ClinicalTrials.gg
CompletedNCT01581450Updated Sep 11, 2025

Hyperalgesia and Pain

A Phase 1 interventional study of Nitrous Oxide and Nitrous Oxide in Hyperalgesia, sponsored by Air Liquide Santé International. Completed at 2 sites in Germany. Open to male participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Air Liquide Santé International (part of Air Liquide) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Male
01

Study summary

Evaluation of the effects of 35%/15%/50% N2O/N2/O2 mixtures on the area of hyperalgesia induced by remifentanil in the CCES (Continuous Cutaneous Electrical Stimulation) model in 20 healthy volunteers.

The duration of participation for each volunteer is expected to be around 9 weeks with the performance of 4 experimental session 2 weeks apart.

The selection visit will last half a day; each experimental session will last half a day; the study end will last 2 hours maximum.

Read the detailed description

Single site, exploratory, comparative, double-blind, randomised, cross-over study. Three physicians will be involved in the conduct of this study:

  • Physician 1 will include and randomise the subjects, prepare and administer the study products (namely Investigational Medicinal Products (IMPs)) in an open manner and will assess subject safety.
  • Physician 2, kept IMP blinded, will perform all evaluation measurements and sedation assessments during all experimental sessions. Physician 2 will always be the same person throughout the whole study period.
  • Physician 3 will be available if needed to reinforce subject safety

Design: A group of 20 assessable subjects who will undergo 4 randomised experimental sessions of CCES on 4 separate study days, 2 weeks apart preceded by a 2 week period between selection and first experimental session and followed by a 1 week period between last experimental session and study end.

After the selection visit, each visit corresponds to one of the 4 experimental sessions named A, B, C, D differing by the gas mixture inhaled and the intravenous medicine administered.

The order of these experimental sessions A, B, C, D, will be assigned according to a pre-established list that the investigator will not know.

Each experimental session includes a set-up-phase followed by an evaluation phase.

The set up phase will last 20 mn during each an electrical stimulation will generate a spontaneous pain: every 2 minutes the electrical stimulation will increase and the subject will be asked to rate the pain on a visual scale from 0 to 100. When a stable levels of pain intensity will be reached, the regimen of the electrical stimulation will be kept constant up to the end of the experimental session.

The Evaluation phase will last 160 mn : the electrical stimulation will be constant during 160 mn as detailed above. During this phase the subject will inhale a gas mixture with a face mask during 60 minutes combined with an intravenous administration of medicine during 30 mn starting at the same time.

Every 5 minutes the subject will be asked to rate the pain and at predefined times the spontaneous pain and the area of allodynia and hyperalgesia will be measured and recorded as well as safety parameters (transcutaneous oxygen saturation, respiratory parameters, sedation score, blood pressure and heart rate).

The 4 experimental sessions named A, B, C, D differ by the gas mixture inhaled and the intravenous medicine administered.

For the placebo session, inhaled gas mixture will be 50%/50% N2/O2 and intravenous administration will be an isotonic saline solution.

For the three other sessions, inhaled gas mixture will differ from a session to the other one (35%/15%/50% N2O/N2/O2 or 50%/50% N2/O2 or 50%/50% N2O/O2), and remifentanil will be administered intravenously at each of these sessions.

02

Conditions studied

  • Hyperalgesia

Keywords

  • Hyperalgesia and pain
03

In context

Hyperalgesia

166 studies on the registry are indexed under Hyperalgesia; 14 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 142 interventional studies indexed under Hyperalgesia.

Browse Hyperalgesia studies →

Lead sponsor

Air Liquide Santé International is the lead sponsor of 23 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Caucasian healthy male
  • Able to feel a distinct pin-pick sensation on normal skin
  • Subject willing and able to complete the requirements of this study
  • Written signed prior to any study related procedures

Exclusion criteria

Exclusion Criteria:

  • History of any past or current renal, hepatic, cardiovascular, pulmonary, gastrointestinal, metabolic, endocrine haematological, neurological, psychiatric disease or other disorders
  • Any significant history of allergic disease
  • Acute skin disease, lesions, acute sunburn, extensive tattoos or scars
  • Donation of blood within the previous 3 months
  • participation in any other clinical study within the previous 4 weeks.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Tested drug

    Remifentanil at 0.1 µg/kg/min Tested drug (N2O 35%): 35%/15%/50% N2O/N2/O2

    Drug: Nitrous Oxide

  • Active comparator
    Gas Active control

    Remifentanil at 0.1 µg/kg/min Gas active control (N2O 50%):50%/50% N2O/O2

    Drug: Nitrous Oxide

Interventions

06

What researchers measure

Primary outcomes

  1. Hyperalgesia

    \- Hyperalgesia will be assessed by using a metal rod,(in unit cm).

    Time frame: at T0, T10, T25, T40, T55, T70, T95, T110, T125, T140 and T155 minutes at each experimental session which will last half day

Secondary outcomes

  1. transcutaneous oxygen saturation

    By monitoring pulse oximetry device

    Time frame: From T0 to T160 minutes, at 5 minute intervals at each experimental session which will last half day

  2. respiration rate

    Respiration rate

    Time frame: From T0 to T160 minutes, at 5 minute intervals at each experimental session which will last half day

  3. systolic and diastolic blood pressures

    systolic and diastolic blood pressures

    Time frame: From T0 to T160 minutes, at 5 minute intervals at each experimental session which will last half day

  4. Heart rate

    Measured by cardioscope

    Time frame: From T0 to T160 minutes, at 5 minute intervals at each experimental session which will last half day

  5. sedation score

    sedation score

    Time frame: From T0 to T160 minutes, at 5 minute intervals at each experimental session which will last half day

07

Study locations

2 sites
  • University of Erlangen - Nürnberg
    Erlangen, 91054, Germany
  • University of Erlangen - Nürnberg
    Erlangen, Germany
08

References and documents

Publications

  • Wehrfritz A, Bauer M, Noel N, Ramirez-Gil JF, Ihmsen H, Prottengeier J, Schuttler J, Bessiere B. Evaluation of antihyperalgesic and analgesic effects of 35% nitrous oxide when combined with remifentanil: A randomised phase 1 trial in volunteers. Eur J Anaesthesiol. 2021 Dec 1;38(12):1230-1241. doi: 10.1097/EJA.0000000000001468. PubMed 34735395 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2012, a primary completion of Apr 2012 and a completion of Apr 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 30, 2011
First posted
Apr 20, 2012
Start
Jan 2012
Primary completionActual
Apr 2012
CompletionActual
Apr 2012
Last update
Sep 11, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01581450
Collaborators
ORION Clinical Services
Responsible party
Sponsor
First posted
Apr 20, 2012
Start date
Jan 2012
Primary completion
Apr 2012
Completion
Apr 2012
Last update
Sep 11, 2025

Study contacts

Andreas WEHRFRITZ, MD
principal investigator · University of Erlangen-Nürnberg, Germany
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Nitrous Oxide

Start the discussion