UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036390
Receipt number R000041462
Scientific Title Analgesic effects of transversus abdminis plane block with additional of magnesium sulfate to local anesthetic: a prospective randomized controlled study in patients after laparoscopic cholecystectomy
Date of disclosure of the study information 2019/04/04
Last modified on 2024/04/05 17:04:26

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Analgesic effects of transversus abdminis plane block with additional of magnesium sulfate to local anesthetic: a prospective randomized controlled study in patients after laparoscopic cholecystectomy

Acronym

Analgesic effects of transversus abdminis plane block with additional of magnesium sulfate to local anesthetic: a prospective randomized controlled study in patients after laparoscopic cholecystectomy

Scientific Title

Analgesic effects of transversus abdminis plane block with additional of magnesium sulfate to local anesthetic: a prospective randomized controlled study in patients after laparoscopic cholecystectomy

Scientific Title:Acronym

Analgesic effects of transversus abdminis plane block with additional of magnesium sulfate to local anesthetic: a prospective randomized controlled study in patients after laparoscopic cholecystectomy

Region

Japan


Condition

Condition

Acute cholecystitis
Cholelithiasis

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To verify the analgesic effects of additional of a magnesium sulfate to local anesthetic for transversus abdminis plane block in patients after laparoscopic cholecystectomy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Numeric rating scale at 24h after operation

Key secondary outcomes

Numeric rating scale at time of exit operating room
Numeric rating scale at 3, 6,12h after operation
Time when the patient first used analgesic
postoperative nausea and vomiting


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Additional of magnesium sulfate 300 mg to local anesthetics used for transversus abdminis plane block

Interventions/Control_2

Only local anesthetics are used for sciatic nerve block

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients who schedulled for a laparoscopic cholecystectomy with renging from 20 to 80 years.
American Society of Anesthesiologists physical status 1-2

Key exclusion criteria

Body mass index >=35
American Society of Anesthesiologists physical status >=3
dementia
renal disorder
history of a local anesthesia allergy
Neuromuscular or neurological disorder
Psychiatric problem
Coagulation disorder
history of a Hypermagnesemia
pregnant or at lactation

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Chihiro
Middle name
Last name Iwata

Organization

Nayoro City General Hospital

Division name

Department of Anesthesiology

Zip code

096-0042

Address

8-1 Minami, Nishi7, Nayoro-city, Hokkaido, Japan

TEL

01654-3-3101

Email

kyokui100006@gmail.com


Public contact

Name of contact person

1st name Chihiro
Middle name
Last name Iwata

Organization

Nayoro City General Hospital

Division name

Department of Anesthesiology

Zip code

096-0042

Address

8-1 Minami, Nishi7, Nayoro-city, Hokkaido, Japan

TEL

01654-3-3101

Homepage URL


Email

kyokui100006@gmail.com


Sponsor or person

Institute

Nayoro City General Hospital

Institute

Department

Personal name



Funding Source

Organization

Nayoro City General Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

none

Address

none

Tel

none

Email

none


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2019 Year 04 Month 04 Day


Related information

URL releasing protocol

https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041462

Publication of results

Unpublished


Result

URL related to results and publications

https://search.jamas.or.jp/search/do/detail/sidx/3/sid/2

Number of participants that the trial has enrolled

28

Results

The primary endpoint, the numerical rating scale (NRS) at 24 hours after surgery, did not differ significantly.
There was a significant difference in postoperative NRS only in the immediate postoperative period. The median (interquartile range) NRS immediately after surgery was 4.5 (1.0-5.0) in the R group and 0.0 (0.0-2.3) in the M group, P value 0.007. There were no significant differences in other parameters.

Results date posted

2024 Year 04 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with American Society of Anesthesiologists physical status classification (ASA) I or II, aged 20 to 80 years, who underwent a laparoscopic cholecystectomy performed at our institution from April 2019 to December 2019 on a standby basis were included.
Patients who did not give consent, BMI of 35 or higher, ASA III or higher, dementia, renal dysfunction, muscular, neurological, or psychiatric disease, coagulation abnormalities, hypermagnesemia or local anesthesia toxicity, pregnant or lactating women were excluded.

Participant flow

Twenty-eight patients who underwent standby laparoscopic cholecystectomy at our hospital from April 2019 to December 2019 were included. Of these, 3 patients were excluded preoperatively due to non-consent or history of chronic renal failure. One patient who underwent endoscopic retrograde cholangiopancreatography (ERCP) the day after surgery for a stone in the bile duct was also excluded. The final number of patients in the R and M groups was 12 each.

Adverse events

none

Outcome measures

The primary endpoint was the Numeric rating scale (NRS) at 24 hours after the end of surgery.
Secondary endpoints were pain at the end of surgery and pain at 3, 6, and 12 hours after surgery, respectively, as assessed by the NRS. The time of initial analgesic use and the presence of postoperative nausea and vomiting (PONV) were also evaluated.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 04 Month 03 Day

Date of IRB

2019 Year 04 Month 03 Day

Anticipated trial start date

2019 Year 04 Month 04 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 04 Month 02 Day

Last modified on

2024 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041462


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name