Postoperative Non-Opioid Pain Management Utilizing Local Anesthetics Coupled With Modulated Coagulation
NCT07644923 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2026-06-12
Summary
This study is a prospective randomized trial examining the effect of tranexamic acid (TXA) and aminocaproic acid (ε-Ahx) with local anesthetics and thrombin in all electively created surgical wound beds in hand surgery to provide long term pain relief and decrease the use of postoperative narcotics.
All surgical created wounds for any hand surgery will be treated in a randomized fashion with the following four arms:
1. Bupivacaine + lidocaine
2. Bupivacaine + lidocaine + thrombin
3. Bupivacaine + lidocaine + thrombin + tranexamic acid
4. Bupivacaine + lidocaine + thrombin + aminocaproic acid
All are applied topically to surgical bed prior to closure of skin.
Conditions
- Postoperative Pain
Interventions
- DRUG
-
Bupivacaine
5 ml of 0.25% bupivacaine
- DRUG
-
Lidocaine
5 ml of 1% lidocaine
- DRUG
-
Thrombin
10000 units of thrombin
- DRUG
-
Tranexamic acid
500 mg of tranexamic acid
- DRUG
-
Aminocaproic acid
1000 mg of aminocaproic acid
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
David Chiu, MD · NYU Langone Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-01
- Primary Completion
- 2028-08-01
- Completion
- 2029-02-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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