UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061633
Receipt number R000070512
Scientific Title Pain-Reducing Effect of Adding Sodium Bicarbonate (Meylon) to Local Anesthetic on Injection Pain in Buried-Suture Double Eyelid Surgery: A Single-Blind Randomized Controlled Trial
Date of disclosure of the study information 2026/05/19
Last modified on 2026/05/19 15:00:55

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Basic information

Public title

A Study on Reducing Injection Pain During Local Anesthesia for Double Eyelid Surgery

Acronym

MELT Study; MEylon for Local anesthesia Trial

Scientific Title

Pain-Reducing Effect of Adding Sodium Bicarbonate (Meylon) to Local Anesthetic on Injection Pain in Buried-Suture Double Eyelid Surgery: A Single-Blind Randomized Controlled Trial

Scientific Title:Acronym

MELT Study; MEylon for Local anesthesia Trial

Region

Japan


Condition

Condition

Injection pain during local anesthesia in patients undergoing buried-suture double eyelid blepharoplasty

Classification by specialty

Aesthetic surgery Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate whether the addition of 7% sodium bicarbonate (Meylon) to local anesthetic (1% lidocaine with epinephrine) at a 9:1 ratio reduces injection pain during buried-suture double eyelid blepharoplasty. Using a single-blind, split-face, randomized controlled design within the same patient, the primary endpoint is the difference in Numerical Rating Scale scores between the two sides.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The within patient difference in injection pain during local anesthesia, measured by the Numerical Rating Scale, between the sodium bicarbonate added side and the non added side. Pain is assessed by patient self-report immediately after the procedure for each eyelid separately.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Intervention arm (sodium bicarbonate-added side): Local anesthetic prepared by mixing 1% lidocaine with epinephrine and 7% sodium bicarbonate (Meylon) at a 9:1 ratio is administered to one eyelid as local anesthesia before buried-suture double eyelid blepharoplasty. On the skin side, 0.02 mL is injected at each of 4, and 0.3 mL in total is injected on the conjunctival side.

Interventions/Control_2

Control arm (non-added side): Conventional 1% lidocaine with epinephrine (without sodium bicarbonate) is administered to the contralateral eyelid as local anesthesia before buried-suture double eyelid blepharoplasty. The route of administration, total volume, and number of injection points are identical to those of the intervention arm (0.02 mL at each of 4 on the skin side, and 0.3 mL in total on the conjunctival side).

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


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients who request buried-suture double eyelid blepharoplasty including revision cases.
(2) Patients who are 20 years of age or older at the time of consent.
(3) Patients who have provided written informed consent to participate in this study.

Key exclusion criteria

(1) Minors under 20 years of age.
(2) Patients with a history of allergy to lidocaine (Xylocaine) or sodium bicarbonate (Meylon).
(3) Patients who are pregnant or possibly pregnant.
(4) Patients taking oral corticosteroids at a dose of 10 mg/day or higher.
(5) Patients with serious comorbidities (e.g., cardiac, hepatic, or renal disease).
(6) Patients with active malignancy.
(7) Other patients judged by the principal investigator to be unsuitable for participation in this study.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hiroo
Middle name
Last name Teranishi

Organization

Tokyo Chuo Beauty Clinic (TCB), BS Clinic, Umeda Osaka Ekimae Branch

Division name

Director

Zip code

5300057

Address

3rd Floor, K's Square Building, 2-8-15 Sonezaki, Kita-ku, Osaka-shi, Osaka 530-0057, Japan

TEL

06-6147-2581

Email

umeda.office@tcb.or.jp


Public contact

Name of contact person

1st name Shoichiro
Middle name
Last name Nakajo

Organization

Tokyo Chuo Beauty Clinic (TCB), Kyoto Shijo Branch

Division name

Director

Zip code

6008007

Address

5F Kyoto Shoken Building, 66 Tachiuri-Nishimachi, Higashinotoin-Higashi-iru, Shijo-dori, Shimogyo-ku

TEL

08053426718

Homepage URL


Email

s.nakajo1220@gmail.com


Sponsor or person

Institute

okyo Chuo Beauty Clinic (TCB), BS Clinic, Umeda Osaka Ekimae Branch

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

TCB Academic Committee and IRB

Address

3rd Floor, K's Square Building, 2-8-15 Sonezaki, Kita-ku, Osaka-shi, Osaka 530-0057, Japan

Tel

06-6147-2581

Email

irb@tcb.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

2026 Year 05 Month 19 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

Preinitiation

Date of protocol fixation

2026 Year 05 Month 19 Day

Date of IRB


Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2026 Year 08 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

2026 Year 05 Month 19 Day

Last modified on

2026 Year 05 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070512