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    Clinical Trial Results:
    Regional anaesthesia of the cutaneous nerves of the hip - A novel ultrasound guided nerve block of the superior cluneal nerves

    Summary
    EudraCT number
    2016-004541-82
    Trial protocol
    DK  
    Global end of trial date
    22 Jan 2017

    Results information
    Results version number
    v2(current)
    This version publication date
    25 Jan 2021
    First version publication date
    02 Jan 2021
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Correction of p-value

    Trial information

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    Trial identification
    Sponsor protocol code
    SupClun_1-1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Aarhus University Hospital
    Sponsor organisation address
    Palle Juul-Jensens Boulevard 99, Aarhus N, Denmark, 8200
    Public contact
    Dep. Anaesthesia and Intensive Care, Aarhus University Hospital, +45 28782877, thomas.dahl.nielsen@clin.au.dk
    Scientific contact
    Dep. Anaesthesia and Intensive Care, Aarhus University Hospital, +45 28782877, thomas.dahl.nielsen@clin.au.dk
    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
    15 Feb 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    22 Jan 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    22 Jan 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the success of a nerve block of the superior cluneal nerves (SupClun) in producing cutaneous anaesthesia posterior to - and continous with - the area of anesthesia produced by the lateral femoral cutaneous nerve (LFCN) block and the Transversalis Fascia Plane (TFP) block
    Protection of trial subjects
    This volunteer trial was conducted in accordance with the declaration of Helsinki and approved by the Danish Medicines Agency, the Central Denmark Region Committees on health research ethics and the Danish Data Protection Agency. The trial was prospectively registered in the EudraCT database and was monitored by the Good Clinical Practice Unit at Aalborg and Aarhus University Hospitals. Prior to inclusion written informed consent was obtained from all subjects after thorough oral and written participant information had been given.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Jan 2017
    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
    Denmark: 20
    Worldwide total number of subjects
    20
    EEA total number of subjects
    20
    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)
    20
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Healthy volunteers of 18 years or older were recruited through a Danish website dedicated to recruit volunteers for research. All volunteers received payment for their participation.

    Pre-assignment
    Screening details
    Inclusion criteria: Age ≥ 18 years; Written informed consent; Healthy (ASA I-II); Able to cooperate; Understand and speak Danish Exclusion criteria: Reduced cutaneous sensibility; anatomy/psychological impediment of participation; allergy to local anesthetics; pregnancy; weight below 65 kg; infection at the site of injection

    Period 1
    Period 1 title
    Overall period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Active
    Arm description
    15 mL ropivacaine 3.75 mg/mL for superior cluneal nerve block
    Arm type
    Experimental

    Investigational medicinal product name
    ropivacaine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Perineural use
    Dosage and administration details
    15 mL 3.75 mg/mL

    Arm title
    Placebo
    Arm description
    Isotonic saline 15 mL for superior cluneal nerve block.
    Arm type
    Placebo

    Investigational medicinal product name
    Sodium chloride 0.9%
    Investigational medicinal product code
    Other name
    Isotonic saline
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Perineural use
    Dosage and administration details
    15 mL isotonic saline for superior cluneal nerve block.

    Number of subjects in period 1
    Active Placebo
    Started
    10
    10
    Completed
    10
    10

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall period
    Reporting group description
    -

    Reporting group values
    Overall period Total
    Number of subjects
    20 20
    Age categorical
    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
        arithmetic mean (standard deviation)
    25.3 ( 4.9 ) -
    Gender categorical
    Units: Subjects
        Female
    9 9
        Male
    11 11
    ASA score
    American Society of Anesthesiology score
    Units: Subjects
        ASA I
    20 20
        ASA II
    0 0
    BMI
    Body Mass Index
    Units: kilogram(s)/square meter
        arithmetic mean (standard deviation)
    22.2 ( 1.9 ) -

    End points

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    End points reporting groups
    Reporting group title
    Active
    Reporting group description
    15 mL ropivacaine 3.75 mg/mL for superior cluneal nerve block

    Reporting group title
    Placebo
    Reporting group description
    Isotonic saline 15 mL for superior cluneal nerve block.

    Primary: Success rate of superior cluneal nerve block

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    End point title
    Success rate of superior cluneal nerve block
    End point description
    End point type
    Primary
    End point timeframe
    Pinprick before and 45 min after superior cluneal nerve block
    End point values
    Active Placebo
    Number of subjects analysed
    10
    10
    Units: Frequency
        Success
    18
    0
        Failure
    2
    20
    Statistical analysis title
    Success rate of superior cluneal nerve block
    Comparison groups
    Active v Placebo
    Number of subjects included in analysis
    20
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Chi-squared
    Confidence interval

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    60 minutes after placement of the last nerve block
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10.0
    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: This was a volunteer study including healthy young volunteers and the interventions were extremely low risk.

    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

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/31061111
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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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