Clinical Trial Results:
Pharmacokinetic Profile of Ropivacaïne after Periarticular Local Infiltration Analgesia for Primary Total Knee Arthroplasty
Summary
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EudraCT number |
2014-003010-93 |
Trial protocol |
NL |
Global end of trial date |
30 May 2015
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Results information
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Results version number |
v1(current) |
This version publication date |
11 Jan 2022
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First version publication date |
11 Jan 2022
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Other versions |
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Summary report(s) |
Pharmacokinetics of 400 mg ropivacaine after periarticular local infiltration analgesia for total knee arthroplasty |
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 |
620
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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 |
Sint Maartenskliniek
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Sponsor organisation address |
Hengstdal 3, Ubbergen, Netherlands,
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Public contact |
afdeling Research, Sint Maartenskliniek, secretariaat.rde@maartenskliniek.nl
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Scientific contact |
afdeling Research, Sint Maartenskliniek, secretariaat.rde@maartenskliniek.nl
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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 |
31 Jul 2015
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
30 May 2015
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Global end of trial reached? |
Yes
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Global end of trial date |
30 May 2015
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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 |
Although considered safe, no pharmacokinetic data of high dose, high volume local infiltration analgesia (LIA) with ropivacaine without the use of a surgical drain or intra-articular catheter have been described. The purpose of this study is to describe the maximum total and unbound ropivacaine concentrations (Cmax, Cu max) and corresponding maximum times (Tmax, Tu max) of a single-shot ropivacaine (200 ml 0.2%) and 0.75 mg epinephrine (1000 lg/ml) when used for LIA in patients for total knee arthroplasty.
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Protection of trial subjects |
all study patients were treated according to standard hospital protocol and blood was drawn from an indwelling IV catheter.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 Jan 2015
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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 |
Netherlands: 20
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Worldwide total number of subjects |
20
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EEA total number of subjects |
20
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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) |
1
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From 65 to 84 years |
19
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||
Pre-assignment
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Screening details |
scheduled for primary total knee replacement 50-80 years ASA score I or II BMI < 40 kg/m2 Hb > 7.5 mmol/L | ||||||
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 |
Not applicable
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Blinding used |
Not blinded | ||||||
Arms
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Arm title
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study patients | ||||||
Arm description |
all study patients are enrolled in the one same study without any distiction between them and no groups made | ||||||
Arm type |
Experimental | ||||||
Investigational medicinal product name |
ropivacaine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for injection
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Routes of administration |
Infiltration
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Dosage and administration details |
400 mg ropivacaine in 200 mL (0.2%) is infiltrated in and around the knee
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Baseline characteristics reporting groups
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Reporting group title |
overall trial
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
study patients
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Reporting group description |
all study patients are enrolled in the one same study without any distiction between them and no groups made |
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End point title |
Cmax [1] | ||||||||
End point description |
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End point type |
Primary
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End point timeframe |
baseline, 20, 40, 60, 90, 120, 240, 360, 480, 600, 720 and 1440 minutes after closure of the wound.
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: data are descriptive, no comparison is made therefore no statistical comparison is available |
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No statistical analyses for this end point |
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Adverse events information [1]
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Timeframe for reporting adverse events |
during study enrollment (from start of surgery untill 1440 minutes after wound closure)
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Assessment type |
Systematic | ||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
toetsingonline | ||||||||||
Dictionary version |
1
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Reporting groups
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Reporting group title |
study group
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Reporting group description |
- | ||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||
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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: during this very short study period and very small sample size no non-serious adverse events are recorded |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
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 | |||
Online references |
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http://www.ncbi.nlm.nih.gov/pubmed/28066882 |