Evaluating VX-993 for pain relief after bunion surgery

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

Phase 2 Interventional Vertex Pharmaceuticals Incorporated · NCT06619847

This study is testing a new pain relief medication called VX-993 for people who have just had bunion surgery to see if it works better than a common painkiller.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment355 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorVertex Pharmaceuticals Incorporated Industry-sponsored
Locations14 sites (Sheffield, Alabama and 13 other locations)
Trial IDNCT06619847 on ClinicalTrials.gov

What this trial studies

This study aims to assess the efficacy, safety, tolerability, and pharmacokinetics of VX-993 in patients experiencing acute pain following a bunionectomy. Participants will receive either VX-993, a combination of hydrocodone and acetaminophen (HB/APAP), or a placebo. The study will monitor participants before and after surgery to ensure they meet specific inclusion criteria and to evaluate their pain management outcomes. The approach focuses on providing a new treatment option for post-surgical pain relief.

Who should consider this trial

Good fit: Ideal candidates are individuals scheduled for a primary unilateral bunionectomy under regional anesthesia.

Not a fit: Patients with a history of bunionectomy on the same foot or those with significant medical complications during surgery may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could offer a new effective treatment for managing acute pain after bunion surgery.

How similar studies have performed: Other studies evaluating similar pain management approaches have shown promise, but the specific use of VX-993 in this context is novel.

Eligibility criteria

Show full inclusion / exclusion criteria
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.

Where this trial is running

Sheffield, Alabama and 13 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Acute Pain
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.