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Needle Procedures Success Rate After Application of Ralydan vs EMLA in Children

Information source: IRCCS Burlo Garofolo
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Procedural Pain Relief

Intervention: Lidocaine/Tetracaine patch (Drug); Lidocaine/Prilocaine cream (Drug)

Phase: Phase 3

Status: Recruiting

Sponsored by: IRCCS Burlo Garofolo

Official(s) and/or principal investigator(s):
Egidio Barbi, MD, Study Chair, Affiliation: IRCCS Burlo Garofolo, Trieste, Italy
Elena Neri, MD, Study Director, Affiliation: IRCCS Burlo Garofolo, Trieste, Italy
Giorgio Cozzi, MD, Principal Investigator, Affiliation: IRCCS Burlo Garofolo, Trieste, Italy

Overall contact:
Giorgio Cozzi, MD, Phone: +390403785338, Email: giorgiocozzi@gmail.com

Summary

Needle-related procedures are among the most common sources of pain and distress for children in the health care setting. More than 50% of children reported pain during these procedures. The necessity for pain management during these procedures is well established. Topical anesthesia has been shown to be effective in managing needle-related pain. Eutectic mixture of local anaesthetic (EMLA) cream is the topical anesthetic most used. The application of this mixture of lidocaine and prilocaine reduce pain during needle procedures in children. To be effective EMLA cream must be applied for at least 60 minutes before needle procedure. This is the major limitation for its use in emergency settings. Ralydan patch is a drug delivery system designed to release local anaesthetics (lidocaine and tetracaine) through the skin. There is evidence of pain relief after 30 minutes from its application. Only one randomized controlled trial compared the two topical anaesthetics in children during venipuncture and showed that Ralydan patch led to superior analgesia than EMLA cream, even if in this study the two anaesthetics were applied only for 35 minutes before needle procedure. No differences were found in success rate of the procedure and vein visibility. In adult patients, Ralydan and EMLA were equally effective in pain relief after 60 minutes from application. To the best of the investigators' knowledge there is no published study that compared needle procedure success rate in children and pain relief effectiveness of lidocaine/tetracaine patch and lidocaine/prilocaine cream, at time of their maximum analgesic effect. The aim of this study is to compare Ralydan patch and EMLA cream at time of their maximum analgesic effect (30 minutes vs 60 minutes), regard to needle procedure success rate at the first attempt and pain relief in children.

Clinical Details

Official title: Lidocaine/Tetracaine Patch (Ralydan) vs Lidocaine/Prilocaine Cream (EMLA) for Needle Related Procedures in Children: a Multicenter, Randomized Controlled Trial

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Primary outcome: Success at the first attempt

Secondary outcome:

Pain score

Adverse events

Eligibility

Minimum age: 3 Years. Maximum age: 10 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age 3 to 10 years

- Need for peripheral IV line or venipuncture

- Informed consent signed by parents or legal guardians

Exclusion Criteria:

- Need for emergency care

- Known allergy or sensitivity to local anesthetics

Locations and Contacts

Giorgio Cozzi, MD, Phone: +390403785338, Email: giorgiocozzi@gmail.com

Ospedale Pediatrico Pausilipon - Servizio di terapia del dolore e cure palliative, Napoli, Campania 80121, Italy; Recruiting
Fabio Borrometi, MD, Email: fabioborrometi@fastwebnet.it

IRCCS Burlo Garofolo, Trieste, Friuli Venezia Giulia 34137, Italy; Recruiting
Giorgio Cozzi, MD, Phone: 390403785338, Email: giorgiocozzi@gmail.com

Università degli studi di Padova - Centro Regionale Veneto di terapia del dolore e cure palliative pediatriche, Padova, Veneto 35100, Italy; Recruiting
Franca Benini, MD, Email: benini@pediatria.unipd.it

Additional Information

Starting date: April 2015
Last updated: August 10, 2015

Page last updated: August 23, 2015

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