Liposomal Bupivacaine Versus Continuous Peripheral Nerve Blocks for Analgesia Following Ankle Surgery

PHASE4Enrolling by invitationINTERVENTIONAL
Enrollment

140

Participants

Timeline

Start Date

June 23, 2025

Primary Completion Date

June 22, 2027

Study Completion Date

June 22, 2027

Conditions
Moderate-to-severely Painful Ankle Surgery
Interventions
DRUG

Popliteal nerve block including liposomal bupivacaine

10 mL of unencapsulated bupivacaine 0.375% and 10 mL of liposomal bupivacaine 1.33% (Exparel, Pacira BioSciences, Tampa, Florida) admixed within a 20 mL syringe.

DRUG

Adductor canal nerve block including liposomal bupivacaine

10 mL of unencapsulated bupivacaine 0.375% and 10 mL of liposomal bupivacaine 1.33% (Exparel, Pacira BioSciences, Tampa, Florida) admixed within a 20 mL syringe.

DRUG

Continuous popliteal nerve block with normal saline

A perineurial infusion of normal saline (basal rate 5 mL/h; patient-controlled bolus of 4 mL; 30 minute lockout) with the reservoir (500 mL) and pump provided by the Investigational Drug Service and continued until postoperative day 3 or until the reservoir is exhausted.

DRUG

Popliteal nerve block with exclusively unencapsulated bupivacaine

20 mL of unencapsulated bupivacaine 0.375% with epinephrine (1:400,000) within a 20 mL syringe.

DRUG

Adductor canal nerve block with exclusively unencapsulated bupivacaine

20 mL of unencapsulated bupivacaine 0.375% with epinephrine (1:400,000) within a 20 mL syringe.

DRUG

Continuous popliteal nerve block with unencapsulated bupivacaine

A perineurial infusion of unencapsulated bupivacaine 0.125% (basal rate 5 mL/h; patient-controlled bolus of 4 mL; 30 minute lockout) with the reservoir (500 mL) and pump provided by the Investigational Drug Service and continued until postoperative day 3 or until the reservoir is exhausted.

Trial Locations (1)

92137

University of California San Diego, La Jolla

Sponsors

Collaborators (1)

All Listed Sponsors
collaborator

Pacira Biosciences

UNKNOWN

lead

University of California, San Diego

OTHER

NCT06995352 - Liposomal Bupivacaine Versus Continuous Peripheral Nerve Blocks for Analgesia Following Ankle Surgery | Biotech Hunter | Biotech Hunter