Last reviewed · How we verify

NCT03917823

Intercostal Cryoneurolysis Following Traumatic Rib Fractures

Terminated NA Results posted Last updated 11 March 2021
What this trial tests

NA trial testing Cryoneurolysis in Rib Fractures in 4 participants. Terminated before completion.

Timeline
20 April 2019
Primary endpoint
24 September 2019
25 March 2020

Quick facts

Lead sponsorUniversity of California, San Diego
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment4
Start date20 April 2019
Primary completion24 September 2019
Estimated completion25 March 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of California, San Diego

Who can join

18 and older, any sex, with Rib Fractures. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Average Resting Pain Score Primary · Day following treatment

Pain score measured using the numeric rating scale for pain: 0=no pain and 10=worst imaginable pain

GroupValue95% CI
Cryoneurolysis (Active)5.0± 2.8
Sham8.3± 1.8
Average Pain Score Secondary · Days 2-4, Weeks 1-3, Months 1,3,6

Pain score measured using the numeric rating scale for pain: 0=no pain and 10=worst imaginable pain

Day 2
GroupValue95% CI
Cryoneurolysis (Active)1.5± 2.1
Sham8.3± 0.4
Day 3
GroupValue95% CI
Cryoneurolysis (Active)3.5± 4.9
Sham8.5± 0
Day 4
GroupValue95% CI
Cryoneurolysis (Active)1.5± 2.1
Sham8.0± 0
Week 1
GroupValue95% CI
Cryoneurolysis (Active)2.0± 2.8
Sham8.0± 0
Week 2
GroupValue95% CI
Cryoneurolysis (Active)1.0± 1.4
Sham4.5± 0
Week 3
GroupValue95% CI
Cryoneurolysis (Active)1.0± 1.4
Sham3.5± 0
Week 4
GroupValue95% CI
Cryoneurolysis (Active)1.0± 1.4
Sham4.5± 0
Month 3
GroupValue95% CI
Cryoneurolysis (Active)1.0± 0
Sham3.0± 0
Worst Pain Score Secondary · Days 1-4, weeks 1-4, months 3 & 6

Pain score measured using the numeric rating scale for pain: 0=no pain and 10=worst imaginable pain

Day 1
GroupValue95% CI
Cryoneurolysis (Active)7.5± 3.5
Sham9.8± 0.4
Day 2
GroupValue95% CI
Cryoneurolysis (Active)4.0± 5.7
Sham9.5± 0.7
Day 3
GroupValue95% CI
Cryoneurolysis (Active)4.3± 6
Sham10
Day 4
GroupValue95% CI
Cryoneurolysis (Active)3.5± 4.9
Sham10
Week 1
GroupValue95% CI
Cryoneurolysis (Active)3.3± 4.6
Sham10
Week 2
GroupValue95% CI
Cryoneurolysis (Active)3.5± 4.9
Sham7.5
Week 3
GroupValue95% CI
Cryoneurolysis (Active)3.0± 4.2
Sham7.0
Week 4
GroupValue95% CI
Cryoneurolysis (Active)3.0± 4.2
Sham5.0
Opioid Consumption Secondary · Days 1-4, 7, 14, 21, and months 1, 3 and 6

Number of opioid tablets consumed previous 24 hours (oxycodone 5 mg)

Day 1
GroupValue95% CI
Cryoneurolysis (Active)5.5± 6.5
Sham2.8± 3.9
Day 2
GroupValue95% CI
Cryoneurolysis (Active)0.5± 0.7
Sham14.5± 4.9
Day 3
GroupValue95% CI
Cryoneurolysis (Active)1.0± 1.4
Sham18± 10
Day 4
GroupValue95% CI
Cryoneurolysis (Active)1.0± 1.4
Sham24.0± 0
Week 1
GroupValue95% CI
Cryoneurolysis (Active)2.0± 2.8
Sham22.0± 0
Week 2
GroupValue95% CI
Cryoneurolysis (Active)2.0± 2.8
Sham10± 0
Week 3
GroupValue95% CI
Cryoneurolysis (Active)1.5± 2.1
Sham12.0± 0
Week 4
GroupValue95% CI
Cryoneurolysis (Active)0.5± 0.7
Sham0± 0
Incentive Spirometer Volume Secondary · Days 1-4, 7, 14, and 21

maximum incentive spirometer volume

Day 1
GroupValue95% CI
Cryoneurolysis (Active)2625± 530
Sham1675± 1520
Day 2
GroupValue95% CI
Cryoneurolysis (Active)2375± 177
Sham1575± 1662
Day 3
GroupValue95% CI
Cryoneurolysis (Active)2500± 354
Sham500
Day 4
GroupValue95% CI
Cryoneurolysis (Active)2875± 884
Sham500
Day 7
GroupValue95% CI
Cryoneurolysis (Active)2750± 707
Sham750
Day 14
GroupValue95% CI
Cryoneurolysis (Active)2875± 884
Sham1250
Day 21
GroupValue95% CI
Cryoneurolysis (Active)2875± 884
Sham1250

Sponsor's own description

Rib fractures are one of the most common injuries in trauma patients. These fractures are associated with significant pain as well as decreased ability to inspire deeply or cough to clear secretions, which together lead to pulmonary complications and a high degree of morbidity and mortality. Peripheral nerve blocks as well as epidural blocks have been used with success to improve pain control in rib fracture patients and have been associated with decreased pulmonary complications and improved outcomes. However, a single-injection nerve block lasts less than 24 hours; and, even a continuous nerve block is generally limited to 3-4 days. The pain from rib fractures usually persists for multiple weeks or months. In contrast to local anesthetic-induced nerve blocks, a prolonged block lasting a few weeks/months may be provided by freezing the nerve using a process called "cryoneurolysis". The goal of this randomized, double-masked, sham-controlled study is to evaluate the potential of cryoanalgesia to decrease pain and improve pulmonary mechanics in patients with rib fractures.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

Verify or expand the search:

Other trials of Cryoneurolysis

Trials testing the same drug.

Other recruiting trials for Rib Fractures

Currently open trials in the same condition.

Other University of California, San Diego trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03917823.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing