Comparison of the Total Dose and Efficacy of Two Lidocaine Concentrations Needed for Cutaneous Surgery Local Anesthesia
A Randomized, Double Blind Comparison of the Total Dose of 1.0% Lidocaine With 1:100,000 Epinephrine Versus 0.5% Lidocaine With 1:200,000 Epinephrine Needed to Achieve Effective Anesthesia During Mohs Micrographic Surgery
1 other identifier
interventional
149
0 countries
N/A
Brief Summary
The purpose of the study will be to demonstrate whether Mohs micrographic surgery can be performed with a lower total dose of local anesthesia (and greater patient safety) when using 0.5% lidocaine with 1:200,000 epinephrine versus 1% lidocaine with 1:100,000 epinephrine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2007
Shorter than P25 for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2007
CompletedFirst Submitted
Initial submission to the registry
January 2, 2008
CompletedFirst Posted
Study publicly available on registry
January 15, 2008
CompletedNovember 29, 2023
November 1, 2023
January 2, 2008
November 28, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary outcome is a measurement of the total dose of lidocaine (measured in mg) administered to the patient over the course of Mohs micrographic surgery.
One day
Secondary Outcomes (1)
The secondary outcome is subject pain, as assessed by a visual analog pain scale and by the volume of extra rescue lidocaine needed during surgery.
One day
Study Arms (2)
0.5% lidocaine group
EXPERIMENTALGroup that receives 0.5% lidocaine with 1:200,000 epinephrine
1.0% lidocaine group
EXPERIMENTALGroup that receives 1.0% lidocaine with 1:100,000 epinephrine
Interventions
Each group is the appropriate concentration of lidocaine with epinephrine for local anesthesia at the beginning of each Mohs stage and the reconstruction.
Eligibility Criteria
You may qualify if:
- years or older
- Mohs micrographic surgery patient
You may not qualify if:
- Pregnant or breast-feeding subjectsH
- History of allergic or other adverse reaction to lidocaine or epinephrine
- Cognitively impairment
- Surgeon judges patient a risk for lidocaine toxicity due to tumor size
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher J Miller, MD
University of Pennsylvania Department of Dermatology
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 2, 2008
First Posted
January 15, 2008
Study Start
June 1, 2007
Study Completion
September 1, 2007
Last Updated
November 29, 2023
Record last verified: 2023-11