The effect of suprainguinal fascia iliaca compartment block

2023-510388-37-00 Protocol SIFICB Therapeutic exploratory (Phase II) Not authorised

Status Not authorised · 1 EU/EEA countries · 1 sites · Protocol SIFICB

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Not authorised
Participants planned 20
Countries 1
Sites 1

Hip Pain

To investigate the frequency of anesthesia of the obturator nerve after subpectineal obturator nerve blockade (SOB) vs. suprainguinal fascia iliaca compartment block (SIFICB) in healthy volunteers.

Key facts

Sponsor
Region Midtjylland
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05]
Decision date (initial)
2024-04-16
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Health Research Foundation of Central Denmark Region · Salling Foundation

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To investigate the frequency of anesthesia of the obturator nerve after subpectineal obturator nerve blockade (SOB) vs. suprainguinal fascia iliaca compartment block (SIFICB) in healthy volunteers.

Conditions and MedDRA coding

Hip Pain

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 The effect of suprainguinal fascia iliaca compartment block - A healthy volunteer trial
The volunteer trial subjects will be examined one day for 3-5 hours. There will be no follow up after the end of the study day
Randomised Controlled Double [{"id":50785,"code":1,"name":"Subject"},{"id":50786,"code":4,"name":"Analyst"},{"id":50787,"code":2,"name":"Investigator"},{"id":50783,"code":3,"name":"Monitor"},{"id":50784,"code":5,"name":"Carer"}] SIFCB active (right or left): 39 ml Ropivacaine 3.75 mg/ml + (0.26 ml Gadoteric acid 279,3 mg/ml diluted with 0.4 ml isotonic saline (NaCl))
SIFICB placebo (right or left): 40 ml NaCl isotonic saline (NaCl)
SOB active (right or left): 15 ml Ropivacaine 3,75 mg/ml
SOB placebo (right or left): 15 ml isotonic saline (NaCl)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. American Society of Anesthesiologists physical status classification score (ASA) I-II
  2. Age ≥ 18 years
  3. BMI < 25 kg/m²
  4. Able to read and understand Danish as well as read, understand and sign informed written consent
  5. Weight ≥ 69 kg

Exclusion criteria 17

  1. Inability to cooperate
  2. Unable to speak and understand Danish
  3. Fear of needles
  4. Claustrophobia
  5. Metallic implants in the body incl. pacemaker
  6. Known reduced kidney function
  7. Known reduced liver function
  8. Previously operated on in the hip area or groin
  9. Known neuropathy in the lower extremities
  10. Decreased sense of touch on the lower extremities assessed by examination by the investigator before the start of the trial
  11. Known coagulopathy
  12. Infection in the areas of insertion sites for nerve blocks and EMG examination
  13. Allergy to local analgesics used in the study (Ropivacaine)
  14. Allergy to contrast agents for MR scanning (Gadoteric acid)
  15. Daily medication consumption besides oral contraception
  16. Abuse of alcohol, drugs or medication
  17. Pregnancy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The frequency of anesthesia of ON after SOB vs. SIFICB in healthy volunteer subjects. Anesthesia of ON is estimated as significant (≥50 %) reduction of electrical amplitude of EMG signal when measured on the gracilis muscle when comparing values ​​before and after blockade

Secondary endpoints 5

  1. Incidence of spread of injectate to ON after SIFICB estimated by MR-Imaging
  2. Dynamometer muscle strength measurement of adductor and quadriceps muscles after SOB vs. SIFICB
  3. Incidence of cutaneous anesthesia after active SOB
  4. Localization of cutaneous anesthesia after active SOB
  5. Area of ​​cutaneous anesthesia after active SOB

Investigational products

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

Test 2

Dotarem, injektionsvæske, opløsning i enkeltdosisbeholder. i.v.

PRD354058 · Product

Active substance
Gadoteric Acid
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
PERINEURAL USE
Max daily dose
0.26 ml millilitre(s)
Max total dose
0.26 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08CA02 — GADOTERIC ACID
Marketing authorisation
17091
MA holder
GUERBET
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ropivacain Fresenius Kabi

PRD767198 · Product

Active substance
Ropivacaine Hydrochloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
PERINEURAL USE
Max daily dose
206 mg milligram(s)
Max total dose
206 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01BB09 — ROPIVACAINE
Marketing authorisation
45010
MA holder
FRESENIUS KABI AB
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Natriumklorid Fresenius Kabi 9 mg/ml

PRD2503457 · Product

Active substance
Sodium Chloride
Pharmaceutical form
SOLVENT FOR PARENTERAL USE
Route of administration
PERINEURAL USE
Max daily dose
55 ml millilitre(s)
Max total dose
55 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
B05XA03 — SODIUM CHLORIDE
Marketing authorisation
17927
MA holder
FRESENIUS KABI AB
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Midtjylland

Sponsor organisation
Region Midtjylland
Address
Palle Juul-Jensens Boulevard 99
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Region Midtjylland
Contact name
Thomas Fichtner Bendtsen

Public contact point

Organisation
Region Midtjylland
Contact name
Thomas Fichtner Bendtsen

Third parties 1

OrganisationCity, countryDuties
Aarhus Universitet
ORG-100028380
Aarhus N, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Not authorised 20 1
Rest of world 0

Investigational sites

Denmark

1 site · Not authorised
Region Midtjylland
Bedøvelse, Operation og Intensiv, Regionshospitalet Horsens, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-02 Denmark Not acceptable
2024-04-11
2024-04-16