Trial Outcomes & Findings for Surgical Pain Control With Ropivacaine by Atomized Delivery (NCT NCT01480089)

NCT ID: NCT01480089

Last Updated: 2016-07-27

Results Overview

Participants are asked to rate their pain level using the visual analog scale (VAS). The VAS is a measurement of pain where respondents specify their level of pain by indicating a position along a continuous line between two end-points. The VAS used in this study was a horizontal line of 100 mm length anchored by two word descriptors - one word at each end: No pain (left end) and Very Severe Pain (right end). The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks. The VAS range is 0 to 100.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

56 participants

Primary outcome timeframe

2 hours after surgery

Results posted on

2016-07-27

Participant Flow

Women undergoing minimally invasive laparoscopic surgery in urogynecology, benign gynecology, and gynecologic-oncology clinics were recruited. All women who were scheduled to undergo a minimally invasive hysterectomy for benign and cancerous conditions between February 2012 and March 2013 were invited to participate.

One enrolled participant was excluded from the trial before assignment to groups because her physician prescribed Ropivacaine and, consequently, the participant was converted to open label before study drug was assigned or administered.

Participant milestones

Participant milestones
Measure
Atomized Intraperitoneal Saline (AIS)
Participants randomized to this arm are given atomized intraperitoneal saline(AIS) to the peritoneal cavity at the completion of surgery.
Intraperitoneal Ropivacaine(AIR)
Participants randomized to this arm receive atomized intraperitoneal ropivacaine (AIR). That is, 2 mg/kg of lean body mass up to no more than 200mg total dose is atomized and delivered into the peritoneal cavity at the completion of surgery.
Overall Study
STARTED
25
30
Overall Study
COMPLETED
25
30
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Surgical Pain Control With Ropivacaine by Atomized Delivery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intraperitoneal Ropivacaine(AIR)
n=25 Participants
Participants randomized to this arm receive atomized intraperitoneal ropivacaine (AIR). That is, 2 mg/kg of lean body mass up to no more than 200mg total dose is atomized and delivered into the peritoneal cavity at the completion of surgery.
Atomized Intraperitoneal Saline (AIS)
n=30 Participants
Participants randomized to this arm are given atomized intraperitoneal saline(AIS) to the peritoneal cavity at the completion of surgery.
Total
n=55 Participants
Total of all reporting groups
Age, Continuous
54.6 years
n=5 Participants
58.8 years
n=7 Participants
56.9 years
n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
30 Participants
n=7 Participants
55 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
21 participants
n=5 Participants
22 participants
n=7 Participants
43 participants
n=5 Participants
Race/Ethnicity, Customized
Black
2 participants
n=5 Participants
5 participants
n=7 Participants
7 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Surgical Approach
Laparoscopic
11 participants
n=5 Participants
11 participants
n=7 Participants
22 participants
n=5 Participants
Surgical Approach
Robotic
14 participants
n=5 Participants
19 participants
n=7 Participants
33 participants
n=5 Participants
Attending Specialty
Benign Gynecology
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Attending Specialty
Urogynecology
12 participants
n=5 Participants
14 participants
n=7 Participants
26 participants
n=5 Participants
Attending Specialty
Gynecologic Oncology
11 participants
n=5 Participants
12 participants
n=7 Participants
23 participants
n=5 Participants
Length of Hospital Stay
Less than 24 hours
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Length of Hospital Stay
24 to 48 hours
19 participants
n=5 Participants
23 participants
n=7 Participants
42 participants
n=5 Participants
Length of Hospital Stay
Greater than 48 hours
6 participants
n=5 Participants
7 participants
n=7 Participants
13 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 hours after surgery

Population: All individuals randomized are included in this analysis.

Participants are asked to rate their pain level using the visual analog scale (VAS). The VAS is a measurement of pain where respondents specify their level of pain by indicating a position along a continuous line between two end-points. The VAS used in this study was a horizontal line of 100 mm length anchored by two word descriptors - one word at each end: No pain (left end) and Very Severe Pain (right end). The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks. The VAS range is 0 to 100.

Outcome measures

Outcome measures
Measure
Intraperitoneal Ropivacaine(AIR)
n=25 Participants
Participants randomized to this arm receive atomized intraperitoneal ropivacaine (AIR). That is, 2 mg/kg of lean body mass up to no more than 200mg total dose is atomized and delivered into the peritoneal cavity at the completion of surgery.
Atomized Intraperitoneal Saline (AIS)
n=30 Participants
Participants randomized to this arm are given atomized intraperitoneal saline(AIS) to the peritoneal cavity at the completion of surgery.
Post-op Pain With Atomized Intraperitoneal Ropivacaine (AIR)
2.536 millimeters
Standard Deviation 2.7
3.844 millimeters
Standard Deviation 3.0

SECONDARY outcome

Timeframe: 12 hours after surgery

Population: All individuals randomized are included in this analysis.

Participants are asked to rate their pain level using the visual analog scale (VAS). The VAS is a measurement of pain where respondents specify their level of pain by indicating a position along a continuous line between two end-points. The VAS used in this study was a horizontal line of 100 mm length anchored by two word descriptors - one word at each end: No pain (left end) and Very Severe Pain (right end). The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks. The VAS range is 0 to 100.

Outcome measures

Outcome measures
Measure
Intraperitoneal Ropivacaine(AIR)
n=25 Participants
Participants randomized to this arm receive atomized intraperitoneal ropivacaine (AIR). That is, 2 mg/kg of lean body mass up to no more than 200mg total dose is atomized and delivered into the peritoneal cavity at the completion of surgery.
Atomized Intraperitoneal Saline (AIS)
n=30 Participants
Participants randomized to this arm are given atomized intraperitoneal saline(AIS) to the peritoneal cavity at the completion of surgery.
Post-op Pain With Atomized Intraperitoneal Ropivacaine (AIR)
2.154 millimeters
Standard Deviation 1.9
2.219 millimeters
Standard Deviation 2.00

Adverse Events

Intraperitoneal Ropivacaine(AIR)

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

Atomized Intraperitoneal Saline (AIS)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth Mueller, M.D.

Loyola University

Phone: 708-216-2180

Results disclosure agreements

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