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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04276298
Registration number
NCT04276298
Ethics application status
Date submitted
17/02/2020
Date registered
19/02/2020
Titles & IDs
Public title
Topical Analgesia Post-Haemorrhoidectomy
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Scientific title
A Prospective, Multicentre, Double-Blinded Randomised Controlled Trial Comparing Topical Metronidazole, Diltiazem and Lidocaine on Post-Operative Pain Following Excisional Haemorrhoidectomy
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Secondary ID [1]
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RCT Haemorrhoidectomy
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hemorrhoid Pain
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Hemorrhoids
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Metronidazole cream
Treatment: Drugs - Metronidazole and Diltiazem cream
Treatment: Drugs - Metronidazole and Lidocaine cream
Treatment: Drugs - Metronidazole, Diltiazem and Lidocaine cream
Active comparator: Metronidazole - Group A receiving 10% metronidazole cream
Active comparator: Metronidazole + Diltiazem - Metronidazole 10% + Diltiazem 2%
Active comparator: Metronidazole + Lignocaine - Metronidazole 10% + Lignocaine 4%
Active comparator: Metronidazole + Diltiazem + Lignocaine - Metronidazole 10% + Diltiazem 2% + Lignocaine 4%
Treatment: Drugs: Metronidazole cream
10% metronidazole applied rectally
Treatment: Drugs: Metronidazole and Diltiazem cream
Combination Metronidazole and Diltiazem applied rectally
Treatment: Drugs: Metronidazole and Lidocaine cream
Combination metronidazole and lignocaine applied rectally
Treatment: Drugs: Metronidazole, Diltiazem and Lidocaine cream
Combination of all active agents tested applied rectally
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pain scores
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Assessment method [1]
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Measured by visual analog scale, 1-10cm, continuous, the higher the score, the worse the pain
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Timepoint [1]
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7 days
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Primary outcome [2]
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Amount of analgesic use
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Assessment method [2]
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Morphine equivalent amount
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Timepoint [2]
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7 days
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Secondary outcome [1]
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Return to work
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Assessment method [1]
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Day post-operation when the patient returns to work
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Timepoint [1]
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14 days
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Secondary outcome [2]
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Pain on bowel motion: Visual Analog Scale
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Assessment method [2]
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Measured by Visual Analog Scale, continuous 1-10cm, the higher the score, the worse the pain.
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Timepoint [2]
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7 days
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Secondary outcome [3]
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Complications
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Assessment method [3]
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Rates of Bleeding
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Timepoint [3]
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30 days
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Secondary outcome [4]
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Re-admission
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Assessment method [4]
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Rates of Re-admission to hospital,
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Timepoint [4]
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30 days
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Secondary outcome [5]
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Repeat Prescription
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Assessment method [5]
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Rates of Repeat Prescription Requirement
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Timepoint [5]
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30 days
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Eligibility
Key inclusion criteria
* Age =16
* All patients undergoing excisional haemorrhoidectomy
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Age <16,
* history of chronic pain,
* drug allergy or idiosyncracies to any actives or excipients in
* cream,
* breastfeeding,
* any medical history which is a contraindication to any of metronidazole, lidocaine, or diltiazem including including:
* sick sinus syndrome,
* atrioventricular block,
* hypotension,
* heart failure and bradycardia.
* concomitant medications which are contraindicated to metronidazole, lidocaine or diltiazem.
* patients already taking diltiazem.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/02/2022
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Sample size
Target
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Accrual to date
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Final
192
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Symptomatic haemorrhoids, or piles, have significant effects on quality of life. The treatment for advanced disease is surgical excision (haemorrhoidectomy) which is extremely effective. However, pain following haemorrhoidectomy is known by all to be a miserable experience and current treatment is not very effective. We have formulated a new cream treatment which targets three theorised mechanisms of pain after haemorrhoidectomy. We will test the effectiveness of the treatments with a multi-centred randomised controlled factorial trial with four parallel double-blinded arms containing different combinations of the active agents. The outcomes include pain scores, amount of analgesia required and time to return to work. The results of our study could provide evidence of an effective treatment for post haemorrhoidectomy pain. The treatment may provide considerable benefit to patients undergoing this surgical procedure.
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Trial website
https://clinicaltrials.gov/study/NCT04276298
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Andrew G Hill, MBChB, MD, EdD, FRACS, FACS
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Address
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Counties Manukau Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Will be shared when results become available.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF)
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When will data be available (start and end dates)?
When results are available for 12 months
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Available to whom?
email request
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04276298