E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The reduction of acute postoperatory pain in female patients diagnosed with breast cancer and undergoing surgical treatment is investigated. |
Se investiga la disminución del dolor agudo postoperatorio en pacientes mujeres diagnosticadas de cáncer de mama y sometidas a tratamiento quirúrgico |
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E.1.1.1 | Medical condition in easily understood language |
Decrease pain after breast surgery in those women diagnosed with cancer |
Disminuir el dolor después de la cirugía de mama en aquellas mujeres diagnosticadas de cáncer |
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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.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1. Demonstrate that intraoperative infiltration of lidocaine at 0.5% in the surgical incision, decreases the incidence of acute postoperative pain 2. Demonstrate that intraoperative infiltration of lidocaine at 0.5% decreases the requirements of postoperative analgesia, especially opioids |
1. Demostrar que la infiltración intraoperatoria de lidocaína al 0.5% en la incisión quirúrgica, disminuye la incidencia de dolor agudo postoperatorio 2. Demostrar que la infiltración intraoperatoria de lidocaína al 0.5% disminuye los requerimientos de analgesia postoperatoria, especialmente de opiáceos |
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E.2.2 | Secondary objectives of the trial |
-To demonstrate that the intraoperative infiltration of lidocaine at 0.5% in the surgical incision, decreases the incidence of chronic pain associated with surgery. -To demonstrate that intraoperative infiltration of the surgical incision by lidocaine at 0.5%, decreases the incidence of mobility restriction of the upper extremity ipsilateral to surgery. -To assess the incidence of side effects associated with treatment by infiltration of the surgical scar with 0.5% lidocaine. -To quantify the incidence of acute and chronic postoperative pain after breast surgery in our population. -Demonstrate that intraoperative infiltration of the surgical incision by lidocaine 0.5% does not alter the healing of the same |
-Demostrar que la infiltración intraoperatoria de lidocaína al 0.5% en la incisión quirúrgica, disminuye la incidencia de dolor crónico asociado a la cirugía. -Demostrar que la infiltración intraoperatoria de la incisión quirúrgica mediante lidocaína al 0.5%, disminuye la incidencia de restricción de movilidad de la extremidad superior ipsilateral a la cirugía. -Evaluar la incidencia de efectos secundarios asociados al tratamiento mediante infiltración de la cicatriz quirúrgica con lidocaína al 0.5%. -Cuantificar la incidencia de dolor postoperatorio agudo y crónico tras la cirugía mamaria en nuestra población. -Demostrar que la infiltración intraoperatoria de la incisión quirúrgica mediante lidocaína al 0.5% no altera la cicatrización de la misma |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Woman over 18 years of age, diagnosed with malignant neoplasm of breast, candidate for surgical treatment scheduled in our center, Consorci Sanitari Integral, and who have signed the informed consent |
Mujer mayor de 18 años, diagnosticada de neoplasia maligna de mama, candidata a tratamiento quirúrgico programado en nuestro centro, Consorci Sanitari Integral, y que hayan firmado el consentimiento informado |
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E.4 | Principal exclusion criteria |
-Allergy to the local anesthetic lidocaine -History of breast, thoracic or upper extremity surgery -Breast cancer recurrence surgery -Preoperative pain of the area to be intervened -Previous neurological alteration of the chest wall -History of stroke with limb involvement superior ipsilateral to surgery -Language difficulty |
-Alergia al anestésico local lidocaína -Antecedente de cirugía mamaria, torácica o de extremidad superior -Cirugía de recidiva del cáncer de mama -Dolor preoperatorio de la zona a intervenir -Alteración neurológica previa de la pared torácica -Antecedente de accidente cerebrovascular con afectación de la extremidad superior ipsilateral a la cirugía -Dificultad idiomática |
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E.5 End points |
E.5.1 | Primary end point(s) |
Acute postoperative pain at 1, 4, 12, 24 and 48h postoperative (VAS scale), at rest and in movement with the abduction of the arm > 90º |
Dolor agudo postoperatorio a la 1, 4, 12, 24 y 48h postoperatorias (escala EVA), en reposo y en movimiento con la abducción del brazo > 90º |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
It will be evaluated at 1,4,12, 24 and 48h postoperative and subsequently in the visits in consultation in the month 1,3,6 and 12 after surgery |
Se evaluará a la 1,4,12, 24 y 48h postoperatorias y posteriormente en las visitas en consulta en el mes 1,3,6 y 12 después de la cirugía |
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E.5.2 | Secondary end point(s) |
-Postoperative analgesia requirements (Paracetamol, NSAIDs, Opiates and total amount administered in mg) -Complications of the surgical wound (hematoma, infection, seroma, dehiscence) -Upper extremity mobility (Constant scale) -FIGO Stadium -Intervention type -Reconstruction (prosthesis/flap vs oncoplasty) -Duration of intervention -Surgeon -Anesthetic technique -Analgesia required during surgery -Complications during surgery -Age -Weight -Height -BMI -Smoking -Alcohol -Drugs -Comorbidities (Diabetes, HTN) -Usual treatment prior to surgery -Socioeconomic level -Level of studies |
-Requerimientos de analgesia postoperatoria (Paracetamol, AINEs, Opiáceos y cantidad total administrada en mg) -Complicaciones de la herida quirúrgica (hematoma, infección, seroma, dehiscencia) -Movilidad extremidad superior (escala Constant) -Estadio FIGO -Tipo intervención -Reconstrucción (prótesis/colgajo vs oncoplastia) -Duración intervención -Cirujano -Técnica anestésica -Analgesia requerida durante la cirugía -Complicaciones durante la cirugía. -Edad -Peso -Altura -IMC -Tabaquismo -Alcohol -Drogas -Comorbilidades (Diabetes, HTA) -Tratamiento habitual previo a la cirugía -Nivel socioeconómico -Nivel de estudios |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
They will be collected at the first informative visit of the type of surgery and the day of the intervention |
Se recogerán en la primera visita informativa del tipo de cirugía y el día de la intervención |
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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 | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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 | No |
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 | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
grupo control, sin tratamiento |
No treatment in control group |
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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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It is defined as 12 months after the last patient recruited, so the clinical phase is estimated to end in September 2025 |
Se define como 12 meses después del último paciente reclutado, por lo que la fase clínica se estima que finalice en septiembre del 2025 |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |