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CompletedNCT03485014Updated Aug 2, 2023

Study in Pediatric Subjects Evaluating Pharmacokinetics and Safety of EXPAREL

A Phase 1 interventional study of Exparel in Postoperative Pain Management, sponsored by Pacira Pharmaceuticals, Inc. Completed at 1 site in United States. Open to participants aged 12 Years to 16 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-02.

Sponsored by Pacira Pharmaceuticals, Inc · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
12 Years to 16 Years
Sex
All
01

Study summary

Primary objective: The primary objective of this study is to evaluate the pharmacokinetics (PK) of EXPAREL in pediatric subjects 12 to less than 17 years of age undergoing spinal surgery.

Secondary objective: The secondary objective of this study is to evaluate the safety of EXPAREL in pediatric subjects 12 to less than 17 years of age undergoing spinal surgery.

Read the detailed description

This is a Phase 1, single-center, open-label study designed to evaluate the safety and PK profile of EXAPREL when administered intraoperatively at the end of surgery via local infiltration. Fifteen pediatric subjects 12 to less than 17 years of age undergoing spinal surgeries are planned for enrollment.

Subjects will be screened within 30 days prior to study drug administration. During the screening visit, subjects will be assessed for past or present neurologic, cardiac, and general medical conditions that, in the opinion of the investigator, would preclude them from study participation.

Subjects will undergo their pre-planned spinal surgeries per the institution's standard of care. On Day 1, eligible subjects will receive a single dose of EXPAREL 4 mg/kg intraoperatively at the end of surgery via local infiltration into the surgical site. There is no required length of stay in the hospital; subjects may be discharged based on the medical judgment of the treating physician.

A follow-up phone call will be scheduled for all subjects on Day 7. A final follow-up visit will be made on Day 30 to all subjects who received study drug.

02

Conditions studied

  • Postoperative Pain Management

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03

Who can participate

Ages eligible
12 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Subjects whose parent(s) or guardian(s) has/have signed and dated an informed consent form for the subject to participate in the study, and subjects who have provided written assent to participate in the study (if capable).
  2. American Society of Anesthesiologists (ASA) Class 1-3.
  3. Male or female subjects 12 to less than 17 years of age on the day of surgery.
  4. Body mass index (BMI) at screening within the 20th to 80th percentile for age and sex.
  5. A pregnancy test for female subjects of childbearing potential will be conducted in the preoperative holding area according to the study site's standard of care. A negative result for the pregnancy test must be available prior to the start of surgery.
  6. Subjects and their parent(s)/guardian(s) must be able to speak, read, and understand the language of the ICF and any instruments used for collecting subject-reported outcomes in order to enable accurate and appropriate responses to study assessments, and provide informed consent/assent.
  7. Subjects must be able to adhere to the study visit schedule and complete all study assessments.

Exclusion criteria

Exclusion Criteria:

  1. Contraindication to bupivacaine or other amide-type local anesthetics or to opioid medication.
  2. Administration of EXPAREL or bupivacaine HCl within 30 days prior to study drug administration.
  3. Subjects with coagulopathies or immunodeficiency disorders.
  4. Administration of an investigational drug within 30 days or 5 elimination half-lives of such investigational drug, whichever is longer, prior to study drug administration, or planned administration of another investigational product or procedure during the subject's participation in this study.

    In addition, the subject will be ineligible to receive study drug if the following criterion is met during surgery:

  5. Any clinically significant event or condition uncovered during the surgery (eg, excessive bleeding, acute sepsis) that might render the subject medically unstable or complicate the subject's postsurgical course.
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Experimental: EXPAREL 4 mg/kg

    Single dose of EXPAREL 4 mg/kg

    Drug: Exparel

Interventions

  • DrugExparel

    EXPAREL 4 mg/kg

05

What researchers measure

Primary outcomes

  1. AUC of EXPAREL concentration

    Area under the concentration curve for EXPAREL

    Time frame: 0-96 hours

Secondary outcomes

  1. Incidence of treatment-emergent adverse events and serious adverse events

    Incidence of treatment-emergent adverse events and serious adverse events through 30 days

    Time frame: 0-30 days

06

Study locations

1 site
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
07

Registry details

Key details

Study ID
NCT03485014
Lead sponsor
Pacira Pharmaceuticals, Inc
Responsible party
Sponsor
First posted
Apr 2, 2018
Start date
Apr 10, 2018
Primary completion
Feb 12, 2019
Completion
Feb 12, 2019
Last update
Aug 2, 2023

Study contacts

Robert T Ballock, MD
principal investigator · The Cleveland Clinic
Igor Grachev, MD, PhD
study director · Pacira Pharmaceuticals, Inc

Oversight

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

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