Exparel Gains Expanded Analgesic Use

Share

FDA has approved a Pacira BioSciences supplemental NDA to expand Exparel’s (bupivacaine liposome injectable suspension) label to include administration in adults as an adductor canal block and a sciatic nerve block in the popliteal fossa. The drug was previously approved to produce postsurgical local analgesia via infiltration in patients aged six years and older, and postsurgical regional analgesia via an interscalene brachial plexus block in adults.

The company says that an adductor canal block is used for anesthesia and analgesia for surgery of the knee, medial lower leg, and ankle surgeries. A sciatic nerve block in the popliteal fossa is used for anesthesia and analgesia for foot, ankle, Achilles tendon, and other lower leg surgeries.

Approval was based on data from two Phase 3 studies that evaluated Exparel versus bupivacaine HCl. “Both studies met their primary endpoints by demonstrating a statistically significant reduction in cumulative pain scores from 0 to 96 hours compared with bupivacaine HCl,” the company says. The drug also achieved statistical significance for the studies’ secondary endpoint of reduced postsurgical opioid consumption, it adds.

Read more