Randomised, double-blind study comparing the analgesic efficacy of a lidocaine-prilocaine combination with lidocaine alone as local anesthesia for dental procedures in participants with MC1R mutation

2024-515965-32-00 Protocol PVX 2024-01 Therapeutic exploratory (Phase II) Ended

Start 9 Dec 2024 · End 31 Dec 2024 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol PVX 2024-01

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 22
Countries 1
Sites 1

Subjects having local anesthesia for dental procedures.

To investigate the analgesic efficacy of a lidocaine-prilocaine combination compared to lidocaine alone in dental procedures.

Key facts

Sponsor
Pharmavax AS
Participant type
Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Trial duration
9 Dec 2024 → 31 Dec 2024
Decision date (initial)
2024-11-27
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Pharmavax AS

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To investigate the analgesic efficacy of a lidocaine-prilocaine combination compared to lidocaine alone in dental procedures.

Secondary objectives 4

  1. To investigate the analgesic efficacy of lidocaine-prilocaine combination compared to lidocaine alone in dental procedures using an ice test.
  2. To investigate the pain experienced by the participant during a standard pocket probing.
  3. To investigate participant experience of the anaesthesia (subject measured outcome).
  4. To evaluate the safety and tolerability of a lidocaine-prilocaine combination compared to lidocaine.

Conditions and MedDRA coding

Subjects having local anesthesia for dental procedures.

VersionLevelCodeTermSystem organ class
20.0 PT 10078542 Dental local anaesthesia 100000004865

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Participants aged ≥18 and ≤ 65.
  2. Written informed consent to participate in the study.
  3. Participants with red hair or with at least one parent and/or grandparent with red hair and/or genetic sibling from same parents with red hair.

Exclusion criteria 5

  1. History or presence of hypersensitivity or allergy to lidocaine (or prilocaine or other local anesthetics (amid type or sodium metabisulfite), a history of anaphylactic or anaphylactoid reactions, or a history of other allergy that, in the opinion of the investigator, contraindicates participation.
  2. Participants with known thyrotoxicosis.
  3. Participants with severe heart disease, including tachycardia.
  4. Local infection in the area of injection.
  5. Participants with congenital or idiopathic methemoglobinemia.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Successful pulpal anaesthesia measured by two consecutive 64/64 readings without any participant response, within 10 min with an electric pulp tester.

Secondary endpoints 3

  1. Successful pulpal anaesthesia measured by the participants cold sensation during an ice test applied to the treated area.
  2. Subject’s assessment of successful soft tissue anaesthesia (yes/no) during a standard pocket procedure.
  3. Participant experience of anaesthesia on a scale from 1-5.

Investigational products

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

Test 1

Citanest® Dental Octapressin 30 mg/ml + 0,03 IE/ml

PRD444442 · Product

Active substance
Prilocaine Hydrochloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
1.8 ml millilitre(s)
Max total dose
1.8 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01BB54 — PRILOCAINE, COMBINATIONS
Marketing authorisation
5068
MA holder
DENTSPLY DETREY
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Xylocain ®Dental adrenalin 20 mg/ml + 12,5 mikrog/ml Injeksjonsvæske, oppløsning i sylindretter

PRD444443 · Product

Active substance
Epinephrine
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
5.4 ml millilitre(s)
Max total dose
5.4 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01BB52 — LIDOCAINE, COMBINATIONS
Marketing authorisation
2165
MA holder
DENTSPLY DETREY
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Pharmavax AS

Sponsor organisation
Pharmavax AS
Address
Rosenholmveien 25
City
Trollaasen
Postcode
1414
Country
Norway

Scientific contact point

Organisation
Pharmavax AS
Contact name
Co-ordinating investigator

Public contact point

Organisation
Pharmavax AS
Contact name
Co-ordinating investigator

Third parties 1

OrganisationCity, countryDuties
Smerud Medical Research International AS
ORG-100008599
Oslo, Norway Code 12, Code 8

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Norway Ended 22 1
Rest of world 0

Investigational sites

Norway

1 site · Ended
Ski Tannlegesenter AS
Ski tannlegesenter, Jernbaneveien 4, 1400, Ski

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Norway 2024-12-09 2024-12-31 2024-12-10 2024-12-23

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
Clinical study report
SUM-81228
2025-05-05T11:37:39 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Clinical study report - lay summary 2025-05-05T11:37:46 Submitted Laypersons Summary of Results

Documents 10 files

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

TypeTitleVersion
Laypersons summary of results (for publication) 4075 4700A CSR lay summary v1-0_Redacted 1
Protocol (for publication) D1_Protocol_2024-515965-32-00_redacted 4.0
Protocol (for publication) D4_Patient facing document_Questionnaire 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 2.0
Recruitment arrangements (for publication) K2_Recruitment material_ advertisement 1
Subject information and informed consent form (for publication) L1_SIS-and-ICF_adults 3.0
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Citanest-Dental-Octapressin 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Xylocain-Dental-Adrenalin 1
Summary of results (for publication) 4075 4700A CSR v1-0_Redacted 1
Synopsis of the protocol (for publication) D1_Protocol-synopsis_NO-2024-515965-32-00 2.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-13 Norway Acceptable
2024-11-25
2024-11-27