ClinicalTrials.gg
Status unknownNCT03262688Updated Jul 30, 2021

Safety, Tolerability, PK, and Analgesic Effect of INL-001 in Children Following Open Inguinal Hernia Repair

A Phase 3 interventional study of Bupivacaine HCl collagen-matrix implant and Bupivacaine HCl infiltration in Inguinal Hernia and Postoperative Pain, sponsored by Innocoll. Status unknown at 11 sites in United States. Open to participants aged 2 Years to 16 Years. Per ClinicalTrials.gov, last updated 2021-07-30.

Sponsored by Innocoll · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
159
Allocation
Randomized
Ages
2 Years to 16 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies testing bupivacaine in Hernia, Inguinal — 1 open to participants now, 2 under way, none of them phase 3. Bupivacaine · Hernia, Inguinal.

Planned enrollment
5th of 19
159 · median 70
Started
2017
with 3 others
Phase 3
4 of 19
none open now
Registered
7th of 19
by date
Lead sponsor
1 of 19
Innocoll

Among the 19 studies testing bupivacaine in Hernia, Inguinal, this one is the 5th largest by planned enrollment, is one of 4 that started in 2017, is one of 4 in phase 3, and was the 7th registered.

By phase

19 studies; the count open now beside each. This study's row is marked.

No phase5 · 1 open
Phase 3this study4 · 0 open
Phase 44 · 0 open
Phase 23 · 0 open
Phase 12 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2004; this study’s year is marked. 4 started in 2017.

Size and results

Median enrollment 70 across the 19 interventional studies. Of the 12 that completed or were terminated, 6 (50%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 19 studies testing bupivacaine in Hernia, Inguinal, or all of them as a file.
02

Study summary

A multicenter, single-dose study in children 12 to \<17 years of age, 6 to \<12 years of age, and 2 to \<6 years of age who are scheduled for elective open inguinal hernia repair. Enrollment in this study will start with the oldest age group (12 to \<17 years) and will continue in a stepwise fashion until appropriate doses are established for all 3 pediatric age groups (12 to \<17 years, 6 to \<12 years, 2 to \<6 years).

Read the detailed description

This is a multicenter, single-dose study in children 12 to \<17 years of age, 6 to \<12 years of age, and 2 to \<6 years of age who are scheduled for elective open inguinal hernia repair. Within 21 days of surgery, eligible subjects will be screened and have routine clinical laboratory testing and an electrocardiogram performed. Subjects will then undergo an open inguinal hernia repair under general anesthesia according to the investigator's standard surgical practice on day 1. Enrollment in this study will start with the oldest age group (12 to \<17 years) and will continue in a stepwise fashion until appropriate doses are established for all 3 pediatric age groups. Within each age group, the study will be conducted in 3 parts.

Children in each age group who are randomized to INL-001 will receive approximately less than or equal to 2.5 mg/kg of INL-001. Study drug will be administered prior to wound closure. The INL-001 implant will be cut before placement into the surgical site using sterile technique. Children randomized to 0.25% bupivacaine HCl injection will receive 2.5 mg/kg according to standard practice.

After completion of the surgical procedure, all subjects will remain in the post-anesthesia care unit for at least 3 hours and will be continuously monitored for safety. At the discretion of the investigator, subjects may receive rescue medication (opioid or nonopioid) upon request for the management of breakthrough pain and may receive an antiemetic for the management of nausea or vomiting. After the initial 3-hour period, subjects who are deemed stable may be discharged to the hospital ward. Subjects will remain housed in the hospital ward for at least 48 hours. Blood samples will be collected for pharmacokinetic analysis from a subset of 8 children in each age group after INL-001 is implanted.

03

Conditions studied

  • Inguinal Hernia
  • Postoperative Pain

Keywords

  • INL-001
  • Bupivacaine
  • Collagen
  • Children
  • Pediatric
  • Inguinal hernia
04

Who can participate

Ages eligible
2 Years to 16 Years
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

  • Be a male or female 2 to \<17 years of age.
  • Be eligible for an elective open inguinal hernia repair that will be performed according to standard surgical technique under general anesthesia.
  • Be premenarche or have a serum confirmed negative pregnancy test at screening and a negative urine pregnancy test before surgery on day 1, if an adolescent female of .
  • Be willing and able to cooperate with all the requirements of the study.
  • Be able to speak and understand English or Spanish.
  • Have a legally authorized representative (eg, parent, guardian) who is able to read, speak, and understand English or Spanish and who will voluntarily sign and date a parental permission/ form that is approved by the Institutional Review Board/Independent Ethics Committee/Human Research Ethics Committee (IRB/IEC/HREC).
  • Be willing to sign an assent (if appropriate dependent upon the child's age, understanding, and IRB requirements), before the conduct of any study procedure.

Exclusion criteria

Exclusion Criteria:

  • Has a known to amide local anesthetics, bovine products, or to inactive ingredients of the study drugs.
  • Requires any additional surgical procedures, either related or unrelated to the scheduled surgery (ie, open inguinal hernia surgery), during the same hospitalization.
  • Requires epidural or spinal blockade perioperatively.
  • Is required to receive neuraxial (spinal or epidural) opioid analgesics during the study.
  • Has undergone major surgery within 3 months of the scheduled surgery or plans to undergo another surgical procedure within the 30-day postoperative period.
  • Has known or suspected history of drug abuse or misuse or evidence of tolerance or physical dependency on opioid analgesics or sedative-hypnotic medications.
  • Has participated in a clinical trial ( or marketed product) within 30 days before surgery.
  • Has any medical history or condition (eg, unstable cardiac, neurological, immunological, renal, hepatic, or hematological disease or any other condition) that in the opinion of the investigator, substantially increases the risk associated with the subject's participation in the protocol or compromises the scientific objectives of the study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
159 participants (estimated)

Study arms

  • Experimental
    INL-001

    Bupivacaine HCl collagen-matrix implant

    Drug: Bupivacaine HCl collagen-matrix implant

  • Active comparator
    Infiltration

    Bupivacaine HCl infiltration

    Drug: Bupivacaine HCl infiltration

Interventions

06

What researchers measure

Primary outcomes

  1. Adverse events

    Possibly related to bupivacaine toxicity

    Time frame: 30 days

  2. Blood pressure (systolic/diastolic)

    Signs/symptoms of bupivacaine toxicity

    Time frame: Starting at Time 0 and continuing for 3 hours and then 5, 8, 12, 24, 36, and 48 hours after Time 0

  3. Heart rate

    Signs/symptoms of bupivacaine toxicity

    Time frame: Continuously from Time 0 through 3 hours, and then 5, 8, 12, 24, 36, and 48 hours after Time 0

  4. Respiratory rate

    Signs/symptoms of bupivacaine toxicity

    Time frame: Continuously from Time 0 through 3 hours, and then 5, 8, 12, 24, 36, and 48 hours after Time 0

  5. Body temperature

    Signs/symptoms of bupivacaine toxicity

    Time frame: Through Day 30

  6. 12-lead ECG

    Screening only

    Time frame: 1 day at screening

  7. 3-lead ECG

    Signs/symptoms of bupivacaine toxicity

    Time frame: Starting at Time 0 and continuing for at least 3 hours

  8. Oxygen saturation levels

    Pulse oximetry

    Time frame: Starting at Time 0 and continuing for at least 3 hours

  9. Clinical laboratory testing

    Collection of blood and urine samples

    Time frame: 1 day at screening

  10. Wound healing assessments

    Inspection of surgical wound site for signs of wound infection and dehiscence.

    Time frame: Assessment on Day 1 through Day 3; follow-up evaluations on Days 7, 15 and 30

  11. Nausea

    Measured using a categorical scoring system (none = 0, mild = 1, moderate = 2, and severe = 3). Nausea scores will also be recorded immediately before the use of rescue antiemetics

    Time frame: 1, 2, 4, 6, 12, 24, 36, and 48 hours after Time 0

  12. Sedation

    Sedation scores: awake and alert = 0, quietly awake = 1, asleep but easily roused = 2, and deep sleep = 3.

    Time frame: 1, 2, 4, 6, 12, 24, 36, and 48 hours after Time 0

Secondary outcomes

  1. Cmax

    Maximum observed plasma concentration

    Time frame: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, and 48 hour time points after Time 0.

  2. AUC0-last

    Area under the plasma concentration time curve from Time zero to last quantifiable plasma concentration

    Time frame: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, and 48 hour time points after Time 0

  3. AUC0-∞

    Area under the plasma concentration time curve from Time zero to extrapolated through infinity

    Time frame: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, and 48 hour time points after Time 0

  4. Tmax

    Time to maximum obserbved plasma concentration

    Time frame: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, and 48 hour time points after Time 0

  5. t1/2

    Apparent first-order terminal elimination half-life

    Time frame: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, and 48 hour time points after Time 0

  6. Pain intensity

    Assessed using an 11-point NRS (for children 12 to \<17 years of age), a FACES pain severity scale (children 4 through \<12 years of age), or FLACC (children 2 and 3 years of age) immediately before the child receives any parenteral or oral rescue medication for breakthrough pain

    Time frame: 1, 2, 4, 6, 12, 24, 36, and 48 hours after Time 0

07

Study locations

7 of 11 sites recruiting
  • Alliance Research Centers
    Laguna Hills, California 92653, United States
    Recruiting
  • Cornerstone Research Institute
    Altamonte Springs, Florida 32701, United States
    Recruiting
  • Medical Research Center
    Miami, Florida 33144, United States
    Withdrawn
  • Elion & Volhard Pharmaceutical Research (E&V PR)
    Miami, Florida 33165, United States
    Withdrawn
  • Children's Hospital of Pittsburgh of UPMC (CHP-UPMC)
    Pittsburgh, Pennsylvania 15224, United States
    Recruiting
  • Driscoll Children's Hospital
    Corpus Christi, Texas 78411, United States
    Recruiting
  • El Paso Children's Hospital
    El Paso, Texas 79905, United States
    Recruiting
  • Memorial Hermann Memorial City Medical Center
    Houston, Texas 77024, United States
    Recruiting
  • The Woman's Hospital of Texas
    Houston, Texas 77054, United States
    Withdrawn
  • Plano Surgical Hospital
    Plano, Texas 75093, United States
    Recruiting
  • Jean Brown Research
    Salt Lake City, Utah 84124, United States
    Active, not recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03262688
Lead sponsor
Innocoll
Collaborators
Premier Research Group plc
Responsible party
Sponsor
First posted
Aug 25, 2017
Start date
Jun 16, 2017
Primary completion
Jan 31, 2024 (estimated)
Completion
Jan 31, 2024 (estimated)
Last update
Jul 30, 2021

Study contacts

Nina Head of Clinical Operations
Contact
rsmall@innocoll.com
484-406-5214
Nina Head of Clinical Research, MD
Contact
nskuban@innocoll.com
484-406-5205
Gwendolyn Niebler, DO
study director · Innocoll

Oversight

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

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This study is status unknown, as verified in Jul 2021. 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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