Trial Outcomes & Findings for Effect of Sedation on Diagnostic Injections (NCT NCT01472835)

NCT ID: NCT01472835

Last Updated: 2016-12-15

Results Overview

pain diary using 0-10 scale, with 0 being no pain and 10 being the worst pain imaginable

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

73 participants

Primary outcome timeframe

through 6 hours after injection

Results posted on

2016-12-15

Participant Flow

Participant milestones

Participant milestones
Measure
Sedation
Pt will receive sedation with their 1st procedure, then a control procedure will be done without sedation sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
Patient will not receive sedation during their 1st procedure, but receive sedation during the 2nd procedure
Overall Study
STARTED
37
36
Overall Study
COMPLETED
35
36
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sedation
Pt will receive sedation with their 1st procedure, then a control procedure will be done without sedation sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
Patient will not receive sedation during their 1st procedure, but receive sedation during the 2nd procedure
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Effect of Sedation on Diagnostic Injections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sedation
n=37 Participants
Pt will receive sedation with their 1st procedure and no sedation with their 2nd procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 Participants
Patient will not receive no sedation during their 1st procedure and sedation during their 2nd procedure
Total
n=73 Participants
Total of all reporting groups
Age, Continuous
49.7 years
STANDARD_DEVIATION 16.1 • n=5 Participants
50.3 years
STANDARD_DEVIATION 13.8 • n=7 Participants
50.0 years
STANDARD_DEVIATION 15.0 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=5 Participants
35 Participants
n=7 Participants
67 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Gender
Female
20 Participants
n=5 Participants
22 Participants
n=7 Participants
42 Participants
n=5 Participants
Gender
Male
17 Participants
n=5 Participants
14 Participants
n=7 Participants
31 Participants
n=5 Participants
Region of Enrollment
United States
37 participants
n=5 Participants
36 participants
n=7 Participants
73 participants
n=5 Participants

PRIMARY outcome

Timeframe: through 6 hours after injection

pain diary using 0-10 scale, with 0 being no pain and 10 being the worst pain imaginable

Outcome measures

Outcome measures
Measure
Sedation
n=36 Participants
Pt will receive sedation with their 1st procedure and no sedation with their 2nd procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 Participants
Patient will not receive sedation during their 1st procedure but receive sedation during their 2nd procedure
Pain Score
2.2 units on a scale
Standard Deviation 2.3
3.4 units on a scale
Standard Deviation 2.8

SECONDARY outcome

Timeframe: 1-month

0-10 numerical rating scale (NRS) pain scale. 0 being no pain and 10 being the worst possible pain.

Outcome measures

Outcome measures
Measure
Sedation
n=36 Participants
Pt will receive sedation with their 1st procedure and no sedation with their 2nd procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 Participants
Patient will not receive sedation during their 1st procedure but receive sedation during their 2nd procedure
Pain Score
5.1 units on a scale
Standard Deviation 2.9
5.6 units on a scale
Standard Deviation 2.8

SECONDARY outcome

Timeframe: 1 day

0-10 pain scale, with 0 being no pain and 10 being the worst pain imaginable

Outcome measures

Outcome measures
Measure
Sedation
n=36 Participants
Pt will receive sedation with their 1st procedure and no sedation with their 2nd procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 Participants
Patient will not receive sedation during their 1st procedure but receive sedation during their 2nd procedure
Procedure-related Pain Score
3.1 units on a scale
Standard Deviation 2.8
5.5 units on a scale
Standard Deviation 2.7

SECONDARY outcome

Timeframe: 1-month

Measure of functional capacity on a scale ranging from 0% to 100%, with 0% signifying no disability

Outcome measures

Outcome measures
Measure
Sedation
n=36 Participants
Pt will receive sedation with their 1st procedure and no sedation with their 2nd procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 Participants
Patient will not receive sedation during their 1st procedure but receive sedation during their 2nd procedure
Oswestry Disability Index
34.8 units on a scale
Standard Deviation 14.6
40.6 units on a scale
Standard Deviation 17.9

SECONDARY outcome

Timeframe: 1 day

5-point Likert scale. The scale is from 1-5. 1 being very unsatisfied and 5 being very satisfied.

Outcome measures

Outcome measures
Measure
Sedation
n=36 Participants
Pt will receive sedation with their 1st procedure and no sedation with their 2nd procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 Participants
Patient will not receive sedation during their 1st procedure but receive sedation during their 2nd procedure
Satisfaction
4.0 units on a scale
Standard Deviation 1.1
3.6 units on a scale
Standard Deviation 1.4

Adverse Events

Sedation

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sedation
n=37 participants at risk
Pt received sedation with their procedure sacroiliac joint injection: Patient will receive an injection into the sacroiliac joint with bupivacaine and corticosteroid with and without sedation. Since this is a crossover trial, patients will receive both "treatments". Sympathetic block: Sympathetic block with bupivacaine bupivacaine corticosteroid
Control
n=36 participants at risk
Patient did not receive sedation during procedure
Gastrointestinal disorders
Nausea
2.7%
1/37 • Number of events 1 • 1 month
2.8%
1/36 • Number of events 1 • 1 month
Gastrointestinal disorders
dysphagia
2.7%
1/37 • Number of events 1 • 1 month
0.00%
0/36 • 1 month
Nervous system disorders
Headache
2.7%
1/37 • Number of events 1 • 1 month
2.8%
1/36 • Number of events 1 • 1 month
Musculoskeletal and connective tissue disorders
Worse pain
0.00%
0/37 • 1 month
5.6%
2/36 • Number of events 2 • 1 month
Nervous system disorders
Weakness
0.00%
0/37 • 1 month
2.8%
1/36 • Number of events 1 • 1 month
General disorders
Dizziness
0.00%
0/37 • 1 month
2.8%
1/36 • Number of events 1 • 1 month

Additional Information

Steven Cohen

Johns Hopkins

Phone: 410-955-1818

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place