ITP block: single or multiple injection?

2022-501312-34-01 Protocol ZUH-ITP-MBCS Therapeutic use (Phase IV) Ended

Start 26 Feb 2023 · End 8 Mar 2023 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol ZUH-ITP-MBCS

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 12
Countries 1
Sites 1

The ITP block is primarily used for pain amelioration after breast cancer surgery.

The main overall objective is to determine the efficacy of the intertransverse process block.

Key facts

Sponsor
Zealand University Hospital
Participant type
Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03], Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Investigative Techniques [E05]
Trial duration
26 Feb 2023 → 8 Mar 2023
Decision date (initial)
2023-01-24
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

The main overall objective is to determine the efficacy of the intertransverse process block.

Conditions and MedDRA coding

The ITP block is primarily used for pain amelioration after breast cancer surgery.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Male sex
  2. Age ≥ 18 years at the date of inclusion
  3. American Associations of Anaesthesiologist (ASA) class I-II
  4. Have received thorough information, orally and in written form, and signed the “Informed Consent” form on participation in the study.
  5. Weight > 52,5 kilograms (chosen due to the international maximal single dose of Ropivacaine (3mg/kg)

Exclusion criteria 14

  1. Substantial co-morbidity: American Associations of Anaesthesiologist (ASA) class > II
  2. Any systemic muscular or neuromuscular disease
  3. Any use of vasodilatory substance (investigators decision)
  4. Local infection at the site of injection or systemic infection
  5. Difficult sonoanatomical visualisation of the target area (SCTL, ITTC etc.) necessary for the block execution
  6. Severe hypovolemia
  7. Inability to speak and understand Danish
  8. Inability to cooperate
  9. Allergy to study drugs
  10. Daily intake of analgesics (investigators decision)
  11. Alcohol and/or drug overuse (investigators decision)
  12. Previous thoracic trauma or thoracic surgery
  13. Previous/current piercing of the nipple of any kind on blockade side
  14. Tattoos on the thorax (according to the investigators decision)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary outcome of this procedure related study is the number of anaesthetised thoracic dermatomes

Secondary endpoints 4

  1. “Sensory mapping”: the extent of cutaneous spread of the sensory block (area in cm2)
  2. To evaluate thermography in a clinical setup (the temperature differences between non-blockade side and blockade side)
  3. To evaluate changes in non-invasive blood pressure
  4. To evaluate block application satisfaction in numeric rating scale pain scores

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Ropivacain Fresenius Kabi 7,5 mg/ml, injektionsvätska, lösning

PRD767208 · Product

Active substance
Ropivacaine Hydrochloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
LOCAL INJECTION
Max daily dose
3.0 mg/Kg milligram(s)/kilogram
Max total dose
3.0 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01BB09 — ROPIVACAINE
Marketing authorisation
42454
MA holder
FRESENIUS KABI AB
MA country
Sweden
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

SCP43025870 · ATC

Route of administration
INTRAVENOUS
Max daily dose
40 µg/Kg microgram(s)/kilogram
Max total dose
40 µg/Kg microgram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01AH02 — ALFENTANIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Zealand University Hospital

Sponsor organisation
Zealand University Hospital
Address
Sygehusvej 10
City
Roskilde
Postcode
4000
Country
Denmark

Scientific contact point

Organisation
Zealand University Hospital
Contact name
Jens Børglum

Public contact point

Organisation
Zealand University Hospital
Contact name
Jens Børglum

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 12 1
Rest of world 0

Investigational sites

Denmark

1 site · Ended
Zealand University Hospital
Department of Anaesthesiology and Intensive Care Medicine, Sygehusvej 10, 4000, Roskilde

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2023-02-26 2023-03-08 2023-02-26

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Summary of results
SUM-108791
2025-11-30T13:04:09 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay person summary of results 2025-11-30T13:04:45 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Lay person summary of results 1
Summary of results (for publication) Summary of results CTIS 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-11-23 Denmark Acceptable
2023-01-23
2023-01-24