Clinical Trials

Mepivacaine hydrochloride has been evaluated across several clinical trials investigating local anesthetic effectiveness and regional pain management strategies in conditions such as hip and knee osteoarthritis, chronic renal insufficiency, and dental applications. Ranging from Phase 1 and Phase 4 to designs where phase classification is not applicable, these studies encompass completed, terminated, and not yet recruiting statuses. Sponsored by academic and healthcare institutions including the Ottawa Hospital Research Institute, Rigshospitalet, and the University of Campinas, the trials evaluate anesthetic performance, pharmacokinetic profiles, and regional regimens across distinct clinical settings.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04257682 Not yet recruiting
Knee Osteoarthritis|Hip Osteoarthritis
Ottawa Hospital Research Institute
2022-09 Phase 4
NCT01533545 Terminated
Renal Insufficiency Chronic
Rigshospitalet Denmark
2012-09 Not Applicable
NCT01032798 Completed
Local Anesthetic Effectiveness
University of Campinas Brazil|Fundação de Amparo à Pesquisa do Estado de São Paulo
2007-05 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Mepivacaine HCl product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Mepivacaine binds to voltage-gated sodium channels on neuronal membranes, preventing the transient influx of sodium ions and blocking downstream membrane depolarization. This inhibition halts the propagation of action potentials along peripheral sensory nerve fibers, thereby suppressing nociceptive transmission to provide regional anesthesia for clinical indications such as joint osteoarthritis procedures and dental applications.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.