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IV Lidocaine for Hernia Repair (PEH Trial)

Phase 4
Recruiting
Led By Paul D Colavita, MD
Research Sponsored by Atrium Health
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
American Association of Anesthesiologists (ASA) scores of I-III
Undergoing elective laparoscopic paraesophageal hernia repair including robotic assisted laparoscopic cases
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 6 months
Awards & highlights

PEH Trial Summary

This trial will study the effects of IV lidocaine on post-operative pain control and outcomes in patients undergoing paraesophageal hernia repair, compared to the current standard of care.

Who is the study for?
This trial is for adults over 18 undergoing elective laparoscopic paraesophageal hernia repair. Candidates must have an ASA score of I-III and not be on opioid pain medication or daily chronic pain medication. Exclusions include those with seizure disorders, certain heart conditions, severe kidney disease, recent opioid use, planned additional surgeries, extreme obesity (BMI >40), lidocaine allergies, or contraindications to sodium channel blockers.Check my eligibility
What is being tested?
The study tests if IV lidocaine improves postoperative pain control in patients having paraesophageal hernia repairs compared to a placebo. It will assess the effect on recovery outcomes like hospital stay length, complications rates, and quality of life within an Enhanced Recovery After Surgery (ERAS) protocol.See study design
What are the potential side effects?
Potential side effects from IV lidocaine may include symptoms such as dizziness, sleepiness, confusion or clear thinking problems; vision changes; ringing in the ears; numbness around the mouth; tremors; seizures if levels get too high; and allergic reactions.

PEH Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My health is good to moderate, as rated by an anesthesiologist.
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I am scheduled for a laparoscopic surgery to repair a hernia near my esophagus.
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I am 18 years old or older.

PEH Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Day to toleration of diet
Length of Stay
Post-Op Morphine Equivalents
+2 more

Side effects data

From 2019 Phase 4 trial • 86 Patients • NCT03540030
3%
Hospitalization for ileus
3%
mesenteric artery stenosis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Non-Opioid Intervention
Observational

PEH Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: IV LidocaineExperimental Treatment1 Intervention
100 mg Lidocaine bolus on induction, then an infusion of 1.5 mg/kg/hr to begin prior to incision, run throughout the operation and continues into PACU for 1 hour OR until one 2gm/250mL D5W bag has been infused, whichever occurs first. The Patient will be monitored by nursing staff with the aid of continuous cardiac monitoring in the PACU for at least 30 minutes after the discontinuation of the lidocaine drip.
Group II: PlaceboPlacebo Group1 Intervention
Patients will receive D5W solution at the same volume and rate as the IV lidocaine.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
IV lidocaine
2016
Completed Phase 4
~90

Find a Location

Who is running the clinical trial?

Atrium HealthLead Sponsor
121 Previous Clinical Trials
34,804 Total Patients Enrolled
Wake Forest University Health SciencesLead Sponsor
1,242 Previous Clinical Trials
1,004,217 Total Patients Enrolled
Paul D Colavita, MDPrincipal InvestigatorWake Forest University Health Sciences
1 Previous Clinical Trials
50 Total Patients Enrolled

Media Library

Placebo Clinical Trial Eligibility Overview. Trial Name: NCT04096170 — Phase 4
Paraesophageal Hernia Research Study Groups: Placebo, IV Lidocaine
Paraesophageal Hernia Clinical Trial 2023: Placebo Highlights & Side Effects. Trial Name: NCT04096170 — Phase 4
Placebo 2023 Treatment Timeline for Medical Study. Trial Name: NCT04096170 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How is intravenous lidocaine typically applied to treat ailments?

"Intravenous lidocaine can be utilized to alleviate the symptoms of cervical syndrome, attend to minor burns, and aid in transplantation surgeries."

Answered by AI

Is enrollment in the trial currently available for participants?

"Affirmative, the study's availability is confirmed by clinicaltrials.gov. This investigation was initially posted on June 21st 2018 and received a most recent update on June 9th 2022. 50 patients are being sought after at 1 medical centre."

Answered by AI

What is the current recruitment rate for this research project?

"Affirmative. Information available on clinicaltrials.gov confirms that this experiment, which was published on June 21st 2018, is currently seeking participants. About 50 individuals will be required to take part in the study at one of its locations."

Answered by AI

Is intravenous lidocaine certified by the Food and Drug Administration?

"The safety rating for IV lidocaine is a 3, as the drug has been approved by authorities and is in Phase 4 of testing."

Answered by AI

Could you provide a comprehensive overview of previous clinical investigations related to IV lidocaine?

"At present, 31 Phase 3 trials are running for IV lidocaine and there are 118 live studies in total. Calgary is home to the majority of these clinical investigations; however, 1,094 sites worldwide have some involvement with research into this drug."

Answered by AI
~5 spots leftby Jan 2025