60 Participants NeededMy employer runs this trial

ALX006 for Bunion Correction

CL
Overseen ByCaleb Lade, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

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.12345

Why 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?

JA

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

I am scheduled for a planned bunion surgery.
I am 18 years old or older.
* Body Mass Index (BMI) ≥18 and \<40 kg/m2
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Single-dose ALX006 or MARCAINE administered as ultrasound-guided sciatic nerve block prior to bunionectomy

Immediate pre-surgery
1 visit (in-person)

Post-surgery Monitoring

Monitoring of pain intensity, opioid consumption, and adverse events post-surgery

168 hours (7 days)
Multiple assessments (in-person and remote)

Follow-up

Participants are monitored for safety and effectiveness after treatment

15 days
1 visit (in-person)

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

Group I: ALX006 200 mgExperimental Treatment2 Interventions
Group II: ALX006 150 mgExperimental Treatment2 Interventions
Group III: ALX006 100 mgExperimental Treatment2 Interventions
Group IV: MARCAINE 0.25%Active Control2 Interventions

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, ...

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, ...

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 ...