low dose development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since May 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment78

FDA Designations

No designations recorded

HTX-034 low dose clinical trials

HTX-034 low dose · 1 trial · 2 indications

Phase 1 1
NCT04398329Dose-Escalation Study of HTX-034 Following BunionectomyBunions
COMPLETED78 Analytics
PHASE1COMPLETED
Dose-Escalation Study of HTX-034 Following Bunionectomy
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Study Endpoints

Primary Endpoints

Incidence of TEAEs in Phases 1b/2
42 days

The data from Phase 1b and Phase 2 were combined for each treatment group because the dose for bupivacaine HCI, HTX-034 low dose and HTX-034 high dose were the same, in both Phases, respectively. In addition, the surgical procedure, protocol assessments, and participating sites were the same in both Phases.

AUC0-72 of Pain Scores
through 72 hours

Mean area under the curve (AUC) of the Numeric Rating Scale (NRS) of pain intensity scores with activity (windowed worst observation carried forward) through 72 hours. The NRS was an 11-point scale (0-10) where 0 represents "no pain" and 10 represents "worst pain imaginable". The data from Phase 1b and Phase 2 were combined for each treatment group because the dose for bupivacaine HCI, HTX-034 low dose and HTX-034 high dose were the same, in both Phases, respectively. In addition, the surgical procedure, protocol assessments, and participating sites were the same in both Phases.

Secondary Endpoints

Cmax for HTX-034
29 days
Tmax for HTX-034
29 days
AUClast for HTX-034
29 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Phase 1b: HTX-034 Low DoseEXPERIMENTALFixed low dose of HTX-034: 21.7 mg/4.3 mg/0.6 mg (bupivacaine/aprepitant/meloxicam doses).
Phase 1b: HTX-034 High DoseEXPERIMENTALIndividualized high dose of HTX-034: ranging from 30.6 mg/6.1 mg/0.9 mg to 51.5 mg/10.3 mg/1.5 mg (bupivacaine/aprepitant/meloxicam doses).
Phase 2: HTX-034 Low DoseEXPERIMENTALFixed low dose of HTX-034: 21.7 mg/4.3 mg/0.6 mg (bupivacaine/aprepitant/meloxicam doses).
Phase 2: HTX-034 High DoseEXPERIMENTALIndividualized high dose of HTX-034: ranging from 30.6 mg/6.1 mg/0.9 mg to 51.5 mg/10.3 mg/1.5 mg (bupivacaine/aprepitant/meloxicam doses).
Phase 1b/2: Bupivacaine HClACTIVE_COMPARATORBupivacaine HCl (without epinephrine) 0.5%: 50 mg

Interventions

NameTypeDescription
HTX-034 low doseDRUGHTX-034 (bupivacaine/aprepitant/meloxicam) fixed dose: 21.7 mg/4.3 mg/0.6 mg
HTX-034 high doseDRUGHTX-034 (bupivacaine/aprepitant/meloxicam) individualized dose: 30.6 mg/6.1 mg/0.9 mg to 51.5 mg/10.3 mg/1.5 mg
Luer lock applicatorDEVICEApplicator for instillation
Bupivacaine HClDRUGBupivacaine HCl 50 mg
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Is medically fit to undergo an elective unilateral, first metatarsal bunionectomy with osteotomy and internal fixation under regional anesthesia; no neuraxial technique (eg, no spinal, epidural, or general anesthesia). * Has an American Society of Anesthesiologists (ASA) Physi...

Countries:United States
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Frequently asked questions about HTX-034 low dose

What is HTX-034 low dose used for?

HTX-034 low dose is being studied for pain following bunion surgery, a condition known as postoperative pain after bunionectomy. It is an investigational small molecule developed by Heron Therapeutics, Inc. for musculoskeletal use. The program has completed a Phase 1 trial in adults with bunions and postoperative pain.

Who is developing HTX-034 low dose?

HTX-034 low dose is being developed by Heron Therapeutics, Inc., which trades on the Nasdaq under the ticker HRTX. The company is the sponsor of the clinical program evaluating this low dose of HTX-034 in patients undergoing bunionectomy.

What phase is HTX-034 low dose in?

HTX-034 low dose is in Phase 1 development. One Phase 1 trial has been completed, and no trials are currently active. The completed study was a randomized, double-blind, active-controlled dose-escalation trial in patients with bunions and postoperative pain.

What clinical trials is HTX-034 low dose in?

HTX-034 low dose has been evaluated in one completed Phase 1 trial, NCT04398329, titled Dose-Escalation Study of HTX-034 Following Bunionectomy. The trial enrolled 78 adults aged 18 years and older in the United States and used a randomized, double-blind, active-controlled design.

Is HTX-034 low dose FDA approved?

HTX-034 low dose is not approved. It is an investigational small molecule still in clinical development, with only a completed Phase 1 trial. Heron Therapeutics, Inc. has not announced regulatory approval for this asset for bunions or postoperative pain.