Trial Outcomes & Findings for A Prospective Study to Compare Bupivacaine and Exparel Versus Bupivacaine or Exparel Alone for Postoperative Pain Relief (NCT NCT03514277)

NCT ID: NCT03514277

Last Updated: 2021-01-06

Results Overview

Wong-Baker pain faces scale of 0-no pain, to 10-extreme pain

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

19 participants

Primary outcome timeframe

last day of hospitalization, average of 3 days in hospital

Results posted on

2021-01-06

Participant Flow

Participant milestones

Participant milestones
Measure
Local Infiltration of EXPAREL and Bupivacaine
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Local Infiltration of Exparel
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL
Local Infiltration of Bupivacaine
Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Overall Study
STARTED
11
4
4
Overall Study
COMPLETED
11
4
4
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Prospective Study to Compare Bupivacaine and Exparel Versus Bupivacaine or Exparel Alone for Postoperative Pain Relief

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Local Infiltration of EXPAREL and Bupivacaine
n=11 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Local Infiltration of Exparel
n=4 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL
Local Infiltration of Bupivacaine
n=4 Participants
Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
67.8 years
n=5 Participants
72.3 years
n=7 Participants
67.3 years
n=5 Participants
68.6 years
n=4 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
10 Participants
n=4 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
11 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants

PRIMARY outcome

Timeframe: last day of hospitalization, average of 3 days in hospital

Population: Data is not collected for one patient in the Local infiltration of EXPAREL and Bupivacaine group

Wong-Baker pain faces scale of 0-no pain, to 10-extreme pain

Outcome measures

Outcome measures
Measure
Local Infiltration of EXPAREL and Bupivacaine
n=10 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Local Infiltration of Exparel
n=4 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL
Local Infiltration of Bupivacaine
n=4 Participants
Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Mean Postoperative Pain Score
5.2 units on a scale
Interval 3.0 to 7.6
4.2 units on a scale
Interval 3.1 to 5.6
5.6 units on a scale
Interval 4.4 to 6.7

SECONDARY outcome

Timeframe: last day of hospitalization, average of 3 days in hospital

Population: Data is not collected for one patient in the Local infiltration of EXPAREL and Bupivacaine group

All opioid analgesics will be converted into oral mg morphine equivalent to determine the total dose of opioids

Outcome measures

Outcome measures
Measure
Local Infiltration of EXPAREL and Bupivacaine
n=10 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Local Infiltration of Exparel
n=4 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL
Local Infiltration of Bupivacaine
n=4 Participants
Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Total Consumption of Opioids During Hospital Stay
106.1 milligram
Interval 0.0 to 300.0
87.3 milligram
Interval 4.0 to 202.5
46.1 milligram
Interval 13.5 to 81.0

SECONDARY outcome

Timeframe: last day of hospitalization, average of 3 days in hospital

Population: This data was not collected

Mean time to achieve physical therapy discharge criteria

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: last day of hospitalization, average of 3 days in hospital

Number of Participants with Opioid Related Adverse Events

Outcome measures

Outcome measures
Measure
Local Infiltration of EXPAREL and Bupivacaine
n=11 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Local Infiltration of Exparel
n=4 Participants
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL
Local Infiltration of Bupivacaine
n=4 Participants
Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Number of Participants With Opioid Related Adverse Events
1 Participants
0 Participants
1 Participants

Adverse Events

Local Infiltration of EXPAREL and Bupivacaine

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Local Infiltration of Exparel

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

Local Infiltration of Bupivacaine

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Local Infiltration of EXPAREL and Bupivacaine
n=11 participants at risk
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Local Infiltration of Exparel
n=4 participants at risk
Exparel: 1 level patients - 20 mL Exparel; 2 level patients - 20 mL Exparel diluted to 40 mL
Local Infiltration of Bupivacaine
n=4 participants at risk
Bupivacaine: 30 mL bupivacaine 0.5% w/v solution
Respiratory, thoracic and mediastinal disorders
Hypoxia
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
25.0%
1/4 • Number of events 1 • Duration of patient's hospital stay, an average of three days
Gastrointestinal disorders
Nausea
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
25.0%
1/4 • Number of events 1 • Duration of patient's hospital stay, an average of three days
General disorders
lethargy
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
General disorders
Dehydration
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
General disorders
Unsteadiness
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
Renal and urinary disorders
Urinary retention
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
Gastrointestinal disorders
Constitpation
9.1%
1/11 • Number of events 1 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days
0.00%
0/4 • Duration of patient's hospital stay, an average of three days

Additional Information

Robert Greenleaf

Reconstructive Orthopedics

Phone: 609-267-9400

Results disclosure agreements

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