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Liposomal Bupivacaine for Bowel Surgery Pain Management (TAPLIP Trial)

Phase 4
Recruiting
Led By Kevin Finkel, MD
Research Sponsored by Hartford Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients scheduled for elective laparoscopic colectomy surgery to be performed by one of the 4 colorectal surgeons in the study
English speaking patients
Timeline
Screening 3 weeks
Treatment Varies
Follow Up on the day of first postoperative visit, the end of the 6th and 12th postoperative months
Awards & highlights

TAPLIP Trial Summary

This trial will compare the use of a new painkiller, liposomal bupivacaine (Exparel), to regular bupivacaine with other painkillers in patients undergoing laparoscopic colectomy procedures.

Who is the study for?
This trial is for English-speaking patients scheduled for elective laparoscopic colectomy with an ASA score I-IV. Excluded are those with emergency surgery, metastatic cancers, planned multi-organ resection, TAP block contraindications like anatomical abnormalities or infection at the injection site, current colostomies, severe coagulation disorders, underweight (<40kg), chronic opioid use or substance abuse within 3 months.Check my eligibility
What is being tested?
The study compares liposomal bupivacaine (Exparel) to regular bupivacaine in bilateral mid-abdominal TAP blocks during laparoscopic colectomy. It's a single-center trial where participants are randomly assigned and triple-blinded to determine which medication provides better pain control.See study design
What are the potential side effects?
Potential side effects include reactions at the injection site such as pain or infection, possible nerve damage from the block procedure itself, and systemic effects of local anesthetics like heart rhythm disturbances or central nervous system issues.

TAPLIP Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am scheduled for a specific colon surgery by a study surgeon.
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I speak English.

TAPLIP Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~on the day of first postoperative visit, the end of the 6th and 12th postoperative months
This trial's timeline: 3 weeks for screening, Varies for treatment, and on the day of first postoperative visit, the end of the 6th and 12th postoperative months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
The highest Numerical Pain Scores
Secondary outcome measures
All pain scores, mild-moderate-severe.
Block complications
Brief Pain Inventory (Short Form)
+6 more

TAPLIP Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Liposomal Bupivacaine/Bupivacaine HCLExperimental Treatment2 Interventions
20mL 1.3% Exparel (266mg) + 60mL 0.25% bupivacaine (150mg) + 20mL normal saline. Total 100mL divided into 10mL syringes, 30 mL left TAP, 30mL right TAP, 20mL left rectus, 20mL right rectus.
Group II: Regular Bupivacaine ArmActive Control1 Intervention
80mL 0.25% bupivacaine (200mg) + 300mcg (0.3mL) epinephrine + 5mg (0.5mL) preservative free dexamethasone + 20mL of normal saline. Total 100mL divided into 10mL syringes, 30mL left TAP, 30mL right TAP, 20mL left rectus, 20mL right rectus.

Find a Location

Who is running the clinical trial?

Hartford HospitalLead Sponsor
133 Previous Clinical Trials
18,818 Total Patients Enrolled
Kevin Finkel, MDPrincipal InvestigatorHartford Hospital
2 Previous Clinical Trials
140 Total Patients Enrolled

Media Library

Bupivacaine HCL Clinical Trial Eligibility Overview. Trial Name: NCT05224089 — Phase 4
Bowel Diseases Research Study Groups: Liposomal Bupivacaine/Bupivacaine HCL, Regular Bupivacaine Arm
Bowel Diseases Clinical Trial 2023: Bupivacaine HCL Highlights & Side Effects. Trial Name: NCT05224089 — Phase 4
Bupivacaine HCL 2023 Treatment Timeline for Medical Study. Trial Name: NCT05224089 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many volunteers are partaking in this research project?

"Affirmative. Clinicaltrials.gov supports that the trial is currently recruiting, having first been posted on April 27th 2022 and updated most recently on June 30th 2022. It requires 114 volunteers at a single medical centre to complete it."

Answered by AI

Are researchers still taking participants for this clinical experiment?

"As indicated on clinicaltrials.gov, this medical trial is seeking participants at the present moment. It was first posted in late April of 2022 and underwent its most recent update in June of that same year."

Answered by AI

To what extent is Bupivacaine HCL safe for patients to take?

"Bupivacaine HCL has been approved for use, making it a safe option with an estimated score of 3."

Answered by AI
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~31 spots leftby Feb 2025