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The effect of topical flavanoid cream on post-operative excisional haemorrhoidectomy pain; a randomised controlled trial

The effectiveness of Topical Micronized Purified Flavonoid Fraction Post Excisional Haemorrhoidectomy on Pain: A Double-Blinded Randomised Controlled Trial in Adult patients.

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625001130459
Enrollment
120
Registered
2025-10-15
Start date
2026-02-01
Completion date
2026-10-01
Last updated
2025-10-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The purpose of this trial is test whether a new medication containing a plant based product MPPF, will reduce the amount of pain patients experience following an excisional haemorrhoidectomy. Evidence suggests there may be a reduction of pain following administration of oral MPPF, however there is no evidence to support the use of a topical formulation. We hypothesize that our cream will reduce the amount of pain patients report following excision of haemorrhoids, adding to a growing number of analgesic options for a very common problem seen worldwide.

Interventions

Intervention drug is a topical cream composed of 10% metronidazole (antibiotic), 4% lignocaine (local anaesthetic), and 5% micronized purified flavanoid fraction (MPFF). This will be taken for 1 week, three times per day. Applied morning following surgery. The tubes will be collected and weighed to measure adherence at follow up. The application of a topical cream composed of 10% metronidazole (antibiotic), 4% lignocaine

Sponsors

University of Auckland
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

- Adult patients 18 years and over undergoing excisional haemorrhoidectomy of any type (open, closed) - Grade III or IV haemorrhoids - Willing and able to provide informed consent - Able to apply topical treatments independently

Exclusion criteria

- Patient’s <18 years - Haemorrhoids grade I or II - Concurrent perianal pathology – fissure, fistulas, ulcers etc - Known allergy or adverse drug reaction to metronidazole or lignocaine - Pregnant or breastfeeding women - Patients with history of chronic pain Patients unable to consent due to cognitive impairment or language barrier where an interpreter is unavailable

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026