Hyperbaric Novabupi® in Spinal Anesthesia in Lower Limbs Vascular Surgery
Non-inferiority Study of Hyperbaric Novabupi® (Bupivacaine S75: R25) Compared to Hyperbaric Neocaine® (Bupivacaine S50: R50) in Spinal Anesthesia in Lower Limbs Vascular Surgery
1 other identifier
interventional
120
1 country
1
Brief Summary
This is a multicenter, randomized, double-blind, active-controlled study to evaluate the non-inferiority of hyperbaric Novabupi® versus hyperbaric Neocaine® in spinal anesthesia in lower limbs vascular surgery. The schedule consists of four visits: screening (visit 1); pre-anesthetic evaluation and randomization (visit 2); treatment (visit 3) and discharge from study (visit 4).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2022
1 active site
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
First Submitted
Initial submission to the registry
March 11, 2019
CompletedFirst Posted
Study publicly available on registry
March 21, 2019
CompletedStudy Start
First participant enrolled
April 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2023
CompletedFebruary 8, 2023
July 1, 2022
1.1 years
March 11, 2019
February 7, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Comparison between arms from latency to T10 dermatome sensitive block
Time elapsed between the withdrawal of the needle at the end of the injection of the local anesthetic and the absence of response to sensorial stimuli in the region corresponding to the T10 dermatome
20 minutes
Comparison between arms from the duration of the sensory block
Time elapsed between the withdrawal of the needle at the end of the local anesthetic injection and the presence of positive sensitivity by needle stimulation in the L5 dermatome
24 hours
Secondary Outcomes (10)
Comparison between arms from the degree of motor blockage when blocking T10 sensitive
20 minutes
Comparison between arms from the duration of the motor block
24 hours
Comparison between arms from the highest level of sensory block
3 hours
Comparison between arms from the time to reach the highest level of sensory block
1 hour
Comparison between arms from the time for the 4-segment regression of the sensory block
3 hours
- +5 more secondary outcomes
Study Arms (2)
Hyperbaric Novabupi® 0.5% (bupivacaine S75:R25 + 8% glucose)
EXPERIMENTALHyperbaric Neocaine® 0.5% (bupivacaine S50:R50 + 8% glucose)
ACTIVE COMPARATORInterventions
Spinal anesthesia, 20 mg
Spinal anesthesia, 20 mg
Eligibility Criteria
You may qualify if:
- Provision of written informed consent
- Both sexes
- Age between 18 and 80 years, inclusive
- ASA category I or II
- Indication of spinal anesthesia for varicose vein surgery in lower limbs with a maximum duration of 3 hours.
You may not qualify if:
- Contraindications to spinal anesthesia
- Hypersensitivity or intolerance to local anesthetics or to the components of formula
- Use of any anticoagulant, regardless of type until 60 days before entering the study
- Spinal cord injuries, peripheral neuropathies or any other neurological conditions leading to sensory and / or motor disorders
- Dementia, mental retardation and other major cognitive changes
- Obesity with body mass index (BMI) \> 30 or difficulty in performing the puncture
- Anatomical difficulty in the spine in the opinion of the Investigator that can make puncture difficult
- Any previous surgical intervention of the spine
- Tattoo at the puncture site
- Participants with a history of alcohol or illicit drug abuse, as defined by Diagnostic and Statistical Manual of Mental Disorders, 5th edition
- Pernicious anemia
- History of severe anaphylactic reactions or Steven-Johnson disease
- Changes in safety exams (applicable at the time of randomization):
- International Normalized Ratio ≥ 1.4
- Hemoglobin \< 10 g / dL
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CEPEC
São Luís, Maranhão, 65020-600, Brazil
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
João B Garcia, MD/PhD
HUUFMA - Hospital Universitário da Universidade Federal do Maranhão
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 11, 2019
First Posted
March 21, 2019
Study Start
April 1, 2022
Primary Completion
April 30, 2023
Study Completion
November 30, 2023
Last Updated
February 8, 2023
Record last verified: 2022-07
Data Sharing
- IPD Sharing
- Will not share