Neural Correlates of Lidocaine Analgesia

NCT ID: NCT05501600

Last Updated: 2024-12-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-22

Study Completion Date

2023-11-17

Brief Summary

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The purpose of this study is to characterize the effects of intravenous lidocaine on pain processing and cognitive function. Functional magnetic resonance imaging will be used to identify the neural correlates of these phenomena. The study will consist of 1 visit and involves no long-term follow up.

Detailed Description

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This is an observational cohort study of volunteer subjects, which will employ neuroimaging and behavioral measures to characterize the effects of intravenous lidocaine on pain processing and cognitive function. A steady-state effect-site concentration of lidocaine will be achieved, and a short battery of cognitive behavioral tasks will be employed. At the dose target, pain task functional MRI and resting-state connectivity will be determined. This work will use a systems neuroscience approach to fill an important knowledge gap about the central effects of intravenous lidocaine, a commonly-used opioid alternative analgesic agent.

Aim1: Determine cognitive behavioral effects of a steady-state dose of IV lidocaine using a short battery of tasks. The investigators hypothesize that the administration of lidocaine will correlate to decreased pain ratings, slowed psychomotor response, and decreased memory encoding.

Aim2: Determine the neural effects of a steady-state dose of IV lidocaine in response to acute pain, and on resting connectivity. The investigators hypothesize that pain task-related activation will decrease in the insula and anterior cingulate, corresponding to decreased ratings of pain intensity and unpleasantness. Additionally, the investigators expect widespread decreases in long-range functional connectivity between brain areas know to be involved in these two areas and other known to be involved in pain processing.

Conditions

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Anesthesia Pain

Keywords

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lidocaine functional MRI electric nerve stimulation functional connectivity

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Lidocaine

Subjects will receive lidocaine during the drug portion of the experiment.

Group Type EXPERIMENTAL

Peripheral Nerve Stimulation

Intervention Type DEVICE

Experimental acute pain stimulus will be delivered using an electric nerve stimulator.

Lidocaine IV

Intervention Type DRUG

Subjects will receive an intravenous infusion of lidocaine for about 30 minutes.

Interventions

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Peripheral Nerve Stimulation

Experimental acute pain stimulus will be delivered using an electric nerve stimulator.

Intervention Type DEVICE

Lidocaine IV

Subjects will receive an intravenous infusion of lidocaine for about 30 minutes.

Intervention Type DRUG

Other Intervention Names

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Electric Nerve Stimulation Xylocaine

Eligibility Criteria

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Inclusion Criteria

* Adults aged 18 to 70
* Be of normal body-weight
* Be generally healthy

Exclusion Criteria

* Have a valid email address and phone number throughout the study


* Pregnancy
* Body mass index \> 40
* Having moderate to severe sleep apnea
* Having chronic pain requiring the regular use of pain medicine 3 or more times per week
* Having neurologic or psychiatric disease, including benign tremor, anxiety, and depression
* Having a history of seizures
* Having history of cardiac rhythm disturbance (such as heart block, or atrial fibrillation)
* Being severely claustrophobic
* Having metal implants or non-removable metal piercings
* Having metal-containing tattoos, particularly on the face
* Having a history of adverse reaction to lidocaine
* Are regularly taking: antiepileptics, antidepressants, anti-psychotics, anti-anxiety medication, stimulants, sleep-aids, or pain medication
* Are taking prescribed medications for psychiatric or neurological conditions
* Having hypersensitivity to lidocaine or to any other local anesthetics of the amide type
* Having Wolff-Parkinson-White syndrome
* Having known renal or hepatic dysfunction
* having glucose-6-phosphate dehydrogenase deficiency or history of methemoglobinemia
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of General Medical Sciences (NIGMS)

NIH

Sponsor Role collaborator

Keith M Vogt

OTHER

Sponsor Role lead

Responsible Party

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Keith M Vogt

Associate Professor of Anesthesiology & Perioperative Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Keith M Vogt, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Vogt KM, Burlew AC, Simmons MA, Reddy SN, Kozdron CN, Ibinson JW. Neural correlates of systemic lidocaine administration in healthy adults measured by functional MRI: a single arm open label study. Br J Anaesth. 2025 Feb;134(2):414-424. doi: 10.1016/j.bja.2024.07.039. Epub 2024 Oct 21.

Reference Type DERIVED
PMID: 39438214 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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R35GM146822

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY21120115

Identifier Type: -

Identifier Source: org_study_id