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Safety considerations
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lidocaine | Experimental |
| |
| Placebo | Placebo Comparator | Remodulin only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lidocaine | Drug | Lidocaine |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Questionnaire | Short Form McGill Pain Questionnaire - Change from baseline over one week | 1 week |
| Daily Pain Diary | 10cm visual analogue scale (VAS) - Change in aggregated median/maximum scores over one week | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| proNT-BNP | 1 week | |
| 6 minute walk | 1 week | |
| Lidocaine level |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Langleben, MD | Chair, Cardiology Department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jewish General Hospital | Montreal | Quebec | H3T 1E2 | Canada |
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| ID | Term |
|---|---|
| D000081029 | Pulmonary Arterial Hypertension |
| ID | Term |
|---|---|
| D006976 | Hypertension, Pulmonary |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| Drug |
Placebo |
|
| 1 week |
| Aniline Compounds |
| D000588 | Amines |