UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054496
Receipt number R000062252
Scientific Title Effect of portable ultrasound-guided trigger point block on myofascial pain syndrome in patients with advanced cancer
Date of disclosure of the study information 2024/07/01
Last modified on 2025/04/06 12:02:51

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Basic information

Public title

Effect of portable ultrasound-guided trigger point block on myofascial pain syndrome in patients with advanced cancer

Acronym

Effect of ultrasound-guided TP block on MPS in patients with advanced cancer

Scientific Title

Effect of portable ultrasound-guided trigger point block on myofascial pain syndrome in patients with advanced cancer

Scientific Title:Acronym

Effect of ultrasound-guided TP block on MPS in patients with advanced cancer

Region

Japan


Condition

Condition

myofascial pain syndrome

Classification by specialty

Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A portable ultrasound-guided trigger point block is performed for myofascial pain syndrome in patients with advanced cancer, its efficacy and safety are confirmed, and the possibility of application to home medical care including palliative care is examined.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the difference in pain (NRS) on day 8 compared to pre-block

Key secondary outcomes

(1) Difference in pain (NRS) after block on day 1 compared to pain before block on day 1
(2) Difference in pain (NRS) before block on day 4 compared to pain before block on day 1
(3) Difference in pain (NRS) after block on day 4 compared to pain before block on day 1
(4) Difference in opioid dose (oral morphine equivalent) before block on day 1 and on day 8
(5) Frequency of adverse events


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) Inpatients aged 20 to 85 who have been diagnosed with advanced cancer
(2) Subjects whose palliative care team is intervening
(3) Subjects taking opioids
(4) Eastern Cooperative Oncology Group Performance Status (ECOG-PS) 2-4
(5) Subjects diagnosed with myofascial pain syndrome that meets River's diagnostic criteria
(6) Subjects who have the pain of 4/10 or higher on the Numerical Rating Scale (NRS) in the affected area of myofascial pain syndrome
(7) Subjects whose cause of myofascial pain syndrome is determined to be bed rest for 1 week or longer
(8) Subjects who can visualize the muscle layer of the painful area of myofascial pain syndrome using a portable ultrasound device
(9) Individuals who are clear-minded and have the ability to make decisions
(10) Subjects were judged to be able to keep quiet during the procedure

Key exclusion criteria

(1) Subjects taking anticoagulants or antiplatelet drugs
(2) Subjects who are suggested to be prone to bleeding
(3) Subjects with severe cytopenia
(4) Those who are suggested to be susceptible to infection
(5) Subjects with skin abnormalities such as redness, swelling, and edema at painful areas suspected of MPS
(6) Subjects with chronic heart failure
(7) Subjects with serious renal impairment
(8) Subjects with severe liver disorder
(9) Subjects who are allergic to local anesthetics
(10) Subjects whose cause of the pain may be other than MPS due to bed rest
(11) Body Mass Index (BMI) of 35 or more, or those who have difficulty in visualizing the muscle layer of the MPS pain site with a portable ultrasound device
(12) Subjects who cannot keep quiet during the procedure
(13) A person judged to have no decision-making capacity
(14) Others who are judged to be inappropriate as subjects by the principal investigator

Target sample size

39


Research contact person

Name of lead principal investigator

1st name Kenji
Middle name
Last name Yamamoto

Organization

Hokkaido Cancer Center

Division name

Division of Palliative Medicine

Zip code

0030804

Address

2-3-54 Kikusui 4-jo, Shiroishi-ku, Sapporo, Hokkaido, Japan

TEL

011-811-9111

Email

cab55640@yahoo.co.jp


Public contact

Name of contact person

1st name Kenji
Middle name
Last name Yamamoto

Organization

Hokkaido Cancer Center

Division name

Division of Palliative Medicine

Zip code

0030804

Address

2-3-54 Kikusui 4-jo, Shiroishi-ku, Sapporo, Hokkaido, Japan

TEL

011-811-9111

Homepage URL


Email

cab55640@yahoo.co.jp


Sponsor or person

Institute

Hokkaido Cancer Center

Institute

Department

Personal name



Funding Source

Organization

No

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

Hokkaido Cancer Center IRB

Address

2-3-54 Kikusui 4-jo, Shiroishi-ku, Sapporo, Hokkaido, Japan

Tel

011-811-9111

Email

cab55640@yahoo.co.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

2024 Year 07 Month 01 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

Terminated

Date of protocol fixation

2024 Year 06 Month 17 Day

Date of IRB

2024 Year 06 Month 17 Day

Anticipated trial start date

2024 Year 07 Month 01 Day

Last follow-up date

2025 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is the prospective observational and pre-post study of the trigger point block for inpatients with advanced cancer in our hospital.

Portable ultrasound-guided trigger point blocks using 1% lydocaine are enforced on day 1 and day 4. 0.5 to 3 ml of local anesthetic is delivered at a trigger point. The total amount of the local anesthetic is less than 10 ml a day.


Management information

Registered date

2024 Year 05 Month 27 Day

Last modified on

2025 Year 04 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062252