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Status unknownNCT04412642Updated Jun 2, 2020

Low Dose Methoxyflurane for Pain Relief During Minor Out-patient Urologic Procedures

A Phase 4 interventional study of Methoxyflurane, MEOF in Pain, Acute, sponsored by Sunnybrook Health Sciences Centre. Status unknown. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-06-02.

Sponsored by Sunnybrook Health Sciences Centre · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The participant will be trained to self administer the drug and will be supplied with a PENTHROX commercial inhaler kit .The study nurse will train the participant and supervise its use during the procedure.Immediately following the procedure the participant will be asked to fill out two brief questionnaires. The study nurse will assess the participant for adverse event and will follow-up with a phone call 24 hours later.

Read the detailed description

Many patients with chronic urological conditions require multiple and sometimes painful urological procedures. Ideally these procedures may be done in the cystoscopy suite without a general anesthetic. Low dose methoxyflurane, (MEOF)is a inhaled, self-administered non-opioid analgesic and has been approved by Health Canada's for the short-term relief of moderate to severe acute pain, associated with trauma or international medical procedures, in conscious adult patients. The brand name is PENTHROX.

This study is a single centre, pilot study to assess the feasibility of using a self-administrated, MEOF for pain relief during minor out-patient urological procedures. Eligible participants will receive a one time dose of the the study medication during a planned, outpatient urological procedure done under cystoscopy in the Cystoscopy clinic

02

Conditions studied

  • Pain, Acute

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03

In context

Acute Pain

908 studies on the registry are indexed under Acute Pain; 154 are open to participants now.

This study's planned enrollment of 10 is below the median of 87 across 759 interventional studies indexed under Acute Pain.

Browse Acute Pain studies →

Lead sponsor

Sunnybrook Health Sciences Centre is the lead sponsor of 582 studies on the registry; 133 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

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
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

  1. Conscious adult patients >=
  2. Patient is scheduled for cystoscopy And:

    • BOTOX injections for Overactive Bladder /Neuogenic Detrusor Overactivity,
    • Diagnostic hydrodistention for painful bladder syndrome
    • Biopsy or cauterization of bladder tumors
    • Biopsy, cauterization and/or injection of Hunner's lesions
    • Visual urethrotomy/bladder neck incision=/- injection of stricture
    • Evaluation of the complex urinary tract problems
  3. Patient (patient/or patient's authorization legal representative) should understand the nature of the study and provide written informed consent
  4. Patient is able to follow all study requirements and procedures and complete required questionnaires

Exclusion criteria

Exclusion Criteria:

  1. An altered level of consciousness, due to any cause, including head injury, drugs,or alcohol
  2. Clinically significant renal impairment
  3. Women of child bearing potential who are pregnant or peri partum, including labour
  4. A history of liver dysfunction after previous MEOF use or other halogenated anesthetics
  5. Hypersensitivity to MEOF or other halogenated anesthetics, or to butylated hydroxytoluene
  6. Known or genetically susceptible to malignant hyperthermia or a history of severe adverse reactions in either patient or relatives
  7. Exacerbation of an underlying condition (i.e., chronic pain)
  8. Clinically evident or potential hemodynamic instability as per the opinion of the investigator
  9. Clinically evident respiratory impairment as per the opinion of the investigator
  10. Prior treatment with PENTHROX within 3 months
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Other
    methoxyflurane

    methoxyflurane

    Drug: Methoxyflurane, MEOF

Interventions

  • As soon as possible following enrollment and initial procedures, the patient will be supplied with a PENTHROX™ kit which includes one inhaler containing 3 mL of MEOF for pain management. A member of the research team will train the patient to self-administer MEOF. PENTHROX™ is an approved (trademarked) product in Canada and is commercially available in a combination blister pack with one 3 mL sealed bottle and one PENTHROX™ inhaler with the Activated Carbon (AC) chamber.

    Also known as: Penthrox

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What researchers measure

Primary outcomes

  1. Patient satisfaction measured using the Patient Global assessment of Medication Performance (GMP)at the time of discharge

    Global assessment of Medication,which is an assessment, performed by the patient, of the patient's impression of how well the medication works. The patient is asked to rate the pain relief given by methoxyflurane using a 5-point likert scale - 0=poor;1=fair;2=good;3=very good;4=excellent

    Time frame: end of procedure

Secondary outcomes

  1. The Overall/Maximum pain intensity experienced at any point during the procedure using a numeric rating scale

    Patient is asked to rate the intensity of the pain experienced using an 11-point numeric rating scale is used. A score of 0=no pain and a score of 10= worst pain possible

    Time frame: during the procedure

  2. Percent patients requiring rescue medication

    Documentation of the use of rescue medication post administration of methooxyflurane Documenting first time of use of rescue medication, type of medication administered,dose and route

    Time frame: during the procedure

  3. Safety outcome measure to assess percentage of patients requiring rescue medication

    Documentation of adverse events as safety outcome measure by the health care professional

    Time frame: During the procedure;post procedure and at 24 hours post procedure (phone contact)

  4. Health professional impression of how well the medication worked measured using the Patient Global assessment of Medication Performance (GMP)at the time of discharge

    Global assessment of Medication Performance, is an assessment, performed by the health care professional, of their impression of how well the medication works. The health care professional is asked a single question "rate the pain relief provided by methoxyflurane using a 5-point likert scale - 0=poor;1=fair;2=good;3=very good;4=excellent

    Time frame: end of procedure

  5. Assessment of how well the medication fulfilled the patient's expectations of pain relief using the Fulfillment of of Pain Relief Expectation Scale

    The patient is asked a single question "To what extent has your expectations regarding pain control been met?", using the Fulfillment of Pain Relief Expectation scale, which uses a 5-point Likert scale - 0=poor;1=fair;2=good;3=very good;4=excellent

    Time frame: end of procedure

  6. Assessment of how well the medication fulfilled the health care professional's expectations of pain relief using the Fulfillment of of Pain Relief Expectation Scale

    The health care professional is asked a single question "To what extent has your expectations regarding pain control been met?", using the Fulfillment of Pain Relief Expectation scale, which uses a 5-point Likert scale - 0=poor;1=fair;2=good;3=very good;4=excellent

    Time frame: end of procedure

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Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 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
NCT04412642
Responsible party
Sponsor
First posted
Jun 2, 2020
Start date
May 31, 2020 (estimated)
Primary completion
Sep 30, 2020 (estimated)
Completion
Dec 31, 2020 (estimated)
Last update
Jun 2, 2020

Study contacts

Joanne M Lawrence, RN,BSc.
Contact
joannelawrence@bell.net
416-480-6100 ext. 2309
Sender Herschorn, MD,FRSC
Contact
416-480-4733
Sender Herschorn, MD, FRSC
principal investigator · Sunnybrook Health Sciences Centre

Oversight

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 Jun 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Methoxyflurane

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