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Trial registered on ANZCTR
Registration number
ACTRN12613000432718
Ethics application status
Approved
Date submitted
11/04/2013
Date registered
16/04/2013
Date last updated
16/04/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of dexketoprofen trometamol on rocuronium injection pain with general anesthesia
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Scientific title
The effect of dexketoprofen trometamol on rocuronium injection pain in patients undergoing elective surgery with general anesthesia
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Secondary ID [1]
282311
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none
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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:
we are studying rocuronium injection pain
288853
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Condition category
Condition code
Anaesthesiology
289195
289195
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dexketoprofen Trometamol (arvelles as the commercial name)is the S(+) enantiomer of ketoprofen, which is a COX-1 and COX-2 inhibitor arylpropyonic acid. It is a newly developed, centrally acting NSAID with potency similar to that of mu-opioid agonists. In a number of studies in different pain models, it has been proven to have a good analgesic efficacy and tolerability profile after oral administration. Therefore arvelles might be suitable for preventing this distressing side-effect. However, no report has examined as to whether arvelles pretreatment reduces the withdrawal movement caused by rocuronium injection.
The aim of this study was to compare the efficacy of pretreatment with oral arvelles with plasebo tablets, without tourniquet, for the prevention of withdrawal response from rocuronium injection. We will administer an oral capsule of 25 mg single dose 30 minutes before induction
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Intervention code [1]
286923
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Prevention
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Comparator / control treatment
oral starch tablets 30 minutes before induction
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The aim of this study was to compare the efficacy of pretreatment with oral arvelles with plasebo tablets, without tourniquet, for the prevention of withdrawal response from rocuronium injection.While rocuronium was being injected, withdrawal movement was graded by an investigator, who was blinded to patient group assigned as follows: grade 0 = no response, grade 1 = movement/withdrawal at the wrist only, grade 2 = movement/withdrawal involving the arm only (elbow/shoulder), and grade 3 =generalized response with movement/withdrawal in more than one extremity, cough, or breath-holding
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Assessment method [1]
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Timepoint [1]
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While rocuronium was being injected, withdrawal movement was graded by an investigator.
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Secondary outcome [1]
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nil
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Assessment method [1]
302194
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Timepoint [1]
302194
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nil
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Eligibility
Key inclusion criteria
After Institutional Ethic Comitee approval and written, informed consent, will enroll 150 patients into the study, aged 18 to 75 years, belonging to American Society of Anesthesiologists physical status classification I and III patients will be scheculed for elective surgery with general anesthesia.
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Minimum age
18
Years
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Maximum age
75
Years
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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 difficult venous access on the dorsum of the hand, NSAID allergy, existence of serious hepatic, renal and gastric disease, history of peptic ulcer disease and coagulopathy, use of corticosteroids within the last 7 days; and use of anticoagulants within the last month, chronic pain, pregnancy, and those who had received analgesics or sedatives within the previous 24 hours, will be excluded from the study.
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Study design
Purpose of the study
Prevention
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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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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Date of first participant enrolment
Anticipated
1/01/2013
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Actual
3/01/2013
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Date of last participant enrolment
Anticipated
1/03/2013
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Actual
6/03/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5009
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Turkey
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State/province [1]
5009
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Gozde Bumin Aydin
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Address [1]
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Ahmet Taner Kislali mah. Orun Villalari 2764. sok no:7 Cayyolu
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Country [1]
287072
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Turkey
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Primary sponsor type
Individual
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Name
Gozde Bumin Aydin
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Address
Ahmet Taner Kislali mah. Orun Villalari 2764. sok no:7 Cayyolu
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
285847
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Country [1]
285847
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Rocuronium is a commonly used steroidal non-depolarizing neuromuscular blocking agent with a rapid onset of action and an intermediate duration. However, even in unconscious patients during anesthetic induction, rocuronium causes withdrawal movement of the injected hand or arm, or generalized movements of the body after intravenous injection even leading to reflux of gastric contents and pulmonary aspiration. Pain from the injection of rocuronium is experienced by 75-100% of patients and 84% during induction of anesthesia after loss of consciousness. Although no patient complained of pain or recall after recovery, this withdrawal movement was most likely due to pain at the site of injection. Dexketoprofen is the S(+) enantiomer of ketoprofen, which is a COX-1 and COX-2 inhibitor arylpropyonic acid. It is a newly developed, centrally acting NSAID with potency similar to that of mu-opioid agonists. In a number of studies in different pain models, it has been proven to have a good analgesic efficacy and tolerability profile after oral administration. Therefore arvelles might be suitable for preventing this distressing side-effect. However, no report has examined as to whether arvelles pretreatment reduces the withdrawal movement caused by rocuronium injection. The aim of this study was to compare the efficacy of pretreatment with oral arvelles with plasebo tablets, without tourniquet, for the prevention of withdrawal response from rocuronium injection. After Institutional Ethic Comitee approval and written, informed consent, will enroll 150 patients into the study, aged 18 to 75 years, belonging to American Society of Anesthesiologists physical status classification I and III patients will be scheculed for elective surgery with general anesthesia. Patients with difficult venous access on the dorsum of the hand, NSAID allergy, existence of serious hepatic, renal and gastric disease, history of peptic ulcer disease and coagulopathy, use of corticosteroids within the last 7 days; and use of anticoagulants within the last month, chronic pain, pregnancy, and those who had received analgesics or sedatives within the previous 24 hours, will be excluded from the study. Using a computer-generated randomized table in a sealed envelope, patients will randomly assigned to recieve either placebo tablets or arvelles 25 mg 30 minutes before induction. After 3 min of preoxygenation, 2.5% thiopental sodium 5 mg/kg will be injected. When the verbal response and the eyelash reflex were abolished, an intubating dose of rocuronium 0.6 mg/kg is injected over 5 seconds and intravenous fluid is continously be administer for 10 seconds. While rocuronium is being injected, withdrawal movement will be graded by an investigator, who is blinded to patient group assigned as follows: grade 0 = no response, grade 1 = movement/withdrawal at the wrist only, grade 2 = movement/withdrawal involving the arm only (elbow/shoulder), and grade 3 =generalized response with movement/withdrawal in more than one extremity, cough, or breath-holding .
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Trial website
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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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Dr Gozde Bumin Aydin
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Address
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Ahmet Taner Kislali mah. Orun villalari 2764. sok no:7 Cayyolu
Diskapi Yildirim Beyazit Education and Reasearch Hospital
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Country
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Turkey
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Phone
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+90-532-6453235
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Gozde Bumin Aydin
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Address
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Ahmet Taner Kislali mah. Orun villalari 2764. sok no:7 Cayyolu
Diskapi Yildirim Beyazit Education and Reasearch Hospital
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Country
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Turkey
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Phone
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+90 5326453235
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Fax
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Email
39191
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[email protected]
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Contact person for scientific queries
Name
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Gozde Bumin Aydin
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Address
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Ahmet Taner Kislali mah. Orun villalari 2764. sok no:7 Cayyolu
Diskapi Yildirim Beyazit Education and Reasearch Hospital
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Country
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Turkey
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Phone
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+90 5326453235
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
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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