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Enrolling by invitationNCT06660680MBIUpdated Oct 28, 2024

The Effect of Methylene Blue Infiltrating Injection on Anal Pain After Milligan-Morgan Surgery: a Randomized Controlled Clinical Study

A Phase 3 interventional study of Methylene Blue in Mixed Hemorrhoids, sponsored by The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-10-28.

Sponsored by The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

A variety of analgesic strategies are available following mixed hemorrhoids surgery, including pharmacological interventions (7), acupuncture, moxibustion, and electroacupuncture . Medications such as opioid analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used but can be associated with side effects including nausea, vomiting, and gastrointestinal bleeding, with long-term use potentially leading to addiction (8). Complementary therapies require skilled administration and regular treatment sessions.

Methylene blue (MB), a cationic thiazine dye extensively utilized as a biological stain and chemical indicator, has been increasingly recognized for its potential analgesic properties (9). In the present study, methylene blue infiltrating injection (MBI) was administered to treat anal pain resulting from Milligan-Morgan surgery, with the aim of assessing its analgesic efficacy and safety profile.

02

Conditions studied

  • Mixed Hemorrhoids

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Keywords

  • Milligan-Morgan surgery
03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:①Alignment with the diagnostic criteria for mixed hemorrhoids as outlined in the "American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids" ; ②Provision of informed consent following a thorough comprehension of the study's aims; ③An age bracket of 18 to 75 years; ④Satisfaction of surgical indications.

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Exclusion Criteria:①Presence of anal fistula, anal fissure, perianal abscess, enteritis, or other intestinal pathologies; ②Patients with known allergies; ③Impaired liver or kidney function; ④Pregnancy or lactation.

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04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Study Group

    received MBI treatment to their surgical incisions upon completion of surgery

    Drug: Methylene Blue

  • No intervention
    Control group

    administered lornoxicam on an as-needed basis for analgesia.

Interventions

  • DrugMethylene Blue

    Received MBI treatment to their surgical incisions upon completion of surgery

05

What researchers measure

Primary outcomes

  1. Pain

    Visual Analog Scale (VAS) scores

    Time frame: pain scores at 6, 24, 48, and 72 hours postoperatively

06

Study locations

1 site
  • Second hospital affiliated Anhui University of Chinese Medicine
    Hefei, Anhui 230000, China
07

References and documents

Publications

  • Anorectal Branch of Chinese Medical Doctor A, Colorectal Surgery Group SSoCMA.

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT06660680
Lead sponsor
The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine
Responsible party
Heng Deng (the second Hospital of Chinese Medicine, The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine) — Principal investigator
First posted
Oct 28, 2024
Start date
Oct 25, 2024
Primary completion
Oct 1, 2025 (estimated)
Completion
Oct 1, 2025 (estimated)
Last update
Oct 28, 2024

Oversight

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

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