Effect of perioperative intravenous infusion of lidocaine on the postoperative course and the immune response in patients undergoing surgery for colon cancer - the PILDI study

2025-521808-22-01 Protocol ORI2025-16 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol ORI2025-16

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 1

Colon cancer

The primary objective of the study is to evaluate, in patients undergoing surgery for colorectal cancer who receive either a lidocaine infusion or placebo, the difference in opioid analgesic consumption between the study groups within 24 hours after the surgical procedure

Key facts

Sponsor
Institute Of Oncology Ljubljana
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Decision date (initial)
2025-10-13
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Institute of Oncology Ljubljana

External identifiers

EU CT number
2025-521808-22-01
ClinicalTrials.gov
NCT06923787

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy, Prophylaxis, Safety

The primary objective of the study is to evaluate, in patients undergoing surgery for colorectal cancer who receive either a lidocaine infusion or placebo, the difference in opioid analgesic consumption between the study groups within 24 hours after the surgical procedure

Secondary objectives 1

  1. The secondary objective of the study is to evaluate, in patients undergoing surgery for colorectal cancer who receive either a lidocaine infusion or placebo, the effect of perioperative lidocaine infusion on the time to first postoperative bowel movement.

Conditions and MedDRA coding

Colon cancer

VersionLevelCodeTermSystem organ class
20.0 PT 10009944 Colon cancer 100000004864

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2025-521808-22-00 Effect of perioperative intravenous infusion of lidocaine or high dose dexamethasone on the immune response in patients undergoing surgery for colon cancer - the PILDI study Institute Of Oncology Ljubljana

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Colon cancer of any stage, amenable for elective laparoscopic colon cancer resection with anastomosis
  2. age between 18 and 80 years old,
  3. low to medium risk of anasthesia complications (ASA up to and including 3),
  4. ability to understand the trial procedures and sign voluntary informed consent to participate in this trial

Exclusion criteria 16

  1. patients receiving neoadjuvant chemotherapy
  2. epilepsy
  3. active infection
  4. presence of viral or systemic fungal disease
  5. uncontrolled psychotic state
  6. ulcerative gastric or duodenum disease
  7. chronic corticosteroid therapy
  8. pregnancy and/or breastfeeding
  9. known allergy to lidocaine and other local anasthetics from amide group
  10. cardiac rhythm disturbances (bradycardia < 45 beats/min, complete heart block, use of group III antiarrhythmics)
  11. status post cardiac arrest
  12. porphyria
  13. myasthenia gravis
  14. severe hepatic impairment (cirrhosis, ascites, bleeding disorders, jaundice, encephalopathy)
  15. renal disease (hamodialysis, creatinine clearance <30 mL/min)
  16. Concurrent procedure on distant organs (e.g., liver metastases)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Total opioid analgesic consumption in both groups during the first 24 hours after the surgical procedure, expressed in mg.

Secondary endpoints 1

  1. Time to first postoperative bowel movement in patients of both groups (measured in hours from the end of the surgical procedure).

Investigational products

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

Test 1

Lidocaine Hydrochloride Monohydrate

SUB02922MIG · Substance

Active substance
Lidocaine Hydrochloride Monohydrate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
1.0 mg/kg milligram(s)/kilogram
Max total dose
1.0 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Sodium Chloride

SUB12581MIG · Substance

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
1000 ml millilitre(s)
Max total dose
1000 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Institute Of Oncology Ljubljana

2 Total trials
Academic / Non-commercial
Sponsor organisation
Institute Of Oncology Ljubljana
Address
Zaloska Cesta 2
City
Ljubljana
Postcode
1000
Country
Slovenia

Scientific contact point

Organisation
Institute Of Oncology Ljubljana
Contact name
Nikola Bešić

Public contact point

Organisation
Institute Of Oncology Ljubljana
Contact name
Nikola Bešić

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Slovenia Authorised, recruitment pending 100 1
Rest of world 0

Investigational sites

Slovenia

1 site · Authorised, recruitment pending
Institute Of Oncology Ljubljana
Surgery, Zaloska Cesta 2, 1000, Ljubljana

Results and documents

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

Documents 17 files

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

TypeTitleVersion
Protocol (for publication) PILDI_Protokol klinicne raziskave_6junij2025 1
Protocol (for publication) PILDI_Protokol klinicne raziskave_9sept2025_FINAL 2
Protocol (for publication) PILDI_Protokol klinicne raziskave_v2-1_22sept2025_FINAL 2.1
Protocol (for publication) PILDI_Protokol klinicne raziskave_v3_3Mar2026_FINAL 3
Protocol (for publication) PILDI_Protokol klinicne raziskave_v3_3Mar2026_Track changes 3
Recruitment arrangements (for publication) PILDI_Recruitment arrangements 1
Recruitment arrangements (for publication) PILDI_v2_9-9-2025_Recruitment arrangements 2
Subject information and informed consent form (for publication) PILDI_informacije za bolnike in soglasje_22Maj2025_FINAL 1
Subject information and informed consent form (for publication) PILDI_Spremni dopis_Administrativne spremembe protokola in DPO_3Mar2026 1
Subject information and informed consent form (for publication) PILDI_v1_Obvestilo o menjavi DPO_3Mar2026 1
Subject information and informed consent form (for publication) PILDI_v2_9-9-2025_informacije za bolnike in soglasje_FINAL 2
Subject information and informed consent form (for publication) PILDI_v3_03Mar2026_informacije za bolnike in soglasje_FINAL 3
Subject information and informed consent form (for publication) PILDI_v3_03Mar2026_informacije za bolnike in soglasje_Track changes 3
Summary of Product Characteristics (SmPC) (for publication) 4a_Lidokain_SmPC 1
Synopsis of the protocol (for publication) PILDI_Protocol summary_6Jun2025 1
Synopsis of the protocol (for publication) PILDI_Protokol klinicne raziskave_povzetek V2_9-9-2025 2
Synopsis of the protocol (for publication) PILDI_Protokol klinicne raziskave_povzetek_v2-1_22sept2025_FINAL 2.1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-07-16 Slovenia Acceptable
2025-09-23
2025-10-13
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-01-05 Slovenia Acceptable
2025-09-23
2026-01-05
3 SUBSTANTIAL MODIFICATION SM-4 2026-01-05 Slovenia Acceptable 2026-01-15
4 SUBSTANTIAL MODIFICATION SM-5 2026-01-16 Slovenia Acceptable
2026-02-04
2026-02-06
5 NON SUBSTANTIAL MODIFICATION NSM-2 2026-03-04 Slovenia Acceptable
2026-02-04
2026-03-04