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Lidocaine Subcutaneous Infusion for Control of Treprostinil Related Site Pain

Phase 4
Terminated
Conditions
Pulmonary Arterial Hypertension
Interventions
Drug: Placebo
Registration Number
NCT01433328
Lead Sponsor
Jewish General Hospital
Brief Summary

Treprostinil subcutaneous (under the skin) infusion is a very good medication for treating pulmonary arterial hypertension but infusion site pain may be very severe in some patients. The investigators plan to treat patients receiving treprostinil with a subcutaneous infusion of lidocaine (a local anesthestic) to treat the pain.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
4
Inclusion Criteria
  • PAH
  • Treprostinil treatment for at least 3 months
  • Severe infusion site pain
Exclusion Criteria
  • Pregnancy/breastfeeding
  • Decompensated heart failure
  • Chronic liver disease
  • Abnormal electrolytes
  • Heart block (2/3 degree), sino-atrial block, idioventricular rhythm
  • Systolic systemic BP <90mmHg
  • Bradycardia HR <55
  • Adverse reaction to lidocaine or other amide local anesthestic
  • Interacting medications (anti-arrhythmics, CYP1A2 inhibitors)

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboRemodulin only
LidocaineLidocaine-
Primary Outcome Measures
NameTimeMethod
Daily Pain Diary1 week

10cm visual analogue scale (VAS) - Change in aggregated median/maximum scores over one week

Pain Questionnaire1 week

Short Form McGill Pain Questionnaire - Change from baseline over one week

Secondary Outcome Measures
NameTimeMethod
6 minute walk1 week
Lidocaine level1 week
proNT-BNP1 week

Trial Locations

Locations (1)

Jewish General Hospital

🇨🇦

Montreal, Quebec, Canada

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