AzTrials
AzTrials

Carpal Tunnel SyndromePhase 4NCT03649763

Onset and Duration of Forearm Nerve Blockade

A Phase 4 study testing Lidocaine and Bupivacaine in people with Carpal Tunnel Syndrome, run by New York School of Regional Anesthesia at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This pilot study will evaluate the latency of onset and duration of sensory-motor block in patients undergoing hand surgery. Patients will be randomized to receive nerve blocks of the distal forearm or of the distal and proximal forearm. Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Carpal Tunnel Syndrome
What is being tested?
Lidocaine and Bupivacaine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteBelgium
Study dates
7 Mar 2018to 31 Dec 2018
Phase
Phase 4
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 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Scheduled to undergo daycare surgery for carpal tunnel syndrome under peripheral nerve blocks
  • American Society of Anesthesiologists (ASA) physical status I, II or III
  • Able to demonstrate sensory function in the ulnar and median nerve distribution by exhibiting sensitivity to cold, pinprick and light touch
  • Scheduled to undergo primary hand surgery
  • Able to understand the Dutch language, purpose and risks of the study
  • Able to provide informed consent and authorization to use protected health information, adhere to the study visit schedule, and complete all study assessments

Who cannot join

  • Currently pregnant or nursing
  • History of hypersensitivity to local anesthetics
  • Contraindication to lidocaine, bupivacaine, paracetamol
  • Medical condition that will make it difficult to assess sensory distributions of the upper extremity peripheral nerves or to communicate with staff
  • Suspected or known recent history (< 3 months) of drug or alcohol abuse
  • Concurrent physical condition that may require analgesic treatment (such as NSAID or opioid) in the postsurgical period for pain that is not strictly related to Carpal Tunnel Syndrome and which may confound the postsurgical assessments
Show all 14Show fewer
  • Infection at the planned block site(s)
  • Initiation of treatment with any of the following medications within 1 month of study drug administration or if the medication(s) are being given to control pain: selective serotonin reuptake inhibitors (SSRIs), selective norepinephrine reuptake inhibitors (SNRIs), gabapentin, pregabalin (Lyrica®), or duloxetine (Cymbalta®)
  • Body weight <40 kg or body mass index >44 kg/m2
  • Uncontrolled anxiety, psychiatric, or neurological disorder that might interfere with study assessments
  • Any chronic neuromuscular deficit affecting the Ulnar and Median nerves or muscles of the surgical extremity
  • Any chronic condition or disease that would compromise neurological
  • Presence of pre-existing coagulation disorders
  • Baseline neurological deficits

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Ziekenhuis Oost-Limburg

    Genk, Limburg, B-3600

Other trials in Belgium

About this study

Official title: Onset and Duration of Forearm Nerve Blockade Performed With a Single Distal Injection Versus Sequential Injections at Distal and Proximal Locations Alongside the Nerves: A Blinded Randomized

This pilot study will evaluate the latency of onset and duration of sensory-motor block in patients undergoing hand surgery. Patients will be randomized to receive nerve blocks of the distal forearm or of the distal and proximal forearm. Local anesthetic will be injected to anesthetise the median and ulnar nerves in the distal forearm (1-injection site group) or the median and ulnar nerves in the distal and proximal forearm (2-sequential injection sites group) to accomplish anesthesia for surgery on the hand.

Being tested
Lidocaine, Bupivacaine
Medical subject headings
Carpal Tunnel Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LidocaineDrug

    lidocaine 1%, distal ( ulnar and medial nerve): 6ml/nerve , 12m total

  • BupivacaineDrug

    Bupivacaine 0.5%,distal ( ulnar and medial nerve): 6ml/nerve , 12m total

  • LidocaineDrug

    lidocaine 1%, distal and proximal ( ulnar and medial nerve): 3ml/nerve , 12m total

Study groups in NCT03649763
Study groupRoleWhat they receive
Lidocaine distal forearmActive comparatorLidocaine 1% - Ultrasound-guided specific blocks of the DISTAL median and ulnar nerves with perineural injections of Lidocaine1%. Volume injected is 6 mL/nerve; 12 mL total.
Receives: Drug: Lidocaine
Bupivacaine distal forearmActive comparatorBupivacaine 0.5%-Ultrasound-guided specific blocks of the DISTAL median and ulnar nerves with perineural injections of Bupivacaine0.5%. Volume injected is 6 mL/nerve; 12 mL total.
Receives: Drug: Bupivacaine
Lidocaine distal and proximal forearmActive comparatorLidocaine 1%- Ultrasound-guided specific blocks of the DISTAL and PROXIMAL median and ulnar nerves with perineural injections of Lidocaine 1%. Volume injected is 3 mL/nerve; 12 mL total
Receives: Drug: Lidocaine
Bupivacaine distal and proximal forearmActive comparatorBupivacaine 0.5%- Ultrasound-guided specific blocks of the DISTAL and PROXIMAL median and ulnar nerves with perineural injections of Bupivacaine 0.5 %. Volume injected is 3 mL/nerve; 12 mL total.
Receives: Drug: Bupivacaine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 5-minute beginning at the end of the last injection

  2. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 10-minute beginning at the end of the last injection

  3. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 15-minute beginning at the end of the last injection

  4. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 20-minute beginning at the end of the last injection

  5. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 25-minute beginning at the end of the last injection

  6. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 30-minute beginning at the end of the last injection

  7. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 45-minute beginning at the end of the last injection

  8. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 60-minute beginning at the end of the last injection

  9. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: Post Anesthesia Care Unit arrival

  10. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 15-minute after Post Anesthesia Care Unit arrival

  11. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: 30-minute after Post Anesthesia Care Unit arrival

  12. onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves

    Block success is defined as full sensory block of the areas and muscles supplied by the median and ulnar nerves. Block failure is defined as absence of sensory blockade at 30 min in the median and ulnar nerve territories as assessed by pin-prick, cold and light touch.

    Measured: Post Anesthesia Care Unit discharge

Secondary outcomes (15)
  1. postoperative Numeric Rating Scale (NRS)

    pain rating(numeric rating scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: screening Day0 (prior to the nerve block), post block, PACU arrival, Day0 evening, Day1 morning and evening, Day2 morning and evening, Day3 morning and evening, Day4, Day5, Day6, Day7

  2. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: post block

  3. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Post Anesthesia Care Unit arrival

  4. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 0 evening

  5. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 1 morning

  6. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 1 evening

  7. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 2 morning

  8. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 2 evening

  9. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 3 morning

  10. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 3 evening

  11. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 4

  12. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 5

  13. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 6

  14. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 7

  15. postoperative Numeric Rating Scale (NRS)

    pain rating( Numeric Rating Scale) at rest and with movement ( scale 0:no pain - 10:worst pain)

    Measured: Day 30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2018
  2. Study start7 Mar 2018
  3. Primary completion31 Dec 2018
  4. Study completion31 Dec 2018

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03649763
Sponsor's protocol ID
1801
Status last verified
Feb 2019
First submitted
1 Aug 2018
Last updated
26 Feb 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Lidocaine and Bupivacaine in people with Carpal Tunnel Syndrome, run by New York School of Regional Anesthesia at 1 site in Belgium.

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 6 inclusion and 14 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 26 Feb 2019. 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 Belgium. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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?

onset of successful block and duration of sensory-motor blockade of the median and ulnar nerves (time frame: 5-minute beginning at the end of the last injection). The study lists 12 primary outcomes in all. 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 26 Feb 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in