Clinical Trial Results:
The effect of popliteal plexus block on pain after total knee replacement.
Summary
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EudraCT number |
2017-001644-35 |
Trial protocol |
DK |
Global end of trial date |
20 Feb 2018
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Results information
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Results version number |
v1(current) |
This version publication date |
24 Jun 2020
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First version publication date |
24 Jun 2020
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Other versions |
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Summary report(s) |
Article |
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 |
CR_TFB_2017
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT03198403 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Aarhus University Hospital
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Sponsor organisation address |
Nørrebrogade 44, Aarhus, Denmark, 8000
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Public contact |
Centre of Elective Surgery, Silkeborg Regional Hospital, 0045 25883172,
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Scientific contact |
Centre of Elective Surgery, Silkeborg Regional Hospital, 0045 25883172, charlotte.runge@aarhus.rm.dk
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Sponsor organisation name |
Aarhus University
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Sponsor organisation address |
Nørrebrogade 44, Aarhus, Denmark, 8000
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Public contact |
Silkeborg regional hospital, Aarhus university hospital, 0045 25883172, charlotte.runge@aarhus.rm.dk
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Scientific contact |
Silkeborg regional hospital, Anesthesia depart., Aarhus university hospital, 0045 51542997, tfb@dadlnet.dk
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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 |
20 Feb 2018
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
20 Feb 2018
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Global end of trial reached? |
Yes
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Global end of trial date |
20 Feb 2018
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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 |
The aim of this trial is to evaluate the effect of popliteal plexus block (PPB) on pain after total knee replacement (TKR)
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Protection of trial subjects |
The trial was monitored by the Good Clinical Practice (GCP) Unit at Aalborg and Aarhus University Hospitals. Written informed consent was obtained from all subjects.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 May 2017
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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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 |
Denmark: 10
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Worldwide total number of subjects |
10
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EEA total number of subjects |
10
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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) |
2
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From 65 to 84 years |
8
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85 years and over |
0
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Recruitment
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Recruitment details |
Subjects were recruited at Silkeborg Regional Hospital, Denmark, from August to September 2017. | ||||||
Pre-assignment
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Screening details |
Eligibility criteria for the study included patients older than 18 years and American Society of Anaesthesiologists (ASA) score 1‐3 who were scheduled for cemented, unilateral, primary TKA with spinal anaesthesia. The exclusion criteria were inability to cooperate, non‐Danish speakers, pregnancy, diabetes, reduced sensation on the lower limb, daily | ||||||
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 |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||
Arms
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Arm title
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active popliteal plexus block | ||||||
Arm description |
patients received an active PPB, if NRS exceed 3 | ||||||
Arm type |
Active comparator | ||||||
Investigational medicinal product name |
bupivacaine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for concentrate for solution for infusion
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Routes of administration |
Perineural use
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Dosage and administration details |
10 mL of bupivacaine 5 mg/ml
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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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Subject analysis sets
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Subject analysis set title |
statistical analysis
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Subject analysis set type |
Full analysis | ||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Statistical analysis was conducted with STATA 14 (Stata Corp, Col-
lege Station, TX, USA). Continuous variables with normal distribution
were presented as mean (standard deviation and confidence inter-
val). Normality of distribution was tested with histograms and QQ-
plots. Nonparametric distributions were presented as median (IQR,
interquartile range). Paired comparison of non-Gaussian continuous
variables (isometric muscle strength) was carried out with the Wil-
coxon signed rank test.
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End points reporting groups
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Reporting group title |
active popliteal plexus block
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Reporting group description |
patients received an active PPB, if NRS exceed 3 | ||
Subject analysis set title |
statistical analysis
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Subject analysis set type |
Full analysis | ||
Subject analysis set description |
Statistical analysis was conducted with STATA 14 (Stata Corp, Col-
lege Station, TX, USA). Continuous variables with normal distribution
were presented as mean (standard deviation and confidence inter-
val). Normality of distribution was tested with histograms and QQ-
plots. Nonparametric distributions were presented as median (IQR,
interquartile range). Paired comparison of non-Gaussian continuous
variables (isometric muscle strength) was carried out with the Wil-
coxon signed rank test.
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End point title |
pain reduction [1] | ||||||
End point description |
If a subject reported a pain score of NRS >3, a PPB was carried out.
Prior to the PPB, the location of pain was registered as pain in the
anterior, the posterior, the medial, or the lateral aspect of the knee,
deep knee pain, pain in the thigh or diffuse pain. The end of injec-
tion of the PPB was defined as popliteal plexus block time 0 (PPB
t0
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The pain score (NRS 0-10) and the cutaneous sensation (0-2) on the
lateral side of the operated leg were assessed every 5 minutes after
PPB
t0
until NRS ≤3 or a maximum of 60 minutes after PPB
t0
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End point type |
Primary
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End point timeframe |
The primary outcome was the proportion of subjects reporting pain
above NRS 3 within the observation period, who had a reduction in
pain score to NRS ≤3 within 1 hour after PPB.
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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: The study was a feasibility study. Counting the number of patients having significant pain and apply percentage. |
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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 |
No adverse events were observed.
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Assessment type |
Systematic | ||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||
Dictionary version |
1
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Frequency threshold for reporting non-serious adverse events: 0% | |||
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: No adverse events were observed in the study |
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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 |