Colorectal NeoplasmsPhase 3NCT00236249
Safety and Efficacy Study of Intravenous Lidocaine After Colorectal Surgery: LIDOREHAB
A Phase 3 study testing Lidocaine in people with Colorectal Neoplasms, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.
Trial summary
The purpose of this study is to check if lidocaine intravenous administration during surgery and 24 hours after surgery, associated with standardised management of the patient, helps to accelerate recovery and to improve the quality of recovery, after surgery for colic or rectal neoplasms. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Colorectal Neoplasms
- What is being tested?
- Lidocaine
- How many people
- 110 participants
- Where
- 1 siteFrance
- Study dates
- May 2005to May 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Colorectal neoplasm
- Radical surgery
- Median incision
Who cannot join
- American Society of Anesthesiologists (ASA) score equal to or up to 3
- Unwilling or unable to use patient-controlled analgesia (PCA)
- Chronic consumption of opioids
- Chronic drug or alcohol abuse
- Chronic pain
- Unable to read or write text
Show all 22Show fewer
- Inflammatory disease of intestinal tract
- Allergy to morphine
- Allergy to lidocaine
- Severe atrioventricular conduction dysfunction without stimulator
- Porphyry
- Uncontrolled epilepsy
- History of malign hyperthermia
- Severe cardiac failure
- Hepatic failure
- Myasthenia
- Treatment with beta blockers, antiarrhythmic calcium blockers, sultopride, nonselective monoamine oxidase inhibitor (MAOI)
- Locoregional anaesthesia planned
- Associated surgery concerning liver, pancreas, or gall bladder
- Laparoscopic surgery
- Severe psychiatric pathology
- Refusal of the patient
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of Lidocaine Continuous Intravenous Administration for Postoperative Recovery After Colorectal Surgery
The purpose of this study is to check if lidocaine intravenous administration during surgery and 24 hours after surgery, associated with standardised management of the patient, helps to accelerate recovery and to improve the quality of recovery, after surgery for colic or rectal neoplasms.
Read the detailed description
One of the purposes of postoperative care is to shorten the duration of recovery, in order to reduce the complications and to improve the quality of life. After abdominal surgery, two factors can be modified: early mobilisation, thanks to optimal pain control, and return to a normal feeding, permitted by transit recovery. Opioids, which are usually used for pain control, delay the intestinal transit and can be responsible for side effects like drowsiness, nausea, urine retention.
Lidocaine is a local anaesthetic, which means that it can stop the pain if it is administrated around the nerves. It can also be used intravenously. In this way, it is supposed to decrease opioid consumption, accelerate intestinal transit and even decrease inflammation. Side effects of lidocaine appear at higher plasma concentrations than those considered in the study.
After randomisation, the patient will receive either intravenous lidocaine during the surgery and 24 hours after the surgery, or physiological serum (like placebo). Every patient will dispose of patient-controlled-analgesia with morphine and of a standardised care management. Data will be collected concerning pain level, morphine consumption, psychomotor performances, duration of ileus, speed of activity recovery, quality of recovery, and side effects. Biological evaluation of lidocaine concentration and inflammation will also be done.
- Conditions
- Colorectal Neoplasms
- Being tested
- Lidocaine
- Keywords
- Double blind method, Prospective study, Lidocaine/administration and dosage/therapeutic use, Anaesthetics local/administration and dosage, Opioids/administration and dosage, Pain, postoperative, Perioperative care, Postoperative care, Analgesia, Patient-controlled, Length of stay, Survival analysis, Patient satisfaction, Surgery, Middle age, Adult, Aged
- Medical subject headings
- Colorectal Neoplasms, Pain, Postoperative, Agnosia, Patient Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LidocaineDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Readiness for discharge, checked twice a day
Secondary outcomes (10)
Pain every 4 hours the first day after surgery, then twice a day
Morphine consumption: dose of titration, then twice a day
Time of transit recovery
Physical rehabilitation score daily
Psychomotor test daily until reaching of preoperative values
Quality of recovery score at 1st, 3rd, and 6th day
Satisfaction score at discharge
Biological inflammation the day before the surgery, then at 1st, 3rd, and 6th day
Lidocaine concentration at the end of surgery and 24 hours forward
Clinical side effects twice a day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Oct 2005 (estimated)
- Study startMay 2005
- Primary completionMay 2007
- Study completionMay 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Colorectal NeoplasmsStudies of the same condition, open and under way.
- More trials run by Assistance Publique - Hôpitaux de ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 110 participants (actual)
Sponsor and investigators
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- Sponsor type
- University, hospital or other
- Investigators
- Claude Jolly, MD, Principal investigator, Assistance Publique - Hôpitaux de Paris
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00236249
- Sponsor's protocol ID
- P041008
- Status last verified
- Mar 2007
- First submitted
- 10 Oct 2005
- Last updated
- 18 Feb 2011
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 18 Feb 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Lidocaine Continuous Intravenous Administration for Postoperative Recovery After Colorectal Surgery
- ClinicalTrials.gov ID
- NCT00236249
- Acronym / sponsor ID
- P041008
- Conditions
- Colorectal Neoplasms
- Keywords
- Double blind method, Prospective study, Lidocaine/administration and dosage/therapeutic use, Anaesthetics local/administration and dosage, Opioids/administration and dosage, Pain, postoperative, Perioperative care, Postoperative care
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 110 participants (actual)
- Lead sponsor
- Assistance Publique - Hôpitaux de ParisUniversity, hospital or other
- Study start
- May 2005
- Primary completion
- May 2007 (actual)
- Study completion
- May 2007 (actual)
- First posted
- 12 Oct 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to check if lidocaine intravenous administration during surgery and 24 hours after surgery, associated with standardised management of the patient, helps to accelerate recovery and to improve the quality of recovery, after surgery for colic or rectal neoplasms.
Detailed description
One of the purposes of postoperative care is to shorten the duration of recovery, in order to reduce the complications and to improve the quality of life. After abdominal surgery, two factors can be modified: early mobilisation, thanks to optimal pain control, and return to a normal feeding, permitted by transit recovery. Opioids, which are usually used for pain control, delay the intestinal transit and can be responsible for side effects like drowsiness, nausea, urine retention.
Lidocaine is a local anaesthetic, which means that it can stop the pain if it is administrated around the nerves. It can also be used intravenously. In this way, it is supposed to decrease opioid consumption, accelerate intestinal transit and even decrease inflammation. Side effects of lidocaine appear at higher plasma concentrations than those considered in the study.
After randomisation, the patient will receive either intravenous lidocaine during the surgery and 24 hours after the surgery, or physiological serum (like placebo). Every patient will dispose of patient-controlled-analgesia with morphine and of a standardised care management. Data will be collected concerning pain level, morphine consumption, psychomotor performances, duration of ileus, speed of activity recovery, quality of recovery, and side effects. Biological evaluation of lidocaine concentration and inflammation will also be done.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Colorectal neoplasm
- Radical surgery
- Median incision
Key exclusion criteria (22 listed)
- American Society of Anesthesiologists (ASA) score equal to or up to 3
- Unwilling or unable to use patient-controlled analgesia (PCA)
- Chronic consumption of opioids
- Chronic drug or alcohol abuse
- Chronic pain
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lidocaine | Drug | – |
Primary outcome
Readiness for discharge, checked twice a day
10 secondary outcomes
Pain every 4 hours the first day after surgery, then twice a day
Morphine consumption: dose of titration, then twice a day
Time of transit recovery
Physical rehabilitation score daily
Psychomotor test daily until reaching of preoperative values
Quality of recovery score at 1st, 3rd, and 6th day
Satisfaction score at discharge
Biological inflammation the day before the surgery, then at 1st, 3rd, and 6th day
Lidocaine concentration at the end of surgery and 24 hours forward
Clinical side effects twice a day
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Feb 2011.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Claude Jolly, MD principal investigator
Assistance Publique - Hôpitaux de Paris
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lidocaine in people with Colorectal Neoplasms, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Feb 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Readiness for discharge, checked twice a day. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Feb 2011.