Trial Outcomes & Findings for Liposomal Bupivacaine (Exparel) for Postoperative Pain Control for Open and Laparoscopic Abdominal Hernia Repair (NCT NCT02128646)

NCT ID: NCT02128646

Last Updated: 2025-09-10

Results Overview

Satisfaction measured with composite score that includes score from the Likert scale and opioid consumption/satisfaction log. Satisfaction was rated on a scale of 1-5, with 1 being "strongly disagree"/not satisfied with pain control and 5 being "strongly agree"/satisfied with pain control. Patients filled out the log on days 1-4 after surgery and at a 7-14 day follow up visit.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

19 participants

Primary outcome timeframe

Change from Surgery to Day 14

Results posted on

2025-09-10

Participant Flow

Participant milestones

Participant milestones
Measure
Laparoscopic Treatment Arm
Laparoscopic abdominal hernia repair with Exparel
Laparoscopic Control Arm
Laparoscopic abdominal hernia repair without Exparel
Open Treatment Arm
Open abdominal hernia repair with Exparel
Open Control Arm
Open abdominal hernia repair without Exparel
Overall Study
STARTED
7
4
5
3
Overall Study
COMPLETED
7
4
5
2
Overall Study
NOT COMPLETED
0
0
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Different arms have different age ranges and number of participants.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Laparoscopic Treatment Arm
n=7 Participants
All patients 18 and older presenting with an abdominal hernia requiring laparoscopic repair were screened for inclusion.
Laparoscopic Control Arm
n=4 Participants
All patients 18 and older presenting with an abdominal hernia requiring laparoscopic repair were screened for inclusion.
Open Treatment Arm
n=5 Participants
All patients 18 and older presenting with an abdominal hernia requiring open surgical repair were screened for inclusion.
Open Control Arm
n=3 Participants
All patients 18 and older presenting with an abdominal hernia requiring open surgical repair were screened for inclusion.
Total
n=19 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
11 Participants
n=21 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
1 Participants
n=4 Participants
8 Participants
n=21 Participants
Age, Continuous
60.5 years
n=5 Participants • Different arms have different age ranges and number of participants.
62 years
n=7 Participants • Different arms have different age ranges and number of participants.
74.5 years
n=5 Participants • Different arms have different age ranges and number of participants.
55.5 years
n=4 Participants • Different arms have different age ranges and number of participants.
64 years
n=21 Participants • Different arms have different age ranges and number of participants.
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
4 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
2 Participants
n=4 Participants
15 Participants
n=21 Participants
Region of Enrollment
United States
7 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
3 Participants
n=4 Participants
19 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Change from Surgery to Day 14

Satisfaction measured with composite score that includes score from the Likert scale and opioid consumption/satisfaction log. Satisfaction was rated on a scale of 1-5, with 1 being "strongly disagree"/not satisfied with pain control and 5 being "strongly agree"/satisfied with pain control. Patients filled out the log on days 1-4 after surgery and at a 7-14 day follow up visit.

Outcome measures

Outcome measures
Measure
Laparoscopic Control Arm
n=4 Participants
Patients were eligible for opioid treatment during surgery and did not receive Exparel.
Laparoscopic Treatment Arm
n=7 Participants
Patients may have received Fentanyl during surgery, but all other opioids were prohibited. They all received 266 mg of Exparel, followed by 30 mg of IV Ketorolac when not contraindicated.
Open Control Arm
n=2 Participants
Patients were eligible for opioid treatment during surgery and did not receive Exparel.
Open Treatment Arm
n=5 Participants
Patients may have received Fentanyl during surgery, but all other opioids were prohibited. They all received 266 mg of Exparel, followed by 30 mg of IV Ketorolac when not contraindicated.
Patient Satisfaction With Pain Management After Surgery
4 score on a scale
Interval 3.5 to 4.0
4 score on a scale
Interval 4.0 to 5.0
2.5 score on a scale
Interval 2.0 to 3.0
5 score on a scale
Interval 4.0 to 5.0

SECONDARY outcome

Timeframe: Up to 385 minutes after surgery

Length of time subjects stayed in the PACU following surgery

Outcome measures

Outcome measures
Measure
Laparoscopic Control Arm
n=2 Participants
Patients were eligible for opioid treatment during surgery and did not receive Exparel.
Laparoscopic Treatment Arm
n=5 Participants
Patients may have received Fentanyl during surgery, but all other opioids were prohibited. They all received 266 mg of Exparel, followed by 30 mg of IV Ketorolac when not contraindicated.
Open Control Arm
n=4 Participants
Patients were eligible for opioid treatment during surgery and did not receive Exparel.
Open Treatment Arm
n=7 Participants
Patients may have received Fentanyl during surgery, but all other opioids were prohibited. They all received 266 mg of Exparel, followed by 30 mg of IV Ketorolac when not contraindicated.
Total Length of Time in Post-anesthesia Care Unit (PACU)
93.5 minutes
Interval 69.0 to 118.0
64 minutes
Interval 60.0 to 93.0
118 minutes
Interval 76.5 to 151.0
86 minutes
Interval 55.0 to 98.0

Adverse Events

Open Control Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Open Treatment Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Laparoscopic Control Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Laparoscopic Treatment Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michael Moncure, MD

University of Kansas Medical Center

Phone: 913-588-1240

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place