UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037930
Receipt number R000043232
Scientific Title The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)
Date of disclosure of the study information 2019/09/09
Last modified on 2022/02/24 22:11:43

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Basic information

Public title

The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)

Acronym

The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)

Scientific Title

The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)

Scientific Title:Acronym

The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)

Region

Japan


Condition

Condition

Patients undergoing video-assisted thoracoscopic lung resection

Classification by specialty

Chest surgery Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

There are various types and doses of local anesthetics used in the continuous paravertebral block after lung surgery. Previous meta-analysis has reported that higher concentration of bupivacaine administration is associated with higher analgesic effects. However, there is no report that directly compares the difference in analgesic effect due to the difference in concentration using levobupivacaine.
The purpose of this study is to compare whether postoperative analgesia using continuous paravertebral block in lung surgery results in a difference in analgesic effect due to concentrations of levobupivacaine.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Pain score(Visual Analog Scale: VAS) for coughing in the morning following surgery

Key secondary outcomes

Resting VAS (0, 2, 4, 6, 8 hours after surgery, morning on the first day after surgery, morning on the second day after surgery)
VAS on coughing (2, 4, 6, 8 hours after surgery, morning on the second day after surgery)
Cold loss range (2 hours after surgery, morning on the first day after surgery)
Time when additional analgesics were administered from the postoperative day to the next morning, types of analgesics, and VAS
Patient age, height, weight, gender, American Society of Anesthesiology preoperative status classification
Surgery information (disease name, procedure, anesthesia time, operation time, fentanyl usage, remifentanil usage)
Postoperative side effects (nausea and vomiting, urinary retention, local anesthetic poisoning, etc.)
Complications (pneumothorax, vascular puncture, anaphylactic shock, etc.)
Patient satisfaction


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Dose comparison

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Continuous paravertebral block (continuous administration of 0.25% levobupivacaine at 8 ml / hour for 2 days)

Interventions/Control_2

Continuous paravertebral block (continuous administration of 0.125% levobupivacaine at 8 ml / hour for 2 days)

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

16 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients undergoing thoracic pneumonectomy at Bellland General Hospital

Key exclusion criteria

Patients who do not agree to this clinical study
Maternity
Patients who cannot perform paravertebral block for the following reasons
1.Patients who are allergic to the drugs used (such as levobupivacaine and ropivacaine)
2.Patients undergoing anticoagulation therapy
3.Patient with infection at the puncture site
Patients who are judged inappropriate by the person in charge or joint researcher

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Toshinori
Middle name
Last name Horiuchi

Organization

Bellland General Hospital

Division name

Department of Anesthesia

Zip code

599-8247

Address

500-3, Higashiyama, Naka-ku, Sakai, Osaka

TEL

072-234-2001

Email

t_horiuchi@seichokai.or.jp


Public contact

Name of contact person

1st name Sayuri
Middle name
Last name Kawase

Organization

Bellland General Hospital

Division name

Department of Anesthesia

Zip code

599-8247

Address

500-3, Higashiyama, Naka-ku, Sakai, Osaka

TEL

072-234-2001

Homepage URL


Email

s_kawase@seichokai.or.jp


Sponsor or person

Institute

Department of Anesthesia, Bellland General Hospital

Institute

Department

Personal name



Funding Source

Organization

None

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

Bellland General Hospital Institutional Review Board

Address

500-3, Higashiyama, Naka-ku, Sakai, Osaka

Tel

072-234-2001

Email

irb@seichokai.or.jp


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 09 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2019 Year 08 Month 29 Day

Date of IRB

2019 Year 09 Month 09 Day

Anticipated trial start date

2019 Year 09 Month 10 Day

Last follow-up date

2020 Year 05 Month 21 Day

Date of closure to data entry


Date trial data considered complete

2020 Year 05 Month 21 Day

Date analysis concluded

2020 Year 05 Month 30 Day


Other

Other related information



Management information

Registered date

2019 Year 09 Month 04 Day

Last modified on

2022 Year 02 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043232


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name