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Trial · NCT05553366

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

NCT05553366, Phase 3, Completed, Vertex Pharmaceuticals Incorporated; results first posted 2025-08-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluation of Efficacy and Safety of VX-548 for Acute Pain After a Bunionectomy. Trials, record NCT05553366. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05553366

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Evaluation of Efficacy and Safety of VX-548 for Acute Pain After a Bunionectomy
NCT number
NCT05553366
Status
Completed
Phases
Phase 3
Enrollment
1,075 participants, actual
Lead sponsor
Vertex Pharmaceuticals Incorporated
Conditions
Acute Pain
Interventions
SUZ, HB/APAP, Placebo (matched to SUZ), Placebo (matched to HB/APAP)
First posted
2022-09-23
Last updated
2025-08-01
Results first posted
2025-08-01

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime-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 Placebo0 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).
SecondaryTime-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/APAP0 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).
SecondaryTime to Greater Than or Equal to (≥)2-Point Reduction in NPRS,SUZ Compared to PlaceboFrom 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.
SecondaryTime to ≥1-Point Reduction in NPRS, SUZ Compared to PlaceboFrom 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.
SecondaryPercentage of Participants Reporting Good or Excellent on the Patient Global Assessment (PGA) Scale, SUZ Compared to PlaceboAt 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.
SecondaryIncidence of Vomiting or Nausea, SUZ Compared to HB/APAPFrom Baseline up to Day 19The percentage of participants with the events of vomiting or nausea during the specified time frame was reported.
SecondaryTime-weighted SPID as Recorded on the NPRS From 0 to 24 Hours (SPID24), SUZ Compared to Placebo0 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).
SecondaryTime to First Use of Rescue Medication, SUZ Compared to Placebo0 to 48 Hours After First Dose of Study DrugTime to first use of rescue medication is the time from the first dose of study drug until the first use of rescue medication.
SecondaryPercentage of Participants Using Rescue Medication From 0 to 48 Hours, SUZ Compared to Placebo0 to 48 Hours After First Dose of Study Drug
SecondaryTotal Rescue Medication Usage, SUZ Compared to Placebo0 to 48 Hours After First Dose of Study Drug

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime-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 Placebo0 to 48 hours After First Dose of Study Drug
Full Analysis Set (FAS) included all randomized participants who received at least 1 dose of study drug. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure.
units on a scaleLEAST_SQUARES_MEAN
SECONDARYTime-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/APAP0 to 48 hours After First Dose of Study DrugFAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure.units on a scaleLEAST_SQUARES_MEAN
SECONDARYTime to Greater Than or Equal to (≥)2-Point Reduction in NPRS,SUZ Compared to PlaceboFrom Baseline Up to 48 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
minutesMEDIAN
SECONDARYTime to ≥1-Point Reduction in NPRS, SUZ Compared to PlaceboFrom Baseline Up to 48 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
minutesMEDIAN
SECONDARYPercentage of Participants Reporting Good or Excellent on the Patient Global Assessment (PGA) Scale, SUZ Compared to PlaceboAt 48 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
percentage of participantsNUMBER
SECONDARYIncidence of Vomiting or Nausea, SUZ Compared to HB/APAPFrom Baseline up to Day 19Safety Set included all participants who received at least 1 dose of study drug. Data for this outcome measure was planned to be collected and analyzed only for the HB/APAP and SUZ group.percentage of participantsNUMBER
SECONDARYTime-weighted SPID as Recorded on the NPRS From 0 to 24 Hours (SPID24), SUZ Compared to Placebo0 to 24 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
units on a scaleLEAST_SQUARES_MEAN
SECONDARYTime to First Use of Rescue Medication, SUZ Compared to Placebo0 to 48 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
minutesMEDIAN
SECONDARYPercentage of Participants Using Rescue Medication From 0 to 48 Hours, SUZ Compared to Placebo0 to 48 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
percentage of participantsNUMBER
SECONDARYTotal Rescue Medication Usage, SUZ Compared to Placebo0 to 48 Hours After First Dose of Study Drug
FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this specific outcome measure. Data for this outcome measure was planned to be collected and analyzed only for the Placebo and SUZ group.
milligramMEDIAN

Results by group26

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
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 PlaceboPlacebo70.6Standard Error 6.3units on a scale
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 PlaceboSuzetrigine (SUZ)99.9Standard Error 4.5units on a scale
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/APAPHydrocodone Bitartrate/Acetaminophen (HB/APAP)120.1Standard Error 4.5units on a scale
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/APAPSuzetrigine (SUZ)99.9Standard Error 4.5units on a scale
Time to Greater Than or Equal to (≥)2-Point Reduction in NPRS,SUZ Compared to PlaceboPlacebo48095% Confidence Interval 476 to 716minutes
Time to Greater Than or Equal to (≥)2-Point Reduction in NPRS,SUZ Compared to PlaceboSuzetrigine (SUZ)24095% Confidence Interval 117 to 477minutes
Time to ≥1-Point Reduction in NPRS, SUZ Compared to PlaceboPlacebo6195% Confidence Interval 34 to 121minutes
Time to ≥1-Point Reduction in NPRS, SUZ Compared to PlaceboSuzetrigine (SUZ)6095% Confidence Interval 58 to 65minutes
Percentage of Participants Reporting Good or Excellent on the Patient Global Assessment (PGA) Scale, SUZ Compared to PlaceboPlacebo53.2percentage of participants
Percentage of Participants Reporting Good or Excellent on the Patient Global Assessment (PGA) Scale, SUZ Compared to PlaceboSuzetrigine (SUZ)61.7percentage of participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo216
Overall StudySTARTEDHydrocodone Bitartrate/Acetaminophen (HB/APAP)431
Overall StudySTARTEDSuzetrigine (SUZ)428
Overall StudySafety SetPlacebo216
Overall StudySafety SetHydrocodone Bitartrate/Acetaminophen (HB/APAP)431
Overall StudySafety SetSuzetrigine (SUZ)426
Overall StudyCOMPLETEDPlacebo208
Overall StudyCOMPLETEDHydrocodone Bitartrate/Acetaminophen (HB/APAP)419
Overall StudyCOMPLETEDSuzetrigine (SUZ)418
Overall StudyNOT COMPLETEDPlacebo8

Adverse events12

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersPlacebo9216
otherConstipationGastrointestinal disordersHydrocodone Bitartrate/Acetaminophen (HB/APAP)22431
otherConstipationGastrointestinal disordersSuzetrigine (SUZ)15426
otherNauseaGastrointestinal disordersPlacebo23216
otherNauseaGastrointestinal disordersHydrocodone Bitartrate/Acetaminophen (HB/APAP)62431
otherNauseaGastrointestinal disordersSuzetrigine (SUZ)35426
otherDizzinessNervous system disordersPlacebo11216
otherDizzinessNervous system disordersHydrocodone Bitartrate/Acetaminophen (HB/APAP)23431
otherDizzinessNervous system disordersSuzetrigine (SUZ)15426
otherHeadacheNervous system disordersPlacebo20216

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo0216
Total, all-cause mortalityHydrocodone Bitartrate/Acetaminophen (HB/APAP)0431
Total, all-cause mortalitySuzetrigine (SUZ)0426
Total, other adverse eventsPlacebo51216
Total, other adverse eventsHydrocodone Bitartrate/Acetaminophen (HB/APAP)113431
Total, other adverse eventsSuzetrigine (SUZ)72426
Total, serious adverse eventsPlacebo0216
Total, serious adverse eventsHydrocodone Bitartrate/Acetaminophen (HB/APAP)0431
Total, serious adverse eventsSuzetrigine (SUZ)0426

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05553366

GET https://conductscience.org/api/trials/v1/NCT05553366/results?page=2