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TRV130

Phase 4

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

TRV130 development status

Highest phase Phase 4 run by The Cleveland Clinic (NCT04979247)
Phase scored for TRVNPhase 3
Registered trials 10 across 3 sponsors since Apr 2014

TRV130 target and mechanism

Molecular targetGPCRs
Target classG Protein Coupled Receptor
ModalitySmall molecule

Also known as oliceridine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment2,156

FDA Designations

No designations recorded

TRV130 clinical trials

TRV130 · 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 TRV130

What is TRV130 used for?

TRV130 is an investigational small molecule being developed for the treatment of acute pain. Trevena, Inc. has studied it in patients with acute pain following surgical procedures, including abdominoplasty and bunionectomy, as well as in an open-label safety study in patients with acute pain.

What does TRV130 target?

TRV130 targets G protein coupled receptors, or GPCRs. It is a small molecule designed to act at this receptor class. This mechanism distinguishes it from conventional opioid analgesics that act at the mu-opioid receptor, though both approaches are used in acute pain management.

Who is developing TRV130?

TRV130 is being developed by Trevena, Inc., which trades on the Nasdaq under the ticker TRVN. The company has sponsored the clinical program for TRV130, including Phase 1, Phase 2, and Phase 3 trials in acute pain and post-surgical pain settings.

What phase is TRV130 in?

TRV130 has completed Phase 3 clinical development. A Phase 3 open-label safety study in patients with acute pain has been completed, along with two Phase 2 studies and one Phase 1 pharmacokinetic and pharmacodynamic study. All four trials are listed as completed.

What clinical trials is TRV130 in?

TRV130 has been evaluated in four completed trials: NCT02656875, a Phase 3 open-label safety study in acute pain enrolling 768 patients; NCT02335294, a Phase 2 study in pain after abdominoplasty; NCT02100748, a Phase 2 study in pain after bunionectomy; and NCT02083315, a Phase 1 study in healthy subjects.