The Use of Pecs Blocks in Combination With Exparel in Breast Reconstruction Surgery
NCT05171179 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-09-24
Summary
This project intends to more thoroughly investigate the direct influence of Pecs blocks in the administration of Exparel, a non-opioid analgesic, in breast reconstruction surgery. The hypothesis is that this analgesic delivery method will significantly reduce negative outcomes such as post-operative pain, opioid use, and nausea while increasing positive outcomes such as post-operative physical activity.
Conditions
- Mammaplasty
Interventions
- PROCEDURE
-
Breast Reconstruction (Mammaplasty)
Breast Reconstruction (mammaplasty) surgery with implant-based tissue expander
- DEVICE
-
Pecs blocks
Pectoral nerve (Pecs) blocks I and II function by blocking the pectoral, intercostal, intercostobrachial nerves, and/or long thoracic nerve. These are used primarily for breast surgeries and are gaining momentum as simple administers of local analgesics. Pecs blocks utilize ultrasound to guide injection of local analgesic. It is less invasive and more accurate than most current modes of analgesia administration.
- DRUG
-
Exparel
Exparel is a sterile, non-pyrogenic white to off-white preservative-free aqueous suspension of multivesicular liposomes (DepoFoam® drug delivery system) containing bupivacaine. Bupivacaine is present at a concentration of 13.3 mg/mL. After injection of Exparel, bupivacaine is released from the multivesicular liposomes over a period of time.
- DRUG
-
Bupivacaine
This is an anesthetic delivered during breast reconstruction surgery that will be given to participants in both arms.
Sponsors & Collaborators
-
Pacira Pharmaceuticals, Inc
collaborator INDUSTRY - lead OTHER
Principal Investigators
-
Robert Galiano, MD · 3126956022
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-10-22
- Primary Completion
- 2025-05-01
- Completion
- 2025-07-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
PECS Block in Partial Mastectomy for Postoperative Pain Control
NCT04086394 ·Status: UNKNOWN ·Phase: NA
-
Dexmedetomidine Ropivacaine Versus Plain Ropivacaine in Bilateral Pectoralis Nerve (PECS) Block
NCT06636578 ·Status: RECRUITING ·Phase: PHASE4
-
Study of EXPAREL in Patients Undergoing Breast Augmentation
NCT01582490 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Evaluate the Pharmacokinetics and Safety of EXPAREL Administered as a Pectoral Plane Block in Women Undergoing Breast Augmentation
NCT04293809 ·Status: COMPLETED ·Phase: PHASE1
-
Quality of Recovery From Mastectomy With and Without PECS Blocks
NCT05795413 ·Status: ACTIVE_NOT_RECRUITING
-
Dexmetomedine as an Adjuvant to Bupivacaine in Ultrasound Guided PECS Block
NCT05717114 ·Status: COMPLETED ·Phase: NA
-
Evaluate the Use of Paravertebral Block in Reconstructive Breast Surgery
NCT00542542 ·Status: COMPLETED ·Phase: PHASE3
-
Comparing Intrathecal Morphine and Intraoperative Lidocaine Infusion to Epidural Anesthesia With Postoperative PCA for Patients Undergoing Exploratory Laparotomy
NCT05017246 ·Status: TERMINATED ·Phase: PHASE2
-
PVB vs PECS Block in Breast Surgery
NCT02677571 ·Status: COMPLETED ·Phase: NA
-
PAIN - Postoperative Analgesia INvestigation
NCT02111746 ·Status: COMPLETED ·Phase: PHASE4
-
Study in Adult Subjects Undergoing Posterolateral Thoracotomy
NCT03428984 ·Status: TERMINATED ·Phase: PHASE1
-
Block REducing Pain After Surgery Trial
NCT03448913 ·Status: COMPLETED
-
Pecto-Intercostal Fascial Plane Block Catheter Trial for Reduction of Sternal Pain
NCT05054179 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL, EXPAREL Admixed With Bupivacaine HCl vs. Bupivacaine HCl Administered as Combined Sciatic and Saphenous Nerve Blocks for Postsurgical Analgesia in Subjects Undergoing Lower Extremity Surgeries
NCT04518462 ·Status: COMPLETED ·Phase: PHASE3
-
Pec Infiltration With Liposomal Bupivacaine for Breast Surgery
NCT03599635 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesic Efficacy of Liposomal Bupivacaine vs. Bupivacaine HCL as a Tap Block After Abdominally Based Autologous Breast Reconstruction
NCT02662036 ·Status: TERMINATED ·Phase: PHASE4
-
PECS Block With Bupivacaine Vs Bupivacaine and Dexmedetomidine in Modified Radical Mastectomy
NCT04284098 ·Status: UNKNOWN ·Phase: NA
-
Ultrasound Guided Pectoral Nerves Blockade for Persistent Pain After Breast Cancer Surgery
NCT02349581 ·Status: UNKNOWN ·Phase: PHASE2
-
Combination Dexamethasone and Bupivacaine Pain Control in Reduction Mammaplasty
NCT04919317 ·Status: COMPLETED ·Phase: PHASE2
-
Phase 3, Randomized, Double Blinded, Active Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL Admixed With Bupi vs. Bupi Only Administered as Combined Sciatic and Adductor Canal Nerve Block for Postsurgical Analgesia in Lower Extremity Surgeries
NCT03954639 ·Status: WITHDRAWN ·Phase: PHASE3
-
Intercostal Nerve Block With Liposome Bupivacaine in Subjects Undergoing Posterolateral Thoracotomy
NCT01802411 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy of Liposomal Bupivacaine for Prolonged Postoperative Analgesia in Patient Undergoing Breast Reconstruction With Tissue Expander
NCT04278846 ·Status: COMPLETED ·Phase: PHASE4
-
Thoracic Epidural Analgesia vs Surgical Site Infiltration With Liposomal Bupivacaine Following Open Gynecologic Surgery
NCT04117074 ·Status: COMPLETED ·Phase: PHASE3
-
Phase 3, Sciatic Nerve Block With EXPAREL for Subjects Undergoing Bunionectomy
NCT05157841 ·Status: COMPLETED ·Phase: PHASE3
-
Pecto-intercostal Fascial Block (PIFB) for Postop Analgesia Following Sternotomy in Cardiac Surgery Patients
NCT05676814 ·Status: COMPLETED ·Phase: PHASE4