Topical 2% Lidocaine for the Treatment of Symptomatic Hemorrhoids

NCT ID: NCT01961739

Last Updated: 2013-10-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2014-03-31

Brief Summary

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The primary objective of this study is to evaluate the efficacy of topical 2% lidocaine in the therapy of symptomatic hemorrhoids. Efficacy will be determined by:

1. the change from baseline in pain, itching, bleeding, swelling, discomfort, general well-being and improvement since the beginning of treatment as separate components of CORRECTS scale
2. the change in overall CORRECTS values from baseline
3. the change in degree of hemorrhoids from baseline

Detailed Description

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This is a double blinded randomized clinical study into the effect of topical 2% lidocaine in patients with symptomatic hemorrhoids.

Calculated sample size is 69 patients per arm, based on expected improvement of pain and healing by 30% at p\<0.05 and power goal of 95%. Taking into account a drop-out rate of 50%, total number of 69 patients in each arm is estimated as sufficient to close the study.

Patients will be randomly assigned into 2 arms, arm 1 (treatment): topical 2% lidocaine and arm 2 (control): vaseline base. Each arm will consist of 69 patients. Patients will be assigned to either treatment or control arm according to the randomization table.

* Treatment arm - topical 2% lidocaine. Topical application of 2% lidocaine in vaseline base repeated two times per day,
* Control arm - vaseline base. Topical application of pure vaseline base twice per day.

In addition to the aforementioned topical treatments, all patients will be given written instructions to perform dietary modifications and anal hygiene. All patients with bleeding hemorrhoids will be given Detralex 2 tablets twice per day.

Those patients in whom a technically successful procedure has been completed will be considered as valuable for the efficacy evaluation. A technically successful procedure is defined as the completion of treatment procedures stipulated in this protocol and consists of correct drug dose and frequency of application, adherence to written instructions for dietary modification and anal hygiene and presence at follow-up visits.

Conditions

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Hemorrhoids

Keywords

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Hemorrhoids Lidocaine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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2% lidocaine

topical application, two times per day for 15 consecutive days

Group Type EXPERIMENTAL

2% lidocaine

Intervention Type DRUG

Topical application, twice per day for 15 consecutive days

placebo

vaseline base applied topically, two times per day for 15 consecutive days

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

topical application, twice per day for 15 consecutive days

Interventions

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2% lidocaine

Topical application, twice per day for 15 consecutive days

Intervention Type DRUG

placebo

topical application, twice per day for 15 consecutive days

Intervention Type DRUG

Other Intervention Names

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lidocaine vaseline

Eligibility Criteria

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Inclusion Criteria

* clinically present enlarged hemorrhoids, grade 1-4 (for definition see Appendix 1)
* symptoms of pain or itching
* age 18 years or more
* willing and able to comply with the study
* geographically suitable, meaning with reliable transportation for outpatients to the testing site

Exclusion Criteria

* actual pregnancy
* inability to provide informed consent
* any anal topical medication applied in the last 7 days
* any anal surgery (including surgical or instrumental procedures defined in the section 4.3) in the last 60 days
* known allergy to vaseline, lidocaine or Dulcolax
* other anal disorders and diseases including Crohns disease, ulcerative colitis, undefined inflammatory bowel disease, anal fissures, perianal fistulas, perianal rash or eczema, rectal prolapse, rectocele, benign or malignant anal and rectal tumor and perianal infections
* contraindication for topical anal application of vaseline or lidocaine
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clinical Hospital Centre Zagreb

OTHER

Sponsor Role collaborator

University Hospital Dubrava

OTHER

Sponsor Role lead

Responsible Party

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Mario Kopljar

Dr. sc.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mario Kopljar, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Dubrava

Tihomir Kekez

Role: PRINCIPAL_INVESTIGATOR

Clinical Hospital Centre Zagreb

Locations

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Clinical Hospital Centre Zagreb

Zagreb, , Croatia

Site Status RECRUITING

Clinical Hospital Dubrava

Zagreb, , Croatia

Site Status RECRUITING

Countries

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Croatia

Central Contacts

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Tihomir Kekez, MD, PhD

Role: CONTACT

Phone: +385959110879

Email: [email protected]

Facility Contacts

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Tihomir Kekez, MD

Role: primary

Mario Kopljar, MD, PhD

Role: primary

Other Identifiers

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PROTOCOL H1-5

Identifier Type: -

Identifier Source: org_study_id