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Trial registered on ANZCTR
Registration number
ACTRN12608000591358
Ethics application status
Approved
Date submitted
3/08/2008
Date registered
21/11/2008
Date last updated
21/01/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of two concentrations of local anaesthetic for pain relief after shoulder rotator cuff repair
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Scientific title
A comparison of 0.2 and 0.4% Ropivacaine for Ambulatory Patient Controlled Interscalene Analgesia after Rotator Cuff Repair
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Secondary ID [1]
259929
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Nil Known
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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:
Pain relief after shoulder rotator cuff repair
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Condition category
Condition code
Anaesthesiology
3645
3645
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
0.4% ropivacaine for continuous interscalene block after rotator cuff repair for 48 hours postoperatively as required by the patient.
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Intervention code [1]
3213
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Treatment: Drugs
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Comparator / control treatment
0.2% ropivacaine for continuous interscalene block after rotator cuff repair for 48 hours postoperatively as required by the patient.
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Control group
Active
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Outcomes
Primary outcome [1]
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Reduced pain after rotator cuff repair, assessed by patient interrogation regarding analgesic consumption and pain scores using numerical rating pain score (NRPS).
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Assessment method [1]
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Timepoint [1]
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1-2 days post operatively.
Analgesic requirements and pain scores (0-10) measured in the afternoon of Day 1 and Day 2 following surgery.
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Secondary outcome [1]
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Arm numbness/weakness
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Assessment method [1]
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Timepoint [1]
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First 48 postoperative hours
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Eligibility
Key inclusion criteria
Patients requiring continuous interscalene analgesia following rotator cuff repair under the care of the two investigators.
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Minimum age
No limit
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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?
No
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Key exclusion criteria
1. Patient refusal/inability to consent, age no limits
2. Allergy amide local anaesthetic (LA) drugs
3. Existing neurological disorders/neuropathy of the operative extremity
4. Infection at site of needle puncture
5. Severe respiratory disease
6. Chronic opioid therapy
7. Intolerance of all non-steroidal anti-inflammatory drugs (NSAIDs).
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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)
A dedicated research assistant (Margaret Watkin) will invite patients to be included in the study and will perform the post operative phone call on days 1,2 and 10. The principal investigator will place all interscalene catheters. The patients PACU nurse will be asked to record the patients pain score on arrival in the PACU. Patients will be asked simple questions on postoperative day 1 through 2. Margaret Watkin will also coordinate the 3 month questionnaire. Assignment of patient to 0.2% or 0.4% concentration of ropivacaine will be delivered in a sealed opaque envelope.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computerised random number generator will be used to assign the patient to one of the 2 groups.
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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
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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
Completed
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Date of first participant enrolment
Anticipated
15/08/2008
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Actual
15/10/2008
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Date of last participant enrolment
Anticipated
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Actual
1/04/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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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
Funding source category [1]
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Government body
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Name [1]
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Accident Compensation Corporation (ACC)
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Address [1]
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P O Box 242
Wellington 6140
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Michael Fredrickson
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Address
Anaesthesia Institute
P O Box 109 199
Newmarket
Auckland 1149
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
3294
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern X Regional Ethics Committee
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Ethics committee address [1]
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Private Bag 92 522 Wellesley Street Auckland 1141
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
5719
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Approval date [1]
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15/04/2008
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Ethics approval number [1]
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NTX/08/04/026
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Summary
Brief summary
If the primary hypothesis is confirmed, this study will provide evidence supporting the use of a higher concentration of ropivacaine than that which is routinely used in Auckland. At present the community standard is ropivacaine 0.2% for this technique. This may result in future patients experiencing less postoperative pain after rotator cuff repair. Potential benefits might include a lower incidence of post rotator cuff repair chronic pain.
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Trial website
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Trial related presentations / publications
N/A
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Public notes
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Contacts
Principal investigator
Name
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Dr Michael Fredrickson
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Address
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Anaesthesia Institute
P O Box 109 199
Newmarket
Auckland 1149
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Country
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New Zealand
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Phone
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+6495221117
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Michael Fredrickson
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Address
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Anaesthesia Institute
P O Box 109 199
Newmarket
Auckland 1149
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Country
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New Zealand
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Phone
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+64 9 522 1117
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Fax
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+64 9 522 1127
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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 Michael Fredrickson
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Address
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Anaesthesia Institute
P O Box 109 199
Newmarket
Auckland 1149
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Country
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New Zealand
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Phone
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+64 9 522 1117
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Fax
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+64 9 522 1127
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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
Source
Title
Year of Publication
DOI
Embase
Analgesic effectiveness of ropivacaine 0.2% vs 0.4% via an ultrasound-guided C5-6 root/superior trunk perineural ambulatory catheter.
2009
https://dx.doi.org/10.1093/bja/aep195
N.B. These documents automatically identified may not have been verified by the study sponsor.
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