Clinical Trial Results:
The effect of iliopsoas plane block on opioid consumption and pain after hip arthroscopy
A double-blind randomized, controlled trial
Summary
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EudraCT number |
2020-005838-15 |
Trial protocol |
DK |
Global end of trial date |
04 Nov 2022
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Results information
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Results version number |
v1(current) |
This version publication date |
22 Aug 2024
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First version publication date |
22 Aug 2024
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Other versions |
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 |
04-22032021
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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 |
Aarhus University Hospital
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Sponsor organisation address |
Palle Juul-Jensens Boulevard, Aarhus, Denmark, 8200
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Public contact |
Thomas Fichtner Bendtsen, Aarhus University Hospital, +45 51542997, tfb@dadlnet.dk
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Scientific contact |
Thomas Fichtner Bendtsen, Aarhus University Hospital, +45 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 |
21 Nov 2022
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
04 Nov 2022
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Global end of trial reached? |
Yes
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Global end of trial date |
04 Nov 2022
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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 purpose of the trial is to assess the analgesic effect of preoperatively placed active or placebo iliopsoas plane block for elective primary hip arthroscopy.
The primary objective of the study is to investigate morphine consumption
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Protection of trial subjects |
The trial was approved by the Central Denmark Region Committee on Health Research Ethics (1-10-72-13-21) and the Danish Medicines Agency
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 Apr 2021
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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: 50
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Worldwide total number of subjects |
50
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EEA total number of subjects |
50
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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) |
50
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Patients were screened for inclusion at the first ambulatory contact at Horsens Regional Hospital, Horsens, Denmark, and informed oral and written consent was obtained before surgery. Patients eligible for ambulatory hip arthroscopy surgery indicated by femoroacetabular impingement disease were included according to in- and exclusion criterias | |||||||||||||||
Pre-assignment
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Screening details |
Patients were screened for inclusion at the first ambulatory contact at Horsens Regional Hospital, Horsens, Denmark, and informed oral and written consent was obtained before surgery. Patients eligible for ambulatory hip arthroscopy surgery indicated by femoroacetabular impingement disease were included. | |||||||||||||||
Period 1
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Period 1 title |
Intervention (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||
Roles blinded |
Investigator, Monitor, Data analyst, Carer, Assessor, Subject | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Active IPB | |||||||||||||||
Arm description |
Active iliopsoas plane block | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
bupivacaine 5 mg/ mL+epinephrine 5 μg/mL
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for injection in pre-filled syringe
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Routes of administration |
Perineural use
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Dosage and administration details |
10 mL: bupivacaine 5 mg/mL + epinephrine 5 μg/mL
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Arm title
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Placebo IPB | |||||||||||||||
Arm description |
Placebo iliopsoas plane block | |||||||||||||||
Arm type |
Placebo | |||||||||||||||
Investigational medicinal product name |
saline 9 mg/mL
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for infusion in pre-filled syringe
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Routes of administration |
Perineural use
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Dosage and administration details |
10 mL saline 9 mg/mL
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Baseline characteristics reporting groups
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Reporting group title |
Intervention
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Active IPB
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Reporting group description |
Active iliopsoas plane block | ||
Reporting group title |
Placebo IPB
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Reporting group description |
Placebo iliopsoas plane block |
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End point title |
IV morphine equivalent consumption | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
The first 3 hours in the PACU
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Statistical analysis title |
Mann-Whitney test | ||||||||||||
Comparison groups |
Active IPB v Placebo IPB
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Number of subjects included in analysis |
49
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
< 0.001 | ||||||||||||
Method |
t-test, 2-sided | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Confidence interval |
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level |
95% | ||||||||||||
Variability estimate |
Standard deviation
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End point title |
Numeric Rating Scale (NRS) pain score | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
The first 3 hours in the PACU
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No statistical analyses for this end point |
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End point title |
Quadriceps strength | ||||||||||||
End point description |
Quadriceps strength difference (ratio). A proportion where the numerator was preoperative strength minus postoperative strength and the denominator was preoperative strength
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End point type |
Secondary
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End point timeframe |
Before the nerve block (time 0) and after 3 hours in the PACU
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No statistical analyses for this end point |
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End point title |
Intraoperative hip traction time | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Time traction was applied until the termination of hip traction
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No statistical analyses for this end point |
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End point title |
Duration of anesthesia | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Induction of anesthesia until removal of the laryngeal mask
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No statistical analyses for this end point |
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End point title |
Intraoperative consumption of propofol | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
From start til end of the anesthesia
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No statistical analyses for this end point |
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End point title |
Intraoperative consumption of Remifentanil | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
From start til end of the anesthesia
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No statistical analyses for this end point |
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End point title |
Length of stay in the PACU | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Time of arrival until the patients were ready for discharge
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No statistical analyses for this end point |
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End point title |
Frequency of vomiting | |||||||||
End point description |
Number og patients vomiting postoperative in the PACU
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End point type |
Secondary
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End point timeframe |
The first 3 hours in the PACU
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No statistical analyses for this end point |
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End point title |
Patient satisfaction (NRS 0–10) | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Patient satisfaction (NRS 0–10)
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No statistical analyses for this end point |
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End point title |
Ondansetron mg | |||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
The first 3 hours in the PACU
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No statistical analyses for this end point |
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End point title |
Droperidol mg | ||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
The first 3 hours in the PACU
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No statistical analyses for this end point |
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End point title |
Postoperative PONV score | ||||||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
The first 3 hours in the PACU
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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 |
From anesthesia until discharge from the ambulatory surgery department
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Assessment type |
Systematic | |||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
None | |||||||||||||||
Dictionary version |
0
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Reporting groups
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Reporting group title |
Active IPB group
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Reporting group description |
- | |||||||||||||||
Reporting group title |
Placebo IPB group
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Reporting group description |
- | |||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | ||||||||||||||||
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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: The were no adverse events reported in this trial, neither serious nor non-serious. The Good Clinical Practice Unit at Aalborg and Aarhus University Hospitals monitored the trial and confirmed this. |
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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/38050149 |