Trial Outcomes & Findings for Phase 3, Sciatic Nerve Block With EXPAREL for Subjects Undergoing Bunionectomy (NCT NCT05157841)
NCT ID: NCT05157841
Last Updated: 2025-06-26
Results Overview
The numeric rating scale pain intensity scores ranging from 0 to 10, where 0 equals no pain and 10 equals the worst possible pain, from 0 to 96 hours post-surgery. For each subject, the area under the curve was derived using the trapezoidal rule on the pain scores adjusted for opioid pain medication using the observed and imputed values. Area under the curve started with the first pain assessment obtained after surgery and use all subsequent pain assessments up to 96 hours post-surgery. Pain scores were taken at 5 interval point 0 hours, 24 hours, 48 hours, 72 hours, and 96 hours. There were also unscheduled pain scores measured before opioid consumption also included in the area under the curve calculation. The area under the curve ranged from 0 to 960. Higher scores represent a worse outcome.
COMPLETED
PHASE3
185 participants
0- 96 hours post-surgery
2025-06-26
Participant Flow
Participants were recruited based on physician referral at 6 sites between February 2022 and April 2022 for Part A and between April 2022 and July 2022 for Part B. The first participant was enrolled on February 15, 2022 and the last participant was enrolled on July 18, 2022.
Of 452 screened participants, 185 met inclusion criteria and were randomized to treatment in Part A (66 participants) or Part B (119 participants). Overall results are presented per treatment arm
Participant milestones
| Measure |
EXPAREL 266 mg Arm
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline
Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
EXPAREL 133 mg Arm
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Bupivacaine HCl Arm
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine hydrochloric acid (HCl) mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
Part A (14 Days)
STARTED
|
22
|
22
|
22
|
|
Part A (14 Days)
COMPLETED
|
21
|
21
|
19
|
|
Part A (14 Days)
NOT COMPLETED
|
1
|
1
|
3
|
|
Part B (14 Days)
STARTED
|
0
|
59
|
60
|
|
Part B (14 Days)
COMPLETED
|
0
|
59
|
60
|
|
Part B (14 Days)
NOT COMPLETED
|
0
|
0
|
0
|
Reasons for withdrawal
| Measure |
EXPAREL 266 mg Arm
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline
Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
EXPAREL 133 mg Arm
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Bupivacaine HCl Arm
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine hydrochloric acid (HCl) mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
Part A (14 Days)
Withdrawal by Subject
|
0
|
1
|
2
|
|
Part A (14 Days)
Adverse Event
|
1
|
0
|
0
|
|
Part A (14 Days)
Failure to meet continuation criteria
|
0
|
0
|
1
|
Baseline Characteristics
One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
Baseline characteristics by cohort
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 Participants
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline
Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 Participants
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 Participants
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
Total
n=185 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
48.36 years
STANDARD_DEVIATION 10.896 • n=22 Participants
|
50.15 years
STANDARD_DEVIATION 12.823 • n=81 Participants
|
47.24 years
STANDARD_DEVIATION 11.950 • n=82 Participants
|
48.65 years
STANDARD_DEVIATION 12.239 • n=185 Participants
|
|
Age, Customized
<45 Years
|
6 Participants
n=22 Participants
|
28 Participants
n=81 Participants
|
30 Participants
n=82 Participants
|
64 Participants
n=185 Participants
|
|
Age, Customized
Between 45 and 65 years
|
16 Participants
n=22 Participants
|
45 Participants
n=81 Participants
|
47 Participants
n=82 Participants
|
108 Participants
n=185 Participants
|
|
Age, Customized
>=65 years
|
0 Participants
n=22 Participants
|
8 Participants
n=81 Participants
|
5 Participants
n=82 Participants
|
13 Participants
n=185 Participants
|
|
Sex: Female, Male
Female
|
21 Participants
n=22 Participants
|
74 Participants
n=81 Participants
|
68 Participants
n=82 Participants
|
163 Participants
n=185 Participants
|
|
Sex: Female, Male
Male
|
1 Participants
n=22 Participants
|
7 Participants
n=81 Participants
|
14 Participants
n=82 Participants
|
22 Participants
n=185 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
10 Participants
n=22 Participants
|
26 Participants
n=81 Participants
|
32 Participants
n=82 Participants
|
68 Participants
n=185 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
12 Participants
n=22 Participants
|
55 Participants
n=81 Participants
|
50 Participants
n=82 Participants
|
117 Participants
n=185 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=22 Participants
|
0 Participants
n=81 Participants
|
0 Participants
n=82 Participants
|
0 Participants
n=185 Participants
|
|
Race/Ethnicity, Customized
White
|
16 Participants
n=22 Participants
|
47 Participants
n=81 Participants
|
49 Participants
n=82 Participants
|
112 Participants
n=185 Participants
|
|
Race/Ethnicity, Customized
Black/African American
|
4 Participants
n=22 Participants
|
25 Participants
n=81 Participants
|
28 Participants
n=82 Participants
|
57 Participants
n=185 Participants
|
|
Race/Ethnicity, Customized
Other
|
2 Participants
n=22 Participants
|
9 Participants
n=81 Participants
|
5 Participants
n=82 Participants
|
16 Participants
n=185 Participants
|
|
Region of Enrollment
United States
|
22 participants
n=22 Participants
|
81 participants
n=81 Participants
|
82 participants
n=82 Participants
|
185 participants
n=185 Participants
|
|
ASA classification
ASA 1
|
14 Participants
n=22 Participants
|
39 Participants
n=81 Participants
|
54 Participants
n=82 Participants
|
107 Participants
n=185 Participants
|
|
ASA classification
ASA 2
|
8 Participants
n=22 Participants
|
42 Participants
n=81 Participants
|
28 Participants
n=82 Participants
|
78 Participants
n=185 Participants
|
|
Body Mass Index
<25 kg/m^2
|
8 Participants
n=22 Participants
|
21 Participants
n=81 Participants
|
24 Participants
n=82 Participants
|
53 Participants
n=185 Participants
|
|
Body Mass Index
25 to <30 kg/m^2
|
10 Participants
n=22 Participants
|
27 Participants
n=81 Participants
|
32 Participants
n=82 Participants
|
69 Participants
n=185 Participants
|
|
Body Mass Index
≥30 kg/m^2
|
4 Participants
n=22 Participants
|
33 Participants
n=81 Participants
|
26 Participants
n=82 Participants
|
63 Participants
n=185 Participants
|
|
Worst pain intensity (NRS)
|
5.4 units on a scale
STANDARD_DEVIATION 3.00 • n=22 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
5.2 units on a scale
STANDARD_DEVIATION 2.71 • n=81 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
5.7 units on a scale
STANDARD_DEVIATION 2.59 • n=81 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
5.5 units on a scale
STANDARD_DEVIATION 2.69 • n=184 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
|
Average pain intensity (NRS)
|
3.9 units on a scale
STANDARD_DEVIATION 2.23 • n=22 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
3.4 units on a scale
STANDARD_DEVIATION 2.10 • n=81 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
3.8 units on a scale
STANDARD_DEVIATION 2.33 • n=81 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
3.7 units on a scale
STANDARD_DEVIATION 2.22 • n=184 Participants • One participant in the Bupivacaine HCl arm (Part A) discontinued from the study due to an adverse event on Day 1.
|
PRIMARY outcome
Timeframe: 0- 96 hours post-surgeryPopulation: The analysis was performed on the efficacy analysis set which included all participants in the safety analysis set who underwent the planned surgery and had at least one post-drug administration NRS pain assessment.
The numeric rating scale pain intensity scores ranging from 0 to 10, where 0 equals no pain and 10 equals the worst possible pain, from 0 to 96 hours post-surgery. For each subject, the area under the curve was derived using the trapezoidal rule on the pain scores adjusted for opioid pain medication using the observed and imputed values. Area under the curve started with the first pain assessment obtained after surgery and use all subsequent pain assessments up to 96 hours post-surgery. Pain scores were taken at 5 interval point 0 hours, 24 hours, 48 hours, 72 hours, and 96 hours. There were also unscheduled pain scores measured before opioid consumption also included in the area under the curve calculation. The area under the curve ranged from 0 to 960. Higher scores represent a worse outcome.
Outcome measures
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 Participants
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 Participants
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 Participants
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
NRS Pain Scores Through 96 Hours Post-surgery
|
342.3 units on a scale*hours
Standard Deviation 265.35
|
201.3 units on a scale*hours
Standard Deviation 180.05
|
377.4 units on a scale*hours
Standard Deviation 188.60
|
SECONDARY outcome
Timeframe: 0 to 96 hours post-surgeryPopulation: The analysis was performed on the efficacy analysis set which included all participants in the safety analysis set who underwent the planned surgery and had at least one post-drug administration NRS pain assessment. Results presented for each treatment arm
Total postsurgical opioid consumption in oral morphine equivalents (OMED) from 0 to 96 hours post-surgery
Outcome measures
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 Participants
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 Participants
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 Participants
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
Postsurgical Opioid Consumption Through 96 Hours Post-surgery
|
32.68 milligrams oral morphine equivalents
Geometric Coefficient of Variation 96.768
|
15.41 milligrams oral morphine equivalents
Geometric Coefficient of Variation 126.781
|
41.62 milligrams oral morphine equivalents
Geometric Coefficient of Variation 83.925
|
SECONDARY outcome
Timeframe: 0 to 96 hours post-surgeryPopulation: The analysis was performed on the efficacy analysis set which included all participants in the safety analysis set who underwent the planned surgery and had at least one post-drug administration NRS pain assessment.
Percentage of opioid-free subjects through 96 hours
Outcome measures
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 Participants
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 Participants
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 Participants
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
Opioid-free Subjects Through 96 Hours Post-surgery
|
4.5 percentage of participants
|
33.3 percentage of participants
|
9.8 percentage of participants
|
SECONDARY outcome
Timeframe: 0 to 96 hours post-surgeryPopulation: The analysis was performed on the efficacy analysis set which included all participants in the safety analysis set who underwent the planned surgery and had at least one post-drug administration NRS pain assessment.
Time to first opioid consumption post-surgery
Outcome measures
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 Participants
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 Participants
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 Participants
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
First Opioid Consumption Post-surgery
|
16.06 hours
Interval 12.32 to 20.57
|
20.27 hours
Interval 17.13 to 29.98
|
20.68 hours
Interval 19.28 to 24.4
|
SECONDARY outcome
Timeframe: 0-24 hours, 24-48 hours, 48-72 hours, and 72-96 hours post-surgeryPopulation: The number analyzed in one or more rows differs from overall number analyzed due to participant discontinuation from the study in Part A.
Worst and average NRS pain intensity scores at 24h, 48h, 72h, and 96h from the end of surgery Worst and average pain intensity scores on a numeric rating scale ranging from 0 to 10, where 0 equals no pain and 10 equals the worst possible pain, from 0 to 24 hours, 24 to 48 hours, 48 to 72 hours, and 72 to 96 hours. Mean scores at each timepoint are provided. The total range is 0 (no pain) to 10 (worst possible pain). Higher values on the scale represent worse outcome.
Outcome measures
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 Participants
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 Participants
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 Participants
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
NRS Pain Scores Post-surgery
Worst pain at 96 hours
|
4.4 units on a scale
Standard Deviation 3.68
|
2.8 units on a scale
Standard Deviation 2.84
|
5.1 units on a scale
Standard Deviation 2.81
|
|
NRS Pain Scores Post-surgery
Average pain at 48 hours
|
3.9 units on a scale
Standard Deviation 2.74
|
2.9 units on a scale
Standard Deviation 2.33
|
4.8 units on a scale
Standard Deviation 2.01
|
|
NRS Pain Scores Post-surgery
Worst pain at 24 hours
|
6.0 units on a scale
Standard Deviation 3.18
|
4.4 units on a scale
Standard Deviation 3.13
|
5.3 units on a scale
Standard Deviation 3.06
|
|
NRS Pain Scores Post-surgery
Worst pain at 48 hours
|
6.1 units on a scale
Standard Deviation 2.49
|
4.4 units on a scale
Standard Deviation 3.14
|
7.3 units on a scale
Standard Deviation 2.22
|
|
NRS Pain Scores Post-surgery
Worst pain at 72 hours
|
4.3 units on a scale
Standard Deviation 3.55
|
2.7 units on a scale
Standard Deviation 2.87
|
6.1 units on a scale
Standard Deviation 2.69
|
|
NRS Pain Scores Post-surgery
Average pain at 24 hours
|
4.7 units on a scale
Standard Deviation 2.60
|
2.8 units on a scale
Standard Deviation 2.32
|
3.0 units on a scale
Standard Deviation 2.58
|
|
NRS Pain Scores Post-surgery
Average pain at 72 hours
|
3.5 units on a scale
Standard Deviation 3.19
|
1.8 units on a scale
Standard Deviation 2.05
|
4.1 units on a scale
Standard Deviation 2.19
|
|
NRS Pain Scores Post-surgery
Average pain at 96 hours
|
3.2 units on a scale
Standard Deviation 3.14
|
1.7 units on a scale
Standard Deviation 2.03
|
3.3 units on a scale
Standard Deviation 2.10
|
Adverse Events
Part A: EXPAREL 266 mg Arm
Part A + B: EXPAREL 133 mg Arm
Part A + B: Bupivacaine HCl Arm
Serious adverse events
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 participants at risk
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline
Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 participants at risk
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 participants at risk
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
Cardiac disorders
Atrioventricular block second degree
|
0.00%
0/22 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/81 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
1.2%
1/82 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
General disorders
Pyrexia
|
4.5%
1/22 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/81 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/82 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Vascular disorders
Hypertension
|
4.5%
1/22 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/81 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/82 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
Other adverse events
| Measure |
Part A: EXPAREL 266 mg Arm
n=22 participants at risk
subjects randomized to this treatment arm received 20 mL (266 mg) EXPAREL mixed with 10 mL saline
Bupivacaine liposome injectable suspension 266 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 266 mg
|
Part A + B: EXPAREL 133 mg Arm
n=81 participants at risk
subjects randomized to this treatment arm received 10 mL (133 mg) EXPAREL mixed with 20 mL saline
Bupivacaine liposome injectable suspension 133 mg: Sciatic nerve block in the popliteal fossa with EXPAREL 133 mg
|
Part A + B: Bupivacaine HCl Arm
n=82 participants at risk
Subjects randomized to this treatment arm received 20 mL (50 mg) 0.25% bupivacaine HCl mixed with 10 mL saline
Bupivacaine HCl: Sciatic nerve block in the popliteal fossa with Bupivacaine HCl
|
|---|---|---|---|
|
Gastrointestinal disorders
Nausea
|
40.9%
9/22 • Number of events 11 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
16.0%
13/81 • Number of events 14 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
23.2%
19/82 • Number of events 19 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Gastrointestinal disorders
Constipation
|
13.6%
3/22 • Number of events 3 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
12.3%
10/81 • Number of events 10 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
19.5%
16/82 • Number of events 16 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Gastrointestinal disorders
Vomiting
|
22.7%
5/22 • Number of events 5 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
4.9%
4/81 • Number of events 6 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
8.5%
7/82 • Number of events 7 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Nervous system disorders
Headache
|
4.5%
1/22 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
9.9%
8/81 • Number of events 10 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
4.9%
4/82 • Number of events 4 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Skin and subcutaneous tissue disorders
Pruritus
|
4.5%
1/22 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
7.4%
6/81 • Number of events 6 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
6.1%
5/82 • Number of events 5 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Gastrointestinal disorders
Dyspepsia
|
4.5%
1/22 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
2.5%
2/81 • Number of events 2 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/82 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
|
Nervous system disorders
Hypoaesthesia
|
4.5%
1/22 • Number of events 1 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/81 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
0.00%
0/82 • Treatment-emergent adverse events were collected from the date and time on or after the start date and time of study drug administration through post-operative Day 14
Participants were expected to volunteer information about adverse events that they experienced. In addition, the investigator or designee questioned the patient at each scheduled time point/visit about adverse events and recorded these as well as other adverse events at the time point/visit. Participants experiencing the same adverse events more than once were counted only once at each summary level.
|
Additional Information
Pacira Medical Information
Pacira Pharmaceuticals, Inc.
Results disclosure agreements
- Principal investigator is a sponsor employee Disclosure restrictions include: * PIs or any other party are not allowed to publish any publication for a period of twelve months following completion of the clinical study report for the trial. * PIs or any other party shall submit a proposal to the Sponsor for approval to obtain trial results that have not been previously made public and any publication, abstract or paper or other written materials to the trial shall be submitted to the Sponsor at least 60 days prior to submission.
- Publication restrictions are in place
Restriction type: OTHER