Page last updated: 2024-11-04

mepivacaine

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Description

Mepivacaine is an amide local anesthetic with intermediate onset and duration of action. It is synthesized by reacting 2,6-dimethylaniline with 2-chloropropionyl chloride, followed by reaction with 1-diethylamino-2-propanol. Mepivacaine blocks nerve conduction by inhibiting the influx of sodium ions into nerve cells, leading to a loss of sensation. It is used for a variety of procedures, including dental work, minor surgeries, and pain management. Its effects are generally considered to be safe and effective, but it can cause some side effects such as dizziness, drowsiness, and nausea. Mepivacaine is studied extensively due to its widespread use and potential for new applications, particularly in the field of pain management. Its effectiveness and safety profile have made it a valuable tool for both medical professionals and patients.'

Mepivacaine: A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168) [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

mepivacaine : A piperidinecarboxamide in which N-methylpipecolic acid and 2,6-dimethylaniline have combined to form the amide bond. It is used as a local amide-type anaesthetic. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID4062
CHEMBL ID1087
CHEBI ID6759
SCHEMBL ID25314
MeSH IDM0013436
PubMed CID68791
CHEMBL ID146428
SCHEMBL ID154584
MeSH IDM0013436

Synonyms (136)

Synonym
mepivacaina
mepivacainum
tevacaine
carboplyin dental
apf-135
mepisv
CHEMBL1087
chebi:6759 ,
BRD-A03216249-003-02-9
2',6'-pipecoloxylidide, 1-methyl-
DIVK1C_006970
n-(2,6-dimethylphenyl)-1-methylpiperidine-2-carboxamide
polocaine
carbocaine
SPECTRUM_001480
SPECTRUM5_001354
BSPBIO_003297
n-methyl-2-pipecolic acid, 2,6-xylidide
n-methylhexahydro-2-picolinic acid, 2,6-dimethylanilide
mepivacaine [inn:ban]
mepivacaina [inn-spanish]
n-methyl-2-pipecolic acid, 2,6-dimethylanilide
mepivacainum [inn-latin]
einecs 202-543-0
scandicaine
2-piperidinecarboxamide, n-(2,6-dimethylphenyl)-1-methyl-
C07528
mepivacaine
96-88-8
n-(2,6-dimethylphenyl)-1-methyl-2-piperidinecarboxamide
(+-)-1-methyl-2',6'-pipecoloxylidide
1-methyl-2',6'-pipecoloxylidide
dl-mepivacaine
DB00961
KBIOGR_001092
KBIO2_004528
KBIOSS_001960
KBIO1_001914
KBIO2_001960
KBIO3_002517
KBIO2_007096
SPECTRUM4_000596
SPECPLUS_000874
SPECTRUM3_001629
SPECTRUM2_001656
SPBIO_001811
NCGC00089774-02
carboplyin dental (tn)
D08181
mepivacaine (inn)
FT-0653428
mepihexal
NCGC00018284-03
NCGC00018284-02
b6e06qe59j ,
unii-b6e06qe59j
A816361
n-(2,6-dimethylphenyl)-1-methyl-piperidine-2-carboxamide
22801-44-1
s-ropivacaine mesylate
scandicane
mepivicaine
bdbm50417964
FS-3679
EPITOPE ID:122686
AKOS015889304
S5392
n-(2,6-dimethylphenyl)-1-methylpiperidine-2-carboximidic acid
gtpl7224
mepivacaine [mi]
mepivacaine [who-dd]
mepivacaine [inn]
(+/-)-1-methyl-2',6'-pipecoloxylidide
2-piperidinecarboxamide, n-(2,6-dimethylphenyl)-1-methyl-, (+/-)-
(+/-)-mepivacaine
mepivacaine [vandf]
smr004703413
MLS006011662
SCHEMBL25314
(.+/-.)-1-methyl-2',6'-pipecoloxylidide
(.+/-.)-mepivacaine
n-(2,6-dimethylphenyl)-1-methyl-2-piperidinecarboxamide #
Q-100290
AB00053769_12
AB00053769_13
mepicaine
DTXSID9023259 ,
mfcd00243006
AC-9857
SBI-0052814.P002
Q416760
BRD-A03216249-003-12-8
HMS3886E04
CCG-266926
NCGC00018284-06
A858662
NCGC00018284-05
CS-0009492
HY-B0517
EN300-7359348
Z1741980843
dtxcid803259
n01bb03
mepivacainum (inn-latin)
mepivacaina (inn-spanish)
mepivacaine, 1mg/ml in methanol
smr001566772
NCI60_002705
aop-990001
bm-06002
mls002702958 ,
nsc-313425
NCGC00181304-01
nsc313425
bm 06 002
4-amino-1,3-diazabicyclo[3.1.0]hex-3-en-2-one
nsc714597
nsc-714597
4-imino-1,3-diazabicyclo-[3.1.0]-hexan-2-one
CHEMBL146428
imexon (usan/inn)
D08932
HMS3264B05
AKOS006273819
dtxcid9026895
tox21_112779
cas-59643-91-3
DB05003
CCG-213631
SCHEMBL154584
amplimexon (proposed trade name)
gtpl8273
AB01013867_03
4-imino-1,3-diazabicyclo-[3.1.0]hexan-2-one
4-chloro-(alpha-phenyl)-cinnamicacid
NCGC00389454-01

Research Excerpts

Overview

Mepivacaine can be used for neuraxial anesthesia in total joint arthroplasty (TJA) with a shorter duration of action (1.5-2 hours) compared to the more commonly used local anesthetic bupivacane. 2% mepvacaine is a safe and efficaciousLocal anesthetic drug in conservative dentistry. MepivACaine seems to be a promising alternative to lidocaine for outpatient surgical procedures.

ExcerptReferenceRelevance
"Mepivacaine is an intermediate acting amide local anesthetic that can be used for neuraxial anesthesia in total joint arthroplasty (TJA) with a shorter duration of action (1.5-2 hours) compared to the more commonly used local anesthetic bupivacaine. "( Mepivacaine Versus Bupivacaine Spinal Anesthesia for Primary Total Joint Arthroplasty: A Systematic Review and Meta-Analysis.
Chen, AF; Culp, B; Emara, A; Mahmoud, Y; Piuzzi, NS; Schwarzkopf, R; Secic, M; Siddiqi, A; Springer, BD; Tozzi, JM, 2022
)
3.61
"Mepivacaine is an aminoamide local anesthetic with an intermediate duration that intrinsically produces vasoconstriction both in vivo and in vitro. "( Mepivacaine-induced contraction involves phosphorylation of extracellular signal-regulated kinase through activation of the lipoxygenase pathway in isolated rat aortic smooth muscle.
Bae, SI; Choi, MJ; Chung, YK; Eun, SY; Kang, S; Kim, HJ; Lee, HK; Lee, HM; Lee, SH; Ok, SH; Shin, IW; Sohn, JT; Sung, HJ, 2013
)
3.28
"Mepivacaine is an aminoamide local anesthetic that produces vasoconstriction in vivo and in vitro. "( Mepivacaine-induced contraction involves increased calcium sensitization mediated via Rho kinase and protein kinase C in endothelium-denuded rat aorta.
Choi, MJ; Chung, YK; Kwon, SC; Lee, HK; Ok, SH; Shin, IW; Sohn, JT; Yeol Han, J; Yu, J, 2014
)
3.29
"Mepivacaine is an aminoamide-linked local anesthetic with an intermediate duration that intrinsically produces vasoconstriction both in vivo and in vitro. "( Mepivacaine-induced contraction is attenuated by endothelial nitric oxide release in isolated rat aorta.
Chang, KC; Choi, MJ; Chung, YK; Hwang, IJ; Kim, HS; Lee, HK; Lee, SH; Ok, SH; Park, KE; Shin, IW; Sohn, JT; Sung, HJ, 2012
)
3.26
"Mepivacaine was found to be an acceptable local anesthetic for spinal anesthesia in parturients undergoing cesarean delivery."( Intrathecal fentanyl, sufentanil, or placebo combined with hyperbaric mepivacaine 2% for parturients undergoing elective cesarean delivery.
Alparslan, Y; Birnbach, DJ; Bremerich, DH; Byhahn, C; Hall, BA; Kessler, P; Meininger, D; Nordmeyer, J, 2003
)
1.27
"2% mepivacaine is a safe and efficacious local anesthetic drug in conservative dentistry."( [Anesthetic efficacy of 2% mepivacaine in conservative dentistry].
Chen, XM; Ding, Y; Huang, DM; Shi, ZD; Wang, XY; Zeng, HB, 2004
)
1.24
"Mepivacaine is a vasoconstrictor of long duration. "( Mepivacaine as an intravenous regional block interferes with reactive hyperemia and decreases steady-state blood flow.
Björhn, KC; Kalman, S; Lisander, B; Tholén, EK,
)
3.02
"Mepivacaine seems to be a promising alternative to lidocaine for outpatient surgical procedures because of its similar duration of action."( Transient neurologic symptoms after spinal anesthesia with mepivacaine and lidocaine.
Chisholm, MF; Liguori, GA; Zayas, VM, 1998
)
1.26
"Mepivacaine is a local anaesthetic drug that is widely used in equine medicine and is classified by the Association of Racing Commissioners International (ARCI) as a Class 2 foreign substance that may cause regulators to impose significant penalties if residues are identified in post-race urine samples. "( Mepivacaine: its pharmacological effects and their relationship to analytical findings in the horse.
Bass, S; Boyles, J; Carter, WG; Dirikolu, L; Harkins, JD; Karpiesiuk, W; Lehner, A; Mundy, GD; Rees, WA; Tobin, T; Woods, WE, 1999
)
3.19

Effects

ExcerptReferenceRelevance
"3% mepivacaine has quick onset, ideal anesthetic effect and little side effect on cardiovascular system."( [Efficacy and safety of 3% mepivacaine hydrochloride injection for oral local anesthesia].
Cao, D; Ding, S; Wu, YN; Zhu, YQ, 2008
)
1.26

Treatment

ExcerptReferenceRelevance
"Pretreatment with mepivacaine, 5 X 10(-5) to 2 X 10(-3) M, protected alpha-adrenoceptors from persistent blockade by phenoxybenzamine in a dose-dependent manner."( Effects of Mepivacaine on adrenergic neuroeffector junction of the isolated rabbit aorta.
Fukuda, S; Murakawa, T; Takeshita, H; Toda, N; Tsuji, T, 1982
)
0.98

Toxicity

3% mepivacaine has quick onset, ideal anesthetic effect and little side effect on cardiovascular system. Resilient hyaluronic acid fillers with either mepvacaine or lidocaine are equally effective at reducing pain during treatment.

ExcerptReferenceRelevance
"Pregnant sheep are more vulnerable to the toxic effects of bupivacaine, a potent local anesthetic, than are nonpregnant sheep."( Pregnancy does not alter lidocaine toxicity.
Arthur, GR; Covino, BG; Finster, M; Morishima, HO, 1990
)
0.28
"min-1 was infused at a constant rate into the femoral vein until toxic manifestations occurred, in the following sequence: convulsions, hypotension, respiratory arrest, and circulatory collapse."( Does pregnancy alter the systemic toxicity of local anesthetics?
Arthur, GR; Covino, BG; Finster, M; Harmon, TW; Morishima, HO; Pedersen, H; Santos, AC, 1989
)
0.28
" The pharmacokinetics of these compounds are discussed in this review, with particular emphasis on the fetal exposure and its relationship to adverse effects on the fetus."( Clinical pharmacokinetics in pregnancy and perinatology. I. Placental transfer and fetal side effects of local anaesthetic agents.
Nau, H, 1985
)
0.27
" It is concluded that as the adverse effects on labor are quite common, PDB should not be given as a routine before delivery, but may be offered liberally when pain in the pudendal area is a main part of the pain of childbirth."( Analgesia and maternal side effects of pudendal block at delivery. A comparison of three local anesthetics.
Langhoff-Roos, J; Lindmark, G, 1985
)
0.27
" Presumably the condition occurred because of a toxic effect of the 400 mg of mepivacaine administered paracervically."( Severe bradycardia and bradypnea following vaginal oocyte retrieval: a possible toxic effect of paracervical mepivacaine.
Arce, D; Ayestaran, C; Gomez, S; Matorras, R; Rodriguez-Escudero, F, 2000
)
0.75
" Using a vertical paracoracoid approach, we assessed the extent of the sensory block and the incidence of adverse effects."( Infraclavicular block with lateral approach and nerve stimulation: extent of anesthesia and adverse effects.
Bouaziz, H; Ecoffey, C; Gentili, ME; Girard, F; Heck, M; Jandard, C; Laxenaire, MC,
)
0.13
" Although lidocaine is more toxic than bupivacaine and ropivacaine, mepivacaine, which has a similar pharmacological effect to lidocaine, has the least-adverse effects on cone growth among clinically used local anesthetics."( Procaine and mepivacaine have less toxicity in vitro than other clinically used local anesthetics.
Kasaba, T; Onizuka, S; Takasaki, M, 2003
)
0.92
" Although lidocaine is more toxic than bupivacaine and ropivacaine, mepivacaine, which has a similar pharmacological effect to lidocaine, is the safest among clinically used local anesthetics."( Procaine and mepivacaine have less toxicity in vitro than other clinically used local anesthetics.
Kasaba, T; Onizuka, S; Takasaki, M, 2003
)
0.92
" Few reports of systemic adverse effects are available following nerve blockade with mepivacaine."( [Systemic toxicity with mepivacaine following axillary block in a patient with terminal kidney failure].
Cuvillon, P; Ripart, J; Tanoubi, I; Vialles, N, 2006
)
0.86
" Adverse events were recorded and categorized by system effect."( The analgesic efficacy and safety of intra-articular morphine and mepivicaine following temporomandibular joint arthroplasty.
Ibanez, C; Kozacko, M; Zuniga, JR, 2007
)
0.34
" No serious adverse events occurred in this study."( The analgesic efficacy and safety of intra-articular morphine and mepivicaine following temporomandibular joint arthroplasty.
Ibanez, C; Kozacko, M; Zuniga, JR, 2007
)
0.34
"General anesthesia produced physiological perturbations, exacerbated local anesthetic-induced cardiovascular depression, and changed the pharmacokinetics of toxic doses of local anesthetics."( The effects of general anesthesia on the central nervous and cardiovascular system toxicity of local anesthetics.
Copeland, SE; Gu, XQ; Ladd, LA; Mather, LE, 2008
)
0.35
" The blood pressure and heart rate change, neural reaction and side effect of 2 groups were observed."( [Efficacy and safety of 3% mepivacaine hydrochloride injection for oral local anesthesia].
Cao, D; Ding, S; Wu, YN; Zhu, YQ, 2008
)
0.64
"3% mepivacaine has quick onset, ideal anesthetic effect and little side effect on cardiovascular system."( [Efficacy and safety of 3% mepivacaine hydrochloride injection for oral local anesthesia].
Cao, D; Ding, S; Wu, YN; Zhu, YQ, 2008
)
1.26
" Secondary parameters were akinesia at later times, additional injections, ptosis of the upper eyelid, time to reach complete anesthesia, assessment of pain using a visual analog scale, assessment of efficacy and tolerability by the patient and the surgeon, and adverse events."( Efficacy and safety of hyaluronidase 75 IU as an adjuvant to mepivacaine for retrobulbar anesthesia in cataract surgery.
Kampik, A; Nentwich, MM; Pinter, F; Remy, M; Schönfeld, CL, 2008
)
0.59
" No adverse events occurred in either group."( Efficacy and safety of hyaluronidase 75 IU as an adjuvant to mepivacaine for retrobulbar anesthesia in cataract surgery.
Kampik, A; Nentwich, MM; Pinter, F; Remy, M; Schönfeld, CL, 2008
)
0.59
"The development of safe and effective local anesthetic agents has possibly been the most important advancement in dental science to occur in the last century."( Local anesthetics: pharmacology and toxicity.
Hersh, EV; Moore, PA, 2010
)
0.36
" Each result showed that bupivacaine was the most toxic of the three local anaesthetics."( Comparison of the cytotoxic effects of bupivacaine, lidocaine, and mepivacaine in equine articular chondrocytes.
Choi, SH; Hong, G; Kim, G; Park, J; Sutradhar, BC, 2011
)
0.61
"The study included data sets of annual sales of local anesthetics (from 1995 through 2007), 292 reports to the Danish Medicines Agency, Copenhagen, Denmark, of adverse reactions to local anesthetic drugs, and a clinical sample of 115 patients with NSD associated with local anesthetics."( Trigeminal nerve injury associated with injection of local anesthetics: needle lesion or neurotoxicity?
Ersbøll, BK; Hillerup, S; Jensen, RH, 2011
)
0.37
"To assess the efficacy of viscosupplementation (hyaluronic acid [HA]) on the pain and disability caused by hip osteoarthritis, and to determine the occurrence of adverse events."( Viscosupplementation for Hip Osteoarthritis: A Systematic Review and Meta-Analysis of the Efficacy on Pain and Disability, and the Occurrence of Adverse Events.
Buehler, AM; Daud Amadera, JE; Leite, VF, 2018
)
0.48
"69), and high evidence that it is not superior in adverse events (risk ratio [RR]=1."( Viscosupplementation for Hip Osteoarthritis: A Systematic Review and Meta-Analysis of the Efficacy on Pain and Disability, and the Occurrence of Adverse Events.
Buehler, AM; Daud Amadera, JE; Leite, VF, 2018
)
0.48
" Systemic toxicity with reflex on the central nervous and cardiovascular systems is their most feared adverse reactions, and the anaphylactic reaction is the most concerning one."( Safety of local anesthetics.
Cherobin, ACFP; Tavares, GT,
)
0.13
" In conclusion, using a dorsal approach, CT-guided cervical nerve root infiltrations with an extraforaminal needle position seem to be a safe intervention."( Safety of CT-guided cervical nerve root infiltrations using a dorsal approach.
Gossner, J, 2020
)
0.56
" Pain was assessed on a visual analog scale; aesthetic effectiveness was evaluated with validated scales, and safety was monitored based on common treatment responses (CTRs) and adverse events (AEs)."( Patient Comfort, Safety, and Effectiveness of Resilient Hyaluronic Acid Fillers Formulated With Different Local Anesthetics.
Dayan, SH; Eaton, L; Joseph, JH; Kaufman-Janette, J; Maffert, P; Smith, S, 2022
)
0.72
"Resilient hyaluronic acid fillers with either mepivacaine or lidocaine are equally effective at reducing pain during treatment and equally performant and safe for correction of dynamic facial wrinkles and folds."( Patient Comfort, Safety, and Effectiveness of Resilient Hyaluronic Acid Fillers Formulated With Different Local Anesthetics.
Dayan, SH; Eaton, L; Joseph, JH; Kaufman-Janette, J; Maffert, P; Smith, S, 2022
)
0.98

Pharmacokinetics

The tolerance and pharmacokinetic properties of mepivacaine and prilocaine were compared following i. The terminal half-life (t1/2,Z) and mean residence time (MRT) of R(-)-mepivacane were shorter than those of S(+)-mepsicaine.

ExcerptReferenceRelevance
"Information derived from measurements of blood concentrations of local anaesthetics can be extended by the application of pharmacokinetic anaylsis."( Pharmacology of local anaesthetic agents. Pharmacokinetics of local anaesthetic agents.
Mather, LE; Tucker, GT, 1975
)
0.25
" The time at which Cmax was reached (Tmax) was identical for both isomers."( Clinical pharmacokinetics of R(+)- and S(-)-mepivacaine after high doses of racemic mepivacaine with epinephrine in the combined psoas compartment/sciatic nerve block.
Beumer, EM; Gielen, MJ; Lagerwerf, AJ; Simon, MA; Vree, TB, 1992
)
0.54
" However, the limiting dosages determined up to now do not take account of important pharmacokinetic and toxicological data: (1) The dependence of blood levels measured on the technique of regional anesthesia and (2) the raised toxicity of a local anesthetic solution containing adrenaline following inadvertent intravascular (intravenous) injection."( [Dose limits for local anesthetics. Recommendations based on toxicologic and pharmacokinetic data].
Kaiser, H; Niesel, HC, 1991
)
0.28
"The comparative pharmacokinetic properties of lidocaine, bupivacaine, etidocaine and mepivacaine were investigated in convulsing and non-convulsing dogs."( Alterations in the pharmacokinetic properties of amide local anaesthetics following local anaesthetic induced convulsions.
Arthur, GR; Covino, BG; Feldman, HS, 1988
)
0.5
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35

Compound-Compound Interactions

Sensory, motor, and analgesic block characteristics of the local anesthetic mepivacaine alone or combined with intrathecal opioids were studied in parturients undergoing elective cesarean delivery in a randomized, double-blinded clinical trial.

ExcerptReferenceRelevance
" Our aim in the present study was to evaluate the effects of 2% hyperbaric mepivacaine alone, or combined with either intrathecal fentanyl (5 and 10 microg), or sufentanil (2."( Intrathecal fentanyl, sufentanil, or placebo combined with hyperbaric mepivacaine 2% for parturients undergoing elective cesarean delivery.
Alparslan, Y; Birnbach, DJ; Bremerich, DH; Byhahn, C; Hall, BA; Kessler, P; Meininger, D; Nordmeyer, J, 2003
)
0.78
"Sensory, motor, and analgesic block characteristics of the local anesthetic mepivacaine alone or combined with intrathecal opioids were studied in parturients undergoing elective cesarean delivery in a randomized, double-blinded clinical trial."( Intrathecal fentanyl, sufentanil, or placebo combined with hyperbaric mepivacaine 2% for parturients undergoing elective cesarean delivery.
Alparslan, Y; Birnbach, DJ; Bremerich, DH; Byhahn, C; Hall, BA; Kessler, P; Meininger, D; Nordmeyer, J, 2003
)
0.78
"4 mL of 2% lidocaine with 1:100,000 epinephrine or 3% mepivacaine, administered with the Wand Plus, has the potential to be a painful injection."( Injection pain and postinjection pain of the palatal-anterior superior alveolar injection, administered with the Wand Plus system, comparing 2% lidocaine with 1:100,000 epinephrine to 3% mepivacaine.
Beck, M; Burns, Y; Nusstein, J; Reader, A; Weaver, J, 2004
)
0.76

Bioavailability

ExcerptReferenceRelevance
"The effect of the pH of the solution on the rate of absorption into the blood stream of locally-injected adrenaline using an adrenaline solution mixed with either mepivacaine or bupivacaine was investigated."( Adrenaline absorption: effect of pH in mepivacaine and bupivacaine solutions. A clinical study during halothane anesthesia.
Hirakawa, M; Mori, K; Ueda, W, 1992
)
0.75
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51

Dosage Studied

We studied the dose-response characteristics of isobaric intrathecal mepivacaine for patients undergoing ambulatory arthroscopic surgery of the knee. The major identified metabolite recovered from equine urine after dosing with mepvacaine is 3-hydroxymepivacane.

ExcerptRelevanceReference
" In 35 cases, the dosage of the drug to be administered was calculated on the basis of an empirical formula and in the other 35, the dose was based on body weight."( Caudal anesthesia in infants.
Hassan, SZ,
)
0.13
" The need for limiting the dosage of local anesthetic agents is stressed."( [New aspects of field blocks and peripheral nerve blocks (author's transl)].
Schulte-Steinberg, O, 1977
)
0.26
"The physical status of the patient (sex, age, weight, height, and underlying disease) has been thought to influence the dosage of local anesthetic drugs that can be injected without causing a systemic toxic reaction, but this belief is not supported by statistically significant data."( Factors determining dosages of amide-type local anesthetic drugs.
Balfour, RI; Bridenbaugh, LD; Horton, WG; Moore, DC; Thompson, GE, 1977
)
0.26
" A better understanding of quantitative aspects of the disposition and absorption of these drugs should assist the anaesthetist in deciding the optimal agent and dosage for regional block techniques."( Pharmacology of local anaesthetic agents. Pharmacokinetics of local anaesthetic agents.
Mather, LE; Tucker, GT, 1975
)
0.25
" Dose-response curves determined in nonpregnant ewes indicate that significant decreases in blood flow may occur at arterial blood concentrations encountered clinically."( Effects of local anesthetic agents on the uterine vasculatures and myometrium.
Anderson, SG; Greiss, FC; Still, JG, 1976
)
0.26
" With that model, dosage strategies could be studied via computer simulation."( [An infusion model for intraoperative peridural anesthesia by catheter using mepivacaine].
Ebeling, BJ; Lauven, PM; Lussi, C, 1990
)
0.51
" This was 15 minutes after the 12th injection of 400 mg of mepivacaine and an overall dosage of 4800 mg."( Serum levels of mepivacaine-HCl during continuous axillary brachial plexus block.
Buettner, J; Hoppe, U; Klose, R; Wresch, P,
)
0.72
" The dosage of adrenergic vasoconstrictors should be limited and gingival retraction cord containing epinephrine avoided entirely."( Hypertensive response to levonordefrin in a patient receiving propranolol: report of case.
Mito, RS; Yagiela, JA, 1988
)
0.27
" Neither the higher toxicity to the central nervous and cardiovascular systems from mepivacaine, nor the methemoglobin formed by prilocaine seems to be of clinical significance with the dosage and technique employed."( [Comparative study of 1% prilocaine and 1% mepivacaine in axillary plexus anesthesia].
Büttner, J; Dreesen, H; Klose, R, 1987
)
0.76
" Dosing had no effect upon birth and growth, shuttle box, or footshock sensitivity."( Behavioral effects of mid-pregnancy administration of lidocaine and mepivacaine in the rat.
Hollenbeck, AR; Kurtz, SL; Mattran, KM; Smith, RF; Wharton, GG,
)
0.37
"5% mepivacaine solution at a dosage of 3 mg/kg body wt."( [Side effects following intravenous regional anesthesia (IVRA) on the central nervous system and heart rate].
Gürtner, C; Gürtner, T; Meyer, CH, 1986
)
0.89
"5 kg) at an average dosage of 30 mg (1."( Spinal fluid concentrations of mepivacaine in horses and procaine in cows after thoracolumbar subarachnoid analgesia.
Ibrahim, AI; Muir, WW; Skarda, RT, 1985
)
0.56
" Dose-response curves for lignocaine, mepivacaine, bupivacaine, amethocaine and cinchocaine were obtained after single intrathecal injection to the mouse."( A methodological study of spinal (subarachnoid) anaesthesia in the rat and the mouse.
Akerman, SB, 1985
)
0.54
" These results demonstrate that the blood concentrations of the three local anaesthetics following caudal administration are all below the toxic levels in spite of application of the maximum dosage recommended for adults."( Blood concentrations of lidocaine, mepivacaine and bupivacaine during caudal analgesia in children.
Takasaki, M, 1984
)
0.54
" Combining these observations with local anesthetic dosage considerations, the authors recommend that 2 percent lido-epi be used when performing mandibular block injections in young children."( Assessing the duration of mandibular soft tissue anesthesia.
Hermann, DG; Hersh, EV; Johnson, PD; Lamp, CJ; MacAfee, KA, 1995
)
0.29
" We comment on the technical procedures, application, usefulness in relation to areas involved and the anatomical location of lesion, and total dosage of the anesthetic agent."( Local anesthesia by jet-injection device in minor dermatologic surgery.
Comet, V; Cruz, JM; Queralt, CB; Val-Carreres, C, 1995
)
0.29
"The jet-injection device is easy to handle, it is harmless, it provides good levels of anesthesia, and the dosage of anesthetic agent is smaller than the dosage administered with conventional methods."( Local anesthesia by jet-injection device in minor dermatologic surgery.
Comet, V; Cruz, JM; Queralt, CB; Val-Carreres, C, 1995
)
0.29
" Addition of the phrenic nerve block to general and epidural anesthesia did not reduce the intraoperative dosage of isoflurane, but it significantly prevented occurrence of postoperative right shoulder pain."( [Significance of phrenic nerve block in the anesthetic management of laparoscopic cholecystectomy].
Ichihara, Y; Kikuchi, H; Maemura, Y; Matsui, K; Yamagami, M; Yoshida, M, 1994
)
0.29
" The use of the method is limited by increased equipment and staffing requirements; however, it facilitates the development of optimised dosing strategies."( [Objective quantification of spinal anesthesia by somatosensory evoked potentials after tibial nerve stimulation].
Ebeling, BJ; Spöhle, A, 1995
)
0.29
" Patients were randomized and all blocks were performed according to the protocol for PNS and TA techniques using the dosage of local anesthetic based on patient weight."( Comparison of axillary block techniques: is there a difference in success rates?
Jones, TS, 1997
)
0.3
" The major identified metabolite recovered from equine urine after dosing with mepivacaine is 3-hydroxymepivacaine."( Mepivacaine: its pharmacological effects and their relationship to analytical findings in the horse.
Bass, S; Boyles, J; Carter, WG; Dirikolu, L; Harkins, JD; Karpiesiuk, W; Lehner, A; Mundy, GD; Rees, WA; Tobin, T; Woods, WE, 1999
)
1.97
" We studied the dose-response characteristics of isobaric intrathecal mepivacaine using the combined spinal epidural technique for patients undergoing ambulatory arthroscopic surgery of the knee."( Dose response relationships for isobaric spinal mepivacaine using the combined spinal epidural technique.
Chisholm, MF; Gordon, MA; Liguori, GA; Susman, MH; Zayas, VM, 1999
)
0.79
" This prospective randomized, double-blinded, dose-response study examined the anesthetic and recovery profiles of 60- and 80-mg doses of preservative-free plain mepivacaine for ambulatory spinal anesthesia."( The anesthetic and recovery profile of two doses (60 and 80 mg) of plain mepivacaine for ambulatory spinal anesthesia.
Corsino, A; Frey, K; Gunnerson, H; Kim, KM; Lurie, J; Pappas, AL; Pawlowski, J; Sukhani, R; Tonino, P, 2000
)
0.73
" This dosage resulted in complete pain relief after 18."( [Tumescent local anesthesia in proctologic surgery].
Bussen, D; Fuchs, KH; Sailer, M; Thiede, A, 2003
)
0.32
" Thirty milliliters of plain 2% mepivacaine was given to all patients either in a single or fractionated dosing for radial or for radial and median nerves, according to group assignment."( Radial plus musculocutaneous nerve stimulation for axillary block is inferior to triple nerve stimulation with 2% mepivacaine.
Alvarez, J; Bascuas, B; Oliveira, J; Rodríguez, J; Taboada, M; Ulloa, B, 2008
)
0.84
"The case is reported of a female patient with attack-like neuropathic pain following lower arm injury with repeated respiratory depression and unconsciousness even after several administrations of sufficiently dosed analgetics for suppression of the attacks."( [Life-threatening respiratory depression after pain therapy].
Gläser, M; Kohlhaas, K; Maier, C; Tegenthoff, M, 2008
)
0.35
" After rats were injected intrathecally with verapamil and diltiazem, dose-response curves were constructed."( The dose-dependent study of verapamil and diltiazem on spinal anesthesia in the rat.
Chen, YC; Chen, YW; Chu, CC; Hung, CH; Wang, JJ, 2010
)
0.36
" The drugs were spinally administered alone as well as in combination, and their potencies were compared via dose-response curves and isobolographic analysis."( Isobolographic analysis of interaction between nisoxetine- and mepivacaine-induced spinal blockades in rats.
Chen, YW; Chu, CC; Hung, CH; Kuo, CS; Leung, YM; Wang, JJ, 2014
)
0.64
" In conclusion, when performing an ultrasound-guided SGB, 2 mL dosage was sufficient for a successful block as the previous, conventional volume."( Minimal volume of local anesthetic required for an ultrasound-guided SGB.
Cha, YD; Jung, HJ; Kim, KY; Lee, DI; Lee, MH; Lim, HK; Song, JH, 2012
)
0.38
" In in vivo studies, after rats were intrathecally injected with nisoxetine and mepivacaine, the dose-response curves were constructed."( Nisoxetine blocks sodium currents and elicits spinal anesthesia in rats.
Chen, YW; Chu, CC; Kuo, CS; Leung, YM; Wang, JJ, 2013
)
0.62
" The dose-response curves were constructed after intrathecally injecting the rats with five doses of 2-adamantanamine and a common local anesthetic mepivacaine."( 2-Adamantanamine produces prolonged spinal block in rats.
Chen, CM; Chen, YW; Hung, CH; Liu, KS; Wang, JJ, 2017
)
0.65
" Local anesthetics have been commonly used in interventional procedures for alleviating pain, but local anesthetics may have negative impact on MSC dosing because of cytotoxicity or other biological effects."( Cytotoxicity of Local Anesthetics in Mesenchymal Stem Cells.
Erwin, PJ; Nie, H; Qu, W; Smith, J; van Wijnen, AJ; Wang, Z; Wu, T, 2018
)
0.48
"The STA technique allows for absence of anticipatory anxiety, absence of physical pain, no anaesthetic effects in the perioral tissues and a controllable, lower dosage of the anaesthetic liquid."( Single tooth anaesthesia: a new approach to the paediatric patient. A clinical experimental study.
Forabosco, E; Giannetti, L; Murri Dello Diago, A; Re, D; Spinas, E, 2018
)
0.48
"After intrathecally injecting the rats with five different doses, the dose-response curves of spinal sensory and motor block with doxylamine and triprolidine were constructed."( Spinal sensory and motor blockade by intrathecal doxylamine and triprolidine in rats.
Chen, YW; Chiu, CC; Hung, CH; Tzeng, JI; Wang, JJ, 2018
)
0.48
" The dose-response curve and nociceptive block duration of brompheniramine were constructed and compared with mepivacaine."( Subcutaneous brompheniramine for cutaneous analgesia in rats.
Chen, JY; Chen, YW; Chiu, CC; Hung, CH; Wang, JJ, 2019
)
0.73
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
local anaestheticAny member of a group of drugs that reversibly inhibit the propagation of signals along nerves. Wide variations in potency, stability, toxicity, water-solubility and duration of action determine the route used for administration, e.g. topical, intravenous, epidural or spinal block.
drug allergenAny drug which causes the onset of an allergic reaction.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
piperidinecarboxamide
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (1)

PathwayProteinsCompounds
Mepivacaine Action Pathway3111

Protein Targets (9)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency21.31740.01237.983543.2770AID1645841
cytochrome P450 2D6Homo sapiens (human)Potency9.52210.00108.379861.1304AID1645840
TDP1 proteinHomo sapiens (human)Potency33.49830.000811.382244.6684AID686978; AID686979
AR proteinHomo sapiens (human)Potency28.22630.000221.22318,912.5098AID743042; AID743054
EWS/FLI fusion proteinHomo sapiens (human)Potency13.19010.001310.157742.8575AID1259253; AID1259256
gemininHomo sapiens (human)Potency33.49830.004611.374133.4983AID624296
Guanine nucleotide-binding protein GHomo sapiens (human)Potency7.07951.995325.532750.1187AID624287
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Potassium channel subfamily K member 3Homo sapiens (human)IC50 (µMol)709.00000.00700.89855.1000AID1525553
Potassium voltage-gated channel subfamily H member 2Homo sapiens (human)IC50 (µMol)154.88200.00091.901410.0000AID576612
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (37)

Processvia Protein(s)Taxonomy
potassium ion transportPotassium channel subfamily K member 3Homo sapiens (human)
chemical synaptic transmissionPotassium channel subfamily K member 3Homo sapiens (human)
response to xenobiotic stimulusPotassium channel subfamily K member 3Homo sapiens (human)
monoatomic ion transmembrane transportPotassium channel subfamily K member 3Homo sapiens (human)
negative regulation of cytosolic calcium ion concentrationPotassium channel subfamily K member 3Homo sapiens (human)
regulation of resting membrane potentialPotassium channel subfamily K member 3Homo sapiens (human)
cellular response to zinc ionPotassium channel subfamily K member 3Homo sapiens (human)
cellular response to hypoxiaPotassium channel subfamily K member 3Homo sapiens (human)
cochlea developmentPotassium channel subfamily K member 3Homo sapiens (human)
potassium ion transmembrane transportPotassium channel subfamily K member 3Homo sapiens (human)
stabilization of membrane potentialPotassium channel subfamily K member 3Homo sapiens (human)
regulation of heart rate by cardiac conductionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of heart rate by hormonePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of membrane potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
positive regulation of DNA-templated transcriptionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion homeostasisPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
cardiac muscle contractionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of membrane repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of ventricular cardiac muscle cell membrane repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
cellular response to xenobiotic stimulusPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
ventricular cardiac muscle cell action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane depolarization during action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarization during action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarization during cardiac muscle cell action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of heart rate by cardiac conductionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion export across plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarization during ventricular cardiac muscle cell action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
negative regulation of potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
positive regulation of potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
negative regulation of potassium ion export across plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion import across plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
negative regulation of inflammatory response to antigenic stimulusGuanine nucleotide-binding protein GHomo sapiens (human)
renal water homeostasisGuanine nucleotide-binding protein GHomo sapiens (human)
G protein-coupled receptor signaling pathwayGuanine nucleotide-binding protein GHomo sapiens (human)
regulation of insulin secretionGuanine nucleotide-binding protein GHomo sapiens (human)
cellular response to glucagon stimulusGuanine nucleotide-binding protein GHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (20)

Processvia Protein(s)Taxonomy
monoatomic ion channel activityPotassium channel subfamily K member 3Homo sapiens (human)
open rectifier potassium channel activityPotassium channel subfamily K member 3Homo sapiens (human)
potassium channel activityPotassium channel subfamily K member 3Homo sapiens (human)
potassium ion leak channel activityPotassium channel subfamily K member 3Homo sapiens (human)
S100 protein bindingPotassium channel subfamily K member 3Homo sapiens (human)
outward rectifier potassium channel activityPotassium channel subfamily K member 3Homo sapiens (human)
transcription cis-regulatory region bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
inward rectifier potassium channel activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
delayed rectifier potassium channel activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
protein bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
ubiquitin protein ligase bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
identical protein bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
protein homodimerization activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
C3HC4-type RING finger domain bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel activity involved in cardiac muscle cell action potential repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
scaffold protein bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel activity involved in ventricular cardiac muscle cell action potential repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
G protein activityGuanine nucleotide-binding protein GHomo sapiens (human)
adenylate cyclase activator activityGuanine nucleotide-binding protein GHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (6)

Processvia Protein(s)Taxonomy
plasma membranePotassium channel subfamily K member 3Homo sapiens (human)
synapsePotassium channel subfamily K member 3Homo sapiens (human)
plasma membranePotassium channel subfamily K member 3Homo sapiens (human)
plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
cell surfacePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
perinuclear region of cytoplasmPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel complexPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
inward rectifier potassium channel complexPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
plasma membraneGuanine nucleotide-binding protein GHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (138)

Assay IDTitleYearJournalArticle
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID205269Inhibition of binding of Batrachotoxinin [3H]BTX-B to high-affinity sites on voltage-dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex at 100 uM1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID714646Anesthetic activity in albino CF1 mouse assessed as latency in response to thermal stimuli administered as 2% solution, sc measured after 15 mins by modified tail immersion test2012Bioorganic & medicinal chemistry, Nov-01, Volume: 20, Issue:21
Search for anticonvulsant and analgesic active derivatives of dihydrofuran-2(3H)-one.
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID26295Partition coefficient (logD) (HPLC)1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID23965logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID678716Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using diethoxyfluorescein as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID205268Inhibition of binding of Batrachotoxinin [3H]BTX-B to high affinity sites on voltage dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex at 10 uM1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID23970logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID678722Covalent binding affinity to human liver microsomes assessed per mg of protein at 10 uM after 60 mins presence of NADPH2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID23968logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID678712Inhibition of human CYP1A2 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using ethoxyresorufin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID678714Inhibition of human CYP2C19 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 3-butyryl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID409951Inhibition of human liver MAOB2008Journal of medicinal chemistry, Nov-13, Volume: 51, Issue:21
Quantitative structure-activity relationship and complex network approach to monoamine oxidase A and B inhibitors.
AID350220Lipophilicity, log K at pH 2 by by hydrophilic interaction chromatography using 100% water as mobile phase2009Journal of medicinal chemistry, May-28, Volume: 52, Issue:10
Lipophilicity of basic drugs measured by hydrophilic interaction chromatography.
AID312896Partition coefficient, log P by UPLC method2008Journal of medicinal chemistry, Feb-14, Volume: 51, Issue:3
High-throughput log P determination by ultraperformance liquid chromatography: a convenient tool for medicinal chemists.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID678717Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-benzyloxyquinoline as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID23973Partition coefficient (logD, measured by HPLC, log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID350219Lipophilicity, log K at pH 2 by by hydrophilic interaction chromatography using 95% acetonitrile as mobile phase2009Journal of medicinal chemistry, May-28, Volume: 52, Issue:10
Lipophilicity of basic drugs measured by hydrophilic interaction chromatography.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1525553Inhibition of human TASK1 expressed in Xenopus oocytes by whole cell voltage clamp assay2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID26294Partition coefficient (logD) (HPLC)1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID23959logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID23971logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID1285383Local anesthetic activity in CD1 albino mouse assessed prolongation of time reaction at 2 % concentration after 20 secs by tail immersion test relative to vehicle control2016Bioorganic & medicinal chemistry, Apr-15, Volume: 24, Issue:8
Synthesis, and anticonvulsant activity of new amides derived from 3-methyl- or 3-ethyl-3-methyl-2,5-dioxo-pyrrolidin-1-yl-acetic acids.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1061889Displacement of [3H]BTX-B from neuronal voltage-gated sodium channel in rat cerebral cortex synaptoneurosomes after 60 mins by scintillation counting2014Bioorganic & medicinal chemistry, Jan-01, Volume: 22, Issue:1
A highly predictive 3D-QSAR model for binding to the voltage-gated sodium channel: design of potent new ligands.
AID1285384Local anesthetic activity in CD1 albino mouse assessed prolongation of time reaction at 1 % concentration after 20 secs by tail immersion test relative to vehicle control2016Bioorganic & medicinal chemistry, Apr-15, Volume: 24, Issue:8
Synthesis, and anticonvulsant activity of new amides derived from 3-methyl- or 3-ethyl-3-methyl-2,5-dioxo-pyrrolidin-1-yl-acetic acids.
AID714647Anesthetic activity in albino CF1 mouse assessed as latency in response to thermal stimuli administered as 1% solution, sc measured after 15 mins by modified tail immersion test2012Bioorganic & medicinal chemistry, Nov-01, Volume: 20, Issue:21
Search for anticonvulsant and analgesic active derivatives of dihydrofuran-2(3H)-one.
AID23963logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID576612Inhibition of human ERG2011European journal of medicinal chemistry, Feb, Volume: 46, Issue:2
Predicting hERG activities of compounds from their 3D structures: development and evaluation of a global descriptors based QSAR model.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID312895Partition coefficient, log P of the compound2008Journal of medicinal chemistry, Feb-14, Volume: 51, Issue:3
High-throughput log P determination by ultraperformance liquid chromatography: a convenient tool for medicinal chemists.
AID678713Inhibition of human CYP2C9 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-methoxy-4-trifluoromethylcoumarin-3-acetic acid as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID409946Inhibition of human recombinant MAOB at 100 uM by fluorimetric method2008Journal of medicinal chemistry, Nov-13, Volume: 51, Issue:21
Quantitative structure-activity relationship and complex network approach to monoamine oxidase A and B inhibitors.
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID26296Partition coefficient (logD7.4)1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID350216Dissociation constant, pKa of the compound2009Journal of medicinal chemistry, May-28, Volume: 52, Issue:10
Lipophilicity of basic drugs measured by hydrophilic interaction chromatography.
AID350218Octanol-water partition coefficient, log PC of the compound2009Journal of medicinal chemistry, May-28, Volume: 52, Issue:10
Lipophilicity of basic drugs measured by hydrophilic interaction chromatography.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID678715Inhibition of human CYP2D6 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 4-methylaminoethyl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID678721Metabolic stability in human liver microsomes assessed as GSH adduct formation at 100 uM after 90 mins by HPLC-MS analysis2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID23961logD (measured by HPLC) (as log k')1981Journal of medicinal chemistry, Mar, Volume: 24, Issue:3
Octanol-physiological buffer distribution coefficients of lipophilic amines by reversed-phase high-performance liquid chromatography and their correlation with biological activity.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
AID504749qHTS profiling for inhibitors of Plasmodium falciparum proliferation2011Science (New York, N.Y.), Aug-05, Volume: 333, Issue:6043
Chemical genomic profiling for antimalarial therapies, response signatures, and molecular targets.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347411qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Mechanism Interrogation Plate v5.0 (MIPE) Libary2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID93759Number of colony forming cells of human sarcoma tumor showing sensitivity among the 2 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90270Number of colony forming cells of human breast tumor showing sensitivity among the 4 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID88822Number of colony forming cells of human gynecologic tumor showing sensitivity among the 4 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90975Number of colony forming cells of human myeloma tumor showing sensitivity among the 3 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90635Number of colony forming cells of human melanoma tumor showing sensitivity among the 5 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID216584Inhibition of cell growth in drug resistant WiDr colon cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90267Number of colony forming cells of human breast tumor showing sensitivity among the 4 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID89006Number of colony forming cells of human ovary tumor showing sensitivity among the 12 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID89693Number of colony forming cells of human lung tumor showing sensitivity among the 2 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID89692Number of colony forming cells of human lung tumor showing sensitivity among the 2 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID7704Inhibition of cell growth in (A375) melan cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID91653Number of colony forming cells of human stomach tumor showing sensitivity among the 1 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID98575Inhibition of cell growth in (L1210 leukemia) MDR cells determined by MTT assay1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID93762Number of colony forming cells of human sarcoma tumor showing sensitivity among the 8 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID104062Inhibition of cell growth in drug sensitive MCF-7 breast cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID9031Inhibition of cell growth in (A-549) lung cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90269Number of colony forming cells of human breast tumor showing sensitivity among the 4 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID91652Number of colony forming cells of human stomach tumor showing sensitivity among the 1 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID8245Inhibition of cell growth in drug resistant 8226 myeloma cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90631Number of colony forming cells of human melanoma tumor showing sensitivity among the 10 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90974Number of colony forming cells of human myeloma tumor showing sensitivity among the 3 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID88821Number of colony forming cells of human gynecologic tumor showing sensitivity among the 4 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID88819Number of colony forming cells of human gynecologic tumor showing sensitivity among the 4 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID98576Inhibition of cell growth in drug sensitive L1210 leukemia cell line determined by MTT assay1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID216585Inhibition of cell growth in drug sensitive WiDr colon cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID89007Number of colony forming cells of human ovary tumor showing sensitivity among the 12 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID145903Inhibition of cell growth in (OVCAR-3) ovarian cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID104061Inhibition of cell growth in (MCF7 breast) mitox cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID8246Inhibition of cell growth in drug sensitive 8226 myeloma cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90976Number of colony forming cells of human myeloma tumor showing sensitivity among the 3 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID90632Number of colony forming cells of human melanoma tumor showing sensitivity among the 10 colony forming cells tested in vitro at compound concentration of 10 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID104060Inhibition of cell growth in (MCF7 breast) dox cell line1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID91650Number of colony forming cells of human stomach tumor showing sensitivity among the 1 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID89004Number of colony forming cells of human ovary tumor showing sensitivity among the 11 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID89690Number of colony forming cells of human lung tumor showing sensitivity among the 2 colony forming cells tested in vitro at compound concentration of 0.1 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
AID93761Number of colony forming cells of human sarcoma tumor showing sensitivity among the 8 colony forming cells tested in vitro at compound concentration of 1.0 uM1999Journal of medicinal chemistry, Feb-11, Volume: 42, Issue:3
Novel antitumor 2-cyanoaziridine-1-carboxamides.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,801)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990871 (48.36)18.7374
1990's326 (18.10)18.2507
2000's292 (16.21)29.6817
2010's241 (13.38)24.3611
2020's71 (3.94)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 64.99

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index64.99 (24.57)
Research Supply Index7.85 (2.92)
Research Growth Index4.38 (4.65)
Search Engine Demand Index116.01 (26.88)
Search Engine Supply Index2.01 (0.95)

This Compound (64.99)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials495 (23.87%)5.53%
Trials0 (0.00%)5.53%
Reviews58 (2.80%)6.00%
Reviews0 (0.00%)6.00%
Case Studies207 (9.98%)4.05%
Case Studies0 (0.00%)4.05%
Observational6 (0.29%)0.25%
Observational0 (0.00%)0.25%
Other1,308 (63.07%)84.16%
Other13 (100.00%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (70)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Mepivacaine vs. Bupivacaine Spinal: Effect on Return of Motor Function, Time to Ambulation, and Length of Stay in Total Knee Arthroplasty [NCT05765682]160 participants (Anticipated)Interventional2023-03-13Recruiting
The Effect of Lidocaine - Prilocaine Cream (EMLA) Versus Mepivacaine Infiltration on Pain Relief During And After Mediolateral Episiotomies: A Randomized Clinical Trial [NCT03264586]Phase 4200 participants (Anticipated)Interventional2017-08-31Not yet recruiting
Efficacy of the Combination Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Patients With Symptomatic Irreversible Pulpitis: a Randomized Clinical Trial. [NCT02110966]Phase 456 participants (Actual)Interventional2014-04-30Completed
Stimulating Catheter for Lumbar Plexus Block: Better Postoperative Analgesia? [NCT02162121]Phase 464 participants (Actual)Interventional2014-05-31Completed
Comparing the Effect of 4% Articaine and 2% Mepivacaine Without Palatal Injection in Pain Assessment During Maxillary Teeth Extraction- A Randomized Clinical Trial [NCT03470532]Phase 460 participants (Actual)Interventional2017-02-25Completed
Comparing Efficacy and Safety of Three Regional Anesthesia Regimens in Total Hip and Knee Arthroplasty: A Double Blind Randomized Control Trial [NCT04257682]Phase 4135 participants (Anticipated)Interventional2022-09-30Not yet recruiting
Pulpal Blood Flow With the Use of Intra-nasal Anesthetic: a Randomized Double-blind Crossover Study [NCT03368391]Phase 425 participants (Anticipated)Interventional2018-01-03Not yet recruiting
Understanding Rebound Pain After Regional Anesthesia Resolution: Mechanistic Trial in Healthy Volunteers [NCT06005480]Phase 140 participants (Anticipated)Interventional2023-09-30Not yet recruiting
Effect of Different Approaches of Delivering Local Dental Anesthesia on Pain Perception in Children. A Double Blinded Randomized Controlled Clinical Trial. [NCT05338983]80 participants (Anticipated)Interventional2022-05-01Not yet recruiting
Comparison Between Blind and Ultrasound Guided Injection in Morton Neuroma [NCT03046108]Phase 4100 participants (Anticipated)Interventional2016-01-31Recruiting
Evaluation of the Efficacy and Safety of Mepivacaine on the Neurological Sequelae of Cerebral Infarction [NCT05222828]Phase 238 participants (Anticipated)Interventional2022-06-22Recruiting
Efficacy of Neural Prolotherapy Versus Local Corticosteroid Soft Tissue Injection for Treatment of Anserine Bursitis [NCT04509440]43 participants (Actual)Interventional2018-05-01Completed
Anesthetic Efficacy Of 4% ArtpharmaDent Versus 2% Mepecaine-L for Infilteration Anesthesia in Extraction of Badly Decayed Lower First Primary Molars: Pilot Study [NCT03942991]20 participants (Anticipated)Interventional2019-09-01Not yet recruiting
Photobiomodulation for Controlling Pre-Local Anesthetic Injection Pain: A Double-Blind, Randomized Controlled Clinical Study [NCT06128590]50 participants (Anticipated)Interventional2023-11-15Not yet recruiting
Femoral Peri-arterial Local Anesthetic Injection Decreases Tourniquet Associated Ischemic Hypertension [NCT03390426]Phase 431 participants (Actual)Interventional2018-05-03Completed
Comparative Evaluation of the Effect of a Prophylactic Intraligamentary Injection of Dexamethasone and Piroxicam on Postoperative Pain in Teeth With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial [NCT03745105]42 participants (Anticipated)Interventional2018-12-25Not yet recruiting
Evaluation of Posterior Segment Intrusion Using Miniplates in Skeletal ClassII Hyperdivergent Adolescence: A Randomized Control Trial [NCT02674191]24 participants (Actual)Interventional2016-05-31Active, not recruiting
Dexamethasone and Analgesic Duration After Supraclavicular Brachial Plexus Blockade [NCT00802009]44 participants (Anticipated)Interventional2009-05-31Completed
Spinal Mepivicaine With Fentanyl for Outpatient Knee Arthroscopy Surgery [NCT00803725]34 participants (Anticipated)Interventional2008-08-31Completed
Mepivacaine for Pain Relief at Insertion of Intrauterine Contraception [NCT02078063]Phase 386 participants (Actual)Interventional2013-11-30Completed
Blocking the Uterovaginal Plexus With Artacine for Placement of the Intra Uterine Device [NCT05252117]Phase 4240 participants (Anticipated)Interventional2021-02-01Recruiting
2%-Mepivacaine With Two Different Vasoconstrictors; 1:20.000 Levonordefrin or 1:100.000 Epinephrin for Local Anesthesia in Third Molar Surgery: A Comparative Randomized Clinical Trial [NCT02603198]30 participants (Anticipated)Interventional2014-08-31Active, not recruiting
Comparing General Anesthesia With Single Injection Peribulbar Block With Articaine 4% vs Lidocaine 2% vs Mepivacaine 3 % for Prevention of Oculocardiac Reflex in Children Undergoing Strabismus Surgery : A Randomized Control Study [NCT05728151]55 participants (Anticipated)Interventional2023-02-12Recruiting
Detecting Compartment Syndrome Pain in the Presence of Regional Anesthesia in Healthy Volunteers [NCT04113954]Phase 142 participants (Actual)Interventional2020-09-29Completed
Study of Tramadol Addiction Impact on Dental Anesthesia Succes. [NCT05908305]Phase 4300 participants (Anticipated)Interventional2023-06-10Not yet recruiting
A Comparison Study to Facilitate Earlier Discharge: Spinal Versus General Anesthesia for Outpatient Knee Surgeries, a Randomized Controlled Study [NCT03365752]Phase 239 participants (Actual)Interventional2018-06-24Terminated(stopped due to Study halted due to COVID-19 pandemic and terminated early per request of principal investigator as Chloroprocaine use in spinal procedures has become incorporated as standard of care at HSS.)
Anesthetic Efficacy of %4Alexadricaine Versus %2 Mepicaine-L for Infiltration Anesthesia in Extraction of Maxillary First Primary Molars in Children [NCT04477317]Phase 310 participants (Actual)Interventional2021-08-01Completed
Ultrasound Guidance vs. Electrical Stimulation for Perineural Catheter Insertion: A Randomized, Controlled Trial [NCT00877266]Phase 4180 participants (Actual)Interventional2007-08-31Completed
Efficacy and Pharmacokinetics of Liposomal Mepivacaine Formulations in Dentistry [NCT01032798]Phase 130 participants (Actual)Interventional2007-05-31Completed
Evaluation of Healing Process and Blood Sugar Level Following Local Anesthetic Infiltration With and Without Vasoconstrictor for Extraction of Maxillary Teeth in Diabetic Patients Double Blind Randomized Clinical Trial [NCT05875519]40 participants (Actual)Interventional2023-05-01Active, not recruiting
Pharmacodynamic Profile of Intrathecal Hypobaric Local Anesthetics. An Observational Study [NCT06166394]60 participants (Anticipated)Observational2023-06-09Recruiting
Duration of Subgluteal Sciatic Nerve Block After Intra- or Perineural Injection of Mepivacaine: a Randomized, Controlled Trial [NCT01981291]Phase 4120 participants (Actual)Interventional2012-10-31Completed
Ropivacaine 0.75% vs Ropivacaine 0.75% Plus Mepivacaine 1.5% for Subgluteal Sciatic Bloc: a Prospective Double Blind Randomized Controlled Study [NCT00567450]Phase 430 participants (Anticipated)Interventional2007-09-30Completed
Randomised Controlled Trial to Evaluate the Efficacy of Local Anaesthetic Application in Spray for the Repair of 1st- 2nd Perineal Lacerations Following Vaginal Delivery [NCT05201313]Phase 3136 participants (Actual)Interventional2022-01-20Completed
Clinical Evaluation of the Ultrasound-Guided Retroclavicular Brachial Plexus Block [NCT01605929]0 participants (Actual)Interventional2012-07-31Withdrawn(stopped due to withdrawn before IRB approval)
Treatment of Lumbar Degenerative Disc Disease With Allogenic Mesenchymal Stem Cells (MSV*) *MSV: Bone Marrow Mesenchymal Stromal Cells Expanded Using the Valladolid IBGM Procedure [NCT01860417]Phase 1/Phase 225 participants (Actual)Interventional2013-04-30Completed
Open Randomized Clinical Trial to Examine Individual Pain Tolerance in the Use of Two Anesthetic Techniques to Perform Saturation Prostate Biopsy [NCT02909049]Phase 4100 participants (Actual)Interventional2016-04-30Completed
Effective Low Dosage of Mepivacaine in Ultrasound Guided Axillary Block in Patients Undergoing Distal Upper Extremity Surgery [NCT01485653]64 participants (Actual)Interventional2010-04-30Completed
A Randomized Controlled Trial of Ultrasound Guided Knee Genicular Nerve Block and Anterior Femoral Cutaneous Nerve Block for Primary Total Knee Arthroplasty [NCT05980546]Phase 4244 participants (Anticipated)Interventional2023-06-07Recruiting
Femoral Peri-arterial Local Anesthetic Injection Via Peri-arterial Perineural Catheter Reverses Tourniquet Associated Ischemic Hypertension [NCT04454203]Phase 440 participants (Anticipated)Interventional2021-02-05Recruiting
Wide Awake Open Carpal Tunnel Release With or Without a Tourniquet: a Randomized Single-blinded Controlled Trial [NCT06172400]120 participants (Anticipated)Interventional2024-01-09Not yet recruiting
Mepivacaine vs. Bupivacaine Spinal Anesthetic in Total Knee Arthroplasty, a Randomized Controlled Clinical Trial [NCT02980926]Phase 432 participants (Actual)Interventional2016-12-31Completed
Ultrasound Guided Supraclavicular Nerve Block: Comparison Between a Mixture of Mepivacaine and Ropivacaine, and Sequential Injection of Mepivacaine Followed by Ropivacaine [NCT00825786]Phase 3103 participants (Actual)Interventional2008-09-30Completed
[NCT01522534]Phase 326 participants (Actual)Interventional2012-01-31Terminated(stopped due to not enough inclusions)
Effect of Epinephrine on Systemic Absorption of Mepivacaine Administered for Brachial Plexus Block in Patients With Chronic Renal Insufficiency [NCT01533545]16 participants (Actual)Interventional2012-09-30Terminated(stopped due to Slow recruitment)
Articaine Efficacy and Safety for 3 Years Old Children: A Clinical Randomized Control Trial [NCT05839548]Phase 3200 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Can the Choice of the Local Anesthetic Have an Impact on Ambulatory Surgery Perioperative Costs? Chloroprocaine for Popliteal Block in Outpatient Foot Surgery [NCT02406703]100 participants (Actual)Observational2014-01-31Completed
Decision Support for Intraoperative Low Blood Pressure [NCT02726620]22,435 participants (Actual)Interventional2017-01-05Completed
Optimal Dose of Spinal Mepivacaine Combined With Fentanyl For Knee Arthroscopy [NCT01701102]56 participants (Actual)Interventional2011-12-31Completed
Effect of Magnesium Sulphate Added to Mepivacaine Hydrochloride on Inferior Alveolar Nerve Block Success in Patients With Symptomatic Irreversible Pulpitis in Mandibular Molars: A Randomized Clinical Trial. [NCT04561921]56 participants (Anticipated)Interventional2020-10-22Not yet recruiting
Buffered vs Unbuffered Local Anesthesia Using Lidocaine, Carbocaine, and Articaine in Mandibular Molars Diagnosed With Symptomatic Irreversible Pulpitis [NCT06047366]Phase 460 participants (Anticipated)Interventional2023-12-05Recruiting
"Hemodynamic and Electrocardiographic Effects of Hyaluronidase Associated With Local Anaesthetics: a Double-blind Split-mouth Controlled Trial." [NCT01719978]Phase 420 participants (Actual)Interventional2007-10-31Completed
Randomized Double-blind Placebo Controlled Trial to Assess the Role of Intrauterine Cornual Block (ICOB) in Combination With Direct Cervical Block in Outpatient Endometrial Ablation [NCT01808898]Phase 493 participants (Actual)Interventional2013-02-28Completed
Comparison of Obturator Nerve Blockade and Neuromuscular Blockade for the Prevention of Adductor Spasm in Patients Undergoing Transurethral Resection of Bladder Tumors. [NCT03063255]Phase 460 participants (Actual)Interventional2017-04-25Completed
Effect of Local Anesthetic Dose on Interscalene Block for Shoulder Arthroscopy, Patient Satisfaction and Return of Handgrip Strength [NCT01701115]154 participants (Actual)Interventional2012-08-31Completed
Topographic Assessment of the Medial Antebrachial Cutaneous Nerve Variations at the Axilla and Above the Cubital Fossa Using Ultrasonography [NCT03211949]150 participants (Anticipated)Interventional2014-09-30Completed
Randomized Controlled Trial Evaluating Postoperative Analgesia and Muscle Strength Between Single Versus Continuous Adductor Canal Block for Ambulatory ACL Reconstruction. [NCT02584452]59 participants (Actual)Interventional2015-11-03Completed
Onset of Sensory Blockade in Ultrasound-Guided Ankle Block With Mepivacaine Versus Bupivacaine: A Randomized Non-Inferiority Clinical Trial [NCT05425979]Phase 450 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Circumferential Versus Not Circumferential Distribution of Mepivacaine Around the Median and Ulnar Nerves in the Carpal Tunnel Surgery. Randomized Clinical Trial, Double Blinded. [NCT01603680]Phase 4124 participants (Actual)Interventional2012-01-31Completed
Efficacy of Alkalinised 2% Mepivacaine for Local Infiltration Anesthesia, in Ambulatory Phlebectomy [NCT01611324]Phase 4100 participants (Actual)Interventional2012-05-31Completed
Spinal Versus General Anesthesia With Popliteal and Adductor Canal Blocks for Ambulatory Foot and Ankle Surgery: A Double-Blinded Randomized Controlled Trial. [NCT02996591]Phase 436 participants (Actual)Interventional2017-01-31Completed
A Randomized, Controlled, Double-Blind Trial of 3 Local Anesthetics for Spinal Anesthesia in Primary Total Hip Arthroplasty to Compare the Percentage of Patients in Each Group With Early Ambulation [NCT03948386]Phase 4159 participants (Actual)Interventional2019-05-13Completed
Double Blind Randomized Clinical Trial Comparing Time To Return of Lower Extremity Motor Function Following Spinal Anesthetic With Mepivacaine Versus Low-Dose Bupivacaine For Primary Total Hip and Knee Arthroplasty [NCT03838874]Phase 2/Phase 3154 participants (Actual)Interventional2019-02-25Completed
To Compare the Pulpal Oxygen Saturation Level After Administering Mepivacaine With and Without Vasoconstrictor: A Randomized Clinical Trial [NCT04947267]Phase 260 participants (Actual)Interventional2018-05-30Completed
A Clinical Comparison of Microsurgical Versus Conventional Surgical Approaches for the Semilunar Coronally Advanced Flap [NCT02433899]Phase 414 participants (Actual)Interventional2010-10-31Completed
Spinale Unilaterale o Blocco Nervoso Periferico Per le Artroscopie di Ginocchio in Day Surgery. Confronto Prospettico Randomizzato [NCT02384915]Phase 4100 participants (Actual)Interventional2015-01-31Completed
Stellate Ganglion Block for the Treatment of COVID-19-Induced Olfactory Dysfunction: A Prospective Pilot Study [NCT05445921]Phase 1/Phase 220 participants (Actual)Interventional2022-09-01Completed
A Prospective, Randomized, Double-blind Study of the Anesthetic Efficacy of 3% Mepivacaine Plus 2% Lidocaine With 1:100,000 Epinephrine for Inferior Alveolar Nerve Blocks. [NCT01574807]Phase 4100 participants (Actual)Interventional2012-05-31Completed
Anaesthetic Efficacy of 2% Mepivacaine Versus 4% Articaine for Inferior Alveolar Nerve Blocks in Patients With Symptomatic Irreversible Pulpitis in Mandibular Molars: A Randomized Clinical Trial [NCT04822415]330 participants (Actual)Interventional2014-12-31Completed
Effect of Volume Increase Compared to Supplemental 4% Articaine Buccal Infiltration on Mepivacaine Inferior Alveolar Nerve Block Success in Cases With Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial [NCT05238727]75 participants (Anticipated)Interventional2022-03-31Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00825786 (7) [back to overview]Duration of Analgesia
NCT00825786 (7) [back to overview]Duration of Analgesia.
NCT00825786 (7) [back to overview]Maximum Verbal Response Score (VRS) With Movement
NCT00825786 (7) [back to overview]Maximum Verbal Response Score (VRS) With Rest
NCT00825786 (7) [back to overview]Time to Complete Motor Block
NCT00825786 (7) [back to overview]Time to Onset of First Sensory Block
NCT00825786 (7) [back to overview]Total Opioid Consumption
NCT01574807 (1) [back to overview]Number of Participants Achieving Pulpal Anesthesia Success.
NCT01701102 (1) [back to overview]Time From Spinal Administration to Block Regression to the S1 Dermatome in Post-Anesthesia Care Unit (PACU)
NCT01701115 (4) [back to overview]Side Effects
NCT01701115 (4) [back to overview]Patient Readiness to Discharge
NCT01701115 (4) [back to overview]Handgrip Strength
NCT01701115 (4) [back to overview]Duration of Analgesia
NCT02584452 (4) [back to overview]Quadriceps Strength of on POD 1 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block at 48 Hours After Discharge From PACU
NCT02584452 (4) [back to overview]Quadriceps Strength on POD Week 6- Pts Receiving (1) Long-acting Single Bolus Adductor Canal Nerve Block Comparied to (2) Continuous Adductor Canal Nerve Catheter.
NCT02584452 (4) [back to overview]Subjective Postoperative Pain Score at Post Operative Week 6 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block
NCT02584452 (4) [back to overview]Total Postop Opioid Consumption of Patients Receiving (1) Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to (2) Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block.
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Glycopyrrolate
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Norepinephrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Phenylephrine
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg
NCT02726620 (43) [back to overview]In-hospital Mortality
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Intraoperative Administration of Intravenous Fluids
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
NCT02726620 (43) [back to overview]Postoperative Rise in Creatinine Levels
NCT02726620 (43) [back to overview]Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 50 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 55 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 60 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 65 mmHg
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Ephedrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Ephinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Glycopyrrolate
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Norepinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Phenylephrine
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
NCT02726620 (43) [back to overview]30-day Mortality
NCT02726620 (43) [back to overview]Estimated Intraoperative Blood Loss
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Ephedrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Epinephrine
NCT02996591 (16) [back to overview]Numerical Rating Scale Pain Scores at 2 Hours Postop
NCT02996591 (16) [back to overview]Back Pain on POD1
NCT02996591 (16) [back to overview]Cognitive Recovery at 2 Hours Post-operative
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Incidence of Transient Neurologic Symptoms
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Assessment of Patient Blinding to Group Assignment
NCT02996591 (16) [back to overview]Nausea Intensity
NCT02996591 (16) [back to overview]Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop
NCT02996591 (16) [back to overview]Cognitive Recovery on POD1
NCT02996591 (16) [back to overview]Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1
NCT02996591 (16) [back to overview]Opioid Consumption
NCT02996591 (16) [back to overview]Opioid Consumption Through First Postoperative Day. Measured in mg OME
NCT02996591 (16) [back to overview]Opioid-Related Symptom Distress Scale (ORSDS) Score
NCT02996591 (16) [back to overview]Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.
NCT03063255 (3) [back to overview]Number of Patients With Incidence of Intraoperative Adductor Spasm
NCT03063255 (3) [back to overview]Number Patients With Increased Risk of Falling
NCT03063255 (3) [back to overview]Number of Patients With Incidence of Leg Weakness
NCT03365752 (1) [back to overview]Readiness for Discharge
NCT03390426 (4) [back to overview]Number of Subjects Experiencing Tourniquet Hypertension
NCT03390426 (4) [back to overview]Amount of Opioid Pain Medications Used by Patient
NCT03390426 (4) [back to overview]Amount of Esmolol Used Intraoperatively
NCT03390426 (4) [back to overview]Pain Scores as Measured by the Numeric Rating Scale (NRS-11)
NCT03838874 (9) [back to overview]Discharge Pain Score
NCT03838874 (9) [back to overview]Maximum Pain Score
NCT03838874 (9) [back to overview]Median Pain Score
NCT03838874 (9) [back to overview]Orthostatic Hypotension
NCT03838874 (9) [back to overview]Post-Anesthesia Care Unit (PACU) Length of Stay
NCT03838874 (9) [back to overview]Time to Return of Lower Extremity Motor Function
NCT03838874 (9) [back to overview]Transient Neurologic Symptoms
NCT03838874 (9) [back to overview]Urinary Retention
NCT03838874 (9) [back to overview]Hospital Length of Stay
NCT03948386 (6) [back to overview]Hospital Stay
NCT03948386 (6) [back to overview]Number of Patients With Dizziness Events
NCT03948386 (6) [back to overview]Number of Patients With Transient Neurological Symptoms (TNS)
NCT03948386 (6) [back to overview]Number of Patients With Urinary Retention Events
NCT03948386 (6) [back to overview]Percentage Ambulating Early After Spinal Anesthesia
NCT03948386 (6) [back to overview]Return of Motor Function of the Thigh and Lower Leg
NCT05445921 (4) [back to overview]Olfactory Dysfunction Outcomes Rating (ODOR)
NCT05445921 (4) [back to overview]University of Pennsylvania Smell Identification Test (UPSIT)
NCT05445921 (4) [back to overview]Clinical Global Impression - Improvement (CGI-I) Score
NCT05445921 (4) [back to overview]Clinical Global Impression - Severity (CGI-S) Score

Duration of Analgesia

Time from the complete onset of sensory block until first request for an analgesic (NCT00825786)
Timeframe: from surgery date to postoperative day 1

Interventionhours (Median)
Group 19
Group 211

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Duration of Analgesia.

The primary outcomes will be the onset time, onset of surgical block, and duration of analgesia. (NCT00825786)
Timeframe: During surgery: postoperative day 0

Interventionminute (Median)
Group 17.5
Group 210

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Maximum Verbal Response Score (VRS) With Movement

The severity of postoperative pain was assessed by an observer blinded to treatment using a 0- to 10-point verbal response score (VRS): 0 = no pain and 10 = worst (NCT00825786)
Timeframe: through post operative day 3

Interventionmm (Median)
Group 15.5
Group 25

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Maximum Verbal Response Score (VRS) With Rest

The severity of postoperative pain was assessed by an observer blinded to treatment using a 0- to 10-point verbal response score (VRS): 0 = no pain and 10= worst pain (NCT00825786)
Timeframe: through post operative day 3

Interventionmm (Median)
Group 14
Group 24

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Time to Complete Motor Block

(NCT00825786)
Timeframe: during surgery from induction time to end case time

Interventionminutes (Median)
Group 110
Group 219

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Time to Onset of First Sensory Block

(NCT00825786)
Timeframe: during surgery

Interventionminutes (Median)
Group 10
Group 20

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Total Opioid Consumption

In morphine equivalent dose (NCT00825786)
Timeframe: postoperative day 1 to day 3

Interventionmg (Median)
Group 138
Group 230

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Number of Participants Achieving Pulpal Anesthesia Success.

An electric pulp tester will be used to test the lower jaw teeth (molars, premolars, and incisors) for anesthesia (numbness) in 4-minute time cycles for 60 minutes. Measurements of less than 80 on the EPT is considered not numb (anesthesia failure). Readings of 80 equate to anesthetic success. (NCT01574807)
Timeframe: 60 minutes per injection sequence.

InterventionParticipants (Count of Participants)
Mepivacaine + Lidocaine44
Lidocaine + Lidocaine40

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Time From Spinal Administration to Block Regression to the S1 Dermatome in Post-Anesthesia Care Unit (PACU)

The time frame of the study for each patient only covers the period between time of surgery and time of discharge from the hospital, which is on the same day as the day of surgery (NCT01701102)
Timeframe: Participants will be followed for the duration of their recovery after surgery in the post-anesthesia care unit (PACU), an expected average of 2-4 hours.

Interventionminutes (Median)
Mepivacaine 37.5 mg203
Mepivacaine 30 mg Plus Fentanyl 10 µg195
Mepivacaine 27 mg Plus Fentanyl 10 µg156
Mepivacaine 24 mg Plus Fentanyl 10 µg159

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Side Effects

Incidence of nausea (NCT01701115)
Timeframe: Postoperative Day 2

InterventionParticipants (Count of Participants)
Low Dose (20 mL) Local Anesthetic23
Control Dose (40 mL) Local Anesthetic22

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Patient Readiness to Discharge

(NCT01701115)
Timeframe: Participants will be followed every 15 minutes post-surgery until discharged from the hospital (up to 180 minutes)

Interventionminutes (Mean)
Low Dose (20 mL) Local Anesthetic60
Control Dose (40 mL) Local Anesthetic65

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Handgrip Strength

The primary outcome will be handgrip strength as measured by a dynamometer. A reading will be obtained at baseline (before the interscalene block) and 60 minutes post-operative. (NCT01701115)
Timeframe: Difference between between baseline and postoperative.

Interventionkg (Mean)
Low Dose (20 mL) Local Anesthetic6.45
Control Dose (40 mL) Local Anesthetic2.98

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Duration of Analgesia

Time to pain (NCT01701115)
Timeframe: Postoperative Day 2

Interventionminutes (Median)
Low Dose (20 mL) Local Anesthetic993
Control Dose (40 mL) Local Anesthetic960

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Quadriceps Strength of on POD 1 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block at 48 Hours After Discharge From PACU

Quadriceps strength on POD 1 of preoperative femoral nerve block plus postoperative continuous adductor canal nerve catheter compared to preoperative femoral nerve block plus postoperative saphenous nerve block using Straight Leg Raise Tests, 0-5/5 scale, and knee extension, 0-5/5 scale. On both scales (straight leg raise test and knee extension) 0 indicates the minimum value (low muscle contraction/no movement) and 5 indicates the maximum (normal muscle contraction /pt holds position against pressure). (NCT02584452)
Timeframe: Post Operative Day 1

InterventionParticipants (Count of Participants)
Straight Leg Raise Test72081712Straight Leg Raise Test72081714Knee extension Test72081714Knee extension Test72081712
045123
Continuous Adductor Canal Nerve Catheter1
Continuous Adductor Canal Nerve Catheter3
Long-Acting Single Bolus Adductor Canal Nerve Block7
Long-Acting Single Bolus Adductor Canal Nerve Block4
Continuous Adductor Canal Nerve Catheter8
Continuous Adductor Canal Nerve Catheter2
Continuous Adductor Canal Nerve Catheter11
Long-Acting Single Bolus Adductor Canal Nerve Block9
Continuous Adductor Canal Nerve Catheter9
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter6
Long-Acting Single Bolus Adductor Canal Nerve Block2
Long-Acting Single Bolus Adductor Canal Nerve Block1

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Quadriceps Strength on POD Week 6- Pts Receiving (1) Long-acting Single Bolus Adductor Canal Nerve Block Comparied to (2) Continuous Adductor Canal Nerve Catheter.

Quadriceps strength on POD week 6- pts receiving (1) long-acting single bolus adductor canal nerve block comparied to (2) continuous adductor canal nerve catheter using Straight Leg Raise Tests, 0-5/5 scale, and knee extension, 0-5/5 scale. On both scales (straight leg raise test and knee extension) 0 indicates the minimum value (low muscle contraction/no movement) and 5 indicates the maximum (normal muscle contraction /pt holds position against pressure). (NCT02584452)
Timeframe: Post Operative Week 6

InterventionParticipants (Count of Participants)
Straight Leg Raise Test72081712Straight Leg Raise Test72081714Knee extension Test72081712Knee extension Test72081714
345
Continuous Adductor Canal Nerve Catheter1
Long-Acting Single Bolus Adductor Canal Nerve Block1
Continuous Adductor Canal Nerve Catheter15
Long-Acting Single Bolus Adductor Canal Nerve Block9
Long-Acting Single Bolus Adductor Canal Nerve Block10
Continuous Adductor Canal Nerve Catheter3
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter21
Long-Acting Single Bolus Adductor Canal Nerve Block12
Continuous Adductor Canal Nerve Catheter7
Long-Acting Single Bolus Adductor Canal Nerve Block5

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Subjective Postoperative Pain Score at Post Operative Week 6 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block

Subjective postoperative pain score at post operative week 6 of preoperative femoral nerve block plus postoperative continuous adductor canal nerve catheter compared to preoperative femoral nerve block plus postoperative saphenous nerve block using Subjective Numeric Pain Scale score with and without activity (on an 11 point scale when 0 is no pain and 10 is worst pain). (NCT02584452)
Timeframe: Post Operative Week 6

InterventionParticipants (Count of Participants)
With activity72081712With activity72081714Without activity72081714Without activity72081712
0 (Pain on Subjective Numeric Pain Scale)1 (Pain on Subjective Numeric Pain Scale)2 (Pain on Subjective Numeric Pain Scale)3 (Pain on Subjective Numeric Pain Scale)5 (Pain on Subjective Numeric Pain Scale)4 (Pain on Subjective Numeric Pain Scale)
Continuous Adductor Canal Nerve Catheter8
Long-Acting Single Bolus Adductor Canal Nerve Block9
Continuous Adductor Canal Nerve Catheter5
Long-Acting Single Bolus Adductor Canal Nerve Block1
Continuous Adductor Canal Nerve Catheter10
Continuous Adductor Canal Nerve Catheter3
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter22
Long-Acting Single Bolus Adductor Canal Nerve Block14
Continuous Adductor Canal Nerve Catheter4
Long-Acting Single Bolus Adductor Canal Nerve Block4
Continuous Adductor Canal Nerve Catheter2
Continuous Adductor Canal Nerve Catheter1
Long-Acting Single Bolus Adductor Canal Nerve Block0
Continuous Adductor Canal Nerve Catheter0

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Total Postop Opioid Consumption of Patients Receiving (1) Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to (2) Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block.

Total postop opioid consumption measured by total pain pills on POD 2 and 3 of patients receiving (1) preoperative femoral nerve block plus postoperative continuous adductor canal nerve catheter compared to (2) preoperative femoral nerve block plus postoperative saphenous nerve block. (NCT02584452)
Timeframe: Post Operative Day 2 and 3

InterventionParticipants (Count of Participants)
Post Operative Day 272081712Post Operative Day 272081714Post Operative Day 372081714Post Operative Day 372081712
0 pills1 pill2 pills3 pills4 pills4.5 pills5 pills6 pills7 pills8 pills9 pills10 pills11 pills12 pills13 pills
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter9
Long-Acting Single Bolus Adductor Canal Nerve Block5
Continuous Adductor Canal Nerve Catheter3
Continuous Adductor Canal Nerve Catheter6
Continuous Adductor Canal Nerve Catheter4
Long-Acting Single Bolus Adductor Canal Nerve Block4
Continuous Adductor Canal Nerve Catheter7
Continuous Adductor Canal Nerve Catheter2
Long-Acting Single Bolus Adductor Canal Nerve Block2
Long-Acting Single Bolus Adductor Canal Nerve Block0
Continuous Adductor Canal Nerve Catheter1
Long-Acting Single Bolus Adductor Canal Nerve Block1
Continuous Adductor Canal Nerve Catheter0

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Average Use of Cardiovascular Drugs: Glycopyrrolate

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.40
Hypotension Decision Support0.40

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Average Use of Cardiovascular Drugs: Norepinephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.62
Hypotension Decision Support0.70

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Average Use of Cardiovascular Drugs: Phenylephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.90
Hypotension Decision Support1.30

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group19
Hypotension Decision Support19

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group23
Hypotension Decision Support23

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group57
Hypotension Decision Support52

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group96
Hypotension Decision Support86

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group273
Hypotension Decision Support235

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group485
Hypotension Decision Support417

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In-hospital Mortality

Hospital mortality rate during a single hospital admission after the surgery (NCT02726620)
Timeframe: All postoperative days during a single hospital admission, expected median of 5 days

InterventionParticipants (Count of Participants)
Usual Care Group487
Hypotension Decision Support137

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Incidence of a MAP < 50 mmHg

Incidence of a mean arterial pressure (MAP) < 50 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group7781
Hypotension Decision Support2196

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Incidence of a MAP < 50 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1159
Hypotension Decision Support326

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Incidence of a MAP < 50 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group304
Hypotension Decision Support85

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Incidence of a MAP < 55 mmHg

Incidence of a mean arterial pressure (MAP) < 55 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group10991
Hypotension Decision Support3045

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Incidence of a MAP < 55 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group3181
Hypotension Decision Support759

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Incidence of a MAP < 55 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1223
Hypotension Decision Support284

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Incidence of a MAP < 60 mmHg

Incidence of a mean arterial pressure (MAP) < 60 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group13779
Hypotension Decision Support3798

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Incidence of a MAP < 60 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group6989
Hypotension Decision Support1723

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Incidence of a MAP < 60 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group3632
Hypotension Decision Support792

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Intraoperative Administration of Intravenous Fluids

Total amount (mL) of intravenous fluids (as defined under interventions) administered during the surgical procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmL (Median)
Usual Care Group1500.00
Hypotension Decision Support1400.00

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg

Average concentrations of propofol infusion rates during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group65.00
Hypotension Decision Support50.00

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg

Average concentrations of propofol infusion rates during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group63.95
Hypotension Decision Support50.00

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg

Average concentrations of propofol infusion rates during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group61.07
Hypotension Decision Support50.00

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Postoperative Rise in Creatinine Levels

Absolute values for serum creatinine before and after surgery will be compared. When multiple postoperative creatinine measurements are made, the maximum difference is reported. (NCT02726620)
Timeframe: Within 7 days after surgery

Interventionmg/dL (Median)
Usual Care Group0.00
Hypotension Decision Support0.00

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Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)

The time from arriving at the postanesthesia care unit (PACU) until the time the patient is considered ready for discharge (in minutes). (NCT02726620)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU, an expected average of 4 hours

Interventionminutes (Median)
Usual Care Group67
Hypotension Decision Support60

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Timing of Cardiovascular Drugs for MAP < 50 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 50 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group1
Hypotension Decision Support0

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Timing of Cardiovascular Drugs for MAP < 55 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 55 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group1
Hypotension Decision Support0.5

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Timing of Cardiovascular Drugs for MAP < 60 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group0.8
Hypotension Decision Support1.5

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Timing of Cardiovascular Drugs for MAP < 65 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group2
Hypotension Decision Support1.14

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Usage Frequency of Cardiovascular Drugs: Ephedrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group9310
Hypotension Decision Support2718

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Usage Frequency of Cardiovascular Drugs: Ephinephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1215
Hypotension Decision Support409

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Usage Frequency of Cardiovascular Drugs: Glycopyrrolate

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group11093
Hypotension Decision Support1257

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Usage Frequency of Cardiovascular Drugs: Norepinephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group762
Hypotension Decision Support233

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Usage Frequency of Cardiovascular Drugs: Phenylephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group12211
Hypotension Decision Support3685

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg

Average concentrations of propofol infusion rates during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group60.10
Hypotension Decision Support48.59

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg

Average concentrations of inhalational anesthesia during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.250.674.65
Usual Care Group1.340.684.60

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg

Average concentrations of inhalational anesthesia during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.250.672.33
Usual Care Group1.350.684.36

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg

Average concentrations of inhalational anesthesia during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.270.682.31
Usual Care Group1.350.684.10

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg

Average concentrations of inhalational anesthesia during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.230.654.70
Usual Care Group1.320.654.28

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30-day Mortality

Vanderbilt University Medical Center: combination of in-hospital mortality and 'alive-index' (which checks for visits to the hospital in the electronic healthcare record as indication of being alive at 30 days) (NCT02726620)
Timeframe: 30 days after surgery

InterventionParticipants (Count of Participants)
Usual Care Group511
Hypotension Decision Support143

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Estimated Intraoperative Blood Loss

The estimated blood loss in mL during the surgical procedure (NCT02726620)
Timeframe: During the surgical procedure: an expected average of 2 hours

InterventionmL (Median)
Usual Care Group100
Hypotension Decision Support75

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Average Use of Cardiovascular Drugs: Ephedrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosages would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group20
Hypotension Decision Support15

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Average Use of Cardiovascular Drugs: Epinephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group1.00
Hypotension Decision Support0.70

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Numerical Rating Scale Pain Scores at 2 Hours Postop

Numerical rating scale pain score as reported by the patient at 2 hours post-operatively. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 2 hours after PACU admission

Interventionunits on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks..4
General Anesthesia With Popliteal and Adductor Canal Blocks..9

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Back Pain on POD1

Back pain (yes/no) on POD1 (NCT02996591)
Timeframe: Postoperative day 1

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.143
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.162

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Cognitive Recovery at 2 Hours Post-operative

Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked at 2 hour post-operatively. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: 2 hours after PACU admission

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.413
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.116

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Rating the Nausea/Vomiting of patients post-operatively. (NCT02996591)
Timeframe: 2 hours after surgery

,
Interventionscore on a scale (Mean)
PainSore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.41.61.211.11.21.8
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.21.21.111.11.42.1

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Incidence of Transient Neurologic Symptoms

(NCT02996591)
Timeframe: Postoperative day 1 and if present, monitored until resolution

,
InterventionParticipants (Count of Participants)
NormalTransient Neurological Symptoms
General Anesthesia With Popliteal and Adductor Canal Blocks.180
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.180

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq). From 1-5. 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: Postoperative day 1

,
Interventionscore on a scale (Mean)
PainSore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.51.51.2111.72.2
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.41.21.111.31.42.3

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq) score. Performed at 1 hour postoperatively. To what degree did patients have the following symptoms. Rated 1-5, 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: 1 hour after surgery

,
Interventionscore on a scale (Mean)
PainA Sore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.61.61.211.31.72.5
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.11.21.211.41.92.7

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Assessment of Patient Blinding to Group Assignment

Patients will be asked whether they believe they were in the general anesthesia or spinal anesthesia group. These responses are then validated using the Bang Blinding Index, which either confirms or refutes the validity of the blinding. The scale runs from -1 to 1, with a score of 0 indicating complete blinding, -1 indicating opposite guessing of groups, and 1 indicating a complete lack of blinding. (NCT02996591)
Timeframe: Postoperative day 1

InterventionBang blinding index (Number)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks..588
General Anesthesia With Popliteal and Adductor Canal Blocks..722

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Nausea Intensity

Nausea intensity ranked on NRS score following PACU admission to 2 hours after discharge. Scored from 0-10. 0 Being no nausea, 10 being worst nausea imaginable. (NCT02996591)
Timeframe: 2 hours after PACU admission

Interventionscore on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.0
General Anesthesia With Popliteal and Adductor Canal Blocks.0

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Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop

NRS Pain scores at 1 hour after surgery. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 1 hour after PACU admission

Interventionunits on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.0
General Anesthesia With Popliteal and Adductor Canal Blocks.1.8

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Cognitive Recovery on POD1

Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked on postoperative day 1. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: Postoperative day 1

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.215
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.314

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Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1

Numerical Rating Scale Pain from 0-10. 0 being no pain at all. 10 being the worst pain imaginable. (NCT02996591)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1
General Anesthesia With Popliteal and Adductor Canal Blocks.1

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Opioid Consumption

Opioid consumption (mg OME) during inpatient stay (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery (average 2 hours)

Interventionmg OME (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.2.2
General Anesthesia With Popliteal and Adductor Canal Blocks.5

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Opioid Consumption Through First Postoperative Day. Measured in mg OME

(NCT02996591)
Timeframe: Postoperative day 1

Interventionmg OME (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.8.3
General Anesthesia With Popliteal and Adductor Canal Blocks.11

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Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.

Modified Aldrete Scoring System and Marshall and Chung Postanesthesia Discharge Scoring System, measured in time until discharge criteria is met (in minutes) (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery

InterventionMinutes (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.81
General Anesthesia With Popliteal and Adductor Canal Blocks.43.5

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Number of Patients With Incidence of Intraoperative Adductor Spasm

Nerve Integrity Monitor will be used to detect adductor spasm and below are listed the numbers or patients with increased incidence of adductor spasm. (NCT03063255)
Timeframe: intraoperative

InterventionParticipants (Count of Participants)
Obturator Block1
Neuromuscular Block5

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Number Patients With Increased Risk of Falling

Based on TUG time measurements of patients below are the numbers of patients with an increased risk of falling. (NCT03063255)
Timeframe: Changes from baseline (pre-op) to 72 hours post-operative

Interventionparticipants (Number)
Obturator Block28
Neuromuscular Block29

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Number of Patients With Incidence of Leg Weakness

Test the strength of subject's lower extremity muscles on the timed up and go (TUG) test and determine how many patients had increased leg weakness. (NCT03063255)
Timeframe: Changes from baseline (pre-op) to 72 hours post-operative

InterventionParticipants (Count of Participants)
Obturator Block27
Neuromuscular Block22

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Readiness for Discharge

Defined as duration from arrival in the post-anesthesia care unit (PACU0 to the time patient meets the discharge criteria from the post anesthesia discharge scoring system (PADSS) for home readiness after ambulatory surgery (NCT03365752)
Timeframe: Determine within 24 hours after surgery

Interventionminutes (Mean)
Chloroprocaine141.85
Mepivacaine174.31
General Anesthesia170.69

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Number of Subjects Experiencing Tourniquet Hypertension

Measuring systolic blood pressure using a cuff, aim to keep <30mmHg change from baseline (NCT03390426)
Timeframe: Intraoperatively (~3 hours)

InterventionParticipants (Count of Participants)
Mepivacaine Block Group5
Saline Sham Group14

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Amount of Opioid Pain Medications Used by Patient

Amount of opioid pain medication used by patient over a 4 hour period immediately after surgery. Opioids taken are converted to morphine equivalents. (NCT03390426)
Timeframe: Perioperative period (~4 hours)

Interventionmorphine equivalents (Mean)
Mepivacaine Block Group10.48
Saline Sham Group8.19

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Amount of Esmolol Used Intraoperatively

Amount of esmolol (in mg) used intraoperatively to decrease blood pressure after subject achieved tourniquet hypertension. (NCT03390426)
Timeframe: Intraoperatively (~3 hours)

Interventionmg (Mean)
Mepivacaine Block Group8.00
Saline Sham Group95.33

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Pain Scores as Measured by the Numeric Rating Scale (NRS-11)

The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. 0 = No Pain, 1-3 = Mild Pain, 4-6 = Moderate Pain, 7-10 = Severe Pain. (NCT03390426)
Timeframe: While in PACU (~1 hour)

Interventionscore on a scale (Mean)
Mepivacaine Block Group1.80
Saline Sham Group1.07

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Discharge Pain Score

Measured on a scale from 1 to 10 at time of hospital discharge, 1=mild pain; 10=worst pain. (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

Interventionscore on a scale (Mean)
Low-Dose Bupivacaine3.5
Mepivacaine3.5

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Maximum Pain Score

Measured on a scale from 1 to 10 in the first 24 hours following the surgical procedure, 1=mild pain; 10=worst pain. (NCT03838874)
Timeframe: 24 hours following the surgical procedure

Interventionscore on a scale (Mean)
Low-Dose Bupivacaine6.0
Mepivacaine6.5

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Median Pain Score

Measured on a scale from 1 to 10 in the first 24 hours following the surgical procedure, 1=mild pain; 10=worst pain. (NCT03838874)
Timeframe: 24 hours following the surgical procedure

Interventionscore on a scale (Mean)
Low-Dose Bupivacaine3.4
Mepivacaine3.4

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Orthostatic Hypotension

Number of participants to experience orthostatic hypotension following the surgical procedure. (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

InterventionParticipants (Count of Participants)
Low-Dose Bupivacaine4
Mepivacaine6

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Post-Anesthesia Care Unit (PACU) Length of Stay

Number of minutes subjects were admitted to PACU following the surgical procedure (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

Interventionminutes (Mean)
Low-Dose Bupivacaine65.2
Mepivacaine75.0

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Time to Return of Lower Extremity Motor Function

Assessed by measuring time from spinal anesthetic administration to postoperative achievement of Bromage 0 function (return of spontaneous ankle, knee, and hip movement) in the non-operative extremity at 15-minute intervals. (NCT03838874)
Timeframe: Post surgery, approximately 1 day

Interventionminutes (Mean)
Low-Dose Bupivacaine210.3
Mepivacaine184.7

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Transient Neurologic Symptoms

Number of participants to report transient neurologic symptoms (NCT03838874)
Timeframe: One week post-operative

InterventionParticipants (Count of Participants)
Low-Dose Bupivacaine0
Mepivacaine0

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Urinary Retention

Number of participants to experience urinary retention follow the surgical procedure. (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

InterventionParticipants (Count of Participants)
Low-Dose Bupivacaine10
Mepivacaine10

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Hospital Length of Stay

Number days subjects were admitted to the hospital following the surgical procedure (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

Interventiondays (Mean)
Low-Dose Bupivacaine1.5
Mepivacaine1.4

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Hospital Stay

length of hospital stay (NCT03948386)
Timeframe: hospital stay (0-3 days)

Interventionhours (Median)
Isobaric Bupivacaine26
Hyperbaric Bupivacaine26
Isobaric Mepivacaine22

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Number of Patients With Dizziness Events

number of patients with dizziness when transitioning from lying down to sitting or standing (NCT03948386)
Timeframe: Postoperative day 2

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine11
Hyperbaric Bupivacaine7
Isobaric Mepivacaine9

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Number of Patients With Transient Neurological Symptoms (TNS)

Number of patients with TNS events occurring. Transient neurological symptoms were defined as new onset of back, buttock, or thigh pain occurring after spinal anesthesia. (NCT03948386)
Timeframe: Postoperative days 0-2

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine2
Hyperbaric Bupivacaine6
Isobaric Mepivacaine5

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Number of Patients With Urinary Retention Events

number of patients with inability to urinate within 8 hours of surgery OR a report of distended or painful bladder occurring on postoperative day 0 or 1, either by patient report or on palpation by nursing (NCT03948386)
Timeframe: postoperative day 1

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine6
Hyperbaric Bupivacaine8
Isobaric Mepivacaine5

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Percentage Ambulating Early After Spinal Anesthesia

Is there a difference between isobaric mepivacaine, hyperbaric bupivacaine, and isobaric bupivacaine when used for spinal anesthesia in primary total hip replacement in percentage of patients that can ambulate within 3.5 hours after spinal anesthesia? (NCT03948386)
Timeframe: 3.5 hours

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine9
Hyperbaric Bupivacaine20
Isobaric Mepivacaine35

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Return of Motor Function of the Thigh and Lower Leg

time to return of motor function of the thigh and lower leg (NCT03948386)
Timeframe: Postoperative day 0 (day of surgery)

Interventionminutes (Median)
Isobaric Bupivacaine148
Hyperbaric Bupivacaine123
Isobaric Mepivacaine109

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Olfactory Dysfunction Outcomes Rating (ODOR)

"Participants will be asked to complete the ODOR, which is a patient-reported outcome measure assessing physical problems, functional limitations, and emotional consequences of olfactory dysfunction.~The ODOR has a minimum score of 0 and a maximum score of 112 with higher scores indicating a greater degree of impairment and limitation. The minimal clinically important difference is a change of 15 points." (NCT05445921)
Timeframe: baseline, 5-10 days post SGB #1, and 1 month

Interventionscore on a scale (Median)
ODOR at BaselineODOR at 1 WeekODOR at 1 Month
Stellate Ganglion Block625750.5

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University of Pennsylvania Smell Identification Test (UPSIT)

"Participants will complete the 40-item scratch and sniff UPSIT and mean change will be assessed.~The UPSIT has a minimum score of 0 and maximum score of 40 with lower scores indicating a greater degree of impairment. An UPSIT score of >33 for men and >34 for women is considered normosmic, and the minimal clinically important difference is a change of 4 points." (NCT05445921)
Timeframe: baseline, 5-10 days, and 1 month

Interventionunits on a scale (Median)
UPSIT at BaselineUPSIT at 1 WeekUPSIT at 1 Month
Stellate Ganglion Block16.52122.5

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Clinical Global Impression - Improvement (CGI-I) Score

Participants will be asked about their change in olfactory dysfunction on a 7-point Likert scale from much better to much worse. (NCT05445921)
Timeframe: 5-10 days post SGB #1 and 1 month

InterventionParticipants (Count of Participants)
CGI-I for Smell Loss at 1 Week71922197CGI-I for Smell Loss at 1 Month71922197CGI-I for Smell Distortion at 1 Week71922197CGI-I for Smell Distortion at 1 Month71922197CGI-I for Taste Loss at 1 Week71922197CGI-I for Taste Loss at 1 Month71922197CGI-I for Taste Distortion at 1 Week71922197CGI-I for Taste Distortion at 1 Month71922197
About the SameSlightly BetterMuch BetterModerately Better
Stellate Ganglion Block8
Stellate Ganglion Block10
Stellate Ganglion Block9
Stellate Ganglion Block11
Stellate Ganglion Block6
Stellate Ganglion Block1
Stellate Ganglion Block15
Stellate Ganglion Block4
Stellate Ganglion Block0
Stellate Ganglion Block14
Stellate Ganglion Block3
Stellate Ganglion Block2
Stellate Ganglion Block13
Stellate Ganglion Block12
Stellate Ganglion Block5

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Clinical Global Impression - Severity (CGI-S) Score

Participants will be asked about the severity of their olfactory dysfunction (and gustatory dysfunction) on a 5-point Likert scale from no smell loss to severe smell loss. (NCT05445921)
Timeframe: baseline, 5-10 days, and 1 month

InterventionParticipants (Count of Participants)
CGI-S for Smell Loss at Baseline71922197CGI-S for Smell Loss at 1 Week71922197CGI-S for Smell Loss at 1 Month71922197CGI-S for Smell Distortion at Baseline71922197CGI-S for Smell Distortion at 1 Week71922197CGI-S for Smell Distortion at 1 Month71922197CGI-S for Taste Loss at Baseline71922197CGI-S for Taste Loss at 1 Week71922197CGI-S for Taste Loss at 1 Month71922197CGI-S for Taste Distortion at Baseline71922197CGI-S for Taste Distortion at 1 Week71922197CGI-S for Taste Distortion at 1 Month71922197
No ProblemVery Mild ProblemMild ProblemModerate ProblemSevere Problem
Stellate Ganglion Block0
Stellate Ganglion Block3
Stellate Ganglion Block2
Stellate Ganglion Block8
Stellate Ganglion Block7
Stellate Ganglion Block9
Stellate Ganglion Block1
Stellate Ganglion Block5
Stellate Ganglion Block12
Stellate Ganglion Block4
Stellate Ganglion Block10
Stellate Ganglion Block11
Stellate Ganglion Block6

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