Trial Outcomes & Findings for Self-Administered Lidocaine Gel for Pain Management With IUD Insertion (NCT NCT02738203)

NCT ID: NCT02738203

Last Updated: 2019-06-06

Results Overview

Pain immediately after speculum removal as measured by a Visual Analog Scale (VAS). This scale is 0-100--on the scale "0" had "no pain" and "100" had "worst pain imaginable" as anchors. A higher score indicates higher pain.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

220 participants

Primary outcome timeframe

0-3 minutes after procedure completed

Results posted on

2019-06-06

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental, IUD Insertion Group
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Overall Study
STARTED
110
110
Overall Study
COMPLETED
108
107
Overall Study
NOT COMPLETED
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental, IUD Insertion Group
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Overall Study
Failed IUD Insertion
2
2
Overall Study
Protocol Violation
0
1

Baseline Characteristics

Self-Administered Lidocaine Gel for Pain Management With IUD Insertion

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental, IUD Insertion Group
n=108 Participants
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
n=107 Participants
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Total
n=215 Participants
Total of all reporting groups
Age, Continuous
28.9 years
n=5 Participants
27 years
n=7 Participants
28 years
n=5 Participants
Sex: Female, Male
Female
108 Participants
n=5 Participants
107 Participants
n=7 Participants
215 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=5 Participants
15 Participants
n=7 Participants
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
93 Participants
n=5 Participants
90 Participants
n=7 Participants
183 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
14 Participants
n=5 Participants
17 Participants
n=7 Participants
31 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
White
69 Participants
n=5 Participants
67 Participants
n=7 Participants
136 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Region of Enrollment
United States
108 participants
n=5 Participants
107 participants
n=7 Participants
215 participants
n=5 Participants
Previous Intrauterine Device Insertion
37 Participants
n=5 Participants
33 Participants
n=7 Participants
70 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 0-3 minutes after procedure completed

Population: Per protocol analysis

Pain immediately after speculum removal as measured by a Visual Analog Scale (VAS). This scale is 0-100--on the scale "0" had "no pain" and "100" had "worst pain imaginable" as anchors. A higher score indicates higher pain.

Outcome measures

Outcome measures
Measure
Experimental, IUD Insertion Group
n=108 Participants
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
n=107 Participants
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
(IUD Insertion): Pain Perceived by Visual Analogue Scale (0-100 mm) Immediately Following Procedure Completion
65 score on a scale
Interval 1.0 to 99.0
59 score on a scale
Interval 5.0 to 100.0

SECONDARY outcome

Timeframe: 30 Minutes prior to procedure

Population: Per protocol analysis

Pain as measured by a Visual Analog Scale (VAS). This scale is 0-100--on the scale "0" had "no pain" and "100" had "worst pain imaginable" as anchors. A higher score indicates higher pain.

Outcome measures

Outcome measures
Measure
Experimental, IUD Insertion Group
n=108 Participants
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
n=107 Participants
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Anticipated Pain as Measured by a Visual Analog Scale
60 score on a scale
Interval 1.0 to 87.0
59 score on a scale
Interval 6.0 to 94.0

SECONDARY outcome

Timeframe: Immediately prior to procedure; upon arrival to procedure room

Population: Per protocol analysis

Pain as measured by a Visual Analog Scale (VAS). This scale is 0-100--on the scale "0" had "no pain" and "100" had "worst pain imaginable" as anchors. A higher score indicates higher pain.

Outcome measures

Outcome measures
Measure
Experimental, IUD Insertion Group
n=108 Participants
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
n=107 Participants
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Baseline Pain as Measured by a Visual Analog Scale
2 score on a scale
Interval 0.0 to 77.0
2 score on a scale
Interval 0.0 to 22.0

SECONDARY outcome

Timeframe: Intraoperative

Population: Per protocol analysis

Pain as measured by a Visual Analog Scale (VAS). This scale is 0-100--on the scale "0" had "no pain" and "100" had "worst pain imaginable" as anchors. A higher score indicates higher pain.

Outcome measures

Outcome measures
Measure
Experimental, IUD Insertion Group
n=108 Participants
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
n=107 Participants
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Pain After Speculum Placement as Measured by a Visual Analog Scale
7 score on a scale
Interval 0.0 to 81.0
11 score on a scale
Interval 0.0 to 80.0

SECONDARY outcome

Timeframe: Intraoperative

Population: Per protocol analysis

Pain as measured by a Visual Analog Scale (VAS). This scale is 0-100--on the scale "0" had "no pain" and "100" had "worst pain imaginable" as anchors. A higher score indicates higher pain.

Outcome measures

Outcome measures
Measure
Experimental, IUD Insertion Group
n=108 Participants
If the subject is assigned to the experimental group (vaginal lidocaine jelly): She will be given a pre-filled vaginal inserter with 10 ml of 2% lidocaine jelly) and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Vaginal 2% Lidocaine: Patient-administered vaginal Lidocaine jelly verse surgical lubricant jelly
Control, IUD Insertion Group
n=107 Participants
If the subject is assigned to the control group (sterile, surgical lubricant jelly): •She will be given a pre-filled vaginal inserter with 10 ml of surgical lubricant jelly and will be asked to insert it vaginally 20-30 minutes prior to the start of her procedure. The subject will not know if she received the active drug or a placebo. Surgical Lubricant Jelly: Patient-administered vaginal surgical lubricant jelly verse Lidocaine jelly
Pain After Tenaculum Placement as Measured by a Visual Analog Scale
30 score on a scale
Interval 0.0 to 86.0
38 score on a scale
Interval 0.0 to 84.0

Adverse Events

Experimental, IUD Insertion Group

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

Control, IUD Insertion Group

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

Research Manager

Stanford University, Department of OB/GYN

Phone: 6507211562

Results disclosure agreements

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