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NCT03682302: PLAY

Multicenter Study for Pediatric Subjects Evaluating Pharmacokinetics and Safety of EXPAREL

Completed Phase 3 Results posted Last updated 6 January 2021
What this trial tests

Phase 3 trial testing Exparel in Postoperative Pain Management in 98 participants. Completed in 24 September 2019.

Timeline
2 April 2019
Primary endpoint
30 August 2019
24 September 2019

Quick facts

Lead sponsorPacira Pharmaceuticals, Inc
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment98
Start date2 April 2019
Primary completion30 August 2019
Estimated completion24 September 2019
Sites17 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pacira Pharmaceuticals, Inc — full company profile →

Who can join

Adults 6 to 17, any sex, with Postoperative Pain Management. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Area Under the Plasma Concentration-versus-time Curve (AUC) 0 to Infinity Primary · 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)
GroupValue95% CI
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL14246.1± 9118.83
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine5709.4± 3281.74
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL11569.5± 7306.07
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL26164.0± 28038.35
Maximum Plasma Concentration (Cmax) Primary · 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)
GroupValue95% CI
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL357.3± 125.31
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine563.6± 320.93
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL319.5± 164.76
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL447.1± 243.41
The Apparent Terminal Elimination Half-life (t1/2el) Primary · 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)
GroupValue95% CI
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL26.8± 21.26
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine8.4± 6.26
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL13.4± 4.60
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL24.9± 20.58
Apparent Clearance (CL/F) Primary · 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)
GroupValue95% CI
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL17.5± 7.47
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine20.5± 8.27
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL14.5± 2.70
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL7.4± 3.20
Apparent Volume of Distribution (Vd/F) Primary · 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)
GroupValue95% CI
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL546.4± 269.42
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine226.8± 110.63
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL271.1± 43.58
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL216.1± 83.77
Area Under the Plasma Concentration-versus-time Curve (AUC) 0 to Tlast Primary · 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)
GroupValue95% CI
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL9042.5± 3762.82
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine5232.9± 2538.37
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL10249.6± 5956.56
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL16776.4± 7935.80

Adverse events — posted to ClinicalTrials.gov

Time frame: Screening through postsurgical Day 14. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL
Serious: 0/31 (0%)
Deaths: 0/31
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacaine
Serious: 0/30 (0%)
Deaths: 0/30
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL
Serious: 0/5 (0%)
Deaths: 0/5
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL
Serious: 2/29 (7%)
Deaths: 0/29

Serious adverse events (3 terms)

ReactionSystemGroup 1: 12 to Less Than 1…Group 1: 12 to Less Than 1…Group 2: 6 to Less Than 12…Group 2: 6 to Less Than 12…
DyspneaRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Wound infection fungalInfections and infestations
Other adverse events (23 terms — click to expand)

ReactionSystemGroup 1: 12 to Less Than 1…Group 1: 12 to Less Than 1…Group 2: 6 to Less Than 12…Group 2: 6 to Less Than 12…
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
Muscle twitchingMusculoskeletal and connective tissue disorders
HypotensionVascular disorders
Vision blurredEye disorders
Anemia postoperativeInjury, poisoning and procedural complications
TachycardiaCardiac disorders
Hypoesthesia oralGastrointestinal disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
DiarrheaGastrointestinal disorders
Visual impairmentEye disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
HypoesthesiaNervous system disorders
ParesthesiaNervous system disorders
PruritisSkin and subcutaneous tissue disorders
HypoacusisEar and labyrinth disorders
IncontinenceRenal and urinary disorders
Delayed recovery from anesthesiaInjury, poisoning and procedural complications
SeromaInjury, poisoning and procedural complications
BradycardiaCardiac disorders

Most-reported serious reactions: Dyspnea, Vomiting, Wound infection fungal.

Data from ClinicalTrials.gov NCT03682302 adverse events section.

Sponsor's own description

Primary Objective: To evaluate the pharmacokinetics (PK) of EXPAREL in pediatric subjects aged 6 to less than 17 years undergoing various types of surgeries. Secondary Objective: To evaluate the safety of EXPAREL in pediatric subjects aged 6 to less than 17 years undergoing various types of surgeries.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A multicenter study to evaluate the pharmacokinetics and safety of liposomal bupivacaine for postsurgical analgesia in pediatric patients aged 6 to less than 17 years (PLAY).
    Tirotta CF, de Armendi AJ, Horn ND, Hammer GB, et al · · 2021 · cited 21× · PMID 34534923 · DOI 10.1016/j.jclinane.2021.110503

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