Drug intelligence / Profile preview

ropivacaine + epinephrine + ketorolac + clonidine (Atlantic Health System)

Development stage
Phase 4
Lead developer
Atlantic Health System
Modality
Small Molecules
Administration
Infiltration, Injection
01

Overview

This is an investigational multidrug cocktail developed by Atlantic Health System for the management of postoperative pain. The combination consists of four active ingredients: ropivacaine, a long-acting amide local anesthetic; epinephrine, a vasoconstrictor that prolongs the duration of the anesthetic; ketorolac, a nonsteroidal anti-inflammatory drug (NSAID) that provides systemic and local analgesia; and clonidine, an alpha-2 adrenergic agonist that enhances the effects of local anesthetics. The cocktail is administered via direct injection into the surgical site to provide multimodal analgesia, aiming to reduce postoperative narcotic consumption. It is currently being evaluated in Phase 2 clinical trials for patients undergoing soft tissue tumor resection.

Other names
Multi-Drug Cocktail (Ropivicaine, Epinephrine, Ketolorac, Clonidine)Multidrug Cocktail
02

Targets

ADRA1A (α1A)ADRA2A (α2A)β-AR (Beta-adrenergic receptor family)PGHS-1 (Prostaglandin G/H Synthase 1)PTGS2 (Prostaglandin-Endoperoxide Synthase 2)HCN (HCN channel family)NaV (Voltage-gated sodium channels)ADRA1 (Alpha-1 adrenergic receptor family)ADRB1 (β1)

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