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Ropivacaine

Phase 3

Renal Carcinoma | Small molecule | Oncology |Atrium Therapeutics, Inc.|Last Updated: Jan 20, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment170
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07092566R.E.C.K vs Exparel in Robotic NephrectomyPHASE3 RECRUITING 170Nov 14, 2025Oct 1, 2027Jan 20, 20261 United States
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Study Endpoints
Primary Endpoints
Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) pain intensity scores through 7 days (168 hours) for participants receiving Exparel vs. R.E.C.K.
Day of Surgery to Day 7 Post-Surgery

Assess pain intensity (evaluated by NRS) after surgery on the as response to the prompt: "On a scale of 0 to 10, where 0 = no pain and 10 = worst possible pain, how much pain are you having right now?" The AUC will be derived for each participant from self-reported pain scores and will be summarized by treatment group. Generalized linear models with main effect of treatment will be estimated to test for significant differences in AUC between the arms.

Secondary Endpoints
Estimated difference in Numeric Rating Scale (NRS) pain intensity scores over 7 days for participants receiving Exparel vs. R.E.C.K.
Day of Surgery to Day 7 Post-Surgery
Total postsurgical opioid consumption (morphine equivalent dose) over 7 days for participants receiving Exparel vs. R.E.C.K.
Day of Surgery to Day 7 Post-Surgery
Estimated difference in postsurgical opioid consumption (in morphine equivalent dose) over 7 days for participants receiving Exparel vs. R.E.C.K.
Day of Surgery to Day 7 Post-Surgery
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm AACTIVE_COMPARATORIntraoperative R.E.C.K.
Arm BEXPERIMENTALIntraoperative Exparel
Interventions
NameTypeDescription
Ropivacaine HCLDRUG123 mg, intramuscular
ExparelDRUG100 mL total dose - Intramuscular (IM), intraoperatively
EpinephrineDRUG0.25 mg, intramuscular
Clonidine HCLDRUG0.04 mg, intramuscular
KetorolacDRUG15 mg, intramuscular
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Ability to understand and willingness to sign an IRB-approved informed consent 2. Age ≥ 18 years at the time of consent. 3. Planned robotic partial or radical nephrectomy Exclusion Criteria: 1. Determined not to be a candidate to receive R.E.C.K or Exparel per the enrolling...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT07092566studyFirstPostDate: changed