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CompletedNCT03253198Updated May 22, 2018

Prospective RCT Comparing Perioperative Pain

An interventional study of Saline and Bupivacaine liposome in Arthroplasty Shoulder, sponsored by Rothman Institute Orthopaedics. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-22.

Sponsored by Rothman Institute Orthopaedics · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2017, 9 years 5 months ago, and no results have been posted to the registry.
  • Registered 1 year after the study started (first participant enrolled Aug 2016, registered Aug 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
156
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This study is a non-blinded randomized controlled trial comparing the use of a preoperative "mini" block plus postoperative local infiltration of Exparel (liposomal form of bupivacaine) versus a partial single shot nerve block in subjects undergoing primary reverse or total shoulder arthroplasty to see which is more effective in controlling surgery related pain. To do so, we will utilize the Visual Analog Scale (VAS) to measure pain intensity. Opioid consumption will be recorded on a Pain Monitoring Sheet.

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Conditions studied

  • Arthroplasty Shoulder
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In context

Lead sponsor

Rothman Institute Orthopaedics is the lead sponsor of 119 studies on the registry; 18 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All individuals undergoing primary reverse and total shoulder arthroplasty by the shoulder service at Thomas Jefferson University Hospital, Methodist Hospital or Rothman Specialty Hospital.

Exclusion criteria

Exclusion Criteria:

  • Psychiatric illness as defined by co-morbid diagnosis of bipolar disorder or schizophrenia
  • Revision arthroplasty or arthroplasty for fracture
  • Unable/unwilling to consent for enrollment
  • Unable to complete postoperative pain survey
  • Known adverse drug reaction or allergy to the medications used
  • Chronic pain syndromes (including reflex sympathetic dystrophy, fibromyalgia, chronic diffuse musculoskeletal pain)
  • Patients taking long acting opioid pain medications (including extended release opioid pain medications and methadone)
  • Patients under the age of 18 years
  • Patients with history of hepatic disease
  • Pregnant or breastfeeding women.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
156 participants (actual)

Study arms

  • Active comparator
    Preoperative block plus saline

    Preoperative interscalene brachial plexus single-shot block using 25ml of 0.5% Ropivicaine plus postoperative 40cc local infiltration of saline

    Drug: Saline

  • Active comparator
    Preoperative block plus Bupivacaine extended-release liposome

    Interscalene brachial plexus single shot block preoperatively (25 ml of 0.5% ropivicaine) + Postoperative Infiltration of local anesthetic/analgesic (20 cc Bupivacaine extended-release liposome injection (Exparel) + Diluted in 20cc of Saline into the capsule, subscapularis, deltoid, pectoralis major and subcutaneous tissues)

    Drug: Bupivacaine liposome

Interventions

  • DrugSaline

    A preoperative interscalene brachial plexus single-shot block using 25 ml of 0.5% Ropivicaine plus saline injection postoperative

  • an interscalene brachial plexus single shot block preoperatively (25 ml of 0.5% ropivicaine) + Postoperative Infiltration of local anesthetic/analgesic (20 cc Bupivacaine extended-release liposome injection (Exparel) + Diluted in 20cc of Saline into the capsule, subscapularis, deltoid, pectoralis major and subcutaneous tissues)

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What researchers measure

Primary outcomes

  1. morphine and morphine equivalent consumption

    Time frame: 24 hours post surgery

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Study locations

1 site
  • Rothman Institute
    Philadelphia, Pennsylvania 19107, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03253198
Responsible party
Sponsor
First posted
Aug 17, 2017
Start date
Aug 2016
Primary completion
Jun 2017
Completion
Jul 2017
Last update
May 22, 2018

Study contacts

Surena Namdari, MD
principal investigator · Rothman Institute

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Bupivacaine

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