4% Ametop gel to reduce procedural pain in infants receiving a percutaneously inserted central catheter (PICC)

ISRCTN ISRCTN75884221
DOI https://doi.org/10.1186/ISRCTN75884221
Secondary identifying numbers FRN: 59754
Submission date
18/11/2005
Registration date
18/11/2005
Last edited
06/03/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Neonatal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Brigitte Lemyre
Scientific

401 Smyth Road
Ottawa
K1H 8L1
Canada

Email blemyre@ottawahospital.on.ca

Study information

Study designRandomised placebo controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleHow effective is 4% Ametop gel applied before a percutaneously inserted central catheter (PICC) in reducing procedural pain in infants: a randomised placebo controlled trial
Study hypothesisTo compare multidimensional pain scores as measured with the premature infant pain profile (PIPP) during insertion of a PICC in infants randomised to Ametop (Ametocaine) or placebo.
Ethics approval(s)The Ottawa Hospital Research Ethics Board gave approval on the 27th June 2002.
ConditionProcedural pain in premature infants
InterventionTreatment group: Amethocaine 4% gel, 1.5 g, applied for 30 minutes before the PICC insertion

Placebo group: placebo gel (professional skin care lotion, Smith-Nephew), 1.5 g applied for 30 minutes before the PICC insertion
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Ametop
Primary outcome measurePremature Infant Pain Profile (PIPP) score at 1 minute
Secondary outcome measures1. PIPP scores at 1, 2, 3 and 4 minutes after the PICC
2. Physiological indicators of pain (HR, Sa02, BP, RR) at 1, 2, 3, 4, 5 and 10 minutes
3. Duration of cry in seconds from PICC insertion to recovery, number of attempts and success rate at inserting the PICC.
4. Safety: local skin reaction (redness, edema), significant changes in the complete blood count (CBC), alanine aminotransferase (ALT), aspartate aminotransferase (AST) and creatinine before (within 48 hours) and after (within 48 hours) the intervention
Overall study start date18/12/2002
Overall study end date26/07/2004

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participants54
Participant inclusion criteria1. Born at greater than or equal to 24 weeks gestation
2. Infants 24 - 40 weeks gestational age, either sex
3. With skin considered in good condition (no burns or rash)
4. When less than 27 weeks gestation, must be greater than or equal to 48 hours of life
5. Considered stable by treating neonatologist
6. With informed consent by a parent or legal guardian
Participant exclusion criteria1. Skin considered immature
2. Suspected or proven significant central nervous system anomaly
3. Infants receiving opioids or sedatives at time of PICC insertion or in the previous 12 hours or infants receiving muscle relaxants
4. Infants with facial anomalies preventing typical facial expression of pain
5. Infants with sub optimal hepatic function (alanine aminotransferase [ALT] 2 x upper normal limit) or sub-optimal renal function
6. Parents or legal guardian have refused consent
Recruitment start date18/12/2002
Recruitment end date26/07/2004

Locations

Countries of recruitment

  • Canada

Study participating centre

401 Smyth Road
Ottawa
K1H 8L1
Canada

Sponsor information

Children’s Hospital of Eastern Ontario Research Institute (CHEORI) (Canada)
Hospital/treatment centre

401 Smith Rd
Ottawa
K1H 8L1
Canada

Website http://www.cheori.org/
ROR logo "ROR" https://ror.org/05nsbhw27

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: FRN: 59754)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 03/05/2006 Yes No