CClinicalTrials.gg
CompletedNCT01744197Updated Oct 25, 2018Results posted

Synera Venipuncture Pain

A Phase 2 interventional study of Synera (lidocaine 70mg/tetracaine 70mg) in Pain, Phlebotomy and Palliative Care, sponsored by US Oncology Research. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-25.

Sponsored by US Oncology Research · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Synera, which is a heated topical patch containing both lidocaine and tetracaine, is intended to reduce the pain associated with venipuncture and superficial dermatologic procedures by numbing the skin. This study will test the effectiveness of the Synera lidocaine/tetracaine patch when administered for 30 ± 5 minutes to provide dermal anesthesia in adult oncology patients undergoing venipuncture as part of their care, for treatment or diagnostics (laboratory or imaging). Compared to the use of the placebo patch, this study hypothesizes that the difference of 1 cm on the 0-10 visual analogue scale (VAS) will be observed 30 minutes after the use of the Synera patch. Pain intensity will be assessed by a 0-10 VAS

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Conditions studied

  • Pain
  • Phlebotomy
  • Palliative Care

Keywords

  • Pain control
  • Needle stick pain
  • Venipuncture pain
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In context

Lead sponsor

US Oncology Research is the lead sponsor of 29 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with any tumor type where treatment is received through venipuncture or any procedure that is needle based or who require regular pharmacokinetic (PK) study.
  • Is 18 years of age or older.
  • Patients expected to undergo the first venipuncture procedure within 5 working days of enrollment.
  • Male or female patients
  • Has signed the most recent Patient Informed Consent Form
  • Has signed a Patient Authorization Form (HIPPA)

Exclusion criteria

Exclusion Criteria:

  • Patients with sensitivity to lidocaine, tetracaine, or any other component of the product
  • Known sensitivity to any components of test materials (sulphites and adhesives)
  • Patients with damaged or broken skin at the designated patch site
  • Pregnant or breastfeeding women patients
  • Use of any immediate-release single-agent opioid product (ie, morphine, oxycodone, hydrocodone, hydromorphone, oxymorphone, or tramadol) or combination products containing acetaminophen or ibuprofen with one of these agents within 4 hours of the patient's visit
  • Previous irradiation to the site of the patch
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Arm 1

    First application: Synera (lidocaine 70mg/tetracaine 70mg) patch; Second application: Placebo patch

    Drug: Synera (lidocaine 70mg/tetracaine 70mg)

  • Experimental
    Arm 2

    First application: Placebo patch; Second application: Synera (lidocaine 70mg/tetracaine 70mg) patch

    Drug: Synera (lidocaine 70mg/tetracaine 70mg)

Interventions

  • DrugSynera (lidocaine 70mg/tetracaine 70mg)

    All subjects will receive 2 patch applications during this study: one Synera, one placebo. The 2 patch applications must be done on separate days. Only 1 patch will be used per application. Arm 1 subjects will receive Synera patch for the 1st application, and placebo for the second. Arm 2 patients will receive placebo patch for the 1st application, and Synera patch for the second.

    Also known as: Synera

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What researchers measure

Primary outcomes

  1. Percentage of Patients With No or Minor Pain (VAS<3)

    The primary efficacy endpoint is the subject's report of pain intensity regarding the venipuncture using a 0-10 VAS. The VAS \<3 is considered as patients with no or minor pain and would be compared between 2 groups.

    Time frame: 30 minutes after the venipuncture.

  2. Percentage of Patients With No Pain (VAS=0)

    The primary efficacy endpoint is the subject's report of pain intensity regarding the venipuncture using a 0-10 VAS. The VAS =0 is considered as patients with no pain and would also be compared between 2 groups.

    Time frame: 30 minutes after the venipuncture.

Secondary outcomes

  1. Global Assessment of Satisfaction With Venipuncture

    Rates of Satisfied and very satisfied are used to be compared between two groups.

    Time frame: 30 minutes after the venipuncture.

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Results

Posted Feb 17, 2016

Participant flow

Participant flow — Overall Study
MilestoneSynera First, Then PlaceboPlacebo First, Then Synera
Started3229
Completed2826
Not completed43
Withdrew: Received 1 patch21
Withdrew: No patch received22

Outcome measures

PrimaryPercentage of Patients With No or Minor Pain (VAS<3)

The primary efficacy endpoint is the subject's report of pain intensity regarding the venipuncture using a 0-10 VAS. The VAS \<3 is considered as patients with no or minor pain and would be compared between 2 groups.

Time frame:
30 minutes after the venipuncture.
Reported as:
Number · percentage of participants
Percentage of Patients With No or Minor Pain (VAS<3)
percentage of participantsSyneraPlacebo
Percentage of Patients With No or Minor Pain (VAS<3)38.021.3
PrimaryPercentage of Patients With No Pain (VAS=0)

The primary efficacy endpoint is the subject's report of pain intensity regarding the venipuncture using a 0-10 VAS. The VAS =0 is considered as patients with no pain and would also be compared between 2 groups.

Time frame:
30 minutes after the venipuncture.
Reported as:
Number · percentage of participants
Percentage of Patients With No Pain (VAS=0)
percentage of participantsSyneraPlacebo
Percentage of Patients With No Pain (VAS=0)19.48.3
SecondaryGlobal Assessment of Satisfaction With Venipuncture

Rates of Satisfied and very satisfied are used to be compared between two groups.

Time frame:
30 minutes after the venipuncture.
Reported as:
Number · percentage of participants
Global Assessment of Satisfaction With Venipuncture
percentage of participantsSyneraPlacebo
Global Assessment of Satisfaction With Venipuncture74.053.7

Adverse events

Collected over During the whole treatment period, up to 30 days following last dose.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Synera—0/54 (0%)25/54 (46.3%)
Placebo—0/54 (0%)18/54 (33.3%)
Most frequent other events
Most frequent other events
EventSyneraPlacebo
WELL-DEFINED ERYTHEMASkin and subcutaneous tissue disorders14/547/54
VERY SLIGHT ERYTHEMASkin and subcutaneous tissue disorders11/5411/54

Baseline characteristics

ITT population

Age, Continuous
Age, Continuous(years)Synera First, Then PlaceboPlacebo First, Then SyneraTotal
Mean60.8 ± 11.260.3 ± 13.060.5 ± 12.0
Sex: Female, Male
Sex: Female, Male(Participants)Synera First, Then PlaceboPlacebo First, Then SyneraTotal
Female201434
Male121527
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Synera First, Then PlaceboPlacebo First, Then SyneraTotal
Caucasian312455
African American145
Indian011
Region of Enrollment
Region of Enrollment(participants)Synera First, Then PlaceboPlacebo First, Then SyneraTotal
United States322961
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Study locations

1 site
  • 19 Locations Including
    Dallas, Texas, United States
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References and documents

Publications

  • Wallace MS, Kopecky EA, Ma T, Brophy F, Campbell JC. Evaluation of the depth and duration of anesthesia from heated lidocaine/tetracaine (Synera) patches compared with placebo patches applied to healthy adult volunteers. Reg Anesth Pain Med. 2010 Nov-Dec;35(6):507-13. doi: 10.1097/AAP.0b013e3181fa69b8. PubMed 20975464 ↗
  • Sawyer J, Febbraro S, Masud S, Ashburn MA, Campbell JC. Heated lidocaine/tetracaine patch (Synera, Rapydan) compared with lidocaine/prilocaine cream (EMLA) for topical anaesthesia before vascular access. Br J Anaesth. 2009 Feb;102(2):210-5. doi: 10.1093/bja/aen364. PubMed 19151049 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 25, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01744197
Lead sponsor
US Oncology Research
Collaborators
Nuvo Research Inc.
Responsible party
Sponsor
First posted
Dec 6, 2012
Start date
Jan 2013
Primary completion
Feb 2013
Completion
Nov 2013
Results posted
Feb 17, 2016
Last update
Oct 25, 2018

Study contacts

Melanie Matson, RN, BSN
principal investigator · US Oncology Research, McKesson Specialty Health
Laura T. Guerra, RN
principal investigator · US Oncology Research, McKesson Specialty Health

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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