Dosing of Carcinogenic Complexes After Anesthesia With Intrathecal Hyperbaric Prilocaine.
Dosing of Carcinogenic Complexes Such as Urinary O-toluidine and Hemoglobin Adducts From O-toluidine in Blood After Intrathecal Administration of 50 mg Hyperbaric Prilocaine
The prilocaine is a very common local anesthetic that has the disadvantage of being metabolized to o-toluidine, a human carcinogen.
Hyperbaric 2% prilocaine (HP), recently developped, is increasingly used for spinal anesthesia in ambulatory surgery. But the formation of carcinogenic metabolites induced by the hyperbaric prilocaine is not yet known. The aim of this study is to investigate whether the intrathecal administration of 50 mg hyperbaric prilocaine induces also the formation of carcinogenic complexes such as urinary o-toluidine and hemoglobin adducts from o-toluidine in blood.
Study Overview
Status
Status
Conditions
Conditions
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Braine-l'Alleud, Belgium, 1420
- Braine-l'Alleud Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age : > 18 years and < 80years
- American Society of Anesthesiology (ASA) score : I-II
- Height between 160cm and 180cm
Exclusion Criteria:
- Cardiac Disease (Aortic stenosis, heart failure...)
- coagulation disorder (International Normalized Ratio (INR) > 1.3; platelets <80 000/mm³)
- Allergic to local anesthetics
- Smoker
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Hemoglobin adducts from o-toluidine in blood
Time Frame: Time 0 (before surgery)
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Hemoglobin adducts from o-toluidine in blood is measured before surgery (at admission)
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Time 0 (before surgery)
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Hemoglobin adducts from o-toluidine in blood
Time Frame: Time 24 hours after intrathecal prilocaine injection
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Hemoglobin adducts from o-toluidine in blood is measured at 24 hours after intrathecal prilocaine injection
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Time 24 hours after intrathecal prilocaine injection
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Urinary o-toluidine
Time Frame: Time 0 (before surgery)
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Urinary o-toluidine is measured before surgery (at admission)
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Time 0 (before surgery)
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Urinary o-toluidine
Time Frame: Time 6 hours after intrathecal prilocaine injection
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Urinary o-toluidine is measured at 6 hours after intrathecal prilocaine injection
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Time 6 hours after intrathecal prilocaine injection
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Urinary o-toluidine
Time Frame: Time 12 hours after intrathecal prilocaine injection
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Urinary o-toluidine is measured at 12 hours after intrathecal prilocaine injection
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Time 12 hours after intrathecal prilocaine injection
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Urinary o-toluidine
Time Frame: Time 24 hours after intrathecal prilocaine injection
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Urinary o-toluidine is measured at 24 hours after intrathecal prilocaine injection
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Time 24 hours after intrathecal prilocaine injection
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Emmanuel Guntz, MD, Université Libre de Bruxelles (ULB), Braine-l'Alleud Hospital
- Principal Investigator: Panayota Kapessidou, MD,PhD, University Hospital Saint-Pierre (CHU Saint-Pierre), Université Libre de Bruxelles (ULB)
Publications and helpful links
General Publications
- Gebhardt V, Herold A, Weiss C, Samakas A, Schmittner MD. Dosage finding for low-dose spinal anaesthesia using hyperbaric prilocaine in patients undergoing perianal outpatient surgery. Acta Anaesthesiol Scand. 2013 Feb;57(2):249-56. doi: 10.1111/aas.12031. Epub 2012 Nov 30.
- Camponovo C, Fanelli A, Ghisi D, Cristina D, Fanelli G. A prospective, double-blinded, randomized, clinical trial comparing the efficacy of 40 mg and 60 mg hyperbaric 2% prilocaine versus 60 mg plain 2% prilocaine for intrathecal anesthesia in ambulatory surgery. Anesth Analg. 2010 Aug;111(2):568-72. doi: 10.1213/ANE.0b013e3181e30bb8. Epub 2010 Jun 7.
- Guntz E, Latrech B, Tsiberidis C, Gouwy J, Kapessidou Y. ED50 and ED90 of intrathecal hyperbaric 2% prilocaine in ambulatory knee arthroscopy. Can J Anaesth. 2014 Sep;61(9):801-7. doi: 10.1007/s12630-014-0189-7. Epub 2014 Jun 7.
- Gaber K, Harreus UA, Matthias C, Kleinsasser NH, Richter E. Hemoglobin adducts of the human bladder carcinogen o-toluidine after treatment with the local anesthetic prilocaine. Toxicology. 2007 Jan 5;229(1-2):157-64. doi: 10.1016/j.tox.2006.10.012. Epub 2006 Oct 29.
- Bohm F, Schmid D, Denzinger S, Wieland WF, Richter E. DNA adducts of ortho-toluidine in human bladder. Biomarkers. 2011 Mar;16(2):120-8. doi: 10.3109/1354750X.2010.534556. Epub 2010 Nov 30. Erratum In: Biomarkers. 2011 May;16(3):288.
- Guntz E, Carini A, Koslitz S, Bruning T, Kapessidou P, Weiss T. Quantification of systemic o-toluidine after intrathecal administration of hyperbaric prilocaine in humans: a prospective cohort study. Arch Toxicol. 2021 Mar;95(3):925-934. doi: 10.1007/s00204-021-02973-w. Epub 2021 Jan 21.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- B076201836443
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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