Drugs / HTX-011
last change Jan 2026 re-read 9 days ago

HTX-011

also known as ZYNRELEF · HTX-011-19
Investigated by
Heron Therapeutics · Mayo Clinic

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — postoperative pain 2020-11-13

“today announced that the New Drug Application (NDA) was resubmitted to the U.S. Food and Drug Administration (FDA) for HTX-011” herontx.com ↗

Rejected (CRL) US (FDA) — postoperative pain 2020-06-26

“A Complete Response Letter (CRL) was received from the FDA regarding the NDA for HTX-011 on June 26, 2020” herontx.com ↗

Rejected (CRL) US (FDA) — postoperative pain 2019-04-30

“A Complete Response Letter (CRL) was received from the FDA regarding the NDA for HTX-011 on April 30, 2019” herontx.com ↗

Filed US (FDA) — postoperative pain 2018-10-31

“today announced the submission of its New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for HTX-011.” herontx.com ↗

“Heron submitted a New Drug Application (NDA) to the FDA for HTX-011 in October of 2018” herontx.com ↗

“Heron resubmitted an NDA to the FDA for HTX-011 in September 2019” herontx.com ↗

Filed EU (EMA) — postoperative pain —

“A Marketing Authorisation Application (MAA) for HTX-011 was validated by the European Medicines Agency (EMA) in March 2019” herontx.com ↗

Filed Other — postoperative pain —

“Heron's New Drug Submission (NDS) for HTX-011 for the management of postoperative pain was granted Priority Review status and accepted by Health Canada.” herontx.com ↗

Trials 13

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 27 trials · 1 met primary
Phase 2 NCT03922048 Jul 2023 → Nov 2025 — Heron Therapeutics Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT03955211 Jun 2019 → Dec 2021 — Heron Therapeutics Completed No outcome recorded
Phase 2 NCT03718039 Oct 2018 → Jan 2019 — Heron Therapeutics Completed No outcome recorded
Phase 2 NCT03011333 Jan 2017 → Feb 2018 — Heron Therapeutics Completed No outcome recorded
Phase 2 NCT03015532 Jan 2017 → Apr 2018 — Heron Therapeutics Completed Met primary
Phase 2 NCT02504580 Jul 2015 → Mar 2017 — Heron Therapeutics Completed No outcome recorded
Phase 2 NCT02471898 Jun → Sep 2015 — Heron Therapeutics Completed No outcome recorded
Phase 32 trials · 1 met primary
Phase 3 NCT03974932 Jun 2019 → Dec 2020 — Heron Therapeutics Completed No outcome recorded
Phase 3 NCT03237481 Jul → Dec 2017 — Heron Therapeutics Completed Met primary
Phase 44 trials · 1 missed
Phase 4 NCT05188053 Mar 2022 → Apr 2024 — Mayo Clinic Completed Missed primary
Phase 4 NCT06109415 Oct 2021 → Jul 2022 — Heron Therapeutics Completed No outcome recorded
Phase 4 NCT06109428 Oct 2021 → Mar 2022 — Heron Therapeutics Completed No outcome recorded
Phase 4 NCT05109312 Oct 2021 → Jun 2024 — Heron Therapeutics Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 22

DateIssuerRelease
2024-09-25 Heron Therapeutics Regulatory Heron Therapeutics Announces FDA Approval of the Prior Approval Supplement Application for ZYNRELEF® Vial Access Needle ("VAN") herontx.com ↗
Heron Therapeutics, Inc. (Nasdaq: HRTX) ("Heron" or the "Company"), a commercial-stage biotechnology company, today announced that the U.S. Food and Drug Administration (the "FDA") has approved the Company's Prior Approval Supplement Application for ZYNRELEF® (bupivacaine and meloxicam) extended-release solution VAN.
2022-12-29 Heron Therapeutics Regulatory Heron Therapeutics Announces Filing of an Efficacy Supplement for ZYNRELEF® and Provision in Newly Passed Congressional Bill Anticipated to Provide Separate Reimbursement Outside of the Packaged Surgical Payment for ZYNRELEF herontx.com ↗
Supplemental New Drug Application Submitted Requesting Expansion of Indication to Broadly Cover Soft Tissue and Orthopedic Surgical Procedures
2022-06-14 Heron Therapeutics Results Heron Therapeutics Announces Publication Showing ZYNRELEF® as the Foundation of a Perioperative Non-Opioid Multimodal Analgesic Regimen Reduced Severe Pain and Opioid Use in Patients Undergoing Total Knee Arthroplasty herontx.com ↗
The study showed that more than 80% of patients did not experience severe pain at any individual time point through 72 hours after TKA surgery.
2021-12-09 Heron Therapeutics Regulatory Heron Therapeutics Announces FDA Approval of a Significant Indication Expansion for ZYNRELEF® herontx.com ↗
Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced that the U.S. Food and Drug Administration (FDA) has approved its supplemental New Drug Application (sNDA) for ZYNRELEF (bupivacaine and meloxicam) extended-release solution to significantly expand the indication.
2021-10-04 Heron Therapeutics Regulatory Heron Therapeutics Announces Filing of a Supplemental New Drug Application for Significant Expansion of ZYNRELEF® Indication Statement Based on Successful Outcome of FDA Type C Meeting herontx.com ↗
today announced submission of a supplemental New Drug Application (NDA) for ZYNRELEF (bupivacaine and meloxicam) extended-release solution for an expanded indication.
2021-07-28 Heron Therapeutics Results Heron Therapeutics Announces Publication of Results from HOPE (Helping Opioid Prescription Elimination), Showing ZYNRELEF™ Minimizes the Need for Opioids in a Real-World Setting, With 95% of Patients Experiencing an Opioid-free Recovery herontx.com ↗
The findings from this study demonstrate the ability of ZYNRELEF to serve as the foundation of non-opioid multimodal analgesia.
2021-07-21 Heron Therapeutics Results Heron Therapeutics Announces Publication Showing Reduction of Pain and Opioid Use Compared to Bupivacaine in Patients 65 and Older with ZYNRELEF™ herontx.com ↗
The analysis, published in the peer-reviewed journal Pain Management, showed that 58% of bunionectomy and 87% of hernia repair patients aged 65 years and older receiving ZYNRELEF required no opioids to manage their postoperative pain through 72 hours following surgery.
2020-11-13 Heron Therapeutics Regulatory Heron Therapeutics Resubmits New Drug Application to FDA for HTX-011 for the Treatment of Postoperative Pain herontx.com ↗
today announced that the New Drug Application (NDA) was resubmitted to the U.S. Food and Drug Administration (FDA) for HTX-011, an investigational agent for the management of postoperative pain.
2020-09-28 Heron Therapeutics Regulatory Heron Therapeutics Receives European Commission Authorization for ZYNRELEF™ (HTX-011) for the Treatment of Postoperative Pain herontx.com ↗
Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced that the European Commission has granted a marketing authorization for ZYNRELEF (formerly known as HTX-011) for the treatment of somatic postoperative pain from small- to medium-sized surgical wounds in adults.
2020-09-16 Heron Therapeutics Results Heron Therapeutics Announces Publication of Results from EPOCH 2 Follow-On Study, a Phase 2b Study of HTX-011 in Patients Undergoing Hernia Repair Surgery herontx.com ↗
In this study, more than 90% of patients receiving HTX-011, along with postoperative over-the-counter (OTC) acetaminophen and ibuprofen, remained opioid-free throughout the 72-hour period following hernia repair surgery.
2020-09-08 Heron Therapeutics Regulatory Heron Therapeutics Announces Successful Outcome of FDA Type A Meeting to Discuss HTX-011 for the Management of Postoperative Pain herontx.com ↗
SAN DIEGO, Sept. 8, 2020 /PRNewswire/ -- Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced a successful Type A meeting with the U.S. Food and Drug Administration (FDA) in which alignment was reached on the plans for the Company to resubmit the New Drug Application (NDA) for HTX-011 for the management of postoperative pain in the fourth quarter of this year.
2020-07-24 Heron Therapeutics Regulatory Heron Therapeutics Receives Positive CHMP Opinion for ZYNRELEF™ (HTX-011) for the Management of Postoperative Pain herontx.com ↗
Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced that the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for ZYNRELEF (formerly known as HTX-011), intended for the treatment of postoperative pain.

All press releases naming this drug 25 releases

DateIssuerRelease

Evidence & citations 4 cited values

Every value below carries the sentence it was read from. 14 sources stand behind the page.

FieldValueCited text
Known as HTX-011 ClinicalTrials.gov intervention name — accepted as the source's own label NCT06109415 ↗
12

NCT03015532 ↗

NCT05109312 ↗

NCT03955211 ↗

NCT05188053 ↗

NCT02504580 ↗

NCT03237481 ↗

NCT03974932 ↗

NCT02471898 ↗

NCT06109428 ↗

NCT03922048 ↗

Show 2 more sources

Known as HTX-011-19 “HTX-011 is the initial formulation studied (HTX-011-19).” NCT02504580 ↗
Known as ZYNRELEF “Aim: HTX-011 (ZYNRELEF™) is an extended-release, dual-acting local anesthetic containing bupivacaine and meloxicam.” PMID 34284613 ↗ Jul 2021
1

“A Multi-surgery Assessment of ZYNRELEF (HTX-011), AMAZE.” NCT06109415 ↗

Route Other “HTX-011 (bupivacaine/meloxicam) by injection.” NCT02504580 ↗