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Phase III, Evaluate Noninferiority Between Levobupivacaine and Bupivacaine in Spinal Anesthesia.

This study has suspended participant recruitment.
Newco Trials Pesquisa Científica Ltda
Information provided by (Responsible Party):
Cristália Produtos Químicos Farmacêuticos Ltda. Identifier:
First received: October 30, 2013
Last updated: January 30, 2017
Last verified: January 2017
Clinical trial phase III, noninferiority, controlled, double-blind, randomized. The purpose of this study is to evaluate the noninferiority between Levobupivacaine and Bupivacaine in spinal anesthesia.

Condition Intervention Phase
Orthopedic Disorder of Spine
Drug: Levobupivacaine
Drug: Bupivacaine
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Participant, Investigator
Primary Purpose: Treatment
Official Title: Study Phase III to Evaluate the Noninferiority of Heavy Levobupivacaine 50% Enantiomeric Excess (Levobupivacaine S75:R25) Compared to Racemic Heavy Bupivacaine (Bupivacaine S50:R50) in Spinal Anesthesia for Lower Limb Orthopedic Procedures

Resource links provided by NLM:

Further study details as provided by Cristália Produtos Químicos Farmacêuticos Ltda.:

Primary Outcome Measures:
  • Time of latency to achieve sensitive block of T10. [ Time Frame: 01 day. ]
    The interval of time between the withdrawal of the needle at the end of local anesthetic injection and the absence of response to sensory stimulus in the region corresponding to the T10.

  • Duration time of the sensory block of T10. [ Time Frame: 01 day. ]
    Duration of anesthesia as for the sensory aspect through a needle stimulus in the anterior side of the foot.

Secondary Outcome Measures:
  • Sensory block intensity. [ Time Frame: 02 days. ]
    Ability of the patient to move their lower limbs, assessed by Bromage scale.

  • Motor block duration. [ Time Frame: 02 days. ]
    Time interval between the end of anesthetic injection and the return to 0 score in modified Bromage scale.

  • Cardiovascular safety. [ Time Frame: 02 days. ]
    Incidence and severity of hemodynamic (BP and HR) and respiratory (SpO2) alterations.

  • Block failure. [ Time Frame: 02 days. ]
    To evaluate the absence of signs of analgesia or motor block for at least 20 minutes after anesthetic injection in the sensitive region studied.

  • Adverse events. [ Time Frame: 02 days. ]
    To evaluate the occurrence of adverse events regarding the frequency, duration, severity and causal relationship with the study medication.

Estimated Enrollment: 120
Estimated Study Completion Date: January 2017
Primary Completion Date: December 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Levobupivacaine

Presentation: injectable solution - ampoule of Levobupivacaine Hydrochloride

Indication: production of subarachnoid block (spinal/ spinal anesthesia).

Drug: Levobupivacaine
Will be administered 3 ml of the investigational anesthetic in combination with morphine through the subarachnoid via.
Other Name: Levobupivacaine Hydrochloride.
Active Comparator: Bupivacaine

Presentation: injectable solution - ampoule of Bupivacaine Hydrochloride

Indication: production of subarachnoid block (spinal/ spinal anesthesia).

Drug: Bupivacaine
Will be administered 3 ml of the investigational anesthetic in combination with morphine through the subarachnoid via.
Other Names:
  • Neocaína ®.
  • Bupivacaine Hydrochloride.

  Show Detailed Description


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients of both sexes;
  • Age between 18 and 80 years;
  • Risk anesthetic classified as ASA I or ASA II, according to the American Society of Anesthesiology;
  • What have indication for spinal orthopedic surgery in the lower limbs;
  • Have agreed to participate and signed the informed consent form.

Exclusion Criteria:

  • Absolute or relative contraindications to spinal anesthesia;
  • Hypersensitivity or intolerance to local anesthetics or to components of the formula;
  • Spinal cord injuries, peripheral neuropathy or other neurological condition that lead to sensitivity and/ or motor function disorder;
  • Dementia, mental retardation and others important cognitive changes;
  • Obesity with a body mass index ( BMI ) ≥ 35 or difficulty in executing the puncture;
  • Anatomical column difficulty in the opinion of the investigator;
  • Previous spine surgical intervention;
  • Polytrauma;
  • Tattoo at the puncture site;
  • Alcoholism;
  • Abuse of illicit substances;
  • Antecedents of severe anaphylactic reactions or Steven - Johnson disease;
  • Changes in security checks;
  • Participation in a clinical study in the 12 months preceding this inclusion;
  • Pregnancy and lactation;
  • Any other condition that in the opinion of the investigator, may lead to increased risk for the patient.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01994967

IMIP - Instituto de Medicina Integral Prof. Fernando Figueira
Recife, PE, Brazil, 50070-550
Hospital Ernesto Dornelles
Porto Alegre, RS, Brazil, 90160-093
Hospital de Base de São José do Rio Preto /SP
São José do Rio Preto, SP, Brazil, 15090-000
Hospital das Clínicas da Faculdade de Medicina da USP / SP
São Paulo, SP, Brazil, 05403-010
CEMEC - Multidisciplinary Center of Clinical Studies
São Paulo, Brazil, 09780-000
Sponsors and Collaborators
Cristália Produtos Químicos Farmacêuticos Ltda.
Newco Trials Pesquisa Científica Ltda
Principal Investigator: Onésimo D. Ribeiro Junior, Medic CEMEC
  More Information

Responsible Party: Cristália Produtos Químicos Farmacêuticos Ltda. Identifier: NCT01994967     History of Changes
Other Study ID Numbers: CRT074
Study First Received: October 30, 2013
Last Updated: January 30, 2017

Keywords provided by Cristália Produtos Químicos Farmacêuticos Ltda.:
Phase III
Lower limb

Additional relevant MeSH terms:
Spinal Diseases
Bone Diseases
Musculoskeletal Diseases
Central Nervous System Depressants
Physiological Effects of Drugs
Anesthetics, Local
Sensory System Agents
Peripheral Nervous System Agents processed this record on May 25, 2017