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Trial registered on ANZCTR
Registration number
ACTRN12610001000099
Ethics application status
Approved
Date submitted
23/06/2010
Date registered
17/11/2010
Date last updated
1/07/2019
Date data sharing statement initially provided
1/07/2019
Date results provided
1/07/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Use of local anaesthetics in hemorrhoid banding
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Scientific title
In patients undergoing hemorrhoid banding does local anaesthetic injection
compared to no local anaesthetic reduce discomfort experienced during the
procedure
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Secondary ID [1]
252085
0
Nil
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Universal Trial Number (UTN)
U1111-1115-5898
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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:
Haemorrhoids
257632
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Condition category
Condition code
Surgery
257809
257809
0
0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Local anaesthetic injections using 2-3ml of 0.5% bupivicaine injected in the haemorrhoidal mucosa immediately under the band at each site after application of the band. This procedure takes approximately 10-15 minutes.
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Intervention code [1]
256709
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Treatment: Drugs
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Intervention code [2]
257625
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Treatment: Surgery
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Comparator / control treatment
No local anaesthetic injection (standard practice)
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Control group
Active
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Outcomes
Primary outcome [1]
258671
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Pain scores using Visual Analogue Scale (VAS)
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Assessment method [1]
258671
0
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Timepoint [1]
258671
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15 minutes, 1 hour and 24 hours following treatment (ie. banding with or without local anaesthetic)
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Secondary outcome [1]
264666
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Time to return to work by questioning at follow up clinic assessment
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Assessment method [1]
264666
0
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Timepoint [1]
264666
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Clinic assessment at 6 weeks following procedure
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Eligibility
Key inclusion criteria
Patients seen in outpatient clinic with hemorrhoids who would normally be
offered hemorrhoid banding
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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?
No
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Key exclusion criteria
Patients with co-existing anorectal conditions
Patients with allergies to local anaesthetics
Patients on which banding is contraindicated
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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)
Included patients will be randomized to procedures either with or without local
anaesthetics. The randomization assignment is concealed in the form of sealed
envelopes located with the suction banding device and is only revealed to the
clinician just prior to the procedure commencing.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation is generated by computer and the code is entered into the sealed
envelope described above
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
9/07/2009
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Actual
2/09/2009
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Date of last participant enrolment
Anticipated
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Actual
7/12/2011
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Date of last data collection
Anticipated
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Actual
8/12/2011
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Sample size
Target
120
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Accrual to date
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Final
72
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Recruitment outside Australia
Country [1]
2720
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New Zealand
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State/province [1]
2720
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Auckland
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Funding & Sponsors
Funding source category [1]
257179
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Hospital
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Name [1]
257179
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Department of general surgery Auckland City Hospital
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Address [1]
257179
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Department of General Surgery
Auckland City Hospital
Park Road,
Grafton,
Auckland, 1023
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Country [1]
257179
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New Zealand
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Primary sponsor type
Individual
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Name
Ian Bissett
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Address
Department of Surgery'
University of Auckland,
Private Bag 92019
Auckland, 1142
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Country
New Zealand
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Secondary sponsor category [1]
256435
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Individual
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Name [1]
256435
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Henry Kwok
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Address [1]
256435
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Department of General Surgery
Auckland City Hospital
Park Road,
Grafton,
Auckland, 1023
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Country [1]
256435
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259217
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Northern X Regional Ethics Committee
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Ethics committee address [1]
259217
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Private Bag 92522 Wellesley Street Auckland, 1010
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Ethics committee country [1]
259217
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New Zealand
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Date submitted for ethics approval [1]
259217
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Approval date [1]
259217
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09/07/2009
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Ethics approval number [1]
259217
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NTX/09/04/029
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Summary
Brief summary
Symptomatic Haemorrhoids are a commonly encountered in the colorectal clinic. Rubber band ligation is a simple treatment that can be performed easily in the office with minimal equipment. However, pain is common following banding and is sometimes associated with vasovagal symptoms. There have been some reports of using local anaesthetics in banding to reduce post-procedure pain but the results were conflicting. The purpose of this study is to prospectively verify the efficacy of local anaesthetic injection in reducing the pain associated with using our present technique of suction banding. The prospectively collected data will also be examined for possible contributing factors to patients’ pain experience following banding.
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Trial website
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Trial related presentations / publications
Kwok, H. C., Noblett, S. E., Murray, N. E., Merrie, A. E., Hayes, J. L., Bissett, I. P.. The use of local anaesthesia in haemorrhoidal banding: a randomized controlled trial. Colorectal Dis, 2013;5(4):487-491.
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Public notes
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Contacts
Principal investigator
Name
31328
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A/Prof Ian Bissett
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Address
31328
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Department of Surgery University of Auckland, Private Bag 92019, Auckland 1142
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Country
31328
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New Zealand
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Phone
31328
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+64 9 3737599
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Fax
31328
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Email
31328
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[email protected]
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Contact person for public queries
Name
14575
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Associate Professor Ian Bissett
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Address
14575
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Department of Surgery
University of Auckland,
Private Bag 92019,
Auckland 1142
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Country
14575
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New Zealand
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Phone
14575
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+64 9 3737599
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Fax
14575
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+64 9 3779656
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Email
14575
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[email protected]
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Contact person for scientific queries
Name
5503
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Associate Professor Ian Bissett
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Address
5503
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Department of Surgery
University of Auckland,
Private Bag 92019,
Auckland 1142
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Country
5503
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New Zealand
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Phone
5503
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+64 9 3737599
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Fax
5503
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+64 9 3779656
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Email
5503
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Study concluded 8 years ago and data no longer available
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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