UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027008
Receipt number R000030969
Scientific Title Randomized blind group comparison test on urinary catheter discomfort alleviation effect by xylocaine concentration when urinary catheter with lumen for medical solution administration is used
Date of disclosure of the study information 2017/04/17
Last modified on 2018/02/11 13:36:58

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Basic information

Public title

Randomized blind group comparison test on urinary catheter discomfort alleviation effect by xylocaine concentration when urinary catheter with lumen for medical solution administration is used

Acronym

Randomized blind group comparison trial of reduction of urethral discomfort by NMOC catheter

Scientific Title

Randomized blind group comparison test on urinary catheter discomfort alleviation effect by xylocaine concentration when urinary catheter with lumen for medical solution administration is used

Scientific Title:Acronym

Randomized blind group comparison trial of reduction of urethral discomfort by NMOC catheter

Region

Japan


Condition

Condition

Patient planned to use a urethral catheter at the perioperative period

Classification by specialty

Surgery in general Gastrointestinal surgery Hepato-biliary-pancreatic surgery
Vascular surgery Chest surgery Endocrine surgery
Breast surgery Oto-rhino-laryngology Orthopedics
Urology Anesthesiology Oral surgery
Plastic surgery Intensive care medicine Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A side slit urethral catheter called NMOC - 3 WAY catheter has been approved and released to alleviate urethral catheter discomfort. There is a report that the NMOC-3 WAY catheter can improve urinary catheter discomfort, which allows a surface anesthetic such as xylocaine to be injected into the urethral mucosa from a side slit for chemical solution. By using the NMOC - 3 WAY catheter, it can be expected to prevent disturbance caused by catheter stimulation after surgery, reduce discomfort during catheter insertion, and so on. However, there is no data concerning the concentration and amount of xylocaine injected from the side tube, and it is administered by judgment of each anesthesiologist.
Generally 1% xylocaine or 2% xylocaine is used. When 2% xylocaine is used, the risk of local anesthetic poisoning increases. There is a possibility that 1% xylocaine may not be effective enough. Therefore, in order to investigate whether xylocaine concentration injected from the side tube of the NMOC-3 WAY catheter has a different effect, a prospective randomized test is conducted. NMOC - 3 WAY catheters have not been reported clinically examined scientific articles. Therefore, it is unknown whether administration of xylocaine injected from the side tube is really effective, so it is necessary to compare it with the salty group. Compared with three groups of physiological saline (placebo) group, 1% xylocaine group, 2% xylocaine group.
There is a report that postoperative pain exacerbates delirium and delirium affects the patient's life prognosis. In this clinical trial, there is a possibility of decreasing the incidence of delirium after surgery by relieving discomfort of the urinary catheter. Delirium is also evaluated in secondary evaluation items.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

VAS scale of urinary catheter discomfort before exiting the operating room and before bedtime on the day of surgery.
VAS scale of wound pain before exit from the operating room and before bedtime on the day of surgery.

Key secondary outcomes

CAM-ICU score of delirium on the night of surgery, general state before surgery, surgical invasion, changes in vital signs during and after surgery


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine Device,equipment

Interventions/Control_1

It is classified into three groups with chemical liquid injected from the side tube of NMOC-3 WAY catheter.
Saline solution (Placebo) 5 ml

Interventions/Control_2

It is classified into three groups with chemical liquid injected from the side tube of NMOC-3 WAY catheter.
1% Xylocaine 5 ml

Interventions/Control_3

It is classified into three groups with chemical liquid injected from the side tube of NMOC-3 WAY catheter.
2 % Xylocaine 5 ml

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


Not applicable

Gender

Male

Key inclusion criteria

Patients who undergo general anesthesia without epidural anesthesia for surgery of gastrointestinal surgery, orthopedic surgery, urology, respiratory surgery.
Male patient who intends to place a urinary catheter.
Patients whose age at registration is 20 years or older.
Patients who are class 1 (normal health patients) or class 2 (patients with mild systemic diseases and whose daily activities are restricted) in the ASA-PS (ASA physical status) classification.
Patients who have written consent for this study.

Key exclusion criteria

Patients who undergo urethral surgery.
Patients with a history of hypersensitivity to xylocaine or amide type local anesthetic.
Patients who have suffered a feeling after having undergone surface anesthesia in dental practice.
Persons who can bear arrhythmia on the electrocardiogram or patients taking oral antiarrhythmic drugs.
Patient who has consciousness disorder or who has difficulty communicating and may not obtain a valid evaluation.
Patients with moderate renal failure or liver failure.
Patients who underwent epidural anesthesia.
Patients taking opioid analgesics.
Patients who have difficulty communicating after surgery.
Patients with delirium and delirium treatment medicine.
Emergency operation.
Patients who did not obtain consent to this study.

Target sample size

90


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Suita koukyou

Organization

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences

Division name

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences

Zip code


Address

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences

TEL

086-235-7778

Email

passkey55555@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Suita koukyou

Organization

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences

Division name

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences

Zip code


Address

Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences

TEL

086-235-7778

Homepage URL


Email

passkey55555@gmail.com


Sponsor or person

Institute

National Hospital Organization Fukuyama Medical Center

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization Fukuyama Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

2017 Year 04 Month 17 Day


Related information

URL releasing protocol


Publication of results

Published


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

Completed

Date of protocol fixation

2016 Year 09 Month 21 Day

Date of IRB


Anticipated trial start date

2016 Year 11 Month 17 Day

Last follow-up date

2017 Year 12 Month 31 Day

Date of closure to data entry

2017 Year 12 Month 31 Day

Date trial data considered complete

2017 Year 12 Month 31 Day

Date analysis concluded

2018 Year 03 Month 20 Day


Other

Other related information



Management information

Registered date

2017 Year 04 Month 16 Day

Last modified on

2018 Year 02 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030969