Perioperative Lidocaine Administration in Thoracoscopic Surgery for Improved Postoperative Pain Control

NCT ID: NCT03677817

Last Updated: 2022-09-07

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

113 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-03

Study Completion Date

2022-08-28

Brief Summary

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Placebo-controlled study to analyze the effect of perioperative intravenous lidocaine administration on total morphine consumption (TMC) and on pain intensity in thoracoscopic surgery .

Detailed Description

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Thoracoscopy (thoracic surgery) is a video-assisted minimally invasive operation in thoracic surgery, which is associated with pain after surgery. Trial drug Lidocaine is approved as pain medication. This placebo-controlled study analyzes the effect of perioperative intravenous lidocaine administration on total morphine consumption (TMC) and on pain intensity in thoracoscopic surgery .

Half of the patients will receive NaCl 0.9% (a saline solution without active ingredient) instead of Lidocaine.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Lidocaine

perioperative IV administration regimen of lidocaine will be as follows: 1.5 mg/kg IV induction bolus dose (before intubation and at least 30 minutes before incision) followed by continuous infusion of 3.mg/kg/h, until 2 hours after skin closure

Group Type ACTIVE_COMPARATOR

Lidocaine

Intervention Type DRUG

regimen of lidocaine administration of 1,5 mg/kg, IV bolus, followed by continuous infusion at 3,0 mg/kg/h

Placebo

perioperative IV administration regimen of placebo solution (NaCl 0,9%) will be as follows: induction bolus (before intubation and at least 30 minutes before incision) followed by continuous infusion of placebo solution (NaCl 0,9%) until 2 hours after skin closure

Group Type PLACEBO_COMPARATOR

NaCl 0,9%

Intervention Type DRUG

IV bolus of NaCl 0,9%, followed by continuous infusion of NaCl 0,9%

Interventions

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Lidocaine

regimen of lidocaine administration of 1,5 mg/kg, IV bolus, followed by continuous infusion at 3,0 mg/kg/h

Intervention Type DRUG

NaCl 0,9%

IV bolus of NaCl 0,9%, followed by continuous infusion of NaCl 0,9%

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing video-assisted thoracoscopic procedures under general anaesthesia.
* American Society of Anesthesiologists (ASA) physical Status classes I to III
* age ≥ 18 years
* Patient informed consent

Exclusion Criteria

* Contraindications to the class of drugs under study, e.g. known hypersensitivity or allergy to class of drugs or the investigational product
* Contraindications to self-administration of opioids
* Women who are pregnant or breast feeding
* Steroid therapy
* Chronic pain therapy
* Atrioventricular block grade II to III
* Congestive heart failure
* Liver insufficiency
* Known or suspected non-compliance, drug or alcohol abuse
* Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia
* Participation in another study with investigational drug within the 30 days preceding and during the present study,
* Enrolment of the investigator, his/her family members, employees and other dependent persons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Didier Lardinois, Prof. Dr. MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Basel, Switzerland

Locations

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Division of Thoracic Surgery,University Hospital of Basel

Basel, , Switzerland

Site Status

Countries

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Switzerland

References

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Hojski A, Bolliger D, Mallaev M, Dackam S, Tsvetkov N, Wiese M, Schneider T, Lampart A, Lardinois D. Perioperative intravenous lidocaine in thoracoscopic surgery for improved postoperative pain control: a randomized, placebo-controlled, double-blind, superiority trial. J Thorac Dis. 2024 Mar 29;16(3):1923-1932. doi: 10.21037/jtd-23-1438. Epub 2024 Mar 25.

Reference Type DERIVED
PMID: 38617784 (View on PubMed)

Other Identifiers

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2016-00259; ch15Toffel

Identifier Type: -

Identifier Source: org_study_id

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