- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01445756
Topical Lidocaine for Pain Control With Intrauterine Device (IUD) Insertion
August 25, 2014 updated by: University of Wisconsin, Madison
Topical Lidocaine for Pain Control With IUD Insertion: A Randomized Controlled Trial
Intrauterine contraception is a very effective, long term, reversible form of birth control, and is increasingly used in young, nulliparous patients.
However, there is potential for pain with insertion of an Intrauterine Device (IUD) - particularly in patients without a previous history of vaginal delivery.
The potential pain associated with insertion is often a significant barrier for patients when choosing and IUD for contraception.
Several methods of pain control have been studied, but none have been shown to reduce pain at time of insertion.
Our research question is to determine if 2% topical lidocaine gel, instilled into the cervical canal, will reduce maximum pain at time of insertion of a popular IUD (Mirena Intrauterine System) in young, nulliparous patients.
This will be studied in a randomized, double-blind placebo-controlled trial.
Study Overview
Detailed Description
The investigators research question is to determine if 2% topical lidocaine gel, instilled into the cervical canal, will reduce maximum pain at time of insertion of a popular IUD (Mirena Intrauterine System) in young, nulliparous patients.
This will be studied in a randomized, double-blind placebo-controlled trial.
Study Type
Interventional
Enrollment (Anticipated)
40
Phase
- Early Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Wisconsin
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Madison, Wisconsin, United States, 53715
- University Health Services Women's Care Clinic
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 35 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Must be at least 18 years old
Exclusion Criteria:
- Age <18
- Non-English speaking
- Illiterate
- History of pregnancy with delivery >20 weeks
- History of prior IUD insertion or attempt
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
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Placebo; no topical lidocaine administered
Other Names:
|
Active Comparator: Topical Lidocaine
|
During the procedure (placement of the IUD), 1ml of gel will be applied to the anterior lip of the cervix.
After 1 minute of waiting, a tenaculum will be placed to steady the cervix.
The catheter will be introduced into the cervical canal, past the external os and 1-1.5ml of gel will be placed into the canal.
After another minute, the IUD will be placed in the standard fashion.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in pain level from no Lidocaine administered to after Lidocaine is administered
Time Frame: Pain assessments prior to procedure, immediately after procedure, and 10 minutes after the procedure
|
The investigators plan to engage 40 patients in this study, and will ask each to fill out a questionnaire that covers age, ethnicity, pregnancy history, reason for IUD insertion and recent medication use.
Patients will be asked to assess their pain on 3 separate occasions during the visit, by marking an X on a Visual Analog Scale.
Providers will also be asked to fill out a questionnaire covering their experience with the interventions as well as their assessment of the patients' pain during the procedures.
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Pain assessments prior to procedure, immediately after procedure, and 10 minutes after the procedure
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Mary Landry, MD, University of Wisconsin Health Services
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2010
Primary Completion (Actual)
June 1, 2011
Study Completion (Actual)
June 1, 2011
Study Registration Dates
First Submitted
August 23, 2011
First Submitted That Met QC Criteria
October 3, 2011
First Posted (Estimate)
October 4, 2011
Study Record Updates
Last Update Posted (Estimate)
August 26, 2014
Last Update Submitted That Met QC Criteria
August 25, 2014
Last Verified
August 1, 2014
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Sensory System Agents
- Anesthetics
- Membrane Transport Modulators
- Anesthetics, Local
- Voltage-Gated Sodium Channel Blockers
- Sodium Channel Blockers
- Lidocaine
Other Study ID Numbers
- H-2010-0062
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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