ED90 of Bupivacaine After Lidocaine Test Dose with DPE and EPL
NCT06146842 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2025-02-10
Summary
The primary objective of our study is to use a biased coin up-down allocation methodology to estimate the dose of bupivacaine required after the lidocaine test dose to achieve initial effective comfort in 90% of patients (post test-dose ED90) via the epidural (DPE or EPL) technique in women undergoing labor induction or augmentation; the investigators hypothesize that the investigators will be able to determine the post test-dose ED90 of bupivacaine for each technique with adequate precision to inform the optimal doses to study in a subsequent randomized trial comparing the analgesic effects of DPE vs. EPL. The investigators also hypothesize that the post test-dose ED90 of bupivacaine is lower with a DPE technique than with a conventional epidural technique.
Conditions
- Labor Pain
Interventions
- DRUG
-
Bupivacaine Hydrochloride
Each subject will receive allocated dose of bupivacaine
Sponsors & Collaborators
-
Brigham and Women's Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- SEQUENTIAL
Eligibility
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-12-01
- Primary Completion
- 2026-01-31
- Completion
- 2026-01-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Study Comparing Dural Puncture Epidural With Epidural and Combined Spinal Epidural Anesthesia for Obstetric Analgesia.
NCT05196256 ·Status: UNKNOWN ·Phase: PHASE3
-
A Comparison of Epidural Techniques for Labour Analgesia
NCT03065569 ·Status: COMPLETED ·Phase: NA
-
Dilute Versus Concentrated Epidural Bupivacaine in Labor
NCT00197327 ·Status: COMPLETED ·Phase: PHASE3
-
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor-3
NCT02887222 ·Status: COMPLETED ·Phase: NA
-
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor
NCT02550262 ·Status: COMPLETED ·Phase: NA
-
Association Between Bolus Rate and the Adequacy of Labor Analgesia Using Timed-intermittent Boluses
NCT02340806 ·Status: COMPLETED ·Phase: NA
-
Combined Spinal-Epidural Versus Traditional Labor Epidural
NCT00151346 ·Status: COMPLETED ·Phase: PHASE4
-
Epidural Analgesia During Labour
NCT03133091 ·Status: COMPLETED ·Phase: PHASE3
-
Ropivacaine and Fentanyl for Labor Epidural Initiation
NCT07076368 ·Status: RECRUITING ·Phase: PHASE3
-
Comparison of Epidural Fentanyl and Clonidine for Breakthrough Pain
NCT01846221 ·Status: COMPLETED ·Phase: PHASE4
-
Preventive Analgesia in Multiparas Undergoing Induction of Labour
NCT00465231 ·Status: COMPLETED ·Phase: NA
-
Compared Efficacy of Patient-controlled Epidural Analgesia With or Without Automatic Boluses
NCT03407209 ·Status: COMPLETED ·Phase: NA
-
Spinal Fentanyl or Epidural Analgesia in the Early First Phase of Induced Labor
NCT04645823 ·Status: COMPLETED ·Phase: PHASE4
-
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor 2
NCT02758405 ·Status: COMPLETED ·Phase: NA
-
Incidence of Pruritus Using Intrathecal Fentanyl Versus Epidural Fentanyl to Initiate Labour Analgesia.
NCT07187427 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A Comparison of Epidural Analgesia: Continuous Infusion Versus Programmed Intermittent Boluses
NCT02510287 ·Status: COMPLETED ·Phase: NA
-
A Randomised Controlled Trial of Remifentanil Intravenous Patient Controlled Analgesia (PCA) Versus Intramuscular Pethidine for Pain Relief in Labour
NCT02179294 ·Status: COMPLETED ·Phase: PHASE4
-
Optimal Regimen of Patient-controlled Epidural Analgesia in Laboring Patients
NCT03566342 ·Status: TERMINATED
-
Deambulatory Epidural During the Labour
NCT02264834 ·Status: COMPLETED ·Phase: PHASE3
-
Prophylactic Ephedrine and Combined Spinal Epidurals for Labor
NCT02062801 ·Status: COMPLETED ·Phase: PHASE4
-
Programmed Intermittent Epidural Bolus Compared With Continuous Infusion in Multiparous Women
NCT06580327 ·Status: RECRUITING ·Phase: NA
-
Role of the Single-shot Spinal Analgesia to Control Labour Pain
NCT02800694 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Epidural, Combined and Dural Puncture Labor Epidural on Pain, and Course of Vaginal Delivery
NCT04290702 ·Status: UNKNOWN ·Phase: NA
-
Pain Control for Cervical Ripening Balloon
NCT07268118 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Comparison Between 2 Methods of Local Anesthetic Administration for Maintaining Labor Analgesia After Dural Puncture Epidural
NCT05034211 ·Status: UNKNOWN ·Phase: NA