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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02604225
Registration number
NCT02604225
Ethics application status
Date submitted
9/11/2015
Date registered
13/11/2015
Date last updated
11/05/2020
Titles & IDs
Public title
Trial of Methoxyflurane With Periprostatic Local Anaesthesia to Reduce the Discomfort of TRUS B
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Scientific title
A Phase 3 Double-blind Placebo-controlled Randomized Trial of Methoxyflurane With Periprostatic Local Anaesthesia to Reduce the Discomfort of Transrectal Ultrasound-guided Prostate Biopsy
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Secondary ID [1]
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ACTRN12615001105538
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Secondary ID [2]
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ANZUP 1501
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Universal Trial Number (UTN)
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Trial acronym
TRUSB
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Methoxyflurane
Treatment: Drugs - Placebo
Experimental: Penthrox - Methoxyflurane
Placebo comparator: Placebo - Saline 0.9%
Treatment: Drugs: Methoxyflurane
Participants randomised to the experimental arm will inhale methoxyflurane administered through the Penthrox® inhaler starting approximately one minute before insertion of the rectal probe.
Treatment: Drugs: Placebo
Participants randomised to the control arm will inhale 0.9% saline administered through the Penthrox® inhaler starting approximately one minute before insertion of the rectal probe.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pain rated by participants will be self-rated using a numeric rating scale with verbal anchors from 0 (no trouble at all) to 10 (worst I can imagine).
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Assessment method [1]
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Timepoint [1]
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Pain will be assessed at 15 minutes after the TRUS biopsy
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Secondary outcome [1]
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Other aspects of the biopsy experience rated by participants on the Patient's Experience of TRUS biopsy questionnaire.
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Assessment method [1]
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Timepoint [1]
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Rated at 15 minutes after the biopsy
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Secondary outcome [2]
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Other aspects of the biopsy experience rated by participants on the Patient's Experience of TRUS biopsy questionnaire.
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Assessment method [2]
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Timepoint [2]
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Rated at 7-35 days after the biopsy
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Secondary outcome [3]
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Willingness to undergo a biopsy in the future assessed by a questionnaire designed specifically for this study.
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Assessment method [3]
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Timepoint [3]
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Rated at 15 minutes and 7-35 days after the biopsy
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Secondary outcome [4]
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Urologist's ratings of the participant's biopsy experience, assessed by a questionnaire
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Assessment method [4]
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Timepoint [4]
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On the same day as the TRUS biopsy
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Secondary outcome [5]
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Biopsy completion rate.
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Assessment method [5]
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Timepoint [5]
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Recorded on day of TRUS biopsy.
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Secondary outcome [6]
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Frequency of specified adverse events.
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Assessment method [6]
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Timepoint [6]
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Adverse events will be recorded after the TRUS biopsy (before the participant leaves the clinic), and 7-35 days after the biopsy.
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Secondary outcome [7]
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Frequency of hospitalisation by reviewing hospital records.
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Assessment method [7]
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Timepoint [7]
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Details will be recorded for each emergency department visit and each non-elective hospital admission that occurs within 30 days of the TRUS biopsy.
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Eligibility
Key inclusion criteria
1. Males older than 18 years scheduled to undergo a TRUS biopsy of the prostate.
2. Adequate liver function: ALT, AST, or bilirubin = 2 x ULN
3. Adequate renal function: serum eGFR> 30 ml/min/1.73m2
4. Willing and able to complete questionnaires in English
5. Willing and able to undergo TRUS biopsy within 7 days of randomisation
6. Willing and able to comply with all study requirements, including treatment, timing and/or nature of required assessments
7. Signed, written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Previous TRUS biopsy of the prostate
2. Personal or family history of malignant hyperthermia
3. History of significant liver disease
4. Hypersensitivity to fluorinated anaesthetics or other inhalational anaesthetics
5. Concurrent use of barbiturates or tetracycline antibiotics
6. Concurrent illness that may jeopardise the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety
7. Presence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule, including alcohol dependence or drug abuse.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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 analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/12/2019
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Sample size
Target
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Accrual to date
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Final
420
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Concord Hospital - Concord
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Recruitment hospital [2]
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Australian Clinical Trials - Wahroonga
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Recruitment hospital [3]
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Casey Hospital - Berwick
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Recruitment hospital [4]
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The Alfred Hospital - Prahran
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Recruitment hospital [5]
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Fiona Stanley Hospital - Murdoch
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Recruitment hospital [6]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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2640 - Concord
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Recruitment postcode(s) [2]
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2640 - Wahroonga
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Recruitment postcode(s) [3]
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- Berwick
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Recruitment postcode(s) [4]
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- Prahran
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Recruitment postcode(s) [5]
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- Murdoch
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Recruitment postcode(s) [6]
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- Westmead
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Christchurch
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Sydney
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Australian and New Zealand Urogenital and Prostate Cancer Trials Group
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
A phase 3 double-blind placebo-controlled randomized trial of methoxyflurane with periprostatic local anaesthesia to reduce the discomfort of transrectal ultrasound-guided prostate biopsy (Pain-Free TRUS B).
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Trial website
https://clinicaltrials.gov/study/NCT02604225
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jeremy Grummet
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Address
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Principal Investigator
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02604225
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