E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective is to evaluate the pharmacokinetics (PK) of EXPAREL in pediatric subjects aged 6 to less than 17 years undergoing surgery. |
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E.2.2 | Secondary objectives of the trial |
The secondary objective is to evaluate the safety of EXPAREL in pediatric subjects aged 6 to less than 17 years undergoing surgery. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Male or female subjects 6 to less than 17 years of age on the day of surgery. Body mass index (BMI) at screening within the 5th to 95th percentile for age and sex. |
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E.4 | Principal exclusion criteria |
- Contraindication to bupivacaine HCl or other amide-type local anesthetics or to opioid medication. - Administration of EXPAREL or bupivacaine HCl within 30 days prior to study drug administration. - Subjects with coagulopathies or immunodeficiency disorders. - History of, suspected, or known addiction to or abuse of drugs or alcohol within the past 2 years. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The following PK parameters were determined: a. Area under the plasma concentration-versus-time curve (AUC) b. Maximum plasma concentration (Cmax) c. The apparent terminal elimination half-life (t1/2el) d. Apparent clearance (CL/F) e. Apparent volume of distribution (Vd/F) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
a. 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, 30-40, 45-55, 64-72h (cardiac surgery) b. 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, 30-40, 45-55, 64-72h (cardiac surgery) c. 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, 30-40, 45-55, 64-72h (cardiac surgery) d. 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, 30-40, 45-55, 64-72h (cardiac surgery) e. 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, 30-40, 45-55, 64-72h (cardiac surgery) |
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E.5.2 | Secondary end point(s) |
a. Vital signs (temperature, resting heart rate, respiratory rate, oxygen saturation, and blood pressure) b. Neurological assessment c. Clinical laboratory tests (hematology, chemistry, and urinalysis) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
a. screening; upon arrival in the post-anesthesia care unit (PACU); at 2, 4, 8, 12, 24, 36, 48, 60, 72, and 96 hours after the end of study drug administration; at hospital discharge; and on Day 30 b. at 2, 4, 8, 12, 24, 36, 48, 60, 72, and 96 hours after the end of study drug administration; at hospital discharge; and on Day 30 c. at screening; at baseline (on Day 1 prior to surgery) and at 96 hours after the end of study drug administration |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial days | 60 |