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Trial registered on ANZCTR
Registration number
ACTRN12607000102471
Ethics application status
Not yet submitted
Date submitted
16/11/2006
Date registered
31/01/2007
Date last updated
31/01/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Caudal anaesthesia vs lignocaine gel for TRUS biopsy of the prostate. A randomised controlled trial
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Scientific title
A randomised study to investigate the effects of caudal lignocaine versus topical lignocaine on VAS pain scores in men undergoing trans-rectal ultrasound guided biopsy of the prostate for the detection of prostate cancer.
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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:
Prostate cancer
1596
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Condition category
Condition code
Cancer
1699
1699
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A single injection of 4mg / kg (ideal body weight) of 2% lignocaine (to a maximum of 400 mg) into the caudal epidural space prior to TRUS biopsy. A TRUS biopsy is usually completed within 15 - 20 minutes. Following the TRUS biopsy, subjects are cared for in the recovery room for a minimum of 30 minutes.
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Intervention code [1]
1451
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Treatment: Drugs
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Comparator / control treatment
Subjects in the control group will have 2% lignocaine gel applied to the ultrasound probe immediately prior to its insertion (usual practice).
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain as assessed by 100 mm visual analoge scale.
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Assessment method [1]
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Timepoint [1]
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Measured immediatley prior to and after caudal injection and immediately prior to and after the first TRUS biopsy. Pain scores will be assessed prior to discharge from the recovery room.
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Secondary outcome [1]
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Patient and surgeon satisfaction.
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Assessment method [1]
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Timepoint [1]
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Surgeon satisfaction will be assessed immediately after TRUS biopsy is performed. Patient satisfaction will be assessed prior to their discharge from recovery.
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Eligibility
Key inclusion criteria
Inclusion: Adult patients undergoing TRUS biopsy of the prostate able to give consent.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
Allergy to lignocaine, known contraindication to neuraxial blockade (sepsis, abnormal spinal anatomy, bleeding diathesis)
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Prospective computer generated block randomization
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
assessors
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
5/02/2007
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Actual
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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
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
419
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New Zealand
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State/province [1]
419
0
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Funding & Sponsors
Funding source category [1]
1842
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Hospital
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Name [1]
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St Vincents Hospital
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Address [1]
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Country [1]
1842
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Australia
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Primary sponsor type
Individual
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Name
Dr Suzi Nou
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Address
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Country
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Secondary sponsor category [1]
1660
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Individual
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Name [1]
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Dr Keng Low
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Address [1]
1660
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Country [1]
1660
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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St Vincent's Hospital, Melbourne.
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Ethics committee address [1]
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Melbourne.
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
3444
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Approval date [1]
3444
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Ethics approval number [1]
3444
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Summary
Brief summary
Trans-rectal ultrasound (TRUS) guided biopsy of the prostate is a routine method of testing for prostate cancer, which is one of the most common cancers affecting men. The procedure involves passing a probe into the rectum and guiding a needle into the prostate to obtain tissue. Usually 6 to 24 biopsies are taken and the ability to detect cancer improves with increasing biopsies. Pain relief for this procedure has ranges from nothing or local anaesthetic gel, when performed in the urologist’s room to full general anaesthesia when performed in hospital. Numerous studies have found that injection of local anaesthetic around the prostate improves pain relief and tolerance of the procedure. Caudal anaesthesia is a common method of providing pain relief. It is almost routinely used in children undergoing genital and lower abdominal surgery such as circumcision and hernia repair. It is also used in adults undergoing perianal surgery such as haemorrhoidectomy. Caudal anaesthesia involves injecting local anaesthetic into the caudal space. The caudal space is a continuation of the epidural space, a fatty layer around the spinal cord. This study will compare the pain relief provided by caudal anaesthesia with local anaesthetic gel in men undergoing TRUS guided biopsy of the prostate
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Trial website
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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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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 public queries
Name
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Dr Suzi Nou
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Address
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St Vincent's Hospital
Victoria Parade
Fitzroy Melbourne VIC 3064
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Country
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Australia
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Phone
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+61 3 92882211
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Fax
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+61 3 92884255
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Suzi Nou
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Address
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St Vincent's Hospital
Victoria Parade
Fitzroy Melbourne VIC 3064
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Country
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Australia
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Phone
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+61 412 080892
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Fax
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+61 3 92884255
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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