Effect of Addition of Steroids on Duration of Analgesia

NCT ID: NCT04126824

Last Updated: 2025-12-17

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

ACTIVE_NOT_RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-06

Study Completion Date

2027-08-02

Brief Summary

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The purpose of the study is to investigate the differences in post-procedural pain scores and narcotic use among patients who receive a Superior Hypogastric Nerve Block (SHNB) with and without corticosteroid performed as part of the Uterine Artery Embolization (UAE) procedure.

Detailed Description

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Investigators will enroll a total of 28 women undergoing the UAE procedure with 14 subjects in each study arm. This investigation is a single blind randomized control trial investigating the post-procedural analgesic effect of adding a corticosteroid (Triamcinolone) as an adjuvant to a SHNB that contains bupivacaine for patients undergoing UAE, compared to patients undergoing nerve block for pain control following UAE with local anesthetic only. Before and after the procedure, patients will be asked to complete online surveys in order to record their pain score (measured on the Visual Analog Pain Scale), opioid and other pain medication use, and other symptoms, such as nausea.

Conditions

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Uterine Fibroids Adenomyosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Bupivacaine

During the Uterine Artery Embolization (UAE) procedure, participants in this arm receive bupivacaine and contrast to enable visualization of the nerve block under fluoroscopy.

Group Type ACTIVE_COMPARATOR

Bupivacaine

Intervention Type DRUG

0.5% bupivacaine (20 mL) administered as a Superior Hypogastric Nerve Block (SHNB).

Iohexol contrast

Intervention Type OTHER

The appropriate amount of contrast to enable visualization of the nerve block under fluoroscopy given as a Superior Hypogastric Nerve Block (SHNB) will be administered.

Bupivacaine and Triamcinolone

During the Uterine Artery Embolization (UAE) procedure, participants in this arm receive bupivacaine plus triamcinolone mixed with contrast to enable visualization of the nerve block under fluoroscopy.

Group Type EXPERIMENTAL

Triamcinolone

Intervention Type DRUG

40 mg triamcinolone administered as a Superior Hypogastric Nerve Block (SHNB)

Bupivacaine

Intervention Type DRUG

0.5% bupivacaine (20 mL) administered as a Superior Hypogastric Nerve Block (SHNB).

Iohexol contrast

Intervention Type OTHER

The appropriate amount of contrast to enable visualization of the nerve block under fluoroscopy given as a Superior Hypogastric Nerve Block (SHNB) will be administered.

Interventions

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Triamcinolone

40 mg triamcinolone administered as a Superior Hypogastric Nerve Block (SHNB)

Intervention Type DRUG

Bupivacaine

0.5% bupivacaine (20 mL) administered as a Superior Hypogastric Nerve Block (SHNB).

Intervention Type DRUG

Iohexol contrast

The appropriate amount of contrast to enable visualization of the nerve block under fluoroscopy given as a Superior Hypogastric Nerve Block (SHNB) will be administered.

Intervention Type OTHER

Other Intervention Names

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Kenalog Marcaine, Exparel Omnipaque

Eligibility Criteria

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Inclusion Criteria

* females
* aged between 30 and 60 years
* diagnosed with symptomatic uterine fibroids and/or adenomyosis and scheduled to undergo UAE procedure

Exclusion Criteria

* Contraindications to UAE
* SHNB is deemed unsafe for the patient
* Allergies to local anesthetic or steroid agent
* History of inflammatory bowel disease or ulcerative colitis
* Uncorrectable abnormal coagulation profile
* Diabetes mellitus
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Jessica K. Stewart, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jessica K Stewart, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Locations

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University of California, Los Angeles

Westwood, Los Angeles, California, United States

Site Status

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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21-001880

Identifier Type: -

Identifier Source: org_study_id