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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03105193
Registration number
NCT03105193
Ethics application status
Date submitted
23/03/2017
Date registered
7/04/2017
Titles & IDs
Public title
Intravenous and Intraperitoneal Lignocaine for Perioperative Analgesia in Laparoscopic Colon Resections
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Scientific title
Intravenous and Intraperitoneal Lignocaine for Perioperative Analgesia in Laparoscopic Colon Resections
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Secondary ID [1]
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IPL/IVL
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Laparoscopic Colon Resection
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Perioperative Analgesia
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Condition category
Condition code
Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - IV Saline bolus and infusion
Treatment: Drugs - IP Saline bolus and infusion
Treatment: Drugs - IV lignocaine bolus and infusion
Treatment: Drugs - IP Lignocaine bolus and infusion
Experimental: Intraperitoneal Lignocaine - IP Lignocaine
Experimental: Intravenous lignocaine - IV lignocaine
Treatment: Drugs: IV Saline bolus and infusion
Intravenous bolus of normal saline at induction 3 day postoperative infusion of normal saline administered by ambit pump
Treatment: Drugs: IP Saline bolus and infusion
Intraperitoneal bolus of normal saline down first port site. 3 day post operative intraperitoneal infusion of normal saline via an intraperitoneal line inserted by the surgeon. Infusion will be administered by ambit pump.
Treatment: Drugs: IV lignocaine bolus and infusion
Intravenous lignocaine bolus at induction. 3 day postoperative IV infusion of lignocaine administered by ambit pump
Treatment: Drugs: IP Lignocaine bolus and infusion
Intraperitoneal bolus of lignocaine down first port site. 3 day post operative intraperitoneal infusion of lignocaine via an intraperitoneal line inserted by the surgeon. Infusion will be administered by ambit pump.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Morphine consumption
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Assessment method [1]
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Total morphine consumption at day 3
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Timepoint [1]
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3 days
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Secondary outcome [1]
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Pain scores
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Assessment method [1]
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Pain scores using the visual analogue score (VAS)
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Timepoint [1]
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0, 6, 12 hours and Postoperative day (POD) 1, 2, 3, 4 and 7
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Secondary outcome [2]
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Systemic Inflammatory Response (CRP and WBC)
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Assessment method [2]
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Blood test
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Timepoint [2]
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very morning post op starting day 1 until day 4 post op
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Secondary outcome [3]
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Systemic Local Anesthetic Level
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Assessment method [3]
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Blood test
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Timepoint [3]
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every morning post op starting day 1 until day 4 post op
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Secondary outcome [4]
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Length of stay
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Assessment method [4]
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The day that the patient is discharged will be recorded
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Timepoint [4]
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Variable measure as it is dependent on the patients recovery after surgery. Cut off 3 weeks
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Secondary outcome [5]
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Return of bowel function
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Assessment method [5]
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Time to flatus, first bowel motion
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Timepoint [5]
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Variable measure as it is dependent on the patients recovery after surgery. Cut off 3 weeks
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Secondary outcome [6]
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Readmissions complications
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Assessment method [6]
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Readmissions complications will be recorded up to day 30 post op using the Clavien-Dindo Classification
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Timepoint [6]
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30 days post op
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Secondary outcome [7]
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Surgical recovery scores (SRS)
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Assessment method [7]
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SRS questionnaires will be administered at day 1 till discharge then POD 14, 30 and 60
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Timepoint [7]
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Up to 60 days post op
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Eligibility
Key inclusion criteria
* consecutive consenting patients undergoing elective laparoscopic colonic resections will be recruited from surgical outpatient clinics at Manukau Super Clinic.
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* under 16 years of age
* acute colonic resection
* those with ASA >= 4
* previous adverse reaction/allergy to local anaesthetic,
* surgery for rectal lesions which was defined as lesion within 15 cm of the anal verge
* preoperative systemic steroid dependence
* hepatic dysfunction, opioid use greater than 6 months
* a diagnosis of Chronic Pain Syndrome
* inability to consent or complete data scores in the study questionnaires due to cognitive impairment and/or language barrier.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
17/08/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/12/2019
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this study is to investigate the analgesic effects of intraperitoneal lignocaine (IPL) compared with intravenous lignocaine (IVL) after laparoscopic colon resections. We plan to run a 2 group randomized, double blind, clinical trial which will look into morphine consumption as the primary outcome. Group 1 (IV lignocaine)- IV bolus of lignocaine and a 3 day post operative IV lignocaine infusion. Intra peritoneal (IP) bolus of normal saline + 3 day post operative IP normal saline infusion Group 2 (IP lignocaine)- IV bolus of normal saline and a 3 day post operative IV normal saline infusion. IP bolus of lignocaine + 3 day post operative IP lignocaine infusion
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Trial website
https://clinicaltrials.gov/study/NCT03105193
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Andrew G Hill
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Address
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The University of Auckland
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03105193