Heron Therapeutics announced the U.S. Food and Drug Administration (FDA) has granted Fast Track designation to the company’s investigational agent, HTX-011, for local administration into the surgical site to reduce postoperative pain and the need for opioid analgesics for 72 hours. Fast Track designation is a process designed to facilitate the development and expedite the review of new therapies to treat serious conditions with unmet medical needs by providing sponsors with the opportunity for frequent interactions with the FDA. Heron recently initiated the HTX-011 Phase 3 program and expects to file an NDA in 2018.
“Fast Track designation of HTX-011 is an important milestone in ongoing efforts to get ahead of the opioid crisis in America with preventative measures,” said Anita Gupta, D.O., Pharm.D., Senior Vice President, Medical Strategy and Government Affairs of Heron. “Over-reliance on postoperative opioids can become the gateway to addiction by exposing opioid naïve patients to potent and addictive narcotics and leaving hundreds of millions of leftover pills hiding in our community’s medicine cabinets. It is encouraging to see the FDA prioritize new options like HTX-011 that can help minimize or prevent exposure to opioids in the postoperative setting. This will be essential to stopping addiction before it begins.”
HTX-011 is the first and only long-acting, extended-release formulation of the anesthetic bupivacaine designed to address both postoperative pain and inflammation in a single administration at the surgical site. HTX-011 leverages meloxicam in our proprietary polymer formulation to potentiate the local anesthetic activity of bupivacaine over 72 hours. In Phase 2 clinical studies, HTX-011 has consistently demonstrated superiority over both placebo and bupivacaine, the current standard-of-care, in all surgical models evaluated and significantly reduced the need for opioids following surgery.
The ongoing Phase 3 studies were designed using the following Phase 2 results for HTX-011:
Bunionectomy: HTX-011 60 mg reduced pain through 72 hours significantly better than placebo (p=0.0003) and bupivacaine 50 mg (p=0.0166)
HTX-011 significantly increased the proportion of patients that were opioid-free through 72 hours after surgery, as compared to placebo (p=0.0106)
Hernia Repair: HTX-011 300 mg reduced pain through 72 hours significantly better than placebo (p=0.0045) and bupivacaine 75 mg (p=0.0427)
HTX-011 significantly increased the proportion of patients that were opioid-free through 72 hours after surgery, as compared to placebo (p=0.0001) and bupivacaine 75 mg (p=0.0108)
HTX-011, which utilizes Heron’s proprietary Biochronomer drug delivery technology, is an investigational, long-acting, extended-release formulation of the local anesthetic bupivacaine in a fixed-dose combination with the anti-inflammatory meloxicam for the prevention of postoperative pain. By delivering sustained levels of both a potent anesthetic and a local anti-inflammatory agent directly to the site of tissue injury, HTX-011 was designed to deliver superior pain relief while reducing the need for systemically administered pain medications such as opioids, which carry the risk of harmful side effects, abuse and addiction. The Phase 2 development program for HTX-011 was designed to target the many patients undergoing a wide range of surgeries who experience significant postoperative pain. Heron has recently initiated the HTX-011 Phase 3 program and expects to file an NDA in 2018.