Clinical Trial Results:
Evaluation comparative, en double aveugle, de l'efficacité d'infiltrations locales per et post opératoires de ropivacaïne dans la prise en charge de la douleur après chirurgie hépatique chez l'adulte
Summary
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EudraCT number |
2007-007968-19 |
Trial protocol |
FR |
Global end of trial date |
17 Feb 2014
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Results information
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Results version number |
v1(current) |
This version publication date |
26 Feb 2020
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First version publication date |
26 Feb 2020
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Other versions |
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Summary report(s) |
DPO |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
ET2007-073
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Centre Léon Bérard
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Sponsor organisation address |
28 rue Laennec , LYON Cedex 08, France, 69373
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Public contact |
Dr PERES BACHELOT, Centre Léon Bérard, +33 4 78 78 28 28, DRCIreglementaire@lyon.unicancer.fr
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Scientific contact |
Dr PERES BACHELOT, Centre Léon Bérard, +33 4 78 78 28 28, DRCIreglementaire@lyon.unicancer.fr
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
17 Jun 2015
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
17 Feb 2014
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
Evaluer l'efficacité d'infiltrations locales per et post opératoires (sur le site opératoire) de ropivacaïne versus sérum physiologique, sur la consommation de morphine par le patient au cours des 96 heures postopératoires
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Protection of trial subjects |
Within the framework of this study, the patients included will be followed according to the recommendations for the management of patients operated on for hepatic metastases : medical follow-up with biological assays, tumor markers.
The patient's postoperative pain will be assessed using a simple verbal scale, and titrated with morphine hydrochloride. A morphine PCA will be put in place at the end of the titration.
No visit or any examination specific to this study is scheduled in addition to the usual follow-up.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
11 Mar 2009
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
France: 85
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Worldwide total number of subjects |
85
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EEA total number of subjects |
85
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
85
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Participant will be included by the anesthesiologist or the surgeon who, after verifying their eligibility, will have informed them about the study. After a sufficient reflection period, the participant will be invited to give his consent in writing. This form will also be dated and sign by the investigator. | |||||||||
Pre-assignment
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Screening details |
No screening | |||||||||
Period 1
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Period 1 title |
overall trial (overall period)
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Is this the baseline period? |
Yes | |||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||
Roles blinded |
Subject, Investigator | |||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Experimental Arm | |||||||||
Arm description |
- | |||||||||
Arm type |
Experimental | |||||||||
Investigational medicinal product name |
Ropivacaïne
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Infiltration
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Dosage and administration details |
- 40 mL of Ropivacaïne 3,75 mg/ml in infiltration of the entire operating site at the end of the intervention.
- 768 mL of Ropivacaïne 2 mg/ml in infiltration continues at a rate of 8 mL/h for 96 hours.
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Arm title
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Control Arm | |||||||||
Arm description |
- | |||||||||
Arm type |
Physiological serum | |||||||||
Investigational medicinal product name |
Physiological serum
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Infiltration
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Dosage and administration details |
- 40 mL of Physiological serum of the entire operating site at the end of the intervention.
- Continuous pre-peritoneal infiltration of physiological serum at a flow rate of 8 mL / h, closing of the peritoneum and for 96 h, via one or more multi-perforated catheters and DM COOPDECH Ballonjector®) or an electric syringe .
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Baseline characteristics reporting groups
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Reporting group title |
Experimental Arm
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Control Arm
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
Experimental arm
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Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
The ITT population is made up of the 85 patients included in the study, including 42 in the Experimental arm (Ropivacaine) and 43 in the Control arm (physiological serum).
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Subject analysis set title |
Control arm
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Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
The ITT population is made up of the 85 patients included in the study, including 42 in the Experimental arm (Ropivacaine) and 43 in the Control arm (physiological serum).
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End points reporting groups
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Reporting group title |
Experimental Arm
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Reporting group description |
- | ||
Reporting group title |
Control Arm
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Reporting group description |
- | ||
Subject analysis set title |
Experimental arm
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
The ITT population is made up of the 85 patients included in the study, including 42 in the Experimental arm (Ropivacaine) and 43 in the Control arm (physiological serum).
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Subject analysis set title |
Control arm
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
The ITT population is made up of the 85 patients included in the study, including 42 in the Experimental arm (Ropivacaine) and 43 in the Control arm (physiological serum).
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End point title |
Endpoint analysis | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
The patient population not assessable for the primary endpoint was made up of patients for whom the total dose of morphine could not be calculated due to at least one missing data (at least one dose of morphine not given). 8 patients were not assessable.
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Statistical analysis title |
Statistical analysis | ||||||||||||
Comparison groups |
Experimental Arm v Control Arm
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Number of subjects included in analysis |
85
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Analysis specification |
Pre-specified
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Analysis type |
equivalence | ||||||||||||
P-value |
= 0.026 | ||||||||||||
Method |
Wilcoxon (Mann-Whitney) | ||||||||||||
Confidence interval |
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Adverse events information [1]
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Timeframe for reporting adverse events |
The Investigator collects (spontaneous patient report or questioning) and immediately notifies the sponsor of all SAEs, in a written report, whether or not they are deemed to be attributable to research and which occur during the study.
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Assessment type |
Systematic | ||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||
Dictionary version |
21.0
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Frequency threshold for reporting non-serious adverse events: 5% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: Ropivacaïne arm Control arm Patient with at least 1 AE 25 23 Patient with at least one event treatment related adverse 6 7 Patient with at least one event grade ≥ 3 14 9 Patient with at least one event related adverse grade ≥ 3 3 1 |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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17 Aug 2009 |
.modifications of medical devices :
- Any multi-perforated catheter with CE marking (instead of systematically using Profolis PaincAth® catheters from Districlass Médical SA)
- Continuous infusion pump or an electric syringe with CE marking (instead of systematically using COOPDECH Ballonjector®)
.modification of the inclusion balance : the FEVG will now only be performed in the event of a cardiac history and / or abnormal ECG. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |