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This is a prospective, randomised, double-blind, placebo-controlled, parallel group study in approximately 75 patients undergoing surgical removal of an impacted lower third molar.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diclofenac sodium 5 mg/mL | Experimental |
| |
| Diclofenac sodium 12.5 mg/mL | Experimental |
| |
| Diclofenac sodium 25 mg/mL | Experimental |
| |
| Diclofenac sodium 50 mg/mL | Experimental |
| |
| Placebo 1 mL | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diclofenac sodium | Drug | One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve (AUC) of the Pain Scores. | Pain will be scored by the patient at the end of surgery (time 0) and at 15-minute intervals after surgery for a total of 6 hours on a 0-100 mm VAS (from 0 = no pain to 100 = worst pain imaginable). | Pain scores will be measured over the time from end of surgery (time 0) to the 6 hour post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Postsurgical Extra-oral Swelling | measured at 6 hours postsurgery, at day 3 and 1 week postsurgery | |
| Trismus | measured at 6 hours postsurgery, at day 3 and 1 week postsurgery | |
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Inclusion Criteria:
Exclusion Criteria:
General
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Dietrich, MD | The School of Dentistry, University of Birmingham | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The School of Dentistry University of Birmingham | Birmingham | B4 6NN | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29202646 | Derived | Gorecki P, Rainsford KD, Taneja P, Bulsara Y, Pearson D, Saund D, Ahmed B, Dietrich T. Submucosal Diclofenac for Acute Postoperative Pain in Third Molar Surgery: A Randomized, Controlled Clinical Trial. J Dent Res. 2018 Apr;97(4):381-387. doi: 10.1177/0022034517744207. Epub 2017 Dec 4. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Diclofenac Sodium 5 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| FG001 | Diclofenac Sodium 12.5 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| FG002 | Diclofenac Sodium 25 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| FG003 | Diclofenac Sodium 50 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| FG004 | Placebo 1 mL | One single placebo injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Diclofenac Sodium 5 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| BG001 | Diclofenac Sodium 12.5 mg/mL |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Area Under the Curve (AUC) of the Pain Scores. | Pain will be scored by the patient at the end of surgery (time 0) and at 15-minute intervals after surgery for a total of 6 hours on a 0-100 mm VAS (from 0 = no pain to 100 = worst pain imaginable). | Posted | Mean | Standard Deviation | mm*minutes | Pain scores will be measured over the time from end of surgery (time 0) to the 6 hour post-surgery |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Diclofenac Sodium 5 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ear pain | Ear and labyrinth disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Prof. Thomas Dietrich | The School of Dentistry, University of Birmingham | +44-121-46 65494 | t.dietrich@bham.ac.uk |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
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| ID | Term |
|---|---|
| D004008 | Diclofenac |
| ID | Term |
|---|---|
| D010648 | Phenylacetates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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|
| Peak Pain Intensity |
| measured from end of surgery up to 12 hours postsurgery |
| Time to First Use of Rescue Medication. | measured from end of surgery up to 1 week postsurgery |
| Amount of Rescue Medication | consumed by the patient every 15-minutes postsurgery up to 6 hours postsurgery |
| Rescue Medication Consumption | consumed by the patient from end of surgery up to 24 and up to 48 hours postsurgery |
| Patient and Investigator Global Evaluation of the Effectiveness of Treatment | at 6 hour postsurgery and on Day 3 |
| Time to Onset of Pain | measured from end of surgery up to 12 hours postsurgery |
| Wound Healing | at 6 hour postsurgery, and on day 3 and 1 week postsurgery |
| Recurrent Bleeding | every hour up to 6 hour postsurgery |
| Vital Signs | presurgery (within 30 days from surgery), at day of surgery (day 1), day 3 and 1 week postsurgery. |
| Number of Patients With Adverse Events | from signature of the informed consent to 1 week postsurgery |
Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect.
| BG002 | Diclofenac Sodium 25 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| BG003 | Diclofenac Sodium 50 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| BG004 | Placebo 1 mL | One single placebo injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| BG005 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG002 | Diclofenac Sodium 25 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| OG003 | Diclofenac Sodium 50 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
| OG004 | Placebo 1 mL | One single placebo injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. |
|
|
| Secondary | Postsurgical Extra-oral Swelling | Not Posted | measured at 6 hours postsurgery, at day 3 and 1 week postsurgery |
| Secondary | Trismus | Not Posted | measured at 6 hours postsurgery, at day 3 and 1 week postsurgery |
| Secondary | Peak Pain Intensity | Not Posted | measured from end of surgery up to 12 hours postsurgery |
| Secondary | Time to First Use of Rescue Medication. | Not Posted | measured from end of surgery up to 1 week postsurgery |
| Secondary | Amount of Rescue Medication | Not Posted | consumed by the patient every 15-minutes postsurgery up to 6 hours postsurgery |
| Secondary | Rescue Medication Consumption | Not Posted | consumed by the patient from end of surgery up to 24 and up to 48 hours postsurgery |
| Secondary | Patient and Investigator Global Evaluation of the Effectiveness of Treatment | Not Posted | at 6 hour postsurgery and on Day 3 |
| Secondary | Time to Onset of Pain | Not Posted | measured from end of surgery up to 12 hours postsurgery |
| Secondary | Wound Healing | Not Posted | at 6 hour postsurgery, and on day 3 and 1 week postsurgery |
| Secondary | Recurrent Bleeding | Not Posted | every hour up to 6 hour postsurgery |
| Secondary | Vital Signs | Not Posted | presurgery (within 30 days from surgery), at day of surgery (day 1), day 3 and 1 week postsurgery. |
| Secondary | Number of Patients With Adverse Events | Not Posted | from signature of the informed consent to 1 week postsurgery |
| 0 |
| 15 |
| 6 |
| 15 |
| EG001 | Diclofenac Sodium 12.5 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. | 0 | 15 | 7 | 15 |
| EG002 | Diclofenac Sodium 25 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. | 0 | 15 | 5 | 15 |
| EG003 | Diclofenac Sodium 50 mg/mL | Diclofenac sodium: One single diclofenac injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. | 0 | 14 | 5 | 14 |
| EG004 | Placebo 1 mL | One single placebo injection into the surgical area before surgery but as soon as the anaesthetic has taken effect. | 0 | 16 | 6 | 16 |
| vomiting | Gastrointestinal disorders |
|
| injection site pain | General disorders |
|
| swelling | General disorders |
|
| headache | Nervous system disorders |
|
| pain in jaw | Musculoskeletal and connective tissue disorders |
|
| dizziness | Nervous system disorders |
|
| injection site swelling | General disorders |
|
| linphadenopathy | Blood and lymphatic system disorders |
|
| nausea | Gastrointestinal disorders |
|
| gingival ulceration | Gastrointestinal disorders |
|
| procedural pain | Injury, poisoning and procedural complications |
|
| lethargy | Nervous system disorders |
|
| somnolence | Nervous system disorders |
|
| oropharyngeal pain | Respiratory, thoracic and mediastinal disorders |
|
| diarrhoea | Gastrointestinal disorders |
|
| wound infection | Infections and infestations |
|
| joint stiffness | Musculoskeletal and connective tissue disorders |
|
| hot flush | Vascular disorders |
|
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| D010335 | Pathologic Processes |