mepivacaine
Trade name: carbocaine
Approved
Jan 6, 1960
Dexivacaine is a local anesthetic drug that has minimal and non-significant side effects. — NCATS
Clinical trial activity
68 trials · 58 clinical orgs · 10 marketing orgs
Earliest trial started May 1, 2007 (NCT01032798)
Timeline
1960s
1970s
1980s
- Oct 5, 1982
International Medication — Marketing Organization
- Aug 21, 1984
Dentsply International — Marketing Organization
- Oct 10, 1984
Deproco — Marketing Organization
- Nov 20, 1984
Watson Pharmaceuticals — Marketing Organization
- Dec 1, 1986
Fresenius — Marketing Organization
2000s
2010s
- Jan 1, 2018
Earliest Phase 2 Sponsor(trial)
Indications
Approved for
Studied for
- Acute Pain · Phase 1
- Ambulatory Surgical Procedures · Phase 4
- Analgesia · Phase 3
- Analgesics, Opioid · Phase 4
- Anesthesia · Phase 4
- Anesthesia, General · Phase 4
- Anesthesia, Local · Phase 4
- Anesthesia, Spinal · Phase 4
- Anesthetics, Local · Phase 3
- Ankle · Phase 4
- Ankle Injuries · Phase 4
- Arrhythmias, Cardiac · Phase 4
- Arthroplasty · Phase 4
- Arthroplasty, Replacement, Hip · Phase 4
- Arthroplasty, Replacement, Knee · Phase 4
- Arthroscopy · Phase 2
- Child Behavior · Phase 3
- Contraception · Phase 4
- Dental Caries · Phase 3
- Dental Pulp Diseases · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Early Ambulation · Phase 4
- Emergencies · Phase 3
- General Surgery · Phase 4
- Gingival Recession · Phase 4
- Healthy Volunteers · Phase 1
- Hemodynamics · Phase 4
- Hypertension · Phase 4
- Intervertebral Disc Degeneration · Phase 1/Phase 2
- Intrauterine Devices · Phase 4
- Ischemic Stroke · Phase 2
- Leg Injuries · Phase 1
- Low Back Pain · Phase 1/Phase 2
- Morton Neuroma · Phase 4
- Nerve Block · Phase 4
- Orthopedic Procedures · Phase 4
- Osteoarthritis, Hip · Phase 4
- Osteoarthritis, Knee · Phase 4
- Pain · Phase 4
- Pain Management · Phase 4
- Perineum · Phase 3
- Postoperative Nausea and Vomiting · Phase 4
- Postoperative Pain · Phase 4
- Prostatic Neoplasms · Phase 4
- Pulpitis · Phase 4
- Recovery Room · Phase 4
- Sciatic Neuropathy · Phase 4
- Spinal Diseases · Phase 1/Phase 2
- Stomatognathic Diseases · Phase 3
- Uterine Diseases · Phase 3
- Vaginal Discharge · Phase 3
- Varicose Veins · Phase 4
- Wounds and Injuries · Phase 3
Mechanism of action
- Sodium channel alpha subunitBLOCKER
Sodium channel alpha subunit blocker
- Sodium channel protein type 1 subunit alpha (SCN1A) ↗
- Sodium channel protein type 5 subunit alpha (SCN5A) ↗
- Sodium channel protein type 4 subunit alpha (SCN4A) ↗
- Sodium channel protein type 7 subunit alpha (SCN7A) ↗
- Sodium channel protein type 2 subunit alpha (SCN2A) ↗
- Sodium channel protein type 9 subunit alpha (SCN9A) ↗
- Sodium channel protein type 3 subunit alpha (SCN3A) ↗
- Sodium channel protein type 11 subunit alpha (SCN11A) ↗
- Sodium channel protein type 8 subunit alpha (SCN8A) ↗
- Sodium channel protein type 10 subunit alpha (SCN10A) ↗
- Sodium channel protein type I alpha subunit
- Sodium channel protein type V alpha subunit
- Sodium channel protein type IV alpha subunit
- Sodium channel protein type VII alpha subunit
- Sodium channel protein type IX alpha subunit
- Sodium channel protein type II alpha subunit
- Sodium channel protein type III alpha subunit
- Sodium channel protein type XI alpha subunit
- Sodium channel protein type VIII alpha subunit
- Sodium channel protein type X alpha subunit
- Sodium channel alpha subunits; brain (Types I, II, III)
Combination products
carbocaine w/ neo-cobefrin
with levonordefrin
Also known as arestocaine hydrochloride w/ levonordefrin, isocaine hydrochloride w/ levonordefrin, polocaine w/ levonordefrin, scandonest l
Approval history
- approvedPriority reviewJan 6, 1960
Chemistry & pharmacology
SMILES
Cc1cccc(C)c1NC(=O)C1CCCCN1C- Mol. weight
- 246.35 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL1087 ↗
- WikipediaMepivacaine ↗
- NCATSB6E06QE59J ↗
- ChEMBLCHEMBL1200440 ↗
Also known as
- (+-)-1-methyl-2',6'-pipecoloxylidide
- (+-)-1-methyl-2',6'-pipecoloxylidide
- 1-methyl-2',6'-pipecoloxylidide
- 1-methyl-2',6'-pipecoloxylidide
- arestocaine hcl
- arestocaine hcl
- carbocain
- carbocaine
- carbocaine
- carbocaine
- carbocaine
- dl-mepivacaine
- dl-mepivacaine
- dl-mepivacaine
- isocaine hcl
- isocaine hcl
- mepicaine
- mepivacaina
- mepivacaina
- mepivacaine
- mepivacaine
- mepivacaine
- mepivacaine
- mepivacaine
- mepivacaine
- mepivacaine
- mepivacaine
- mepivacaine
- (+/-)-mepivacaine
- mepivacaine hcl
- mepivacaine hcl
- mepivacaine hcl
- mepivacaine hydrochloride
- mepivacaine hydrochloride
- mepivacaine hydrochloride
- mepivacaine hydrochloride
- mepivacainum
- mepivacainum
- mepivicaine
- mepivicaine
- n-(2,6-dimethylphenyl)-1-methyl-2-piperidinecarboxamide
- n-(2,6-dimethylphenyl)-1-methyl-2-piperidinecarboxamide
- n-(2,6-dimethylphenyl)-1-methylpiperidine-2-carboxamide
- n-(2,6-dimethylphenyl)-1-methylpiperidine-2-carboxamide
- polocaine
- polocaine
- polocaine-mpf
- polocaine-mpf
- scandicaine
- scandicaine
- scandonest
- scandonest
- scandonest plain
- scandonest plain
- tevacaine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07239999 | Phase 4 | Jan 12, 2026 | Dalhousie University, Government of Canada |
| NCT07298746 | N/A | Dec 31, 2025 | Sohag University |
| NCT06927726 | N/A | Jan 10, 2025 | Tanta University |
| NCT06710704 | N/A | Apr 1, 2024 | Tanta University |
| NCT06291727 | Phase 4 | Feb 16, 2024 | Prisma Health |
| NCT07013071 | Phase 4 | Feb 10, 2024 | King Abdul-Aziz University |
| NCT06172400 | N/A | Jan 9, 2024 | Region Skane |
| NCT06047366 | Phase 4 | Dec 5, 2023 | Indiana University, United States Army |
| NCT05425979 | Phase 4 | Nov 30, 2023 | Mayo Clinic |
| NCT06128590 | N/A | Nov 15, 2023 | University of Nove de Julho |
| NCT06005480 | Phase 1 | Sep 30, 2023 | Harvard University |
| NCT05980546 | Phase 4 | Jun 7, 2023 | Rockefeller University |
| NCT05839548 | Phase 3 | Jun 1, 2023 | Qassim Health Cluster, Qassim University |
| NCT05875519 | N/A | May 1, 2023 | Minia University |
| NCT05728151 | N/A | Feb 12, 2023 | Research Institute of Ophthalmology, Egypt |
| NCT05222828 | Phase 2 | Jun 22, 2022 | Assistance Publique - Hôpitaux de Paris |
| NCT05338983 | N/A | May 1, 2022 | Mansoura University |
| NCT05238727 | N/A | Mar 31, 2022 | Cairo University |
| NCT05201313 | Phase 3 | Jan 20, 2022 | University of Udine |
| NCT05083975 | N/A | Dec 31, 2021 | Cairo University |
Organizations
Research & Development (58)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Cairo University | Academic/Hospital | 10 | 10 | 3 | 2014 |
| Rockefeller University | Academic/Hospital | 4 | 4 | 3 | 2012 |
| University of Sao Paulo | Academic/Hospital | 3 | 3 | 2 | 2007 |
| ASST Gaetano Pini-CTO | Academic/Hospital | 2 | 2 | 1 | 2014 |
| Duke University | Academic/Hospital | 2 | 2 | 1 | 2018 |
| Harvard University | Academic/Hospital | 2 | 2 | 1 | 2020 |
| Mayo Clinic | Academic/Hospital | 2 | 2 | 2 | 2019 |
| Tanta University | Academic/Hospital | 2 | 2 | 1 | 2024 |
| University of Toronto | Academic/Hospital | 2 | 2 | 1 | 2008 |
| Vanderbilt University | Academic/Hospital | 2 | 2 | 1 | 2015 |
| Alexandria University | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Assistance Publique - Hôpitaux de Paris | Academic/Hospital | 1 | 1 | 1 | 2022 |
| Beni Suef University | Academic/Hospital | 1 | 0 | 1 | 2016 |
| Campus Bio-Medico University | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Centre Hospitalier de la Région d'Annecy | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Citospin | For profit | 1 | 0 | 1 | 2013 |
| Complexo Hospitalario Universitario de A Coruña | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Dalhousie University | Academic/Hospital | 1 | 0 | 1 | 2026 |
| Dow University of Health Sciences | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Fluminense Federal University | Academic/Hospital | 1 | 1 | 1 | 2010 |
Marketing (13)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Belmora | Academic/Hospital | MKTG | Dec 4, 1973 |
| Dentsply International | For profit | MKTG | Aug 21, 1984 |
| Deproco | For profit | MKTG | Oct 10, 1984 |
| Fresenius | For profit | MKTG | Dec 1, 1986 |
| Hospira | For profit | NDA2 | May 17, 1960 |
| Hospira | For profit | MKTG | Apr 28, 2008 |
| International Medication | For profit | MKTG | Oct 5, 1982 |
| Kodak | For profit | NDA2 | Jan 6, 1960 |
| Kodak | For profit | NDA | Jan 6, 1960 |
| Septodont | For profit | SYN | Oct 17, 1972 |
| Septodont | For profit | MKTG | Oct 17, 1972 |
| Solvay | For profit | MKTG | Dec 17, 1975 |
| Watson Pharmaceuticals | For profit | MKTG | Nov 20, 1984 |