Trial Outcomes & Findings for Cryoanesthesia for Intravitreal Injections (NCT NCT02872012)

NCT ID: NCT02872012

Last Updated: 2019-09-17

Results Overview

Immediately after receiving the intravitreal injection, patient's will be asked to rate their pain on the Visual Analogue (Pain) Scale. The scale ranges from 0 to 10. 0 meaning no pain and 10 meaning the worst possible pain.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

23 participants

Primary outcome timeframe

Immediately following the intravitreal injection

Results posted on

2019-09-17

Participant Flow

23 participants were recruited. Each participant received 1 cryoanesthesia intervention in one eye and one standard of care lidocaine intervention in their other eye.

Participant milestones

Participant milestones
Measure
Cryoanesthesia Device -5 Degrees Celsius for 10 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -5 Degrees Celsius for 20 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds..
Cryoanesthesia Device -7 Degrees Celsius for 20 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cyroanesthesia Device -10 Degrees Celsius for 10 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -10 Degrees Celsius for 20 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Overall Study
STARTED
4
7
4
3
5
Overall Study
COMPLETED
3
7
4
3
5
Overall Study
NOT COMPLETED
1
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cryoanesthesia Device -5 Degrees Celsius for 10 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -5 Degrees Celsius for 20 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds..
Cryoanesthesia Device -7 Degrees Celsius for 20 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cyroanesthesia Device -10 Degrees Celsius for 10 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -10 Degrees Celsius for 20 Seconds
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Overall Study
Withdrawal by Subject
1
0
0
0
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cryoanesthesia Device -5 Degrees Celsius for 10 Seconds
n=3 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -5 Degrees Celsius for 20 Seconds
n=7 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -7 Degrees Celsius for 20 Seconds
n=4 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -10 Degrees Celsius for 10 Seconds
n=3 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -10 Degrees Celsius for 20 Seconds
n=5 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Total
n=22 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=3 Participants
0 Participants
n=7 Participants
0 Participants
n=4 Participants
0 Participants
n=3 Participants
0 Participants
n=5 Participants
0 Participants
n=22 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=3 Participants
1 Participants
n=7 Participants
2 Participants
n=4 Participants
1 Participants
n=3 Participants
3 Participants
n=5 Participants
9 Participants
n=22 Participants
Age, Categorical
>=65 years
1 Participants
n=3 Participants
6 Participants
n=7 Participants
2 Participants
n=4 Participants
2 Participants
n=3 Participants
2 Participants
n=5 Participants
13 Participants
n=22 Participants
Sex: Female, Male
Female
2 Participants
n=3 Participants
7 Participants
n=7 Participants
3 Participants
n=4 Participants
2 Participants
n=3 Participants
2 Participants
n=5 Participants
16 Participants
n=22 Participants
Sex: Female, Male
Male
1 Participants
n=3 Participants
0 Participants
n=7 Participants
1 Participants
n=4 Participants
1 Participants
n=3 Participants
3 Participants
n=5 Participants
6 Participants
n=22 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Immediately following the intravitreal injection

Immediately after receiving the intravitreal injection, patient's will be asked to rate their pain on the Visual Analogue (Pain) Scale. The scale ranges from 0 to 10. 0 meaning no pain and 10 meaning the worst possible pain.

Outcome measures

Outcome measures
Measure
Cryoanesthesia Device -5 Degrees Celsius for 10 Seconds
n=3 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cyroanesthesia Device -5 Degrees Celsius for 20 Seconds
n=7 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -7 Degrees Celsius for 20 Seconds
n=4 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -10 Degrees Celsius for 10 Seconds
n=3 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Cryoanesthesia Device -10 Degrees Celsius for 20 Seconds
n=5 Participants
All patients will have one eye randomized to receiving anesthesia via the cryoanesthesia device which anesthetizes by chilling rather than by use of drug, prior to receiving an intravitreal injection. Their other eye will receive anesthesia via the active comparator, lidocaine. Comment: Cryoanesthesia Device is the name of the device. Cryoanesthesia device: The study will be carried out in patients receiving bilateral injections. One eye will be anesthetized using the cryoanesthesia device, developed at the University of Michigan. This has been assessed to be a Non-significant Risk device. Patients will receive the cryoanesthesia at a temperature of -5C for 10 seconds, -5C for 20 seconds, 0C for 20 seconds, or -10C for 10 seconds.
Standard of Care: Lidocaine
n=22 Participants
Participants randomized to this arm will have their other eye receive anesthesia via the current standard of care treatment method (lidocaine) prior to receiving an intravitreal injection. Lidocaine: Lidocaine will be applied to the non-cryoanesthesia eye.
Subjective Injection Pain
7.0 units on a scale
Standard Error 1.5
3.1 units on a scale
Standard Error 0.6
3.0 units on a scale
Standard Error 1.1
1.8 units on a scale
Standard Error 0.8
2.4 units on a scale
Standard Error 0.8
2.3 units on a scale
Standard Error 0.4

Adverse Events

Cryoanesthesia Device -5 Degrees Celsius for 10 Seconds

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

Cryoanesthesia Device -5 Degrees Celsius for 20 Seconds

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

Cryoanesthesia Device -7 Degrees Celsius for 20 Seconds

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

Cryoanesthesia Device -10 Degrees Celsius for 10 Seconds

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

Cryoanesthesia Device -10 Degrees Celsius for 20 Seconds

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

Standard of Care: Lidocaine Gel

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

Dr. Anjali Shah

University of Michigan Kellogg Eye Center

Phone: 734-763-8122

Results disclosure agreements

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