New pain cocktail could replace opioids after hand surgery
NCT ID NCT07644923
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether applying a mix of local anesthetics and blood-clotting drugs directly into surgical wounds during hand surgery can reduce pain and the need for opioid painkillers afterward. Forty adults having elective hand surgery will be randomly assigned to one of four treatment combinations. The goal is to find a safer, non-addictive way to manage post-operative pain.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine, lidocaine, thrombin, tranexamic acid, aminocaproic acid
- What this could lead to
- If it works, this could offer a way to manage post-surgery pain without relying on opioids, reducing addiction risk.
- What could go wrong
- This is a small, early-phase trial with only 40 people, so results may not apply to everyone. The drug mix might not provide better pain relief than standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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18 years and older
- 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: * Age 18 or older * Any patient undergoing elective hand surgery Exclusion Criteria: * Any patient with a traumatic or infected open wound (only surgically created wounds will be included) * History of chronic pain * History of narcotic addiction * History of recreational drug dependency * History of psychiatric pathology * Allergy or hypersensitivity to local anesthetics, recombinant human thrombin or tranexamic acid * History of coagulopathy or active thromboembolic disease * Any patient receiving a supra/infraclavicular block for anesthesia * Pregnancy * Hypersensitivity to hamster proteins * History of seizures * Significant renal impairment (chronic kidney disease stage 3 or greater) * History of retinal vascular disease or history of unexplained visual symptoms * Active upper urinary tract bleeding * History of known hypercoagulable disorder, prior thromboembolic events, or active clotting disorders * History of severe hepatic dysfunction (active hepatitis or steatohepatitis, hepatic fibrosis considered cirrhosis)
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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
1 site. 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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NYU Langone Health
New York, New York, 10016, United States
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