Ropivacaine and Fentanyl for Labor Epidural Initiation
EV90_DPE
Determination of the 90% Effective Volume (ED90) of Epidural 0.1% Ropivacaine and Fentanyl for Labor Analgesia Initiation in Patients Receiving a Dural-Puncture Epidural Technique
Sponsor study identifier
interventional
50
1 country
1
Study Start
October 24, 2025
Actual (reported)Primary Completion
July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
This study is being done to determine the most effective dose of medicine to use to initially provide effective pain relief within the first 30 minutes of receiving an epidural for pain labor during labor. The study team will also study any side effects related to the epidural medication and patients' satisfaction with the quality of pain relief after receiving the epidural.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
July 7, 2025
Actual (reported)July 22, 2025
Actual (reported)October 24, 2025
Actual (reported)July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Numerical Pain score
Numerical pain score using a discrete range from 0 (no pain) to 10 (most severe pain).
30 mins post-intervention
Patients with singleton vertex pregnancies in active labor (spontaneous or after induction of labor), with a cervical dilatation between 1 and 7cm who are requesting neuraxial labor analgesia, Age =\>18 yrs
A standard epidural admixture - 0.1% Ropivacaine + 2 mcg/ml fentanyl - will be used.
Linked from the registry description. Each source intervention is retained as reported.
In: Ropivacaine + Fentanyl
In: Ropivacaine + Fentanyl
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
Ropivacaine + Fentanyl
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
View registry recordUniversity of California, San Francisco
San Francisco, California, 94158, United States
Chau A, Bibbo C, Huang CC, Elterman KG, Cappiello EC, Robinson JN, Tsen LC. Dural Puncture Epidural Technique Improves Labor Analgesia Quality With Fewer Side Effects Compared With Epidural and Combined Spinal Epidural Techniques: A Randomized Clinical Trial. Anesth Analg. 2017 Feb;124(2):560-569. doi: 10.1213/ANE.0000000000001798.
Song Y, Song Y, Sheng Z, Zhao Q, Liu W, Li Y, Zang Y, Xu Z, Liu Z. Exploration of the optimal programmed intermittent epidural bolus volume with the dural puncture epidural technique for labour analgesia: a biased-coin up-and-down sequential allocation study. Can J Anaesth. 2025 Feb;72(2):254-261. doi: 10.1007/s12630-024-02855-6. Epub 2024 Oct 21.
Alexander Butwick, MBBS, FRCA, MS
University of California, San Francisco
First Submitted
July 7, 2025
First Posted
July 22, 2025
Study Start
October 24, 2025
Actual (reported)Comparison of Regimens MPIB, CIPCEA, PCEA
Contact the study team to confirm eligibility.
Maeda A, Villela-Franyutti D, Lumbreras-Marquez MI, Murthy A, Fields KG, Justice S, Tsen LC. Labor Analgesia Initiation With Dural Puncture Epidural Versus Conventional Epidural Techniques: A Randomized Biased-Coin Sequential Allocation Trial to Determine the Effective Dose for 90% of Patients of Bupivacaine. Anesth Analg. 2024 Jun 1;138(6):1205-1214. doi: 10.1213/ANE.0000000000006691. Epub 2023 Oct 12.
Primary Completion
July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
July 31, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
January 27, 2026
Record last verified: 2026-01
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Source: ClinicalTrials.gov.
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