Study of Peri-Articular Anaesthetic for Replacement of the Knee

NCT ID: NCT03326180

Last Updated: 2022-11-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

533 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-29

Study Completion Date

2021-04-21

Brief Summary

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The clinical and cost effectiveness of peri-articular liposomal bupivacaine plus bupivacaine hydrochloride compared with bupivacaine hydrochloride alone for post-operative recovery after knee replacement surgery: A multi-centre, patient-blinded, randomised controlled trial.

Detailed Description

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The trial design is a patient-blinded multi-centre, active comparator, randomised controlled two-arm parallel group superiority trial of liposomal bupivacaine plus bupivacaine hydrochloride versus bupivacaine alone for post-operative pain in patients undergoing knee replacement surgery.

Patients will be randomised in a 1:1 ratio. The randomised controlled trial (RCT) design is robust and reduces any potential bias. Patients will be blinded as to which treatment they receive. Blinding of patients is possible as they will be under general anaesthetic for their knee replacement surgery at the time of the drug administration. Blinding of surgeons, who administer the medication and outcome assessors was not necessary as the primary outcome is a patient reported outcome measure.

Conditions

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Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Liposomal bupivacaine (EXPAREL)

266mg/20ml EXPAREL mixed with 80ml 0.9% normal saline and 100mg/20ml 0.5% plain bupivacaine hydrochloride. Administered as a single dose intra-operatively by periarticular infiltration.

Group Type EXPERIMENTAL

Liposomal bupivacaine

Intervention Type DRUG

266mg/20ml vial of EXPAREL

Bupivacaine hydrochloride

Intervention Type DRUG

100mg/20ml 0.5% bupivacaine hydrochloride. Branded or generic, must be plain (cannot contain adrenaline/epinephrine)

Bupivacaine hydrochloride alone

100ml 0.9% normal saline mixed with 100mg/20ml 0.5% plain bupivacaine hydrochloride.

Administered as a single dose intra-operatively by periarticular infiltration.

Group Type ACTIVE_COMPARATOR

Bupivacaine hydrochloride

Intervention Type DRUG

100mg/20ml 0.5% bupivacaine hydrochloride. Branded or generic, must be plain (cannot contain adrenaline/epinephrine)

Interventions

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Liposomal bupivacaine

266mg/20ml vial of EXPAREL

Intervention Type DRUG

Bupivacaine hydrochloride

100mg/20ml 0.5% bupivacaine hydrochloride. Branded or generic, must be plain (cannot contain adrenaline/epinephrine)

Intervention Type DRUG

Other Intervention Names

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EXPAREL Marcain

Eligibility Criteria

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Inclusion Criteria

* Unilateral primary knee replacement, including both total knee replacement (TKR) or unicompartmental knee replacement (UKR), for end stage osteoarthritis
* American Society of Anaesthesiologists (ASA) Grade I to III
* Participant is willing and able consent for themselves
* Male or Female, aged 18 years or above
* In the Investigator's opinion, is able and willing to comply with all trial requirements

Exclusion Criteria

* Allergy or intolerance to amide type local anaesthetics
* Objective evidence of nerve damage in the affected lower limb.
* Rheumatoid arthritis
* Any other significant disease, disorder or condition which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the results of the trial, or the participant's ability to participate in the trial.
* Participants who have participated in another research trial involving an investigational product in the past 6 months.
* Participants who have significant cognitive impairment or language issues
* Contra-lateral knee replacement within the trial or within 12 months prior to randomisation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oxford

OTHER

Sponsor Role collaborator

University of Leeds

OTHER

Sponsor Role lead

Responsible Party

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Hemant Pandit

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hemant Pandit

Role: PRINCIPAL_INVESTIGATOR

University of Leeds

Locations

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The Royal Orthopaedic Hospital

Birmingham, , United Kingdom

Site Status

Chapel Allerton Hospital

Leeds, , United Kingdom

Site Status

Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust

Lincoln, , United Kingdom

Site Status

The Whittington Hospital

London, , United Kingdom

Site Status

Robert Jones and Agnes Hunt Orthopaedic Hospital

Oswestry, , United Kingdom

Site Status

Rotherham Hospital

Rotherham, , United Kingdom

Site Status

King's Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust

Sutton in Ashfield, , United Kingdom

Site Status

Torbay Hospital

Torquay, , United Kingdom

Site Status

Pinderfields Hospital - Mid Yorkshire

Wakefield, , United Kingdom

Site Status

Yeovil District Hospital

Yeovil, , United Kingdom

Site Status

York Teaching Hospital

York, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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2016-003154-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

197936

Identifier Type: OTHER

Identifier Source: secondary_id

OR16/88494

Identifier Type: -

Identifier Source: org_study_id

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