UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063066
Receipt number R000072193
Scientific Title Pain-Reducing Effect of Adding Sodium Bicarbonate (Meylon) to Local Anesthetic on Injection Pain in Thread Lift Surgery: A Single-Blind Randomized Controlled Trial
Date of disclosure of the study information 2026/10/12
Last modified on 2026/09/27 14:52:37

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Basic information

Public title

A Study on Reducing Injection Pain During Local Anesthesia for Thread Lift

Acronym

RIPL-Thread Trial; Reducing Injection Pain in Local anesthesia for Thread lift

Scientific Title

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

Scientific Title:Acronym

RIPL-Thread Trial; Reducing Injection Pain in Local anesthesia for Thread lift

Region

Japan


Condition

Condition

Injection pain during local anesthesia in patients undergoing thread lift surgery

Classification by specialty

Aesthetic surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to investigate whether the addition of 7% sodium bicarbonate injection (Meylon) to local anesthetic (1% lidocaine with epinephrine) at a 9:1 ratio reduces injection pain during a thread lift. A single-blind, randomized controlled trial will be conducted using a split-face design in the same patient to compare the difference in the Numerical Rating Scale (NRS) between the bilateral sides as the primary outcome.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome is the difference in the Numerical Rating Scale (NRS) scores between the bilateral sides (the side with Meylon addition versus the side without addition). Injection pain during local anesthesia for the thread lift will be evaluated immediately after the procedure for both the left and right sides of the same patient using the NRS, which ranges from 0 to 10 (0 = no pain, 10 = worst imaginable pain).

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

Experimental group (Meylon-added side):A local anesthetic, prepared by mixing 1% lidocaine with epinephrine and 7% sodium bicarbonate injection (Meylon) at a 9:1 ratio, will be administered as local anesthesia for a thread lift to one side of the face. At each insertion point, 0.5 mL will be injected using a 30G needle at a rate of 0.1 mL/second. Along the thread tracts, 2.5 mL per side (5 mL bilaterally) will be administered using a 23G microcannula at a rate of 0.1 mL/second.

Interventions/Control_2

Control group (Non-Meylon side):As conventional practice, 1% lidocaine with epinephrine (without Meylon addition) will be administered as local anesthesia for the thread lift to the contralateral side of the face. The administration method, dosage, and number of insertion points will be completely identical to those of the experimental group (at each insertion point, 0.5 mL will be injected using a 30G needle at a rate of 0.1 mL/second; along the thread tracts, 2.5 mL per side will be administered using a 23G microcannula at a rate of 0.1 mL/second).

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 undergoing a bilateral thread lift where the same type and number of threads are used on both sides.
(2) Patients for whom the local anesthesia technique can be fully standardized on both sides.
(3) Patients who have provided written informed consent prior to participation.

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)Patients using other sedatives (including nitrous oxide inhalation sedation), analgesics, or anxiolytics during the procedure
(8)Other patients judged by the principal investigator to be inappropriate for participation in this study

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Takashi
Middle name
Last name Yamauchi

Organization

Tokyo Chuo Beauty Clinic (TCB), 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 Daisuke
Middle name
Last name Kitawaki

Organization

Tokyo Chuo Beauty Clinic (TCB), Kusatsu Branch

Division name

Director

Zip code

5250032

Address

3F, Lty932 Building, 1-1-1 Oji, Kusatsu City, Shiga 525-0032, Japan

TEL

0775981406

Homepage URL


Email

dkfrompeace@gmail.com


Sponsor or person

Institute

Tokyo Chuo Beauty Clinic (TCB), Kusatsu 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 10 Month 12 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 10 Month 01 Day

Date of IRB

2026 Year 10 Month 02 Day

Anticipated trial start date

2026 Year 10 Month 12 Day

Last follow-up date

2027 Year 02 Month 12 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 09 Month 27 Day

Last modified on

2026 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072193