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CompletedNCT03418597REVENRIUpdated Aug 23, 2018

Trial Evaluating Hypnosis Using Virtural Reality vs Standard Pain Management During Musculoskelettal Biopsy

An interventional study of Deep local anesthesia + Virtual reality and Deep local anesthesia alone in Musculoskeletal Cancers, sponsored by Centre Leon Berard. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-08-23.

Sponsored by Centre Leon Berard · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
99
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 482 studies in Pain with a site in France — 75 open to participants now, 79 under way, 8 of them phase 3. Pain · France.

Enrollment
157th of 369
99 · median 80
Started
2018
with 21 others
No phase
225 of 482
50 open now
Registered
253rd of 482
by date

Among the 482 studies in Pain with a site in France, this one is the 157th largest by enrollment of the 369 interventional ones that give a count, is one of 22 that started in 2018, is one of 225 with no phase, and was the 253rd registered.

Pain

10,060 studies on the registry are indexed under Pain; 1,651 are open to participants now.

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Open to participants now

75 of the 482 studies in Pain with a site in France are open now. Recruiting first, the newest first:

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All 75 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 929 Pain studies recruiting now, 384 (41%) set no upper age limit and 434 (47%) stop at 75 or younger; 146 take children under 18; 222 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The primary objective of this trial is to evaluate the benefit of the virtual reality technology in the pain management for patients having a radio-guided musculoskeletal biopsy indication

Read the detailed description

During the last years, the percutaneous biopsies took a growing importance in the diagnosis of musculoskeletal cancers. The most important advantages of percutaneous biopsies are: 1) Often performed under local anesthesia in out-patient department, 2) No visible scars, 3) Surgical intervention avoided in case of benign tumor with a low level of complications (infection, hematoma, pain).

The technology improvement of percutaneous biopsy leads to a high diagnosis success rate (80.8% for bone tumors and 83.2% for soft tissues tumors') with a low complication rate (0.7%) and then justifies the use of percutaneous biopsy as first-line diagnostic exam.

During a percutaneous biopsy, the pain is frequently felt with an increase in the "pain numeric scale" evaluated after the procedure.

The nitrous oxide is a gas mixture which can be used for its anesthetic and antalgic properties, making the pain tolerable for the patients during short procedures. However, it can cause adverse events such as nausea, vomiting and nervous system affections (excessive sedation, anxiety). Moreover, this gas is not always efficient for the pain management.

Other options have been investigated such as hypnosis and music therapy which improve patients' experience of the medical interventional procedures.

The virtual reality is a digital tool existing for about 10 years. It enables to isolate a patient from the real world which can be useful in some medical indications. It is a 3-D immersive experience, created using a visual and audio headset. Virtual reality can reduce the pain experienced during surgical interventions and has widely shown its interest in algogenic cares.

While the results are promising, a recent review of the literature shows that very few randomized clinical trials document the virtual reality benefit in pain and/or anxiety management for burn patients or patients suffering from acute or chronic pains.

The objective of this study is to demonstrate the benefit of the virtual reality in addition to a deep local anesthesia vs a deep local anesthesia alone in the pain management linked to musculoskeletal tumors biopsy.

03

Conditions studied

  • Musculoskeletal Cancers

Keywords

  • Virtual reality
  • Radio-guided biopsy
  • Pain
  • Anxiety
  • Patient's satisfaction
04

Who can participate

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

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

  • Man or woman, aged >= 18 years at the day of consenting to the study (no upper limit)
  • Requiring a radio-guided of the musculoskeletal system,
  • Informed and signed consent,
  • Patient covered by a medical insurance.

Exclusion criteria

Exclusion Criteria:

  • Deaf patient;
  • Visually-impaired patient;
  • Claustrophobic and/or aquaphobic patient;
  • to a musculoskeletal , including to the premedication protocol and to the lidocaine;
  • Person deprived of liberty or placed under guardianship;
  • Absence of French language skills;
  • History of psychiatric disease such as paranoia, schizophrenia, manic-depressive psychosis, patient with a high risk of suicide.
Terms in these criteria, in plain language(2)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
99 participants (actual)

Study arms

  • Experimental
    Deep local anesthesia + Virtual reality

    Pre-medication procedures and lidocaïne injection are the same as in the current practice. During the intervention delay, the patient will also experience hypnosis through a virtual reality procedure .

    Procedure: Deep local anesthesia + Virtual reality

  • Active comparator
    Deep local anesthesia alone

    The musculoskeletal biopsy is performed according to the standard practice using a deep local anesthesia with premedication and lidocaïne.

    Procedure: Deep local anesthesia alone

Interventions

  • ProcedureDeep local anesthesia + Virtual reality

    Biopsy performed according to current practice (deep local anesthesia with premedication and lidocaïne). Patient will have a 3-D immersive experience, created using a visual and audio headset and a software labelled as medical device.

  • ProcedureDeep local anesthesia alone

    Biopsy performed according to current practice (deep local anesthesia with premedication and lidocaïne).

06

What researchers measure

Primary outcomes

  1. Evaluate the benefit of the virtual reality in the pain management of patients needing a radio-guided musculoskeletal biopsy.

    The main outcome will be the pain level auto-evaluated by the patient using a numeric scale composed of 11 graduations (from 0 to 10)

    Time frame: Day 0

Secondary outcomes

  1. Evaluate in both arms, the pain linked to the biopsy procedure using a numeric scale graduated from 0 to 10.

    The score " 0 " corresponds to " No pain " and the score " 10 " corresponds to " Maximum amount of imaginable pain "

    Time frame: Day 1 (+/-2h) post biopsy

  2. Evaluate in both arms, the anxiety linked to the biopsy procedure using a numeric scale graduated from 0 to 10

    The score " 0 " corresponds to " No anxiety " and the score " 10 " corresponds to " Maximum imaginable anxiety "

    Time frame: Day 0

  3. Evaluate the analgesics consumption in both arms

    Evaluation according to the following classification and recording the dosages and units taken: Level 1 - Non morphinic analgesics; Level 2 - Weak opioides analgesics; Level 3 - Strong opioides analgesic

    Time frame: through study completion, an average of 24 hours

  4. Evaluate the global satisfaction of patients in both arms

    The score "0" corresponds to " Absence of satisfaction " and the score " 10 " corresponds to " Full satisfaction ".

    Time frame: Day 0

  5. Evaluate costs in both arms

    Evaluation of costs involved for the patient's treatment and care

    Time frame: through study completion, an average of 24 hours

07

Study locations

1 site
  • Centre Leon Berard
    Lyon, 69008, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in May 2018, 3 months.

Of 3,734 non-industry interventional studies with no phase under Pain, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 23. This study's 3 months is below that.

Counting every sponsor, half of 3,833 studies reached it within 10 months; a quarter within 4 and three quarters within 23.

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

Registered
Jan 5, 2018
First posted
Feb 1, 2018
StartActual
Jan 31, 2018
Primary completionActual
May 16, 2018
CompletionActual
May 16, 2018
Last update
Aug 23, 2018
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 Aug 23, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03418597
Lead sponsor
Centre Leon Berard
Responsible party
Sponsor
First posted
Feb 1, 2018
Start date
Jan 31, 2018
Primary completion
May 16, 2018
Completion
May 16, 2018
Last update
Aug 23, 2018

Study contacts

BOUHAMAMA Amine, MD
principal investigator · Centre Leon Berard

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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