RecruitingPhase 2NCT05193227

Sustained Release Lidocaine for the Treatment of Postoperative Pain

A Randomized Phase 2 Trial of ST-01 (Sustained-release Lidocaine Polymer Solution for Injection) in Subjects Undergoing Pelvic Surgery


Sponsor

University of British Columbia

Enrollment

120 participants

Start Date

Oct 27, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

In this study, the investigators are testing a new formulation of lidocaine for its suitability in managing postoperative pain after pelvic (circumcision, inguinal, scrotal), perineal (hemorrhoidectomy) or perianal (fistulotomy) incisions. The new formulation ST-01 is a sustained release lidocaine formulation and is expected to provide pain relief over multiple days. Currently, the drug lidocaine is not available as an injectable slow-release formulation.


Eligibility

Min Age: 19 Years

Inclusion Criteria5

  • Any sex, aged ≥ 19 years
  • Indication to undergo an operation with a planned pelvic incision
  • Able and willing to provide informed consent
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • If sexually active, is willing to use adequate birth control methods to prevent pregnancy over the course of the study

Exclusion Criteria7

  • History of chronic pain conditions associated with the use of opioids or steroids
  • Known allergic reactions to any components of the investigational product
  • Active infection involving the surgical site
  • Any contraindication to local anesthesia with lidocaine (e.g., known hypersensitivity to anesthetics of the amide type, known hypokalemia, complete heart block, anticoagulants (ASA permitted) antiarrhythmic medication)
  • Use of prohibited medications (quinidine, procainamide, disopyramide, lidocaine, mexiletine, flecainide, propafenone, amiodarone, dronedarone, ibutilide, dofetilide, sotalol, vernakalant)
  • Has participated in another clinical trial within 3 months prior to the Screening Visit or is planning to participate in another clinical trial during this trial period
  • Has any other surgical or medical condition that, in the judgment of the clinical Investigator might warrant exclusion or be contraindicated for safety reason

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Interventions

DRUGST-01

Administration of up to 8 mL ST-01 (70 mg/mL lidocaine)

DRUGControl (Lidocaine Hydrochloride Injection USP Xylocaine® or Bupivacaine Hydrochloride Injection USP Marcaine®)

Administration of up to 3 mg/kg bupivacaine hydrochloride injection (0.25%) or up to 4.5mg/kg lidocaine hydrochloride injection (0.5-1%)


Locations(2)

Vancouver Prostate Centre

Vancouver, British Columbia, Canada

St. Pauls Hospital

Vancouver, British Columbia, Canada

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NCT05193227


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