Eutectic Mixture for Hemorrhoidectomy Postoperative (CRT054)
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Purpose
Assess the efficacy and safety of the topic use of an eutectic mixture of local anesthetics for postoperative pain control of patients submitted to hemorrhoidectomy. Patients will be operated and discharged at the same day in a day hospital clinic. During the fourteen days recovery period, they will apply the study medication to the anal region 4 times daily. The Visual Analog Pain Scale (VAS) will be answered twice daily. Patients will also take 100 mg oral nimesulide twice daily and 50 mg tramadol on demand up to 4 times daily. The tramadol demand will be tabulated. A rescue medication for analgesia will be provided (sodium diclofenac IM).
| Condition | Intervention | Phase |
|---|---|---|
|
Hemorrhoidectomy |
Drug: Eutectic mixture Drug: placebo Drug: lidocaine 2,5%; prilocaine 2,5% |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | "Topic Effects of Eutectic Mixture Use in Local Anesthetics on Hemorrhoidectomy Postoperative (Prospective Study, Randomized, Triple Blind, Placebo-controlled)" |
- Reduction of pain evaluated by the analgesics demand. [ Time Frame: Follow-up termination (1 month) ] [ Designated as safety issue: No ]
- Pain reduction by VAS [ Time Frame: Follow-up termination (1 month) ] [ Designated as safety issue: No ]
- Tolerability by the adverse events incidence [ Time Frame: Follow-up termination (1 month) ] [ Designated as safety issue: Yes ]
| Enrollment: | 144 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | November 2012 |
| Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Eutectic mixture |
Drug: Eutectic mixture
The eutectic mixture of lidocaine + prilocaine + bupivacaine.
|
| Placebo Comparator: placebo |
Drug: placebo
placebo
|
| Active Comparator: Medicaina |
Drug: lidocaine 2,5%; prilocaine 2,5%
lidocaine 2,5%; prilocaine 2,5%
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria: male and female patients, older than 18, having internal hemorrhoid disease grade III or IV with indication of elective surgery, anesthetic risk ASA 1 or 2; able to read and write.
Exclusion criteria: allergy or hypersensitivity to the mixture components, perianal fistulas, fissures, ulcers, infectious and inflammatory processes or tumors to the anal region, chronic diarrhea, megacolon or colonic anatomical deformities, hemorrhoidal thrombosis, gangrene or any condition that changes the indication from elective to urgent, previous surgery to anal-rectal region, history or clinical signs of diabetes mellitis type I or II, pregnancy, intense anxiety or important emotional disorder, participation in any clinical trial within the 3 months preceding the inclusion, investigator´s opinion.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Joaquim Simoes Neto, Master Degree, Federal University of São Paulo |
| ClinicalTrials.gov Identifier: | NCT00932542 History of Changes |
| Other Study ID Numbers: | CRT054 |
| Study First Received: | June 18, 2009 |
| Last Updated: | October 8, 2012 |
| Health Authority: | Brazil: National Health Surveillance Agency |
Keywords provided by Federal University of São Paulo:
|
Hemorrhoidectomy |
Additional relevant MeSH terms:
|
Hemorrhoids Rectal Diseases Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases Vascular Diseases Cardiovascular Diseases Prilocaine Lidocaine Anesthetics, Local |
Anesthetics Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Sensory System Agents Peripheral Nervous System Agents Central Nervous System Agents Therapeutic Uses Anti-Arrhythmia Agents Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 19, 2013