R.E.C.K vs Exparel for Pain After Robotic Kidney Surgery

This study compares two pain management approaches, R.E.C.K (a mix of ropivacaine, epinephrine, clonidine, and ketorolac) and Exparel, for people having robotic surgery to remove part or all of a kidney (nephrectomy) due to kidney cancer. Researchers want to see which treatment is better at controlling pain after surgery, how much pain medicine you need, and how long you stay in the hospital. The main goal is to measure your pain levels using a Numeric Rating Scale (NRS) for seven days after surgery. You may be able to join if you are 18 or older and are scheduled for this type of surgery. The study is currently recruiting participants.

Study design
This is a randomized study, meaning participants will be assigned by chance to receive either R.E.C.K or Exparel. The study plans to enroll 170 participants.
What's involved
You will receive the study treatment during your surgery. After discharge, you will record your pain levels and any pain medications you take in a diary.
Compensation
Not stated in the trial record.
Follow-up
Your pain levels will be monitored for seven days (168 hours) after surgery.

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NCT07092566

R.E.C.K vs Exparel in Robotic Nephrectomy

Recruiting
PHASE3Ages 18+InterventionalTreatment
Wake Forest University Health Sciences
~170 participants
Updated 2026-07-13 on ClinicalTrials.gov
What's tested:Ropivacaine HCLExparelEpinephrineClonidine HCLKetorolac

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
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.
Measured over Day of Surgery to Day 7 Post-Surgery
Renal Carcinoma
Nephrectomy / Methods
Pain Management
1 sites across 1 states
North Carolina1
  • Roy Ornob, MD · PRINCIPAL_INVESTIGATOR · Wake Forest University Health Sciences

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  • 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.