Adults 18 to 100, any sex, with Post-operative Pain or Total Shoulder Arthroplasty. 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.
Total Opioid ConsumptionPrimary· Up to 120 postoperative hours
Total opioids used for the first 120 postoperative hours after TSA, standardized to morphine milligram equivalents (MMEs)
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
71.25
43.00 – 120.00
Bupivacaine 0.5% With Adjuncts
90.30
57.37 – 133.43
Time to First Opioid MedicationSecondary· from the time of the block injection until discharge, assessed up to 72 postoperative hours.
From block time to the first dose of opioids given, measured in hours.
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
10.5667
5.800 – 20.850
Bupivacaine 0.5% With Adjuncts
12.025
4.404 – 21.983
Pain Assessment at Post Anesthesia Care Unit (PACU)-96 Postoperative HoursSecondary· 24, 24-48, 48-72, and 72-96 hours postoperation, and at day 60
Pain assessment is categorized as minimum, maximum, and average pain scores reported by patients using questions from the Modified Brief Pain Inventory-short form (MBPI-SF) during the following intervals; PACU-24, 24-48, 48-72, and 72-96 postoperative hours, and at day 60. This form collected minimum, maximum, and average on a numeric pain scale (0-10) where 0 is no pain and 10 is the worst pain.
PACU
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
0.00
0.00 – 1.00
Bupivacaine 0.5% With Adjuncts
0.00
0.00 – 1.50
PACU-24 hours Minimum
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
0.00
0.00 – 1.00
Bupivacaine 0.5% With Adjuncts
0.00
0.00 – 0.00
PACU-24 hours Maximum
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
2.00
0.00 – 4.50
Bupivacaine 0.5% With Adjuncts
1.00
0.00 – 4.50
PACU-24 hours Average
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
1.00
0.00 – 2.00
Bupivacaine 0.5% With Adjuncts
0.00
0.00 – 3.50
24-48 hours Minimum
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
0.00
0.00 – 2.00
Bupivacaine 0.5% With Adjuncts
2.00
0.00 – 3.75
24-48 hours Maximum
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
4.50
1.00 – 6.00
Bupivacaine 0.5% With Adjuncts
7.00
5.00 – 8.00
24-48 hours Average
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
2.00
0.00 – 3.75
Bupivacaine 0.5% With Adjuncts
4.00
3.00 – 5.00
48-72 hours Minimum
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
1.00
0.00 – 2.00
Bupivacaine 0.5% With Adjuncts
2.00
1.00 – 3.00
Hospital Length-of-staySecondary· From the date of admission until discharge, assessed up to 72 hours.
From the date and time of admission to the date and time of discharge, Measured in hours.
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
31.05
29.67 – 32.53
Bupivacaine 0.5% With Adjuncts
31.63
30.63 – 36.58
Assessment of Patient Overall Satisfaction With Pain ControlSecondary· POD4 - 60 days
Patient overall satisfaction with pain control was assessed two times; on the fourth and the 60th postoperative days. It was assessed using a numeric scale (0-10) where 0 is very dissatisfied while 10 is extremely satisfied. The results indicated only the percentage of participants who reported a 10/10 satisfaction rate.
POD4
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
32
Bupivacaine 0.5% With Adjuncts
24
Liposomal Bupivacaine 1.3%
9
Bupivacaine 0.5% With Adjuncts
17
Liposomal Bupivacaine 1.3%
4
Bupivacaine 0.5% With Adjuncts
1
POD60
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
27
Bupivacaine 0.5% With Adjuncts
28
Liposomal Bupivacaine 1.3%
12
Bupivacaine 0.5% With Adjuncts
13
Liposomal Bupivacaine 1.3%
5
Bupivacaine 0.5% With Adjuncts
1
Incidence of Distress From Block NumbnessSecondary· At PACU and Postoperative day 2
On a distress scale of (0 -10) with 0 = not at all and 10 = very much distressed, the scores were gathered and the results are grouped to show the percentage of either the presence of distress (any positive score) or no distress, assessed at two times; at the PACU and the second postoperative day.
PACU distress
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
31
Bupivacaine 0.5% With Adjuncts
31
Liposomal Bupivacaine 1.3%
14
Bupivacaine 0.5% With Adjuncts
14
Liposomal Bupivacaine 1.3%
0
Bupivacaine 0.5% With Adjuncts
0
POD2 Distress
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
32
Bupivacaine 0.5% With Adjuncts
31
Liposomal Bupivacaine 1.3%
12
Bupivacaine 0.5% With Adjuncts
12
Liposomal Bupivacaine 1.3%
1
Bupivacaine 0.5% With Adjuncts
2
Duration of Sensory Nerve BlockSecondary· Day 1, after Day 1 (day 2 to 60), and at postoperative day 60
Using the sensory assessment test, the results show the percentage of participants who had the return of first sensation and full sensation either on Day 1, after Day 1 (day 2 to 60), and at postoperative day 60.
Full sensation
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
11
Bupivacaine 0.5% With Adjuncts
11
Liposomal Bupivacaine 1.3%
27
Bupivacaine 0.5% With Adjuncts
27
Liposomal Bupivacaine 1.3%
0
Bupivacaine 0.5% With Adjuncts
2
Liposomal Bupivacaine 1.3%
7
Bupivacaine 0.5% With Adjuncts
5
First sensation
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
35
Bupivacaine 0.5% With Adjuncts
33
Liposomal Bupivacaine 1.3%
9
Bupivacaine 0.5% With Adjuncts
10
Liposomal Bupivacaine 1.3%
0
Bupivacaine 0.5% With Adjuncts
0
Liposomal Bupivacaine 1.3%
1
Bupivacaine 0.5% With Adjuncts
2
Day of the Final Opioids UsedSecondary· 0-96 postoperative hours
The postoperative day that patients in each group took their last opioid, from the end of surgery up to 96 postoperative hours.
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
4
1.5 – 4
Bupivacaine 0.5% With Adjuncts
4
1 – 4
Motor RecoverySecondary· PACU, Day 1, after Day 1 (day 2 and 60), and at postoperative day 60.
The Motor function was assessed by shoulder abduction and elbow flexion using the Oxford scale of muscle strength grading (Muscle Grading Scores 0-5):
0= No detectable muscle contraction (visible or palpation)
1. Detectable contraction (visible or palpation), but no movement achieved
2. Limb movement achieved, but unable to move against gravity
3. Limb movement against the resistance of gravity
4. Limb movement against gravity and external resistance
5. Normal strength
The results were grouped to show the return of any movement at the PACU, Day 1, after Day 1 (day2-60), and on day 60. And t
Any movement in PACU
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
1
Bupivacaine 0.5% With Adjuncts
11
Any movement in day1
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
4
Bupivacaine 0.5% With Adjuncts
3
Any movement after day1
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
38
Bupivacaine 0.5% With Adjuncts
29
Any movement missing data
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
2
Bupivacaine 0.5% With Adjuncts
2
Return of full movement day 2-60
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
32
Bupivacaine 0.5% With Adjuncts
31
Not yet by day 60
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
3
Bupivacaine 0.5% With Adjuncts
6
Return of full movement missing data
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
10
Bupivacaine 0.5% With Adjuncts
8
Total Amount of Opioid Consumed During the Indicated Time PeriodsSecondary· 0-24, 24-48, 48-72, and 72-120 postoperative hours.
Opioid use was calculated using the Morphine MilliEquevalent per day, this was assessed daily during the postoperative period, 0-24, 24-48, 48-72, and 72-120 postoperative hours.
0-24 hours
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
25.00
25.00 – 39.37
Bupivacaine 0.5% With Adjuncts
25.00
25.00 – 37.50
24-48 hours
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
16.00
0.00 – 38.75
Bupivacaine 0.5% With Adjuncts
23.25
9.75 – 39.37
48-72 hours
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
2.00
0.00 – 8.00
Bupivacaine 0.5% With Adjuncts
5.00
0.00 – 15.00
72-120 hours
Group
Value
95% CI
Liposomal Bupivacaine 1.3%
10.00
0.00 – 27.00
Bupivacaine 0.5% With Adjuncts
15.00
0.00 – 37.50
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse events were collected up to 60 postoperative days..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This will be a single-center, prospective, randomized controlled cross-sectional study comparing interscalene brachial plexus block with liposomal bupivacaine versus bupivacaine with epinephrine and PF dexamethasone in patients undergoing primary shoulder arthroplasty. Primary endpoint will be total opioid consumption in the first three post-operative days.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Hartford Hospital
Last refreshed: 15 September 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03887650.