NCT00852410

Brief Summary

Obtaining adequate hemostasis is crucial during endoscopic sinus surgery. Submucosal injection of local anaesthetic containing adrenaline has frequently been used to improve surgical milieu. However, injection of adrenaline has potential side effects including tachycardia, hypertension as well as inducing arrhythmia. The aim of this randomized clinical trial is to assess the hemodynamic and hemostatic effects of two different concentrations of adrenaline in local anaesthetic used during endoscopic sinus surgery.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
140

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Mar 2009

Shorter than P25 for phase_3

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 26, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 27, 2009

Completed
2 days until next milestone

Study Start

First participant enrolled

March 1, 2009

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2010

Completed
Last Updated

June 30, 2010

Status Verified

June 1, 2010

Enrollment Period

1.1 years

First QC Date

February 26, 2009

Last Update Submit

June 29, 2010

Conditions

Keywords

Endoscopic sinus surgery

Outcome Measures

Primary Outcomes (1)

  • Reduction of Intraoperative bleeding

    during surgery

Secondary Outcomes (1)

  • hemodynamic fluctuation

    during surgery

Study Arms (2)

1% lidocaine with 1:100000 adrenaline

ACTIVE COMPARATOR

high dose adrenaline

Drug: 1% lidocaine with 1:100,000 adrenaline

1% lidocaine with 1:200,000 adrenaline

ACTIVE COMPARATOR

low dose

Drug: 1% lidocaine with 1:200,000 adrenaline

Interventions

high dose

1% lidocaine with 1:100000 adrenaline

1% lidocaine with 1:200,000 adrenaline

1% lidocaine with 1:200,000 adrenaline

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • recurrent acute sinusitis, chronic sinusitis, or nasal polyposis

You may not qualify if:

  • bleeding disorders, under age of 18, history of cardiac disease or on antihypertensive medications

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Toronto

Toronto, Ontario, M6R 1B5, Canada

Location

Related Publications (1)

  • Moshaver A, Lin D, Pinto R, Witterick IJ. The hemostatic and hemodynamic effects of epinephrine during endoscopic sinus surgery: a randomized clinical trial. Arch Otolaryngol Head Neck Surg. 2009 Oct;135(10):1005-9. doi: 10.1001/archoto.2009.144.

MeSH Terms

Interventions

LidocaineEpinephrine

Intervention Hierarchy (Ancestors)

AcetanilidesAnilidesAmidesOrganic ChemicalsAniline CompoundsAminesEthanolaminesAmino AlcoholsAlcoholsBiogenic MonoaminesBiogenic AminesCatecholaminesCatecholsPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbons

Study Officials

  • Ali Moshaver, MD

    University of Toronto

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Ali Moshaver, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER

Study Record Dates

First Submitted

February 26, 2009

First Posted

February 27, 2009

Study Start

March 1, 2009

Primary Completion

April 1, 2010

Study Completion

April 1, 2010

Last Updated

June 30, 2010

Record last verified: 2010-06

Locations