Trial Outcomes & Findings for Exparel Interscalene vs Indwelling Catheter (NCT NCT03827213)

NCT ID: NCT03827213

Last Updated: 2023-03-07

Results Overview

Participant opioid requirements at 24 hours from treatment in morphine equivalents. Will report how much pain management medication participant needed within first 24 hours post-surgery.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

24 Hours post-surgery

Results posted on

2023-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
Single Shot Interscalene Nerve Block
This group received an interscalene nerve block. This was administered as a single 20mL injection consisting of a mixture of 10mL of Exparel and 10mL of 0.5% bupivacaine hydrochloride.
Indwelling Interscalene Catheter
This group received an indwelling interscalene catheter placed posterior to C5-C6 nerve roots (between the shoulders) and administered 15 mL of 0.5% ropivacaine plain for the block with no superficial cervical block. The "On-Q" pump was set at a rate of 4 mL/hr.
Overall Study
STARTED
11
12
Overall Study
COMPLETED
7
11
Overall Study
NOT COMPLETED
4
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Shot Interscalene Nerve Block
n=11 Participants
This group received an interscalene nerve block. This was administered as a single 20mL injection consisting of a mixture of 10mL of Exparel and 10mL of 0.5% bupivacaine hydrochloride.
Indwelling Interscalene Catheter
n=12 Participants
This group received an indwelling interscalene catheter placed posterior to C5-C6 nerve roots (between the shoulders) and administered 15 mL of 0.5% ropivacaine plain for the block with no superficial cervical block. The "On-Q" pump was set at a rate of 4 mL/hr.
Total
n=23 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=11 Participants
0 Participants
n=12 Participants
0 Participants
n=23 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=11 Participants
4 Participants
n=12 Participants
7 Participants
n=23 Participants
Age, Categorical
>=65 years
8 Participants
n=11 Participants
8 Participants
n=12 Participants
16 Participants
n=23 Participants
Sex: Female, Male
Female
5 Participants
n=11 Participants
7 Participants
n=12 Participants
12 Participants
n=23 Participants
Sex: Female, Male
Male
6 Participants
n=11 Participants
5 Participants
n=12 Participants
11 Participants
n=23 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
11 participants
n=11 Participants
12 participants
n=12 Participants
23 participants
n=23 Participants

PRIMARY outcome

Timeframe: 24 Hours post-surgery

Population: Data were not collected/aggregated and, as such, no data was available for analysis of Outcome Measure.

Participant opioid requirements at 24 hours from treatment in morphine equivalents. Will report how much pain management medication participant needed within first 24 hours post-surgery.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Duration of Surgery (Approximately 3 hours)

Population: Data were not collected/aggregated and, as such, no data was available for analysis of Outcome Measure.

Opioid requirements (morphine equivalents) during surgery. Will report how much pain management medication participant needed during surgery.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 8 hour post-surgery

Population: Data were not collected/aggregated and, as such, no data was available for analysis of Outcome Measure.

8-hour Opioid requirements (morphine equivalents). Will report how much pain management medication participant needed within first 8 hours after surgery.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: During time in PACU (up to 5 hours)

Population: Data were not collected/aggregated and, as such, no data was available for analysis of Outcome Measure.

Collecting patient pain scores in the Post Anesthesia Care Unit (PACU). Participant will be asked to rate their pain score from 0 (no pain) to10 (worst pain)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 48 hours post-surgery

Population: Data were not collected/aggregated and, as such, no data was available for analysis of Outcome Measure.

48 hour Opioid requirements (morphine equivalents). Will report how much pain management medication participant needed within first 48 hours after surgery.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: At Discharge (up to 3 days)

Population: Data were not collected/aggregated and, as such, no data was available for analysis of Outcome Measure.

Number of days subjects stayed until discharge. Will report how many days participant stayed in hospital after surgery.

Outcome measures

Outcome data not reported

Adverse Events

Single Shot Interscalene Nerve Block

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

Indwelling Interscalene Catheter

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Single Shot Interscalene Nerve Block
n=11 participants at risk
This group received an interscalene nerve block. This was administered as a single 20mL injection consisting of a mixture of 10mL of Exparel and 10mL of 0.5% bupivacaine hydrochloride.
Indwelling Interscalene Catheter
n=12 participants at risk
This group received an indwelling interscalene catheter placed posterior to C5-C6 nerve roots (between the shoulders) and administered 15 mL of 0.5% ropivacaine plain for the block with no superficial cervical block. The "On-Q" pump was set at a rate of 4 mL/hr.
Respiratory, thoracic and mediastinal disorders
Postoperative Respiratory Complications
0.00%
0/11 • Up to 72 hours
16.7%
2/12 • Number of events 2 • Up to 72 hours
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.1%
1/11 • Number of events 1 • Up to 72 hours
0.00%
0/12 • Up to 72 hours
Nervous system disorders
Dizziness
9.1%
1/11 • Number of events 1 • Up to 72 hours
0.00%
0/12 • Up to 72 hours
Cardiac disorders
Angina
9.1%
1/11 • Number of events 1 • Up to 72 hours
0.00%
0/12 • Up to 72 hours

Additional Information

Elilary Medilla Medrano

Montefiore Medical Center

Phone: (718) 920-4316

Results disclosure agreements

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