ALX006 for Bunion Correction
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new pain relief treatment for individuals undergoing bunion surgery. It compares ALX006, a new extended-release pain medication, with the existing treatment MARCAINE to determine which is more effective and safer. The trial seeks participants scheduled for bunion surgery who do not have other painful conditions, such as arthritis or fibromyalgia, that could complicate pain assessments. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group, providing participants an opportunity to contribute to significant medical advancements.
Do I have to stop taking my current medications for the trial?
The trial requires you to stop taking certain medications, such as gabapentinoids and SNRIs, at least 30 days before surgery. You also need to avoid using systemic glucocorticoids, marijuana, and chronic opioids before and during the study. If you're on any of these, you may need to discuss alternatives with your doctor.
Is there any evidence suggesting that ALX006 is likely to be safe for humans?
Research shows that ALX006, a new long-lasting form of bupivacaine, is undergoing tests for safety and effectiveness in individuals undergoing bunion surgery. Previous studies have found that bupivacaine, the main ingredient in ALX006, is generally well-tolerated for pain relief. Although detailed safety information specific to ALX006 is still being collected, its progression to Phase 2 trials indicates that early tests have not revealed major safety issues.
ALX006 is being compared to MARCAINE, a standard bupivacaine treatment already approved for use, which means extensive safety information exists for bupivacaine in general. For those considering trial participation, knowing that the main ingredient has a history of safe use might be reassuring. Consulting a doctor is essential to determine if joining a trial is appropriate.12345Why do researchers think this study treatment might be promising?
Researchers are excited about ALX006 for bunion correction because it offers a potentially more effective pain management solution through its unique use of bupivacaine, a well-known local anesthetic, in varying doses of 100 mg, 150 mg, and 200 mg. Unlike standard treatments like MARCAINE 0.25%, ALX006 is administered as an ultrasound-guided sciatic nerve block in the popliteal fossa, which might provide more targeted and prolonged pain relief. This approach could enhance patient comfort and recovery post-bunionectomy, setting it apart from traditional methods.
What evidence suggests that ALX006 could be an effective treatment for bunion correction?
Research has shown that ALX006, a new form of bupivacaine, might better manage pain for individuals undergoing bunion surgery. Bupivacaine commonly numbs areas during surgery. ALX006 is designed to release the drug slowly, offering longer-lasting pain relief. This trial will test different dosages of ALX006 to evaluate its effectiveness. Studies suggest that this slow-release method could reduce post-surgery pain, making recovery more comfortable.12467
Who Is on the Research Team?
Jayant Agarwal, MD
Principal Investigator
Rebel Medicine Inc
Are You a Good Fit for This Trial?
This trial is for adults 18 or older who are scheduled for elective bunion surgery (bunionectomy) on one foot. Participants must have a BMI between 18 and 40, be in generally stable health, and able to follow study instructions.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Single-dose ALX006 or MARCAINE administered as ultrasound-guided sciatic nerve block prior to bunionectomy
Post-surgery Monitoring
Monitoring of pain intensity, opioid consumption, and adverse events post-surgery
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- ALX006
Trial Overview
The study compares different doses of ALX006, a long-acting numbing injection, with standard bupivacaine for pain control after bunion surgery. Patients are randomly assigned to receive either ALX006 or the standard drug as a sciatic nerve block.
How Is the Trial Designed?
4
Treatment groups
Experimental Treatment
Active Control
Single-dose ALX006 200 mg (50 mg/mL; bupivacaine free base) administered as ultrasound-guided sciatic nerve block in the popliteal fossa, 60 min (±15 min) prior to bunionectomy.
Single-dose ALX006 150 mg (50 mg/mL bupivacaine free base) administered as ultrasound-guided sciatic nerve block in the popliteal fossa, 60 min (±15 min) prior to bunionectomy.
Single-dose ALX006 100 mg (50 mg/mL bupivacaine free base) administered as ultrasound-guided sciatic nerve block in the popliteal fossa, 60 min (±15 min) prior to bunionectomy.
Single-dose MARCAINE 0.25% (bupivacaine HCl 50 mg; 20 mL), administered as ultrasound-guided sciatic nerve block in the popliteal fossa, 60 min (±15 min) prior to bunionectomy.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Rebel Medicine Inc
Lead Sponsor
Citations
Sciatic Nerve Block With ALX006 in Subjects Undergoing ...
This is a Phase 2, randomized, double-blind, active-controlled, dose-escalation study evaluating the safety, pharmacokinetics, efficacy, ...
ALX006 for Bunion Correction
This is a Phase 2, randomized, double-blind, active-controlled, dose-escalation study evaluating the safety, pharmacokinetics, efficacy, ...
3.
ctv.veeva.com
ctv.veeva.com/study/sciatic-nerve-block-with-alx006-in-subjects-undergoing-bunionectomySciatic Nerve Block With ALX006 in Subjects Undergoing ...
This is a Phase 2, randomized, double-blind, active-controlled, dose-escalation study evaluating the safety, pharmacokinetics, efficacy, ...
Bunion Surgery Recurrence Rate 2026 Data
Long-Term Bunion Surgery Outcomes: 1-Year vs. 4-Year Data ; Radiographic Correction Maintenance, 97.3%⁴, 92.0%⁴ ; Recurrence (HVA >20°), 0.9%⁴ ...
A Multi-Dimensional Systematic Review of Minimally Invasive ...
Minimally invasive bunion surgery (MIBS) showed faster recovery, higher patient satisfaction, and improved quality of life compared to open surgery.
Sciatic Nerve Block With ALX006 in Subjects Undergoing ...
This is a Phase 2, randomized, double-blind, active-controlled, dose-escalation study evaluating the safety, pharmacokinetics, efficacy, and pharmacodynamics of ...
Glucagon-Like Peptide-1 Agonists Confer no Additional ... - PMC
Our findings suggest that GLP therapies can be safely continued perioperatively in hallux valgus correction without a significant increase in ...
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