- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT03955458
EXPAREL Facia Iliaca Compartment Block for Intertrochanteric Hip Fracture (RESTORE)
A Phase-4, Multicenter, Randomized, Active-Controlled Study to Evaluate the Efficacy and Safety of EXPAREL When Administered Via Fascia Iliaca Compartment Block Versus Fascia Iliaca Compartment Block With Continuous Infusion of Ropivacaine Per Standard of Care Through a Catheter in Intertrochanteric Hip Fracture Patients
연구 개요
상세 설명
The current standard of care treatment for pain relief in patients with intertrochanteric hip fracture is a FICB with continuous infusion of ropivacaine given via catheter.
In this study, some people will receive a single injection FICB with EXPAREL + bupivacaine HCl. The groups will be evaluated to determine the amount of pain medication they took from the FICB to 72 hours after.
연구 유형
단계
- 4단계
연락처 및 위치
연구 장소
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Ohio
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Cleveland, Ohio, 미국, 44195
- Cleveland Clinic
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Individuals between 65 and 85 years of age (inclusive of) at screening.
- Intertrochanteric femoral fractures with American Society of Anesthesiology physical status 1, 2, or 3.
- Able to provide informed consent, adhere to the study visit schedule, and complete all study assessments.
Exclusion Criteria:
- Hip fracture that requires total arthroplasty.
- Patients transferred from other hospitals.
- Patients that have other acute fractures.
- Pre-existing dementia (Mini-Mental State examination score <20) or delirium (Mini-Mental State examination score <24).
- Allergy, hypersensitivity, intolerance, or contraindication to any of the study medications for which an alternative is not named in the protocol (e.g., amide-type local anesthetics, opioids, bupivacaine, ropivacaine, acetaminophen, NSAIDs).
- Serious systemic comorbidities that cause a contraindication for EXPAREL/bupivacaine (severe hepatic or renal impairment) or ropivacaine.
- Use of anticoagulants (including aspirin, except low dose aspirin).
- Chronic opioid use of ≥ 20 morphine milligram equivalent (MME)/day for more than 7 days in the last 30 days.
- Body Mass Index (BMI) <17 kg/m2 or >45 kg/m2.
- Known history of renal or hepatic dysfunction, coagulation or bleeding disorder.
- Concurrent painful physical condition that may require analgesic treatment (such as long-term, consistent use of opioids) in the post-operative period for pain that is not strictly related to the surgery and which may confound the post-operative assessments based on the physician's discretion.
- Clinically significant medical disease that, in the opinion of the investigator, would make participation in a clinical study inappropriate. This includes any psychiatric or other conditions that would constitute a contraindication to participation in the study.
- History of suspected or known addiction to or abuse of illicit drug(s), prescription medicine(s), or alcohol within the past 2 years.
- 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.
- Previous participation in an EXPAREL study.
Resident of a skilled nursing facility (SNF), long-term acute care (LTAC) facility, inpatient rehabilitation facility (IRF), or nursing home. Participants from assisted living facilities will be eligible for the study.
In addition, the subject may be withdrawn from the study if the subject meets the following criteria during the hospital stay:
- Any clinically significant event or condition uncovered during the surgery (e.g., excessive bleeding, acute sepsis) that might render the subject medically unstable or complicate the subject's post-operative course.
- Subjects who undergo hip fracture surgery more than 30 hours after admission to the Emergency Department.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: FICB with EXPAREL
Group 1: Suprainguinal Fascia Iliaca Compartment Block (FICB) with EXPAREL and bupivacaine HCl
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FICB with EXPAREL + Bupivacaine HCL (single dose)
FICB with EXPAREL + Bupivacaine HCL (Single dose)
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활성 비교기: FICB with Standard of Care: ropivacaine
Suprainguinal FICB with continuous infusion of local anesthetic (ropivacaine) via catheter placed in the FIC.
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FICB with continuous infusion of ropivacaine
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Primary objective (total opioid consumption in morphine equivalents)
기간: Through 72 hours post-FICB
|
to compare total opioid consumption in morphine equivalents following FICB with EXPAREL +bupivacaine HCl to that following continuous infusion of ropivacaine via catheter, from end of FICB placement through 72 hours post-FICB, in subjects undergoing repair of intertrochanteric hip fracture To be measured as date, time, and dosage of all medication administered from the time ICF is signed to 72-hours post-surgery.
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Through 72 hours post-FICB
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공동 작업자 및 조사자
수사관
- 연구 책임자: Nayana Nagaraj, MD, PhD, MPH, Pacira BioSciences, Inc.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
- 402-C-415
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
고관절 골절에 대한 임상 시험
EXPAREL에 대한 임상 시험
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University of Washington알려지지 않은통증, 수술 후 | 마취, 국소 | 마취 | 오피오이드 사용 | 마취; 기능의
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Melinda Seering아직 모집하지 않음
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Pacira Pharmaceuticals, Inc완전한
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Pacira Pharmaceuticals, Inc완전한
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Johns Hopkins University종료됨
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Pacira Pharmaceuticals, Inc빼는아저씨 | 중족골 융합 | 미드풋 퓨전 | 뒷발 퓨전 | 발목 전치환술 | 앞발 수술