Trial Outcomes & Findings for Bacteriostatic Normal Saline Versus Lidocaine for Intradermal Anesthesia (NCT NCT04495868)

NCT ID: NCT04495868

Last Updated: 2023-04-18

Results Overview

Participants rated their pain level from the insertion of the needle for the lumbar medial branch block using the skin wheal created with each anesthetic. Pain is rated on a scale from 0 to 10, where 0 = no pain and 10 = worst pain.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

40 participants

Primary outcome timeframe

Day 1

Results posted on

2023-04-18

Participant Flow

Participant milestones

Participant milestones
Measure
Bacteriostatic Normal Saline Then 1% Lidocaine
Participants undergoing a lumbar medial branch block who are randomized to receive an intradermal administration of bacteriostatic normal saline followed by an intradermal administration of 1% lidocaine. Bacteriostatic Normal Saline: A skin wheal will be made with bacteriostatic normal saline (BNS). BNS contains 0.9% benzyl alcohol and benzyl alcohol is an opium alkaloid that is sometimes added to physiologic normal saline for its bacteriostatic properties. The skin wheal will be created by injecting the medication intra-dermally with a 26 gauge needle. 1% Lidocaine: A skin wheal will be made with 1% lidocaine. The skin wheal will be created by injecting the medication intra-dermally with a 26 gauge needle.
1% Lidocaine Then Bacteriostatic Normal Saline
Participants undergoing a lumbar medial branch block who are randomized to receive an intradermal administration of 1% lidocaine followed by an intradermal administration of bacteriostatic normal saline. Bacteriostatic Normal Saline: A skin wheal will be made with bacteriostatic normal saline (BNS). BNS contains 0.9% benzyl alcohol and benzyl alcohol is an opium alkaloid that is sometimes added to physiologic normal saline for its bacteriostatic properties. The skin wheal will be created by injecting the medication intra-dermally with a 26 gauge needle. 1% Lidocaine: A skin wheal will be made with 1% lidocaine. The skin wheal will be created by injecting the medication intra-dermally with a 26 gauge needle.
Overall Study
STARTED
19
21
Overall Study
COMPLETED
19
21
Overall Study
NOT COMPLETED
0
0

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
Bacteriostatic Normal Saline Then 1% Lidocaine
n=19 Participants
Participants undergoing a lumbar medial branch block who are randomized to receive an intradermal administration of bacteriostatic normal saline followed by an intradermal administration of 1% lidocaine.
1% Lidocaine Then Bacteriostatic Normal Saline
n=21 Participants
Participants undergoing a lumbar medial branch block who are randomized to receive an intradermal administration of 1% lidocaine followed by an intradermal administration of bacteriostatic normal saline.
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=19 Participants
0 Participants
n=21 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=19 Participants
20 Participants
n=21 Participants
34 Participants
n=40 Participants
Age, Categorical
>=65 years
5 Participants
n=19 Participants
1 Participants
n=21 Participants
6 Participants
n=40 Participants
Sex: Female, Male
Female
13 Participants
n=19 Participants
19 Participants
n=21 Participants
32 Participants
n=40 Participants
Sex: Female, Male
Male
6 Participants
n=19 Participants
2 Participants
n=21 Participants
8 Participants
n=40 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
19 Participants
n=19 Participants
21 Participants
n=21 Participants
40 Participants
n=40 Participants
Numerical Pain Rating Scale (NPRS) Score of Back Pain
8 units on a scale
n=19 Participants
8 units on a scale
n=21 Participants
8 units on a scale
n=40 Participants

PRIMARY outcome

Timeframe: Day 1

Participants rated their pain level from the insertion of the needle for the lumbar medial branch block using the skin wheal created with each anesthetic. Pain is rated on a scale from 0 to 10, where 0 = no pain and 10 = worst pain.

Outcome measures

Outcome measures
Measure
Bacteriostatic Normal Saline
n=40 Participants
Participants undergoing a lumbar medial branch block receiving an intradermal administration of bacteriostatic normal saline.
1% Lidocaine
n=40 Participants
Participants undergoing a lumbar medial branch block receiving an intradermal administration of 1% lidocaine.
Needle Placement Pain Score
0 units on a scale
Interval 0.0 to 1.0
0 units on a scale
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 1

Participants rated their pain level from the creation of the skin wheal using each anesthetic on a scale from 0 to 10, where 0 = no pain and 10 = worst pain.

Outcome measures

Outcome measures
Measure
Bacteriostatic Normal Saline
n=40 Participants
Participants undergoing a lumbar medial branch block receiving an intradermal administration of bacteriostatic normal saline.
1% Lidocaine
n=40 Participants
Participants undergoing a lumbar medial branch block receiving an intradermal administration of 1% lidocaine.
Skin Wheal Pain Score
5 units on a scale
Interval 2.0 to 7.0
6 units on a scale
Interval 4.0 to 9.0

Adverse Events

Bacteriostatic Normal Saline

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

1% Lidocaine

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

Brian Bobzien, MD

Emory University

Phone: 404-616-4226

Results disclosure agreements

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