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    Clinical Trial Results:
    analgesia with continuous IV-infusion of lidocain during the perioperative period in patients undergoin laparoscopic sterilization.

    Summary
    EudraCT number
    2011-001315-31
    Trial protocol
    BE  
    Global end of trial date
    29 May 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Jan 2020
    First version publication date
    01 Jan 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GD032011
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    University Hospitals Leuven
    Sponsor organisation address
    herestraat, leuven, Belgium, 3001
    Public contact
    Anesthesia Research, University Hospitals Leuven, 32 16344620, christel.huygens@uzleuven.be
    Scientific contact
    Anesthesia Research, University Hospitals Leuven, 32 16344620, christel.huygens@uzleuven.be
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    09 Sep 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    29 May 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    29 May 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Is the perioperative IV administration of lidocaine an effective treatment to reduce postoperative pain after surgical sterilization.
    Protection of trial subjects
    The interventional treatment was administered to patients with standard hemodynamic monitoring in the setting of a fully equipped operation theatre. This enabled immediate detection and treatment of potential adverse events. Administration of study drugs was to be immediately stopped in case that the study participant showed signs of systemic toxicity (metallic taste, tinnitus, headache, seizure activity and ECG irregularities). Also after leaving the operation room, all patients were closely monitored for the occurrence of eventual (severe) adverse events.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    15 Sep 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 80
    Worldwide total number of subjects
    80
    EEA total number of subjects
    80
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    80
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    116 patients were assessed for eligibility, 80 patients were enrolled and randomized between November 2011 and may 2015

    Pre-assignment
    Screening details
    80 women scheduled for laparoscopic sterilisation were included in this prospective, double-blind, randomised, placebo-controlled clinical trial. one patient was excluded from analysis because change of operation

    Pre-assignment period milestones
    Number of subjects started
    80
    Number of subjects completed
    80

    Period 1
    Period 1 title
    overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    lidocaine
    Arm description
    intravenously lidocaine
    Arm type
    Experimental

    Investigational medicinal product name
    lidocaine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Intravenous bolus use , Intravenous use
    Dosage and administration details
    Patients in the L-group were given an intravenous (IV) bolus injection of lidocaine 1.5 mg∙kg 1 at induction of anesthesia followed by a continuous infusion of 1.5 mg∙kg-1∙h-1 which was continued until 30min after arrival at the PACU.

    Arm title
    placebo group
    Arm description
    placebo
    Arm type
    Experimental

    Investigational medicinal product name
    saline
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Intravenous drip use , Intravenous bolus use
    Dosage and administration details
    Patients in the placrebo-group were given an intravenous (IV) bolus injection of saline at induction of anesthesia followed by a continuous infusion of salinewhich was continued until 30min after arrival at the PACU. Patients in the P-group were given equal volumes of saline.

    Number of subjects in period 1
    lidocaine placebo group
    Started
    40
    40
    Completed
    40
    40

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    lidocaine
    Reporting group description
    intravenously lidocaine

    Reporting group title
    placebo group
    Reporting group description
    placebo

    Reporting group values
    lidocaine placebo group Total
    Number of subjects
    40 40 80
    Age categorical
    lidocaine: n=39 (19;47) years placebo n=40 (27;46)
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    37 (19 to 47) 40 (27 to 46) -
    Gender categorical
    Units: Subjects
        Female
    40 40 80
        Male
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    lidocaine
    Reporting group description
    intravenously lidocaine

    Reporting group title
    placebo group
    Reporting group description
    placebo

    Subject analysis set title
    a 2-sided test for the detection of differences between propor
    Subject analysis set type
    Per protocol
    Subject analysis set description
    lidocaine:40 placebo:40

    Primary: proportion of patients with a NRS greater than 3

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    End point title
    proportion of patients with a NRS greater than 3
    End point description
    proportion of patients with NRS greater than 3
    End point type
    Primary
    End point timeframe
    30 min after arrival PACU
    End point values
    lidocaine placebo group
    Number of subjects analysed
    40
    40
    Units: nuber
    40
    40
    Statistical analysis title
    2-sided test for the detection of differences betw
    Comparison groups
    lidocaine v placebo group
    Number of subjects included in analysis
    80
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.05
    Method
    Wilcoxon (Mann-Whitney)
    Confidence interval
         level
    90%

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    from enrollment until discharge of the patient
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23
    Reporting groups
    Reporting group title
    lidocaine group
    Reporting group description
    -

    Serious adverse events
    lidocaine group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 40 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    lidocaine group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 40 (2.50%)
    Renal and urinary disorders
    Urinary retention postoperative
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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