Trial Outcomes & Findings for The Effect of Intranasal Vasoconstrictor Medications on Hemodynamic Parameters: A Randomized Double-blind, Placebo-controlled Trial. (NCT NCT02285634)

NCT ID: NCT02285634

Last Updated: 2018-10-02

Results Overview

Change in mean arterial blood pressure from the baseline measurement

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

68 participants

Primary outcome timeframe

baseline, 30 minutes

Results posted on

2018-10-02

Participant Flow

Healthy volunteers over the age of eighteen that have been recently dismissed from the Emergency Department at Mayo Clinic Hospital, Saint Marys Campus beginning 11-12-14.

None to report

Participant milestones

Participant milestones
Measure
Oxymetazoline 0.05%
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% Sodium Chloride (NaCL)
Bacteriostatic 0.9% NaCL Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Overall Study
STARTED
15
20
15
18
Overall Study
COMPLETED
15
20
11
17
Overall Study
NOT COMPLETED
0
0
4
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oxymetazoline 0.05%
n=15 Participants
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
n=20 Participants
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
n=11 Participants
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% NaCL
n=17 Participants
Bacteriostatic 0.9% sodium chloride (NaCL) Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Total
n=63 Participants
Total of all reporting groups
Age, Continuous
34.5 years
STANDARD_DEVIATION 15.0 • n=15 Participants
40.0 years
STANDARD_DEVIATION 16.8 • n=20 Participants
38.6 years
STANDARD_DEVIATION 15.7 • n=11 Participants
31.2 years
STANDARD_DEVIATION 10.1 • n=17 Participants
36.0 years
STANDARD_DEVIATION 14.4 • n=63 Participants
Sex: Female, Male
Female
11 Participants
n=15 Participants
8 Participants
n=20 Participants
2 Participants
n=11 Participants
8 Participants
n=17 Participants
29 Participants
n=63 Participants
Sex: Female, Male
Male
4 Participants
n=15 Participants
12 Participants
n=20 Participants
9 Participants
n=11 Participants
9 Participants
n=17 Participants
34 Participants
n=63 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
15 participants
n=15 Participants
20 participants
n=20 Participants
11 participants
n=11 Participants
17 participants
n=17 Participants
63 participants
n=63 Participants

PRIMARY outcome

Timeframe: baseline, 30 minutes

Change in mean arterial blood pressure from the baseline measurement

Outcome measures

Outcome measures
Measure
Oxymetazoline 0.05%
n=15 Participants
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
n=20 Participants
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
n=11 Participants
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% NaCL
n=17 Participants
Bacteriostatic 0.9% sodium chloride (NaCL) Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Change in Mean Arterial Blood Pressure
5.1 mmHg
Standard Deviation 6.8
6.4 mmHg
Standard Deviation 5.8
4.6 mmHg
Standard Deviation 8.0
6.5 mmHg
Standard Deviation 5.5

SECONDARY outcome

Timeframe: baseline, 30 minutes

Change from baseline in systolic blood pressure.

Outcome measures

Outcome measures
Measure
Oxymetazoline 0.05%
n=15 Participants
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
n=20 Participants
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
n=11 Participants
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% NaCL
n=17 Participants
Bacteriostatic 0.9% sodium chloride (NaCL) Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Change in Systolic Blood Pressure
7.5 mmHg
Standard Deviation 9.8
8.2 mmHg
Standard Deviation 7.2
3.5 mmHg
Standard Deviation 6.5
8.9 mmHg
Standard Deviation 5.4

SECONDARY outcome

Timeframe: baseline, 30 minutes

Change from baseline in diastolic blood pressure.

Outcome measures

Outcome measures
Measure
Oxymetazoline 0.05%
n=15 Participants
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
n=20 Participants
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
n=11 Participants
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% NaCL
n=17 Participants
Bacteriostatic 0.9% sodium chloride (NaCL) Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Change in Diastolic Blood Pressure
5.7 mmHg
Standard Deviation 7.7
7.9 mmHg
Standard Deviation 6.8
6.2 mmHg
Standard Deviation 8.3
9.3 mmHg
Standard Deviation 6.6

SECONDARY outcome

Timeframe: baseline, 30 minutes

Change from baseline in heart rate.

Outcome measures

Outcome measures
Measure
Oxymetazoline 0.05%
n=15 Participants
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
n=20 Participants
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
n=11 Participants
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% NaCL
n=17 Participants
Bacteriostatic 0.9% sodium chloride (NaCL) Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Change in Heart Rate
2.8 beats/min
Standard Deviation 5.2
5.2 beats/min
Standard Deviation 6.6
7.5 beats/min
Standard Deviation 9.7
6.8 beats/min
Standard Deviation 5.6

Adverse Events

Oxymetazoline 0.05%

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Phenylephrine 0.25%

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

Lidocaine 1% Plus Epinephrine 1:100,000

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

Bacteriostatic 0.9% NaCL

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Oxymetazoline 0.05%
n=15 participants at risk
Oxymetazoline 0.05% Oxymetazoline 0.05%: sterile gauze soaked in 5 milliliters (mL) of Oxymetazoline 0.05% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Phenylephrine 0.25%
n=20 participants at risk
Phenylephrine 0.25% Phenylephrine 0.25%: sterile gauze soaked in 5 milliliters (mL) of Phenylephrine 0.25% into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Lidocaine 1% Plus Epinephrine 1:100,000
n=11 participants at risk
Lidocaine 1% plus epinephrine 1:100,000 Lidocaine 1% plus epinephrine 1:100,000: sterile gauze soaked in 5 milliliters (mL) of Lidocaine 1% plus epinephrine 1:100,000 into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
Bacteriostatic 0.9% NaCL
n=17 participants at risk
Bacteriostatic 0.9% sodium chloride (NaCL) Bacteriostatic 0.9% sodium chloride (NaCL): sterile gauze soaked in 5 milliliters (mL) of Bacteriostatic 0.9% NaCL into one nostril and placement of a nasal clamp. The nasal clamp and medication will be removed after 15 minutes.
General disorders
Nasal Pain
13.3%
2/15 • Number of events 2 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
10.0%
2/20 • Number of events 2 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/11 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/17 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
Eye disorders
Eye watering
6.7%
1/15 • Number of events 1 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/20 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/11 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/17 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
General disorders
Diziness
0.00%
0/15 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
5.0%
1/20 • Number of events 1 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/11 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/17 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
General disorders
Unpleasant aftertaste
6.7%
1/15 • Number of events 1 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
5.0%
1/20 • Number of events 1 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
0.00%
0/11 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.
11.8%
2/17 • Number of events 2 • Adverse events were collected for the duration of the study protocol. Total observation time was 30 minutes and after completion of the study protocol any adverse effects were recorded.

Additional Information

Dr. Tobias Kummer

Mayo Clinic

Phone: 507 255 4732

Results disclosure agreements

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