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Recruiting

NCT Number: NCT03906617

Bupivacaine/Epinephrine +Dexamethasone vs. Liposomal Bupivacaine

This study will assess analgesia after robotic lung surgery. Subjects will be randomized to receive wound infiltration and intercostal nerve block with either liposomal bupivacaine or bupivacaine/epinephrine + dexamethasone. Liposomal bupivacaine is a newer local anesthetic product and has not been compared to a combination of bupivacaine/epinephrine + dexamethasone in the context of pain control after robotic lung surgery.

Recruiting

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Key information

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Cooper University Hospital

Camden, New Jersey, 08103, United States

Location status: Recruiting

Location contact

Noud van Helmond, MD

CONTACT

[email protected]

856-968-7336

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • undergoing robotic wedge resection or lobectomy for lung mass(es)

Exclusion criteria

  • emergency case
  • history of opiate abuse
  • chronic pain syndrome
  • intravenous drug use
  • chronic use of oral steroids
  • pregnancy
  • imprisonment
  • body weight lower than 70 kg
  • liver failure
  • uninsured patients
  • non-verbal patients or patients who are unable to rate their pain on a visual analogue pain scale
  • history of allergic reaction to any of the drugs used in the study: bupivacaine, liposomal bupivacaine, dexamethasone

Treatment and study plan

Intercostal nerve block and wound infiltration with liposomal bupivacaine

Drug

Intercostal nerve block and wound infiltration with liposomal bupivacaine during robotic lung resection surgery. 266mg of liposomal bupivacaine with 24 ml of 0.5% bupivacaine will be used.

Intercostal nerve block and wound infiltration with bupivacaine/epinephrine + dexamethasone

Drug

Intercostal nerve block and wound infiltration with liposomal bupivacaine during robotic lung resection surgery. 42 ml of 0.5% Bupivacaine/epinephrine with 8mg dexamethasone will be used.

Primary outcomes

  1. Visual Analogue Scale pain scores

    Time frame: 24 hours post-surgery

    Visual Analogue Scale (VAS) pain score will be assessed for non-inferiority of bupivacaine/epinephrine +dexamethasone vs. liposomal bupivacaine. A non-inferiority margin of 2 points on the VAS scale will be considered non-inferior.

Study contacts

Contact information is provided by the study sponsor or research team.

Noud van Helmond, MD

CONTACT

[email protected]

856-968-7336

Sponsors and collaborators

Lead sponsor

The Cooper Health System

Other

Registry information

Official study title

Title of Project: Liposomal Bupivacaine (Exparel) Versus Bupivacaine And Dexamethasone Intercostal Nerve Blocks For Robotic Thoracic Surgery: A Prospective Randomized Single-Blinded Clinical Trial

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Apr 8, 2019
Registry last updated
Nov 12, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.