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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00818363
Registration number
NCT00818363
Ethics application status
Date submitted
5/01/2009
Date registered
7/01/2009
Date last updated
1/06/2021
Titles & IDs
Public title
A Safety and Effectiveness Study of SABER®-Bupivacaine for Pain Following Shoulder Surgery
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Scientific title
A Double-Blind, Multi-Center, Placebo-Controlled Trial of SABER-Bupivacaine for Post-Operative Pain Control and Opioid Sparing/Opioid-Related Adverse Event Reduction Following Arthroscopic Shoulder Surgery
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Secondary ID [1]
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C803-017
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postoperative Pain
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SABER-Bupivacaine
Treatment: Drugs - SABER-Placebo
Experimental: Group 1: SABER-Bupivacaine - 5.0 mL SABER-Bupivacaine/Once
Placebo comparator: Group 2: SABER-Placebo - 5.0 mL SABER-Placebo/Once
Treatment: Drugs: SABER-Bupivacaine
Injectable Extended Release Solution; 5.0 mL SABER-Bupivacaine/Once
Treatment: Drugs: SABER-Placebo
Injectable Solution; 5.0 mL SABER-Placebo/Once
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mean Pain Intensity on Movement AUC (Time Normalized Area Under the Curve) During the Period 0 to 72 Hours Post-dose.
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Assessment method [1]
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Mean pain intensity on movement AUC (time normalized area under the curve) during the period 0 to 72 hours post-dose. Subjects assessed their pain intensity using an 11-point Pain Intensity Numeric Rating Scale (PI-NRS) with NRS scores ranging from 0 (no pain) to 10 (worst pain possible). The pain intensity AUC on movement was computed for each subject using the standard trapezoidal rule. For the purpose of better clinical interpretability of the pain AUC, a normalized AUC was computed by dividing it using the time-interval length over which it was computed.
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Timepoint [1]
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0 to 72 hours post-dose
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Primary outcome [2]
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Supplemental Opioid Use
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Assessment method [2]
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Mean total morphine-equivalent dose during the period 0 to 72 hours post-dose
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Timepoint [2]
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0 to 72 hours post-dose
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Secondary outcome [1]
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Number (Frequency) of Participants Reporting Opioid-related Adverse Events
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Assessment method [1]
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Frequency of subject-reported opioid-related AEs during 0 to 72 hours (0 to 3 days) post-dose and during the trial: constipation, drowsiness, dizziness, nausea, vomiting, respiratory depression, and urinary retention.
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Timepoint [1]
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0 to 72 hours post-dose
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Secondary outcome [2]
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Mean Pain Intensity on Movement AUC (Time-normalized AUC) During the Period 0 to 48 Hours Post-dose (0 to 2 Days Post-dose).
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Assessment method [2]
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Mean pain intensity on movement AUC (time-normalized AUC) during the period 0 to 48 hours post-dose (0 to 2 days post-dose). Subjects assessed their pain intensity using an 11-point Pain Intensity Numeric Rating Scale (PI-NRS) with NRS scores ranging from 0 (no pain) to 10 (worst pain possible). The pain intensity AUC on movement was computed for each subject using the standard trapezoidal rule. For the purpose of better clinical interpretability of the pain AUC, a normalized AUC was computed by dividing it using the time-interval length over which it was computed.
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Timepoint [2]
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0 to 48 hours post-dose
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Secondary outcome [3]
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Supplemental Opioid Use
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Assessment method [3]
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Mean total morphine-equivalent dose during the period 0 to 48 hours post-dose (0 to 2 days post-dose)
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Timepoint [3]
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0 to 48 hours post-dose
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Secondary outcome [4]
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Time-to-first Use of Opioid Supplemental Pain Medication
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Assessment method [4]
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Timepoint [4]
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0 to 14 days post-dose
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Secondary outcome [5]
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Severity of Opioid-related Side Effects
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Assessment method [5]
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Timepoint [5]
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0 to 14 days post-dose
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Eligibility
Key inclusion criteria
* Patients must be able to read and understand the consent form, provide written consent, complete trial-related procedures, and communicate with the trial staff.
* Males and females, 18 to 65 years of age, scheduled for shoulder surgery.
* Patients must be healthy or have only mild systemic disease.
* Patients must have ECG wave form within normal limits
* Patients must have blood pressure within normal range.
* Male and female patients must agree to use medically acceptable method of contraception throughout the entire trial period and for 1 week after the trial is completed.
* Patients must refrain from strenuous activities and avoid changes to prescribed exercise levels throughout the course of the trial.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients with previous arthroscopic surgery or open surgery on the study shoulder.
* Patients with chronic pain conditions requiring continuous use of corticosteroids for greater than 3 months.
* Patients with fibromyalgia, rheumatoid arthritis, and/or sero-negative inflammatory arthropathies.
* Patients with a below normal calculated creatinine clearance.
* Patients who are pregnant or lactating.
* Patients currently receiving more than 20 mg of hydrocodone daily (or equivalent narcotic dose) on routine basis.
* Patients, who in the Investigator's opinion, have developed opioid tolerance.
* Patients with current or regular use of anticonvulsants, antiepileptics, antidepressants, or monoamine oxidase inhibitors at screening.
* Patients with current or regular use of drugs known to significantly prolong the corrected QT interval
* Patients with known hypersensitivity to local anesthetic agents of the amide type (e.g., lidocaine, bupivacaine).
* Patients with known hypersensitivity to opioids.
* Patients with conditions contraindicated for use of opioids.
* Patients with known or suspected abuse of opioids or other illicit drugs.
* Patients with known or suspected alcohol abuse.
* Participation in another clinical trial at the same time or within 30 days of this trial.
* Patients who, in the Investigator's opinion, should not participate in the trial or may not be capable of following the trial schedule for any reason.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/10/2009
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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- Westmead
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Recruitment hospital [2]
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- Kippa Ring
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Recruitment hospital [3]
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- Adelaide
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Recruitment hospital [4]
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- Toorak Gardens
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Recruitment hospital [5]
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- Geelong
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Recruitment hospital [6]
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- Hampton
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Recruitment hospital [7]
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- Ringwood East
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment postcode(s) [2]
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4021 - Kippa Ring
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Recruitment postcode(s) [3]
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5000 - Adelaide
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Recruitment postcode(s) [4]
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5065 - Toorak Gardens
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Recruitment postcode(s) [5]
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3220 - Geelong
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Recruitment postcode(s) [6]
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3188 - Hampton
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Recruitment postcode(s) [7]
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3135 - Ringwood East
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Christchurch
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Country [2]
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New Zealand
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State/province [2]
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Hamilton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Durect
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Nycomed
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a research study testing SABER-Bupivacaine (an experimental pain-relieving medication). SABER-Bupivacaine is designed to continuously deliver bupivacaine, a common local anesthetic, for a few days in order to treat local post-surgical pain. The purpose of this study is to investigate safety (if there are any side effects) associated with the use of SABER-Bupivacaine and how well it works in reducing pain and opioid-related side effects following shoulder surgery.
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Trial website
https://clinicaltrials.gov/study/NCT00818363
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Trial related presentations / publications
Hadj A, Hadj A, Hadj A, Rosenfeldt F, Nicholson D, Moodie J, Turner R, Watts R, Fletcher I, Abrouk N, Lissin D. Safety and efficacy of extended-release bupivacaine local anaesthetic in open hernia repair: a randomized controlled trial. ANZ J Surg. 2012 Apr;82(4):251-7. doi: 10.1111/j.1445-2197.2011.05754.x. Epub 2011 Jun 24.
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Public notes
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Contacts
Principal investigator
Name
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Dmitri Lissin, MD
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Address
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Durect
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00818363
Download to PDF