Recruiting
Phase 1

EXPAREL

Sponsor:

Pacira Pharmaceuticals, Inc

Code:

NCT06271265

Conditions

Postoperative Pain

Eligibility Criteria

Sex: All

Age: 0 - 6

Healthy Volunteers: Not accepted

Interventions

EXPAREL

bupivacaine

Study Details

Brief summary:

This Phase 1, multicenter, open-label, randomized, bupivacaine-controlled study is designed to evaluate the pharmacokinetics (PK) and safety of EXPAREL vs. bupivacaine HCl for postsurgical analgesia in pediatric subjects aged 0 to less than 6 years of age undergoing cardiac surgery, utilizing local infiltration analgesia (LIA).

Conditions

Postoperative Pain

Study ID

NCT06271265

Start date

Mar 29, 2024

Status verified date

Nov, 2025

Completion date

Jan, 2027

Anticipated

Primary completion date

Jan, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0 - 6

Healthy Volunteers: Not accepted

Inclusion Criteria:

All of the following inclusion criteria must be met for eligibility:

1. Pediatric participants with congenital heart defects planned to undergo cardiac surgery with cardiopulmonary bypass
2. Male or female participants from 0 to less than 6 years of age on the day of surgery: 2 years to less than 6 years of age for Part 1; 6 months to less than 2 years of age for Part 2; 0 to less than 6 months of age for Part 3
3. American Society of Anesthesiologists (ASA) Classes 1 through 4.
4. Parent/guardian is able to speak, read, and understand the language of the ICF and provide informed consent for the participant.
5. Parent/guardian is able to adhere to the study visit schedule and complete all study assessments for the participant.

Exclusion Criteria:

Exclusion Criteria:

A participant will not be eligible for the study if any of the following exclusion criteria are met:

1. History of hypersensitivity or idiosyncratic reactions or contradictions to EXPAREL, bupivacaine HCl, or other amide-type local anesthetics or to opioid medications
2. Administration of EXPAREL or bupivacaine HCl within 30 days prior to IP administration
3. Administration of an IP within 30 days or 5 elimination half-lives of such IP, whichever is longer, prior to IP administration, or planned administration of another IP or procedure during participation in this study
4. History of preterm birth (before 35 weeks of pregnancy)
5. History of coagulopathies or immunodeficiency disorders
6. Disease or condition that, in the opinion of the Investigator, indicates an increased vulnerability to IPs and/or procedures
7. Recent or potential exposure to COVID-19
8. Cardiac surgery has been canceled and cannot be rescheduled within 30 days of signing the ICF because of any reason.
9. Necessity in delayed wound closure
10. Informed consent withdrawn before randomization

Study Design

Enrollment

48 participants

Anticipated

Allocation

Randomized

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: EXPAREL

A total of approximately 24 subjects (8 subjects per Part) will be enrolled. Subjects in this arm will receive EXPAREL

active comparator: bupivacaine

A total of approximately 24 subjects (8 subjects per Part) will be enrolled. Subjects in this arm will receive bupivacaine

Interventions

EXPAREL

A single dose of EXPAREL Injectable Product via LIA

bupivacaine

A single dose of 0.25% bupivacaine via LIA

Primary outcome measure

  • The following model-predicted PK endpoint will be determined: [ Time Frame: through 72 hours ]
  • The following model-predicted PK endpoint will be determined: [ Time Frame: through 72 hours ]
  • The following model-predicted PK endpoint will be determined: [ Time Frame: through 72 hours ]
  • The following model-predicted PK endpoint will be determined: [ Time Frame: through 72 hours ]
  • The following model-predicted PK endpoint will be determined: [ Time Frame: through 72 hours ]
  • The following model-predicted PK endpoint will be determined: [ Time Frame: through 72 hours ]

Central Contacts and Locations

Central contacts

Locations

Indiana University Health, Riley Hospital For Children

Recruiting

Indianapolis, Indiana, United States, 46202

Contacts

Stephanie Creamean

7657208423stephac1@iu.edu

St. Louis Children's Hospital (SLCH)

Recruiting

St Louis, Missouri, United States, 63110

Contacts

Duke University Health System

Recruiting

Durham, North Carolina, United States, 27710

Contacts

University of Oklahoma (OU) - Medical Center - The Children's Hospital

Recruiting

Oklahoma City, Oklahoma, United States, 73104

Contacts

Amir L Butt, MD, MPH

(405) 271-8001abutt@ouhsc.edu

The University of Texas Health Science Center at Houston (UTHSC-H) - McGovern Medical School

Recruiting

Houston, Texas, United States, 77030

Contacts

More Information

Sponsor

Pacira Pharmaceuticals, Inc

Last update posted

Dec 29, 2025

Last verified

Nov, 2025

Keywords

  • Analgesia
  • Cardiac Surgery
  • Pediatric

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Pacira Pharmaceuticals, Inc on 2025-12-29.