New pain relief for tiny hearts: study tests EXPAREL in kids under 6
NCT ID NCT06271265
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is for children under 6 years old who need heart surgery. It tests a pain medicine called EXPAREL to see if it works well and is safe compared to a standard painkiller. The medicine is given near the surgery area to help with pain after the operation. About 48 children will take part.
Why investors are watching
Pacira is testing EXPAREL, its long-acting painkiller, in children under 6 having heart surgery. This is a small, early-stage study with only 48 participants, but it matters because EXPAREL is the company's main product, and showing it works safely in a new, younger patient group could broaden its use. For a small company that depends on one drug, any readout on that drug's reach is consequential.
If it works: A positive result could support expanding EXPAREL's label to include young children, opening a new market for the company's core product. It could also reassure investors that the drug has a future beyond its current adult uses.
If it fails: The trial could fail to show adequate pain relief or safety in children, which would block that expansion. Early-phase trials in small groups often fail, and a setback here would leave Pacira with fewer growth options for its main drug.
AI-written from the trial record. Speculative, and not investment advice.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 48 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 to 6 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: All of the following inclusion criteria must be met for eligibility: 1. Pediatric participants with congenital heart defects planned to undergo cardiac surgery with cardiopulmonary bypass 2. Male or female participants from 0 to less than 6 years of age on the day of surgery: 2 years to less than 6 years of age for Part 1; 6 months to less than 2 years of age for Part 2; 0 to less than 6 months of age for Part 3 3. American Society of Anesthesiologists (ASA) Classes 1 through 4. 4. Parent/guardian is able to speak, read, and understand the language of the ICF and provide informed consent for the participant. 5. Parent/guardian is able to adhere to the study visit schedule and complete all study assessments for the participant. Exclusion Criteria: Exclusion Criteria: A participant will not be eligible for the study if any of the following exclusion criteria are met: 1. History of hypersensitivity or idiosyncratic reactions or contradictions to EXPAREL, bupivacaine HCl, or other amide-type local anesthetics or to opioid medications 2. Administration of EXPAREL or bupivacaine HCl within 30 days prior to IP administration 3. Administration of an IP within 30 days or 5 elimination half-lives of such IP, whichever is longer, prior to IP administration, or planned administration of another IP or procedure during participation in this study 4. History of preterm birth (before 35 weeks of pregnancy) 5. History of coagulopathies or immunodeficiency disorders 6. Disease or condition that, in the opinion of the Investigator, indicates an increased vulnerability to IPs and/or procedures 7. Recent or potential exposure to COVID-19 8. Cardiac surgery has been canceled and cannot be rescheduled within 30 days of signing the ICF because of any reason. 9. Necessity in delayed wound closure 10. Informed consent withdrawn before randomization
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Duke University Health System
RECRUITINGDurham, North Carolina, 27710, United States
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Indiana University Health, Riley Hospital For Children
RECRUITINGIndianapolis, Indiana, 46202, United States
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St. Louis Children's Hospital (SLCH)
RECRUITINGSt Louis, Missouri, 63110, United States
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The University of Texas Health Science Center at Houston (UTHSC-H) - McGovern Medical School
RECRUITINGHouston, Texas, 77030, United States
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University of Oklahoma (OU) - Medical Center - The Children's Hospital
RECRUITINGOklahoma City, Oklahoma, 73104, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a triage checklist ease pain months after emergency surgery?
- Can a nerve block quiet the brain during gallbladder surgery?