> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/a-study-evaluating-efficacy-and-safety-of-vx-993-for-acute-6c0b8747-fdc8-4a07-81f9-500c59189bea
> Record changed: 2026-10-13

# A Study Evaluating Efficacy and Safety of VX-993 for Acute Pain After a Bunionectomy

NCT06619847

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

Phase

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

Participants

367

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

Lead sponsor

Vertex Pharmaceuticals Incorporated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

Start date

2024-10-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

Number of sites

14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Title and summary

**Summary**

The purpose of this study is to evaluate the efficacy, safety, tolerability and pharmacokinetics of VX-993 in treating acute pain after a bunionectomy.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Short title**

A Study Evaluating Efficacy and Safety of VX-993 for Acute Pain After a Bunionectomy

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Official title**

A Phase 2, Randomized, Double-blind, Placebo-controlled, Dose-ranging Study Evaluating the Efficacy and Safety of VX-993 for Acute Pain After a Bunionectomy

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Phase**

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Dates

**Completion date**

2025-05-27

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**First posted**

2024-10-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Registry last updated**

2026-05-28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Primary completion date**

2025-05-27

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Start date**

2024-10-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Size and sites

**Actual participants**

367

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Participants**

367

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Number of sites**

14

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Sponsor and oversight

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Lead sponsor**

Vertex Pharmaceuticals Incorporated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Identifiers

**Registry ID**

NCT06619847

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**ClinicalTrials.gov ID**

NCT06619847

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Outcomes

### Primary outcomes

1. Time-weighted Sum of Pain Intensity Difference (SPID) as Recorded on the Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48)  
Timeframe: From 0 to 48 Hours After the First Dose of Study Drug

### Secondary outcomes

1. Proportion of Participants With Greater Than or Equal To (>=) 30 Percent (%) Reduction in NPRS at 48 Hours  
Timeframe: At 48 Hours After the First Dose of Study Drug
2. Proportion of Participants With >=50% Reduction in NPRS at 48 Hours  
Timeframe: At 48 Hours After the First Dose of Study Drug
3. Proportion of Participants With >=70% Reduction in NPRS at 48 Hours  
Timeframe: At 48 Hours After the First Dose of Study Drug
4. Maximum Observed Plasma Concentration (Cmax) of VX-993 and its Metabolite  
Timeframe: Pre-dose to 12 Hours and 24 to 36 Hours After the First Dose of Study Drug
5. Area Under the Concentration Versus Time Curve During a Dosing Interval (AUCtau) of VX-993 and its Metabolite  
Timeframe: Pre-dose to 12 Hours and 24 to 36 Hours After the First Dose of Study Drug
6. Time to Reach Maximum Observed Plasma Concentration (Tmax) of VX-993 and its Metabolite  
Timeframe: Pre-dose to 12 Hours and 24 to 36 Hours After the First Dose of Study Drug
7. Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)  
Timeframe: Day 1 up to Day 19

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Maximum age**

75 Years

**Healthy volunteers**

No

Key Inclusion Criteria:

Before Surgery:

- Participant scheduled to undergo a primary unilateral bunionectomy with distal first metatarsal osteotomy (i.e., Austin procedure) and internal fixation under regional anesthesia (Mayo block)

After Surgery:

- Participant is lucid and able to follow commands
- All analgesic guidelines were followed during and after the bunionectomy

Key Exclusion Criteria:

Before Surgery:

- Prior history of bunionectomy or other foot surgery on the index foot
- History of cardiac dysrhythmias requiring anti-arrhythmia treatment(s) within the last 2 years
- A known or clinically suspected active infection with human immunodeficiency virus or hepatitis B or C viruses

After Surgery:

- Participant had a Type 3 deformity requiring a base wedge osteotomy or concomitant surgery such as hammertoe repair, or had medical complications during the bunionectomy

Other protocol defined inclusion/exclusion criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Sites

- Shoals Medical Trials Inc.Sheffield, United States
- Arizona Research CenterPhoenix, United States
- Woodland International Research GroupLittle Rock, United States
- Trovare Clinical ResearchBakersfield, United States
- New Hope Research Development | Tarzana, CATarzana, United States
- Clinical Pharmacology of MiamiMiami, United States
- ForCare Clinical ResearchTampa, United States
- Atlanta Center for Medical ResearchAtlanta, United States
- BioBehavioral Research of AustinAustin, United States
- HD Research LLC | First Surgical HospitalBellaire, United States
- HD Research LLC | Legent Orthopedic HospitalCarrollton, United States
- Memorial Hermann VillageHouston, United States
- Endeavor Clinical TrialsSan Antonio, United States
- JBR Clinical ResearchSalt Lake City, United States

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06619847)

## Related records

### Drugs (1)

- [Acetaminophen](https://trialight.com/data/asset/acetaminophen-04ea33a5-49ee-4a1b-ad16-54627012140e.md)

### Lead sponsors (1)

- [Vertex Pharmaceuticals Incorporated](https://trialight.com/data/company/vertex-pharmaceuticals-incorporated-871a0178-8d63-4b70-a78f-fbfa131729c0.md)

### Targets (4)

- [FAAH](https://trialight.com/data/target/faah-8bd94be5-4dfa-5292-b0c7-abc43b2d247f.md)
- [PTGS1](https://trialight.com/data/target/ptgs1-5707ce48-8ccd-5bd5-8c18-9c64cacc2fef.md)
- [PTGS2](https://trialight.com/data/target/ptgs2-85dbd9a5-4609-5423-b863-90d0a825b213.md)
- [TRPV1](https://trialight.com/data/target/trpv1-ca64e282-0693-5882-a5bc-8b93d8310d3a.md)

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