Bupivacaine Effectiveness and Safety in SABER™ Trial (BESST)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01052012
Recruitment Status : Completed
First Posted : January 20, 2010
Last Update Posted : December 22, 2011
Hospira, now a wholly owned subsidiary of Pfizer
Information provided by (Responsible Party):

Brief Summary:

This is a research study testing SABER™-Bupivacaine (an experimental pain-relieving medication). SABER™-Bupivacaine is designed to continuously deliver bupivacaine, a common local anesthetic, for a few days in order to treat local post-surgical pain.

The purpose of this study is to investigate safety (side effects) associated with the use of SABER™-Bupivacaine and how well it works in reducing pain and opioid-related side effects following various kinds of abdominal surgeries.

Condition or disease Intervention/treatment Phase
Postoperative Pain Abdominal Surgery Drug: SABER™-Bupivacaine Drug: Bupivacaine HCl Drug: SABER™-Placebo Phase 3

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 305 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Bupivacaine Effectiveness and Safety in SABER™ Trial (BESST)
Study Start Date : December 2009
Actual Primary Completion Date : September 2011
Actual Study Completion Date : September 2011

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Active: SABER™-Bupivacaine
Drug: SABER™-Bupivacaine
Injectable Extended Release Solution; SABER™-Bupivacaine /Once

Active Comparator: Comparator: Bupivacaine HCl
Bupivacaine HCl
Drug: Bupivacaine HCl
Injectable Solution; Bupivacaine HCl /Once

Placebo Comparator: Placebo: SABER™-Placebo
Drug: SABER™-Placebo
Injectable Solution; SABER™-Placebo/Once

Primary Outcome Measures :
  1. Pain intensity on movement [ Time Frame: 0 to 3 days post-dose ]
  2. Supplemental opioid use [ Time Frame: 0 to 3 days post-dose ]

Secondary Outcome Measures :
  1. Mean pain intensity on movement [ Time Frame: 0 to 2 days post-dose ]
  2. Mean total morphine-equivalent dose [ Time Frame: 0 to 2 days post-dose ]
  3. Proportion of patients who have evidence of a wound infection [ Time Frame: 0 to 14 days post-dose ]
  4. Time-to-first use of opioid rescue medication [ Time Frame: 0 to 14 days post-dose ]
  5. Incidence of opioid-related side effects [ Time Frame: 0 to 30 days post-dose ]
  6. Mean pain intensity at rest during [ Time Frame: 0 to 3 days post-dose ]
  7. Mean pain intensity at rest [ Time Frame: 0 to 2 days post-dose ]
  8. Mean scores on the Recovery Index [ Time Frame: 0 to 7 days post-dose ]
  9. Modified Post-Anesthetic Discharge Scoring System [ Time Frame: 0 to 14 days post-dose ]
  10. Treatment satisfaction [ Time Frame: 0 to 14 days post-dose ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients must be able to read and understand the consent form, provide written consent, complete trial-related procedures, and communicate with the trial staff
  • Males and females, 18 years of age and older scheduled to undergo elective general abdominal surgery
  • Patients must be healthy or have only mild systemic diseasePatients must be healthy or have only mild systemic disease
  • BMI < 45
  • Patients must have ECG wave form within normal limits
  • Female and male patients must agree to use medically acceptable method of contraception throughout the entire trial period and for 1 week after the trial participation is completed

Exclusion Criteria:

  • Patients who are pregnant or lactating
  • Patients undergoing emergency surgery (unless full consent is obtained and all screening procedures are completed prior to surgery)
  • Significant concomitant surgical procedure
  • History of multiple prior laparotomy procedures
  • Cancer with known metastases pre-operatively, which are suspected to impact post-operative recovery or pain
  • Planned formation of stoma during surgery or plans to undergo another laparotomy procedure within 30 days post-operatively
  • Pre-operative evidence of sepsis or septic shock
  • Pre-operative evaluation that suggests a surgery may preclude full closure of the incision(s)
  • Patients with current or regular use of systemic steroids, anticonvulsants, antiepileptics, antidepressants, or monoamine oxidase inhibitors, who cannot be withdrawn from these medications
  • Patients with current or regular use of drugs known to significantly prolong the QTc interval
  • Patients with known hypersensitivity to local anesthetic agents of the amide type (e.g. lidocaine, bupivacaine)
  • Patients with known hypersensitivity to morphine
  • Patients with conditions contraindicated for use of opioids
  • Patients with atrial fibrillation/flutter or other non-sinus rhythm (including paced rhythm); left bundle branch block (LBBB); or the following conditions: right bundle branch block (RBBB) in presence of a cardiac disease, significant cardiomyopathy, and myocardial infarction within last 6 months
  • Patients with a serum creatinine level two times more than the local laboratory normal limit
  • Patients who have received greater than 600 mg morphine equivalent daily dose for three or more days per week in the month prior to the surgical procedure
  • Patients who are currently being treated with methadone, or history of methadone use within the previous 6 months
  • Patients with known or suspected abuse of opioids or other illicit drugs
  • Patients with known or suspected alcohol abuse
  • Participation in another clinical trial at the same time or within 30 days of this trial
  • Patients who, in the Investigator's opinion, should not participate in the trial or may not be capable of following the trial schedule for any reason

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01052012

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Sponsors and Collaborators
Hospira, now a wholly owned subsidiary of Pfizer
Study Director: Dmitri Lissin, MD Durect

Responsible Party: Durect Identifier: NCT01052012     History of Changes
Other Study ID Numbers: C803-025
First Posted: January 20, 2010    Key Record Dates
Last Update Posted: December 22, 2011
Last Verified: December 2011

Keywords provided by Durect:
Postoperative pain
Post-operative pain
Laparoscopic surgery
Local anesthetic

Additional relevant MeSH terms:
Pain, Postoperative
Neurologic Manifestations
Nervous System Diseases
Postoperative Complications
Pathologic Processes
Signs and Symptoms
Anesthetics, Local
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents