E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
No specific medical condition is investigated. The objective of the trial is to investigate a method for postoperative analgesia after elective hip surgery. |
Der undersøges ikke en specifik medicinsk tilstand. Studiets formål er at undersøge en metode til smertebehandling efter elektiv hoftekirurgi. |
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E.1.1.1 | Medical condition in easily understood language |
No specific medical condition is investigated. The objective of the trial is to investigate a method for pain treatment after planned hip surgery. |
Der undersøges ikke en specifik medicinsk tilstand. Studiets formål er at undersøge en metode til smertebehandling efter planlagt hoftekirurgi. |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10068084 |
E.1.2 | Term | Anesthesia procedure |
E.1.2 | System Organ Class | 100000004865 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To investigate, whether the iliopsoas plane block affects the muscle strength of the quadriceps femoris muscle. |
At undersøge, om iliopsoas plane block påvirker muskelstyrken af musculus quadriceps femoris.
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E.2.2 | Secondary objectives of the trial |
To estimate: - the effect of the iliopsoas plane block on the strength of the adductor muscles of the thigh. - the effect of the iliopsoas plane block on sensitivity in the dermatome of the lateral cutaneous femoral nerve. - the effect of the iliopsoas plane block on sensitivity in the dermatome of the femoral nerve. - if the injection from the iliopsoas plane block spreads in the whole iliopsoas plane. - if the injection from the iliopsoas plane block spreads to the space between the pectineus and the external obturator muscles. - if the injection from the iliopsoas plane block spreads superficial to the iliopsoas muscle. - if the injection from the iliopsoas plane block spreads intraarticularly in the hip joint. - if the injection from the iliopsoas plane block spreads to the posterior part of the hip joint capsule - if / how often the injection from the iliopsoas plane block is inside the iliopectineal bursa medial to the target area. |
At estimere: - effekten af iliopsoas plane block på muskelstyrken af lårets adduktormuskulatur. - effekten af iliopsoas plane block på sensitiviteten i dermatomet fra nervus cutaneus femoris lateralis. - effekten af iliopsoas plane block på sensitiviteten i dermatomet fra nervus femoralis. - om injektionen fra iliopsoas plane block spreder sig til hele iliopsoas plane. - om injektionen fra iliopsoas plane block spreder sig til rummet mellem musculus pectineus og musculus obturatorius externus. - om injektionen fra iliopsoas plane block spreder sig superficielt for musculus iliopsoas. - om injektion fra iliopsoas plane block spreder sig intraartikulært i hofteledet - om injektion fra iliopsoas plane block spreder sig til den posteriore hofteledskapsel - om/hvor hyppigt injektion fra IPB rammer bursa iliopectinea medialt for målområdet |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Age ≥ 18 years - American Society of Anesthesiologists physical status classification score (ASA) I-II - Informed consent
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- Alder ≥ 18 år - American Society of Anesthesiologists physical status classification score (ASA) I-II - Informeret samtykke
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E.4 | Principal exclusion criteria |
- Lacking the ability to corporate - Lacking the ability to speak danish - Known neuropathy of the lower extremities - Chronic opioid demanding pain - Consumption of more than 14 resp. 21 units of alcohol/week for women resp. men. - Overweight (Body mass index (BMI) > 25 kg/m2) - Claustrofobia - Pregnancy - Allergy towards the used medicines - Daily consumption of medicine apart from oral contraceptives. |
- Manglende evne til samarbejde - Manglende danskkundskaber - Kendt neuropati i underekstremiteter - Kroniske opioidkrævende smerter - Alkolholforbrug over 14 hhv. 21 genstande/uge for kvinder hhv. mænd - Overvægt (Body mass index (BMI) > 25 kg/m2) - Klaustrofobi - Graviditet - Overfølsomhed for de anvendte lægemidler - Dagligt forbrug af medicin fraset oral antikonception |
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E.5 End points |
E.5.1 | Primary end point(s) |
Change of maximal force of knee extension from baseline to after nerve blockade. |
Ændring i maksimal styrke ved knæ-ekstension fra baseline til efter nerveblokade. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1 hour after nerve blockade |
1 time efter anlæggelse af nerveblokade |
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E.5.2 | Secondary end point(s) |
1: Change of maximal force of hip adduction from baseline to after nerve blockade. 2: Change of maximal force of knee extension from baseline to after nerve blockade in the leg, where local anaesthetics are injected compared to the control leg. 3: Change of maximal force of hip adduction from baseline to after nerve blockade in the leg, where local anaesthetics are injected compared to the control leg. 4: Change of sensibility in the dermatome of the lateral femoral cutaneous nerve. 5: Change of sensibility in the dermatome of the femoral nerve. 6: Spread of contrast in the iliopsoas plane 7: Spread of contrast to the space between the pectinous and the external obturator muscles. 8: Spread of contrast to the superficial side of the iliopsoas muscle. 9: Intraarticular spread of contrast to the hip joint 10: Spread og contrast to the posterior side of the hip joint capsule. 11: Contrast in the iliopectineal bursa |
1: Ændringen i muskelstyrke af femurs adduktorer fra før til efter blokadeanlæggelse på det ben, hvor der er injiceret lokalanæstesi. 2: Ændringen i muskelstyrke af musculus quadriceps fra før til efter blokadeanlæggelse på det ben, hvor der er injiceret lokalanæstesi sammenlignet med det ben, hvor der ikke er injiceret lokalanæstesi. 3: Ændringen i muskelstyrke af femurs adduktorer fra før til efter blokadeanlæggelse på det ben, hvor der er injiceret lokalanæstesi sammenlignet med det ben, hvor der ikke er injiceret lokalanæstesi. 4: Ændring i sensibilitet over laterale femur sv.t. nervus cutaneus femoris lateralis’ dermatom. 5: Ændring i sensibilitet over proksimale mediale hjørne af patella sv.t. nervus femoralis’ dermaton. 6: Spredning af kontrast i iliopsoas plane 7: Spredning af kontrast til rummet mellem musculus pectineus og musculus obturatorius externus 8: Spredning af kontrast superficielt for musculus iliopsoas 9: Spredning af kontrast intraartikulært i hofteledet 10: Spredning af kontrast over bagsiden af hofteledskapsel 11: Forekomst af kontrast i bursa iliopectinea |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1-5: 1 hour after nerve blockade. 6-10: Evaluated by MRI-scan 5-60 minutes after nerve blockade. |
1-5: 1 time efter anlæggelse af nerve blokade. 6-10: Undersøges vha. MR-skanning 5-60 minutter efter anlæggelse af nerve blokade. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Sidste patients sidste besøg |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | |