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Oliceridine

Phase 4FDA approved

Acute Pain | Small molecule | Pain |Trevena, Inc.|Trials Updated: Oct 23, 2020

Oliceridine development status

FDA approval on record Aug 7, 2020 as Olinvyk
Approval holderTrevena
ApplicationNDA210730
Highest phase Phase 4 run by The Cleveland Clinic (NCT04979247)
Phase scored for TRVNPhase 3
Registered trials 10 across 3 sponsors since Apr 2014

Label indication OLINVYK is indicated in adults for the management of acute pain severe enough to require an intravenous opioid analgesic and for whom alternative treatments are inadequate. Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dosage or duration [see Warnings and Precautions ( 5.1 )] , and persist over the course of therapy, reserve opioid analgesics,… FDA label

Oliceridine target and mechanism

Molecular targetOPRM1
Target classAgonist
ModalitySmall molecule

Also known as TRV130

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment2,156

FDA Designations

No designations recorded

Oliceridine clinical trials

Oliceridine · 6 trials · 3 indications

Phase 3 3Phase 2 2Phase 1 1
NCT02815709Study of Oliceridine (TRV130) for the Treatment of Moderate to Severe Acute Pain After BunionectomyAcute Pain
COMPLETED418 Analytics
NCT02820324Study of Oliceridine (TRV130) for the Treatment of Moderate to Severe Acute Pain After AbdominoplastyAcute Pain
COMPLETED407 Analytics
NCT02656875A Open-label Study to Evaluate the Safety of TRV130 in Patients With Acute PainAcute Pain
COMPLETED768 Analytics
PHASE3COMPLETED
Study of Oliceridine (TRV130) for the Treatment of Moderate to Severe Acute Pain After Bunionectomy
Acute PainUnlock trial analytics
PHASE3COMPLETED
Study of Oliceridine (TRV130) for the Treatment of Moderate to Severe Acute Pain After Abdominoplasty
Acute PainUnlock trial analytics
PHASE3COMPLETED
A Open-label Study to Evaluate the Safety of TRV130 in Patients With Acute Pain
Acute PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Patients Who Respond to Study Medication at the 48-hr Numeric Pain Rating Scale (NRS) Assessment Compared to Placebo.
48 hours
Number of Patients Who Respond to Study Medication at the 24-hr Numeric Pain Rating Scale (NPRS) Assessment Compared to Placebo.
24 hours

The NPRS is an 11-point scale from 0-10 where "0" = no pain and "10" = the most intense pain imaginable. A patient was a responder if: their final time-weighted Sum of Pain Intensity Difference (SPID)-24 corresponded to a ≥30% improvement without rescue pain medication during the Randomized Treatment Period, without early discontinuation of study medication for any reason, and without reaching the study medication dosing limit.

Number of Patients That Experienced a Treatment-emergent Adverse Event
From first dose through 3 days after last dose, approximately 4 days
Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Placebo
24-hours

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 24 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (24 hours) to yield values on the 0-10 NPRS.

Time Weighted Average (TWA) Change From Baseline in Pain Score Over 48 Hours Between TRV130 and Placebo
48 hours

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 48 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (48 hours) to yield values on the 0-10 NPRS.

Cold Pain Test
8 hours postdose

Secondary Endpoints

Number of Respiratory Safety Events Compared to Morphine.
48 hours
Duration of Respiratory Safety Events Compared to Morphine.
48 hours
Odds Ratio of Patients Who Respond to Study Medication at the 48-hr NRS Assessment Compared to Morphine.
48 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment 1 OliceridineEXPERIMENTAL -
Treatment 2 OliceridineEXPERIMENTAL -
Treatment 3 OliceridineEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
MorphineACTIVE_COMPARATOR -
Treatment 4 PlaceboPLACEBO_COMPARATOR -
Treatment 5 MorphineACTIVE_COMPARATOR -
TRV130EXPERIMENTALFor clinician-administered bolus dosing, TRV130 initial dose is administered and supplemental dosing is available, if clinically indicated. Subsequent doses may be administered every 1 to 3 hours as needed. For PCA dosing, the TRV130 regimen consists of a loading dose, a demand dose, and a lockout interval.
TRV130 1 mgEXPERIMENTALTRV130 1 mg IV Q4H x 48 h
TRV130 2 mgEXPERIMENTALTRV130 2 mg IV Q4H x 48 h
TRV130 3 mgEXPERIMENTALTRV130 3 mg IV Q4H x 48 h
TRV130 4 mgEXPERIMENTALTRV130 4 mg IV Q4H x 48 h
TRV130 1.5 mgEXPERIMENTALTRV130 1.5 mg IV x 1 dose
TRV130 4.5 mgEXPERIMENTALTRV130 4.5 mg IV x 1 dose

Interventions

NameTypeDescription
OliceridineDRUG -
PlaceboDRUG -
MorphineDRUG -
TRV130DRUG -
TRV130 1.5 mgDRUGTRV130 1.5 mg IV x 1 dose
TRV130 3 mgDRUGTRV130 3 mg IV x 1 dose
TRV130 4.5 mgDRUGTRV130 4.5 mg IV x 1 dose
Morphine 10 mgDRUGMorphine 10 mg IV x 1 dose
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersYes
Study Sites7

Inclusion Criteria: * Has undergone primary, unilateral, first metatarsal bunionectomy (osteotomy and internal fixation) with no additional collateral procedures. * Experiences a pain intensity rating of moderate to severe acute pain. * Able to provide written informed consent before any study proc...

Countries:United States
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Competitive Landscape -Acute Kidney Injury 13 trials (matched to "Acute Pain")

Top 1 of 4 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN1PHASE2AZD4144
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Frequently asked questions about Oliceridine

What is oliceridine used for?

Oliceridine is an investigational small molecule being developed for the treatment of moderate to severe acute pain. It has been studied in Phase 3 clinical trials in patients with acute pain following surgical procedures, including abdominoplasty and bunionectomy. It is not yet approved for commercial use.

What does oliceridine target?

Oliceridine targets OPRM1, the mu-opioid receptor. It acts as an agonist at this receptor, meaning it activates the receptor to produce its pharmacological effect. OPRM1 agonism is the established mechanism underlying opioid analgesia, and oliceridine was designed to engage this target for the management of acute pain.

Who is developing oliceridine?

Oliceridine is being developed by Trevena, Inc., a biopharmaceutical company that trades under the ticker symbol TRVN. Trevena sponsored the Phase 3 clinical program evaluating oliceridine in acute pain following surgery.

What phase is oliceridine in?

Oliceridine is in Phase 3 clinical development. It is an investigational agent and has not been approved by the FDA. The Phase 3 program consists of completed trials in acute pain, and no trials are currently listed as active.

What clinical trials is oliceridine in?

Oliceridine has been evaluated in two completed Phase 3 trials: NCT02820324, which studied it for moderate to severe acute pain after abdominoplasty, and NCT02815709, which studied it for moderate to severe acute pain after bunionectomy. Together these trials enrolled 825 participants across sites in the United States.

Is oliceridine the same as TRV130?

Yes, oliceridine is also known as TRV130. The two names refer to the same investigational small molecule developed by Trevena, Inc. for acute pain. Trial titles and publications may use either name, so searches for TRV130 and oliceridine refer to the same drug candidate.