ropivacaine
Trade name: naropin
Approved
Sep 24, 1996
Ropivacaine is a member of the amino amide class of local anesthetics and is supplied as the pure S-(-)-enantiomer. It produces effects similar to other local anesthetics via reversible inhibition of sodium ion influx in nerve fibers. Ropivacaine is less lipophilic than bupivacaine and is less likely to penetrate large myelinated motor fibers, resulting in a relatively reduced motor blockade. Thus, ropivacaine has a greater degree of motor-sensory differentiation, which could be useful when the motor blockade is undesirable. The reduced lipophilicity is also associated with decreased potential for central nervous system toxicity and cardiotoxicity. Ropivacaine is indicated for the production of local or regional anesthesia for surgery and for acute pain management. — NCATS
Clinical trial activity
1,051 trials · 538 clinical orgs · 17 marketing orgs
Earliest trial started Aug 1, 2000 (NCT00042510)
Timeline
1990s
2000s
2010s
- Jul 17, 2014
Navinta — Marketing Organization
- Sep 23, 2014
Rising Pharmaceuticals — Marketing Organization
- Sep 23, 2014
Hospira — Marketing Organization
- Sep 23, 2014
Mylan — Marketing Organization
- Jul 13, 2016
Aurobindo Pharma — Marketing Organization
- Jul 13, 2016
Eugia Pharma — Marketing Organization
- Mar 16, 2018
Akorn, Inc. — Marketing Organization
- Jun 11, 2018
Inforlife — Marketing Organization
- Jun 15, 2018
Somerset Pharmaceuticals — Marketing Organization
2020s
- Apr 9, 2020
Caplin Point Laboratories — Marketing Organization
- Jul 20, 2020
Hikma — Marketing Organization
- Aug 18, 2022
Gland Pharma Ltd — Marketing Organization
- Aug 18, 2022
Fosun — Marketing Organization
- Mar 8, 2023
Amneal Pharmaceuticals — Marketing Organization
- Jul 30, 2024
KINDOS — Marketing Organization
- Mar 21, 2025
ANTHEA PHARMA — Marketing Organization
Indications
Approved for
Studied for
- Abdominal Neoplasms · Phase 3
- Abdominal Pain · Phase 4
- Abdominoplasty · Phase 4
- Acetabularia · Phase 4
- Acute Coronary Syndrome · Phase 4
- Acute Kidney Injury · Phase 4
- Acute Pain · Phase 4
- Administration, Topical · Phase 1
- Amputation, Surgical · Phase 3
- Analgesia · Phase 4
- Analgesia, Epidural · Phase 4
- Analgesia, Obstetrical · Phase 2/Phase 3
- Analgesics, Opioid · Phase 4
- Anesthesia · Phase 4
- Anesthesia and Analgesia · Phase 4
- Anesthesia, Conduction · Phase 4
- Anesthesia, Epidural · Phase 4
- Anesthesia, General · Phase 4
- Anesthesia, Local · Phase 4
- Anesthesia, Obstetrical · Phase 3
- Anesthesia Recovery Period · Phase 4
- Anesthesia, Spinal · Phase 3
- Anesthetics · Phase 1
- Anesthetics, Local · Phase 4
- Ankle Fractures · Phase 4
- Ankle Injuries · Phase 3
- Anterior Cruciate Ligament · Phase 3
- Anterior Cruciate Ligament Injuries · Phase 4
- Anterior Cruciate Ligament Reconstruction · Phase 4
- Anterior Temporal Lobectomy · Phase 4
- Anxiety · Phase 4
- Aortic Aneurysm, Abdominal · Phase 4
- Aortic Diseases · Phase 4
- Appendicitis · Phase 4
- Arm · Phase 4
- Arm Injuries · Phase 4
- Arrhythmias, Cardiac · Phase 4
- Arterial Occlusive Diseases · Phase 4
- Arthralgia · Phase 3
- Arthritis · Phase 4
- Arthropathy, Neurogenic · Phase 4
- Arthroplasty · Phase 4
- Arthroplasty, Replacement, Hip · Phase 4
- Arthroplasty, Replacement, Knee · Phase 4
- Arthroscopy · Phase 4
- Atrial Fibrillation · Phase 4
- Bariatric Surgery · Phase 4
- Botulinum Toxins, Type A · Phase 1
- Brachial Plexus Block · Phase 3
- Brachial Plexus Neuropathies · Phase 4
- Brain Neoplasms · Phase 4
- Breakthrough Pain · Phase 3
- Breast Diseases · Phase 3
- Breast Neoplasms · Phase 4
- Bronchitis, Chronic · Phase 2
- Bunion · Phase 3
- Bursitis · Phase 4
- Carcinoma, Intraductal, Noninfiltrating · Phase 4
- Carcinoma, Renal Cell · Phase 3
- Carpal Tunnel Syndrome · Phase 4
- Cerebral Palsy · Phase 4
- Cesarean Section · Phase 4
- Chest Pain · Phase 4
- Child · Phase 4
- Cholecystectomy · Phase 4
- Cholecystectomy, Laparoscopic · Phase 4
- Chronic Pain · Phase 4
- Cleft Palate · Early Phase 1
- Colic · Phase 2
- Colles' Fracture · Phase 3
- Colonic Neoplasms · Phase 4
- Colorectal Neoplasms · Phase 3
- Colorectal Surgery · Phase 4
- Congenital Abnormalities · Phase 4
- Constipation · Phase 1/Phase 2
- Coronary Artery Bypass · Phase 4
- Coronary Artery Disease · Phase 4
- Delirium · Phase 4
- Dentofacial Deformities · Phase 2
- Depression, Postpartum · Phase 2/Phase 3
- Dexamethasone · Phase 4
- Dexmedetomidine · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Dizziness · Phase 1/Phase 2
- Drug Delivery Systems · Phase 4
- Drug Evaluation · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drugs, Investigational · Phase 4
- Emergence Delirium · Phase 4
- Episiotomy · Phase 3
- Esophageal Neoplasms · Phase 2
- Fasciitis, Plantar · Phase 1
- Feeding and Eating Disorders · Phase 2
- Femoracetabular Impingement · Phase 4
- Femoral Fractures · Phase 2
- Femoral Neck Fractures · Phase 4
- Femur Head Necrosis · Phase 4
- Fetal Growth Retardation · Phase 3
- Filtration · Phase 4
- Fissure in Ano · Phase 4
- Forearm Injuries · Phase 4
- Fracture Dislocation · Phase 3
- Fractures, Bone · Phase 4
- Fractures, Closed · Phase 4
- Funnel Chest · Phase 4
- Gender Dysphoria · Phase 4
- General Surgery · Phase 4
- Geriatrics · Phase 2
- Goiter · Phase 3
- Gynecologic Surgical Procedures · Phase 4
- Hallux Valgus · Phase 4
- Hand Injuries · Phase 4
- Headache · Phase 4
- Head and Neck Neoplasms · Phase 4
- Healthy Volunteers · Phase 4
- Heart Defects, Congenital · Phase 4
- Heart Diseases · Phase 4
- Heart Septal Defects, Atrial · Phase 4
- Heart Septal Defects, Ventricular · Phase 4
- Heart Valve Diseases · Phase 4
- Hemodynamics · Phase 4
- Hemorrhoids · Phase 4
- Hepatectomy · Phase 3
- Hepatitis C · Phase 1
- Hernia · Phase 2
- Hernia, Abdominal · Phase 2
- Hernia, Inguinal · Phase 4
- Herniorrhaphy · Phase 2
- Hip Dislocation · Phase 4
- Hip Fractures · Phase 4
- Hip Injuries · Phase 4
- Humeral Fractures · Phase 4
- Hyperalgesia · Phase 3
- Hypospadias · Phase 4
- Hypotension · Phase 3
- Hysterectomy · Phase 4
- Hysterotomy · Phase 3
- Intensive Care Units · Phase 3
- Intervertebral Disc Degeneration · Phase 3
- Intestinal Diseases · Phase 4
- Kidney Calculi · Phase 4
- Kidney Diseases · Phase 4
- Kidney Failure, Chronic · Phase 4
- Kidney Transplantation · Phase 4
- Knee · Phase 4
- Knee Injuries · Phase 4
- Labor, Obstetric · Phase 3
- Labor Pain · Phase 4
- Laparoscopy · Phase 4
- Laparotomy · Phase 2
- Leg Injuries · Phase 4
- Leg Ulcer · Phase 4
- Leiomyoma · Phase 2
- Leukemia, Lymphoid · Phase 4
- Lidocaine · Phase 3
- Liver Diseases · Phase 4
- Liver Neoplasms · Phase 4
- Low Back Pain · Phase 3
- Lumbar Vertebrae · Phase 4
- Lung Diseases · Phase 4
- Lung Neoplasms · Phase 4
- Mastectomy · Phase 4
- Mastodynia · Phase 4
- Meniscectomy · Phase 3
- Methylene Blue · Phase 4
- Morphine · Phase 3
- Mouth Abnormalities · Early Phase 1
- Musculoskeletal Diseases · Phase 2/Phase 3
- Myocardium · Phase 4
- Myofascial Pain Syndromes · Phase 3
- Narcotics · Phase 4
- Nasal Septal Perforation · Phase 4
- Nausea · Phase 2
- Neck Pain · Phase 4
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 2
- Nephrectomy · Phase 4
- Nephrolithotomy, Percutaneous · Phase 4
- Nerve Block · Phase 4
- Nerve Fibers · Phase 4
- Nerve Tissue · Phase 2
- Neuralgia · Phase 4
- Neuralgia, Postherpetic · Phase 4
- Neurodegenerative Diseases · Phase 1/Phase 2
- Neuromuscular Blockade · Phase 4
- Neurosurgery · Phase 4
- Obesity · Phase 4
- Orthopedic Procedures · Phase 4
- Osteoarthritis · Phase 4
- Osteoarthritis, Hip · Phase 4
- Osteoarthritis, Knee · Phase 4
- Osteotomy · Phase 4
- Ovarian Cysts · Phase 3
- Ovarian Neoplasms · Phase 3
- Pain · Phase 4
- Pain Management · Phase 4
- Pancreatic Diseases · Phase 2/Phase 3
- Pancreatic Neoplasms · Phase 4
- Pancreaticoduodenectomy · Phase 4
- Pancreatitis · Phase 3
- Parathyroid Diseases · Phase 4
- Parturition · Phase 4
- Patient Satisfaction · Phase 4
- Pediatrics · Phase 4
- Pelvic Floor Disorders · Phase 2/Phase 3
- Penile Diseases · Phase 4
- Penile Erection · Phase 4
- Penis · Phase 4
- Personal Satisfaction · Phase 4
- Phantom Limb · Phase 4
- Pharmacokinetics · Phase 4
- Pharmacology · Phase 4
- Phimosis · Phase 4
- Physical Therapy Modalities · Phase 4
- Postoperative Care · Phase 4
- Postoperative Complications · Phase 4
- Postoperative Nausea and Vomiting · Phase 4
- Postoperative Pain · Phase 4
- Postoperative Period · Phase 4
- Pre-Eclampsia · Phase 3
- Pregnancy · Phase 4
- Pregnancy Complications · Phase 2
- Procedural Pain · Phase 4
- Prostatic Neoplasms · Phase 4
- Prostheses and Implants · Phase 4
- Pulmonary Atelectasis · Phase 4
- Quality of Life · Phase 4
- Radius Fractures · Phase 4
- Rectal Fistula · Phase 4
- Renal Colic · Phase 4
- Respiratory Insufficiency · Phase 4
- Respiratory Paralysis · Phase 3
- Rib Fractures · Phase 4
- Ropivacaine · Phase 4
- Rotator Cuff Injuries · Phase 4
- Sciatic Neuropathy · Phase 4
- Shoulder · Phase 4
- Shoulder Dislocation · Phase 2
- Shoulder Fractures · Phase 2
- Shoulder Injuries · Phase 4
- Shoulder Pain · Phase 4
- Sleep Deprivation · Phase 4
- Soft Tissue Injuries · Phase 2
- Spinal Diseases · Phase 4
- Spinal Fusion · Phase 4
- Spinal Injuries · Phase 4
- Spinal Stenosis · Phase 4
- Spondylolisthesis · Phase 4
- Spondylosis · Phase 4
- Sports Medicine · Phase 2
- ST Elevation Myocardial Infarction · Phase 4
- Sternotomy · Phase 2/Phase 3
- Stomach Neoplasms · Phase 4
- Stress Disorders, Post-Traumatic · Phase 2
- Subarachnoid Hemorrhage · Phase 2
- Sufentanil · Phase 4
- Surgical Procedures, Operative · Phase 4
- Temporomandibular Joint Disorders · Phase 4
- Term Birth · Phase 4
- Testicular Diseases · Phase 2
- Therapeutic Uses · Phase 4
- Thoracic Injuries · Phase 4
- Thoracic Outlet Syndrome · Phase 4
- Thoracic Surgery · Phase 4
- Thoracic Surgery, Video-Assisted · Phase 3
- Thoracotomy · Phase 4
- Thyroid Diseases · Phase 4
- Thyroid Neoplasms · Phase 3
- Tissues · Phase 2
- Tonsillectomy · Phase 2
- Tooth · Phase 4
- Traumatology · Phase 4
- Ulna Fractures · Phase 4
- Upper Extremity · Phase 4
- Urethral Diseases · Phase 4
- Urinary Bladder Neoplasms · Phase 3
- Uterine Prolapse · Phase 4
- Wounds and Injuries · Phase 4
- Wrist Injuries · Phase 4
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)
Approval history
- approvedSep 24, 1996
Chemistry & pharmacology
SMILES
CCCN1CCCC[C@H]1C(=O)Nc1c(C)cccc1C- Mol. weight
- 274.41 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL1077896 ↗
- WikipediaRopivacaine ↗
- NCATS7IO5LYA57N ↗
- ChEMBLCHEMBL1889140 ↗
Also known as
- 1-propyl-2',6'-pipecoloxylidide
- al 381
- al-381
- anapeine
- lea 103
- lea-103
- l-n-n-propylpipecolic acid-2,6-xylidide
- l-n-n-propylpipecolic acid-2,6-xylidide
- narapin
- narapin
- naropeine
- naropeine
- naropin
- naropin
- naropin
- naropin
- naropin
- naropine
- naropine
- naropine
- noropin
- prf-108
- prf-108
- prf-110
- ropivacaina
- ropivacaina
- ropivacaina
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- ropivacaine
- (-)-ropivacaine
- ropivacaine hcl
- ropivacaine hcl
- ropivacaine hcl
- ropivacaine hydrochloride
- ropivacaine hydrochloride
- ropivacaine hydrochloride
- ropivacaine hydrochloride
- ropivacaine hydrochloride
- ropivacaine hydrochloride
- ropivacaine hydrochloride monohydrate
- ropivacaine monohydrochloride
- ropivacaine monohydrochloride, (s)-isomer
- ropivacainum
- ropivacainum
- ropivicaine
- (s)-(−)-1-propyl-2',6'-pipecoloxylidide
- (s)-(−)-1-propyl-2',6'-pipecoloxylidide
- (s)-ropivacaine
- (s)-ropivacaine
- s-ropivacaine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07216586 | Phase 4 | Jan 31, 2026 | University of Miami |
| NCT06964347 | N/A | Dec 31, 2025 | Stanford University |
| NCT07271979 | N/A | Dec 31, 2025 | Shandong University |
| NCT07294755 | N/A | Dec 20, 2025 | People's Liberation Army of China |
| NCT07222748 | Phase 3 | Nov 30, 2025 | Taiwan Liposome Company |
| NCT07092566 | Phase 3 | Nov 14, 2025 | University of North Carolina at Chapel Hill, Wake Forest University |
| NCT07087015 | N/A | Oct 31, 2025 | Stanford University |
| NCT07176065 | Phase 4 | Oct 31, 2025 | University of Malaya |
| NCT07209345 | N/A | Oct 15, 2025 | Capital Medical University |
| NCT06953661 | N/A | Oct 13, 2025 | Stanford University |
| NCT07061678 | Phase 4 | Oct 1, 2025 | Poznan University |
| NCT07180979 | Phase 4 | Oct 1, 2025 | Poznan University |
| NCT07131657 | Phase 2 | Sep 30, 2025 | PHARMAFINA |
| NCT07109388 | N/A | Sep 30, 2025 | University of Lausanne |
| NCT07116343 | Phase 4 | Sep 25, 2025 | Saint-Petersburg State Medical University |
| NCT07196631 | Phase 4 | Sep 20, 2025 | Huazhong University of Science and Technology |
| NCT07171125 | Phase 4 | Sep 20, 2025 | Peking University |
| NCT07174440 | N/A | Sep 15, 2025 | Case Western Reserve University |
| NCT07076368 | Phase 3 | Aug 31, 2025 | University of California, San Francisco |
| NCT07145775 | Phase 4 | Aug 31, 2025 | Peking University |
Organizations
Research & Development (538)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| University of Copenhagen | Academic/Hospital | 51 | 49 | 5 | 2007 |
| Capital Medical University | Academic/Hospital | 22 | 20 | 2 | 2014 |
| Poznan University | Academic/Hospital | 19 | 19 | 2 | 2020 |
| University of California, San Diego | Academic/Hospital | 18 | 17 | 2 | 2008 |
| University of Pittsburgh | Academic/Hospital | 14 | 14 | 3 | 2008 |
| Duke University | Academic/Hospital | 13 | 12 | 3 | 2007 |
| Mayo Clinic | Academic/Hospital | 13 | 13 | 4 | 2005 |
| Harvard University | Academic/Hospital | 12 | 8 | 5 | 2014 |
| People's Liberation Army of China | Government | 12 | 10 | 3 | 2013 |
| University of Western Ontario | Academic/Hospital | 12 | 10 | 3 | 2011 |
| Huazhong University of Science and Technology | Academic/Hospital | 11 | 10 | 4 | 2013 |
| Northwestern University | Academic/Hospital | 11 | 7 | 3 | 2010 |
| Peking University | Academic/Hospital | 11 | 11 | 2 | 2014 |
| University of Toronto | Academic/Hospital | 11 | 11 | 4 | 2009 |
| Yonsei University | Academic/Hospital | 11 | 11 | 3 | 2008 |
| Orebro University | Academic/Hospital | 10 | 7 | 3 | 2004 |
| Jiao Tong University | Academic/Hospital | 9 | 7 | 3 | 2014 |
| Seoul National University | Academic/Hospital | 9 | 8 | 4 | 2008 |
| Thomas Jefferson University | Academic/Hospital | 8 | 8 | 3 | 2012 |
| University of Florida | Academic/Hospital | 8 | 7 | 4 | 2016 |
Marketing (23)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANTHEA PHARMA | For profit | MKTG | Mar 21, 2025 |
| Akorn, Inc. | For profit | MKTG | Mar 16, 2018 |
| Akorn, Inc. | For profit | SYN | Apr 11, 2016 |
| Amneal Pharmaceuticals | For profit | MKTG | Mar 8, 2023 |
| Aurobindo Pharma | For profit | MKTG | Jul 13, 2016 |
| Caplin Point Laboratories | For profit | MKTG | Apr 9, 2020 |
| Eugia Pharma | For profit | MKTG | Jul 13, 2016 |
| Fosun | For profit | MKTG | Aug 18, 2022 |
| Fresenius | For profit | NDA | Sep 24, 1996 |
| Fresenius | For profit | NDA2 | Sep 24, 1996 |
| Gland Pharma Ltd | For profit | MKTG | Aug 18, 2022 |
| Gland Pharma Ltd | For profit | SYN | Aug 18, 2022 |
| Hikma | For profit | MKTG | Jul 20, 2020 |
| Hikma | For profit | SYN | Jul 20, 2020 |
| Hospira | For profit | MKTG | Sep 23, 2014 |
| Inforlife | For profit | MKTG | Jun 11, 2018 |
| KINDOS | For profit | MKTG | Jul 30, 2024 |
| Mylan | For profit | MKTG | Sep 23, 2014 |
| Mylan | For profit | SYN | Oct 26, 2023 |
| Navinta | For profit | MKTG | Jul 17, 2014 |
| Rising Pharmaceuticals | For profit | MKTG | Sep 23, 2014 |
| Rising Pharmaceuticals | For profit | SYN | Sep 23, 2014 |
| Somerset Pharmaceuticals | For profit | MKTG | Jun 15, 2018 |