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> Record changed: 2026-10-13

# Evaluation of Efficacy and Safety of VX-548 for Acute Pain After a Bunionectomy

NCT05553366

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

Participants

1,075

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

Lead sponsor

Vertex Pharmaceuticals Incorporated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

Start date

2022-10-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

Number of sites

21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Title and summary

**Summary**

The purpose of this study is to evaluate the efficacy and safety of suzetrigine for acute pain after a bunionectomy.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Short title**

Evaluation of Efficacy and Safety of VX-548 for Acute Pain After a Bunionectomy

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Official title**

A Phase 3, Randomized, Double-blind, Placebo-controlled Study Evaluating the Efficacy and Safety of VX-548 for Acute Pain After a Bunionectomy

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Registry reports results**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Dates

**Completion date**

2023-12-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**First posted**

2022-09-23

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Registry last updated**

2025-08-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Primary completion date**

2023-12-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Start date**

2022-10-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Size and sites

**Actual participants**

1,075

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Participants**

1,075

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Number of sites**

21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Sponsor and oversight

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Lead sponsor**

Vertex Pharmaceuticals Incorporated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Identifiers

**Registry ID**

NCT05553366

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**ClinicalTrials.gov ID**

NCT05553366

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Double masking

**Masked roles**

Participants, Investigators

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Outcomes

### Primary outcomes

1. Time-weighted Sum of the Pain Intensity Difference (SPID) as Recorded on a Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48), SUZ Compared to Placebo  
Timeframe: 0 to 48 hours After First Dose of Study Drug  
SPID was calculated as the sum of the product of time (in hours) elapsed since previous measurements and pain intensity difference. Pain intensity difference was calculated subtracting the baseline pain intensity score from the pain intensity score at each postdose time point (using pain rating score range: 0= no pain to 10= worst possible pain). SPID48 was calculated from 0 to 48 hours and the score range was -480 (worst score) to 480 (best score).

### Secondary outcomes

1. Time-weighted Sum of the Pain Intensity Difference (SPID) as Recorded on a Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48), SUZ Compared to HB/APAP  
Timeframe: 0 to 48 hours After First Dose of Study Drug  
SPID was calculated as the sum of the product of time (in hours) elapsed since previous measurements and pain intensity difference. Pain intensity difference was calculated by subtracting the baseline pain intensity score from the pain intensity score at each post dose time point(using pain rating score range: 0= no pain to 10= worst possible pain). SPID48 was calculated from 0 to 48 hours and the score range was -480 (worst score) to 480 (best score).
2. Time to Greater Than or Equal to (≥)2-Point Reduction in NPRS,SUZ Compared to Placebo  
Timeframe: From Baseline Up to 48 Hours After First Dose of Study Drug  
Pain intensity was recorded on 11-point NPRS, score range: 0 to 10, where 0= no pain and 10= worst imaginable pain. The time to ≥ 2-point reduction in NPRS from baseline was the time elapsed from the first dose of study drug until the first time the participant had at least a 2-point reduction in NPRS scores from baseline.
3. Time to ≥1-Point Reduction in NPRS, SUZ Compared to Placebo  
Timeframe: From Baseline Up to 48 Hours After First Dose of Study Drug  
Pain intensity was recorded on 11-point NPRS, score range: 0 to 10, where 0= no pain and 10= worst imaginable pain. The time to ≥1-point reduction in NPRS from baseline was the time elapsed from the first dose of study drug until the first time the participant had at least a 1-point reduction in NPRS from baseline.
4. Percentage of Participants Reporting Good or Excellent on the Patient Global Assessment (PGA) Scale, SUZ Compared to Placebo  
Timeframe: At 48 Hours After First Dose of Study Drug  
The PGA is a single-item assessment of patient perceptions of the method of pain control with the study drug and is evaluated on a 4-point Likert scale as: (poor, fair, good, or excellent). Percentage of participants who reported good or excellent on the PGA scale were reported.
5. Incidence of Vomiting or Nausea, SUZ Compared to HB/APAP  
Timeframe: From Baseline up to Day 19  
The percentage of participants with the events of vomiting or nausea during the specified time frame was reported.
6. Time-weighted SPID as Recorded on the NPRS From 0 to 24 Hours (SPID24), SUZ Compared to Placebo  
Timeframe: 0 to 24 Hours After First Dose of Study Drug  
SPID was calculated as the sum of the product of time (in hours) elapsed since previous measurements and pain intensity difference. Pain intensity difference was calculated by subtracting the baseline pain intensity score from the pain intensity score at each post dose time point (using pain rating score range: 0= no pain to 10= worst possible pain). SPID24 was calculated from 0 to 24 hours and the score range was -240 (worst score) to 240 (best score).
7. Time to First Use of Rescue Medication, SUZ Compared to Placebo  
Timeframe: 0 to 48 Hours After First Dose of Study Drug  
Time to first use of rescue medication is the time from the first dose of study drug until the first use of rescue medication.
8. Percentage of Participants Using Rescue Medication From 0 to 48 Hours, SUZ Compared to Placebo  
Timeframe: 0 to 48 Hours After First Dose of Study Drug
9. Total Rescue Medication Usage, SUZ Compared to Placebo  
Timeframe: 0 to 48 Hours After First Dose of Study Drug
10. Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)  
Timeframe: Day 1 up to Day 19

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Maximum age**

80 Years

**Healthy volunteers**

No

Key Inclusion Criteria:

- Before Surgery

  - Participants scheduled to undergo a primary unilateral bunionectomy with distal first metatarsal osteotomy (i.e., Austin procedure) and internal fixation under regional anesthesia (Mayo and popliteal sciatic 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 or other foot surgery on the index foot; or bunionectomy on the opposite foot
  - History of cardiac dysrhythmias within the last 2 years requiring anti-arrhythmia treatment(s)
  - Any prior surgery within 1 month before the first study drug dose
- After Surgery

  - Participant had a type 3 deformity requiring a base wedge osteotomy, concomitant surgery such as hammertoe repair; or experienced medical complications during the bunionectomy
  - Participant had a medical complication during the bunionectomy that, in the opinion of the investigator, should preclude randomization

Other protocol defined Inclusion/Exclusion criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Sites

- Shoals Medical Trials Inc.Sheffield, United States
- Arizona Research CenterPhoenix, United States
- Woodland International Research GroupLittle Rock, United States
- Anaheim Clinical TrialsAnaheim, United States
- Trovare Clinical ResearchBakersfield, United States
- Pacific Research Network IncSan Diego, United States
- New Hope Research DevelopmentTarzana, United States
- New Hope Research DevelopmentWest Covina, United States
- Clinical Pharmacology of MiamiHialeah, United States
- ForCare Clinical ResearchTampa, United States
- Atlanta Center for Medical ResearchAtlanta, United States
- Kansas Spine and Specialty HospitalWichita, United States
- Midwest Clinical Research CenterDayton, United States
- Center for Orthopaedic Reconstruction and ExcellenceJenks, United States
- HD Research LLC | First Surgical HospitalBellaire, United States
- HD Research LLC | Legent Orthopedic HospitalCarrollton, United States
- HD Research LLC | Houston Heights HospitalHouston, United States
- Futuro Clinical TrialsMcAllen, United States
- Endeavor Clinical TrialsSan Antonio, United States
- Houston Physicians HospitalWebster, United States
- JBR Clinical ResearchSalt Lake City, United States

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05553366)

## Related records

### Drugs (2)

- [Acetaminophen](https://trialight.com/data/asset/acetaminophen-04ea33a5-49ee-4a1b-ad16-54627012140e.md)
- [Suzetrigine](https://trialight.com/data/asset/suzetrigine-38fea8c9-094b-4a0f-a3ac-8b8135055326.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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