CClinicalTrials.gg
Status unknownNCT04169854EASYUpdated Oct 20, 2020

Pre-emptive Topical Lidocaine 5% Plaster for Prevention of Post-craniotomy Pain

A Phase 3 interventional study of Lidocaine 5% patch and Placebo patch in Postoperative Pain and Lidocaine, sponsored by Beijing Tiantan Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-10-20.

Sponsored by Beijing Tiantan Hospital · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Postcraniotomy pain remains a common phenomenon in the neurosurgery field. Managements for postcraniotomy pain are to be standardised and optimized. In the proposed study, the investigators aim to provide a novel regional non-invasive prophylactic strategy for postcraniotomy pain by utilizing Lidocaine 5% plaster.

Read the detailed description

Postcraniotomy pain remains a common phenomenon in the neurosurgery field. Insufficient control of postcraniotomy pain may lead to unexpected clinical outcomes. The current management for postcraniotomy pain mainly involves systemic intravenous or oral medication and regional anaesthetic injection.

The investigators intend to compare pre-emptive lidocaine 5% plaster incision covering to a placebo for prophylaxis of postcraniotomy pain. In the proposed study, the effectiveness and safety of lidocaine 5% plaster for postcraniotomy pain control will be examined compared with those of placebo. The investigators aim to provide a novel regional non-invasive prophylactic strategy for postcraniotomy pain.

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Conditions studied

  • Postoperative Pain
  • Lidocaine

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Keywords

  • Postoperative Pain
  • Postcraniotomy Pain
  • Lidocaine Patch
03

In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's planned enrollment of 180 is above the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Beijing Tiantan Hospital is the lead sponsor of 465 studies on the registry; 282 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Age of 18 or older
  • American Society of Anesthesiologists status I or II
  • Registered for elective craniotomy
  • Informed consent for participation in the trial

Exclusion criteria

Exclusion Criteria:

  • Allergy to lidocaine or the hydrogel plaster
  • Chronic headache, craniofacial pain or neuralgia
  • Glasgow Coma Scale less than 15
  • Current or previous cardiovascular or cerebrovascular accident
  • Expected delayed recovery or extubation
  • Uncontrolled arrhythmia
  • History of intracranial operation
  • Emergency or revision craniotomy
  • Mental illness, psychiatric drug use or alcohol abuse
  • Failure to understand the use of a 100 mm VAS or the PCA
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
180 participants (estimated)

Study arms

  • Experimental
    Lidocaine Patch

    Surgeons will be asked to mark the planned incisions site 3 days before craniotomy. The masked Lidocaine 5% patch will be applied to cover the insicion mark as well as the head-holders sites within 6:00 P.M. to 6:00 A.M. for 3 consecutive preoperative days.

    Drug: Lidocaine 5% patch

  • Placebo comparator
    Placebo

    Surgeons will be asked to mark the planned incisions site 3 days before craniotomy. The masked placebo patch will be applied to cover the insicion mark as well as the head-holders sites within 6:00 P.M. to 6:00 A.M. for 3 consecutive preoperative days.

    Drug: Placebo patch

Interventions

  • DrugLidocaine 5% patch

    The Lidocaine 5% Patch will be applied to cover the marked incision site and head-holders sites for 3 consecutive preoperative days between 6:00 P.M. to 6:00 A.M.. Research assistants will be responsible for instructing patients to cover the patches correctly.

  • DrugPlacebo patch

    The Placebo Patch will be applied to cover the marked incision site and head-holders sites for 3 consecutive preoperative days between 6:00 P.M. to 6:00 A.M.. Research assistants will be responsible for instructing patients to cover the patches correctly.

06

What researchers measure

Primary outcomes

  1. Pain intensity

    Pain intensity will be examined using the 0 - 100 mm visual analogue scale scores, where '0' represents 'no pain' ,and '100' represents 'the most severe pain'.

    Time frame: 24 hours after craniotomy

Secondary outcomes

  1. Pain intensity

    Pain intensity will be examined using the 0 - 100 mm visual analogue scale scores, where '0' represents 'no pain' ,and '100' represents 'the most severe pain'.

    Time frame: 1, 4, 6, 12, 48 and 72 hours after craniotomy

  2. Time interval to analgesics

    Time interval from the end of craniotomy to the first press of the PCA device and to the first rescue analgesic administration

    Time frame: 0-72 hours after craniotomy

  3. Cumulative butorphanol

    he cumulative butorphanol consumption through the PCA device

    Time frame: 24, 48 and 72 hours after craniotomy

  4. Cumulative intraoperative analgesics consumption

    Cumulative intraoperative opioids consumption

    Time frame: During the craniotomy

  5. Length of hospital stay

    Time length from admission to leaving the hospital

    Time frame: within 3 months

  6. Lidocaine 5% plaster safety (local)

    Rate of patients with local adverse event as graded using NCI-CTCAE V4.0

    Time frame: 3 preoperative days

  7. Lidocaine 5% plaster safety (systemic)

    Rate of patients with systemic adverse event as graded using NCI-CTCAE V4.0

    Time frame: 3 preoperative days

  8. Pittsburgh Sleep Quality Index (PSQI)

    The Pittsburgh Sleep Quality Index (PSQI) contains 19 self-rated questions which measures seven aspects of sleep: (1) subjective sleep quality, (2) sleep latency, (3) sleep duration, (4) habitual sleep efficiency, (5) sleep disturbances, (6) use of sleeping medication, and (7) daytime dysfunction. The 19 self-rated items are combined to form seven component scores, each of which has a range of 0-3 points (0 indicates no difficulty, while 3 indicates severe difficulty). The seven component scores are then summed to yield one global score, with a range of 0-21 points (0 indicating no difficulty, and 21 indicating severe difficulties in all the seven areas of sleep quality).

    Time frame: first 3 days after craniotomy.

07

Study locations

1 of 1 sites recruiting
  • Beijing Tiantan Hospital
    Beijing, Beijing 100070, China
    • Fang Luo, M.D. · Contact · 13211326978@163.com · +86 13611326978
    • Fang Luo, M.D. · Principal investigator
    Recruiting
08

References and documents

Publications

  • Gottschalk A, Berkow LC, Stevens RD, Mirski M, Thompson RE, White ED, Weingart JD, Long DM, Yaster M. Prospective evaluation of pain and analgesic use following major elective intracranial surgery. J Neurosurg. 2007 Feb;106(2):210-6. doi: 10.3171/jns.2007.106.2.210. PubMed 17410701 ↗
  • Mordhorst C, Latz B, Kerz T, Wisser G, Schmidt A, Schneider A, Jahn-Eimermacher A, Werner C, Engelhard K. Prospective assessment of postoperative pain after craniotomy. J Neurosurg Anesthesiol. 2010 Jul;22(3):202-6. doi: 10.1097/ANA.0b013e3181df0600. PubMed 20479664 ↗
  • Artime CA, Aijazi H, Zhang H, Syed T, Cai C, Gumbert SD, Ferrario L, Normand KC, Williams GW, Hagberg CA. Scheduled Intravenous Acetaminophen Improves Patient Satisfaction With Postcraniotomy Pain Management: A Prospective, Randomized, Placebo-controlled, Double-blind Study. J Neurosurg Anesthesiol. 2018 Jul;30(3):231-236. doi: 10.1097/ANA.0000000000000461. PubMed 29117012 ↗
  • Licina A, Russell J, Silvers A, Jin X, Denny J. Subcutaneous sumatriptan for the treatment of postcraniotomy pain (SUPS trial): protocol for a randomised double-blinded placebo controlled trial. BMJ Open. 2019 Aug 18;9(8):e032388. doi: 10.1136/bmjopen-2019-032388. PubMed 31427345 ↗
  • Hassani E, Mahoori A, Sane S, Tolumehr A. Comparison the effects of paracetamol with sufentanil infusion on postoperative pain control after craniotomy in patients with brain tumor. Adv Biomed Res. 2015 Mar 4;4:64. doi: 10.4103/2277-9175.152610. eCollection 2015. PubMed 25821764 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 20, 2020, 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
NCT04169854
Lead sponsor
Beijing Tiantan Hospital
Responsible party
Fang Luo (Clinical Professor, Beijing Tiantan Hospital) — Principal investigator
First posted
Nov 20, 2019
Start date
Oct 15, 2020
Primary completion
Jan 2023 (estimated)
Completion
Jan 2023 (estimated)
Last update
Oct 20, 2020

Study contacts

Fang Luo, MD
Contact
13611326978@163.com
+8613611326978
Fang Luo, MD
principal investigator · Beijing Tiantan Hospital

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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