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Trial registered on ANZCTR
Registration number
ACTRN12616000794404
Ethics application status
Approved
Date submitted
15/02/2016
Date registered
17/06/2016
Date last updated
16/11/2018
Date data sharing statement initially provided
16/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Is ultrasound-guided serratus plane block effective for acute and chronic pain after modified radical mastectomy?
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Scientific title
Ultrasound-guided serratus plane block for acute pain and chronic pain after modified radical mastectomy: a prospective randomized trial
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Secondary ID [1]
288468
0
None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast cancer
297501
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Anesthesia
297502
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Condition category
Condition code
Anaesthesiology
297691
297691
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0
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Pain management
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Cancer
298696
298696
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
30 minutes prior to induction of intravenous anesthesia, patients were received an ultrasound-guided serratus plane block., SPB group was performed with 0.5% ropivacaine 20ml by a single consultant anaesthetist. Patient controlled intravenous analgesia (PCIA) was starting at emergence from anaesthesia : sufentanil 3ug/kg+ tropisetron hydrochloride 0.01mg/kg (diluted with normal saline 100ml) were taken as protocol. The loading dosage was 2ml which administered at emergence from anaesthesia. , background infusion was 1ml/h; bolus dose was 1ml with 15 min lock out). The duration of PCIA is the first 48 hours post surgery.
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Intervention code [1]
293807
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Treatment: Drugs
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Comparator / control treatment
Ultrasound-guided serratus plane block (SPB )was not performed before induction, and the anesthesia was applied as group SPB, and intravenous PCIA was used postoperatively. PCIA: sufentanil 3ug/kg+ tropisetron hydrochloride 0.01mg/kg (diluted with normal saline 100ml) were taken as protocol. The loading dosage was 2ml, background infusion was 1ml/h; bolus dose was 1ml with 15 min lock out).
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Control group
Active
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Outcomes
Primary outcome [1]
297233
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Chronic pain intensity is assessed with visual analogue scale (VAS) which 0 and 100 mm referring to ‘no pain’ and ‘worst pain imaginable’.
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Assessment method [1]
297233
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Timepoint [1]
297233
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postoperative 3 and 6 months at resting state and in movement state
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Secondary outcome [1]
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The cellular immune function is assessed with flow cytometry using a blood sample.
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Assessment method [1]
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Timepoint [1]
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Before anesthesia induction, postoperative 1 day, 7 days
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Secondary outcome [2]
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Postoperative pain intensity is assessed with visual analogue scale (VAS) which 0 and 100 mm referring to ‘no pain’ and ‘worst pain imaginable’.
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Assessment method [2]
320797
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Timepoint [2]
320797
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postoperative 2h, 4h, 8h, 24h and 48h at resting state and in movement state.
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Eligibility
Key inclusion criteria
Patients (aged 18 to 60 years) with American Society of Anesthesiologists (ASA) Physical Status class I or II scheduled for first modified radical mastectomy were included in the study.
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. chronic ethanol, long-term use of psychotropic drugs (e.g. sedative drugs and antidepressant;
2. contraindications for Paravertebral block including coagulopathy, infection at the puncture site, trauma or history of spine surgery;
3. unable to cooperate with this research due to cognitive impairment, psychopathy or not willing for the hospital follow-up;
4. administration of other test drugs or joining in other clinical study in 3 months before our study;
5. received radiotherapy or chemotherapy before surgery;
6. other conditions not allocated for this study out of the researchers consideration.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Treatment allocations were concealed with opaque envelopes, which only assistant who dispensing local anesthetic could open.Treatment allocations were assigned to either the SPB group or the control group
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
participants were randomized by using a Excel-generate random code
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/06/2016
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Actual
4/07/2016
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Date of last participant enrolment
Anticipated
31/12/2017
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Actual
23/04/2018
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Date of last data collection
Anticipated
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Actual
23/10/2018
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Sample size
Target
198
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Accrual to date
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Final
198
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Recruitment outside Australia
Country [1]
7570
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China
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State/province [1]
7570
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Fujian
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Funding & Sponsors
Funding source category [1]
292814
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Government body
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Name [1]
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The Foundation of Fujian Medical Innovation topics
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Address [1]
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No.61, Guping Road, Fuzhou, Fujian, China, 350001.
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Country [1]
292814
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China
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Primary sponsor type
Government body
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Name
Fujian Provincal Health and Family Planning Commission
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Address
No.61, Guping Road, Fuzhou, Fujian, China.350001
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Country
China
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Secondary sponsor category [1]
291555
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None
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Name [1]
291555
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Address [1]
291555
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Country [1]
291555
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294387
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Biological-Medical Ethical Committee of Fujian Provincial Hospital
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Ethics committee address [1]
294387
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No.134 Dongjie Street, l.Fuzhou, Fujian, China, 350001
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Ethics committee country [1]
294387
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China
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Date submitted for ethics approval [1]
294387
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13/12/2015
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Approval date [1]
294387
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28/01/2016
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Ethics approval number [1]
294387
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K2016-01-8
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Summary
Brief summary
Breast cancer has continued to be the most common cancer afflicting women, every year, thousands of patients undergo surgery in the region of the breast and axilla. These procedures cause significant acute pain and may progress to chronic pain states in 25–60% of cases .A novel ultrasound-guided anaesthetic technique that may achieve complete paraesthesia of the hemithorax.Patients were allocated to either the general anesthesia group (group control) or SPB (serratus plane block) + general anesthesia groups (group SPB) by using randomized central computer-generated sequence software (SAS 18.0). The allocation ratio was 1:1 for the two groups. Group assignment was concealed by opaque sticking envelops and was given to the researchers.We will evaluate the pain in resting state and movement state by visual analog scale (visual analogue score, VAS), and to study the effect of serratus plane block on the acute pain and chronic pain after modified radical mastectomy.We predict this technique can block primarily the thoracic intercostal nerves and to provide complete analgesia of the lateral part of the thorax. We believe that this may be a viable alternative to paravertebral blockade and thoracic epidural analgesia in this patient population,and may theoretically be associated with a more desirable side-effect profile.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
765
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/AnzctrAttachments/370051-ethics approval forms.pdf
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Contacts
Principal investigator
Name
63262
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Prof Yusheng Yao
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Address
63262
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
63262
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China
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Phone
63262
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+8613559939629
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Fax
63262
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Email
63262
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[email protected]
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Contact person for public queries
Name
63263
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Yusheng Yao
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Address
63263
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
63263
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China
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Phone
63263
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+8613559939629
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Fax
63263
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Email
63263
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[email protected]
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Contact person for scientific queries
Name
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Yusheng Yao
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Address
63264
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
63264
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China
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Phone
63264
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+8613559939629
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Fax
63264
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Email
63264
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Individual participant data underlying published results only will be shared.
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When will data be available (start and end dates)?
We would like to share our individual participant data beginning 6 months following main results publication and no end date.
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Available to whom?
Our individual participant data will be available to case-by-case basis at the discretion of Primary Sponsor.
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Available for what types of analyses?
Our individual participant data will be available only to achieve the aims in the approved proposal.
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How or where can data be obtained?
Our individual participant data will be access subject to approvals by Principal investigator.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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