Pain relief during insertion of an intra uterine device MedDRA version: 15.0 Level: PT Classification code 10064882 Term: Procedural pain System Organ Class: 10022117 - Injury, poisoning and procedural complications
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Nulliparous women with wish for IUD insertion • Minimum 18 years of age • a) If patient has regular periods, she must be in menstrual cycle day 1-6 at insertion, or pregnancy must be reliably excluded. b) If patient has no or small irregular bleedings due to hormonal contraception or due to other reasons, the insertion may take place at any convenient day, if pregnancy has been reliably excluded. • Able to understand Swedish language well enough to be familiar with all study procedures • Has given written informed consent after verbal and written information Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 200 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Clinical evidence of or ongoing treatment for active cervical infection • Positive pregnancy test • Pelvic inflammatory disease in the last month • History of uterine conisation • Known uterine anomaly that contradict IUD insertion • Copper allergy/Wilson’s disease • Cervical or uterine cancer • Known allergy to lidocaine • Known intolerance to paracetamol (rescue medication) • Recidivating porphyria • Any significant morbidity interfering with study drug or procedures according to the assessment of the Principal Investigator • Taken any analgesics 24 hours prior to IUD insertion • Previous pregnancy > 13 gestational weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the maximum pain intensity experienced by the patient during and within 10 minutes after start of IUD insertion when treated with SHACT in comparison to placebo using a 100 mm VAS scale.;Secondary Objective: • To evaluate the pain intensity experienced by the patient after 1 and 2 hours after IUD insertion and after 24, 48 and 72 hours (day 2 – 4) in comparisons between SHACT 4% viscous solution and placebo using a VAS scale • To evaluate the safety and tolerability of SHACT used during IUD insertion. • To evaluate the need for rescue medication within the next 4 days after IUD insertion when treated with SHACT compared to placebo. ;Primary end point(s): Maximum pain intensity experienced by the patient during and within 10 minutes after start of IUD insertion when treated with SHACT in comparison to placebo | — |
Countries
Sweden
Contacts
Pharmanest AB