Title
Efficacy and Safety of CLIFE1 Gel in Benign Anorectal Surgery
Double-blinded Multicenter Randomized Clinical Trial to Evaluate the Efficacy and Safety of CLIFE1 and CLIFE2 Gels in Benign Anorectal Surgery
Phase
Phase 4Lead Sponsor
Hospital de ViladecansStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Fissure;Anal Fistula;Rectal HemorrhoidsIntervention/Treatment
diclofenac lidocaine ...Study Participants
120Double-blinded multicenter randomized clinical trial to evaluate the efficacy and safety of CLIFE2 (lidocaine, referred as treatment A) respect CLIFE1 (lidocaine plus diclofenac, referred as treatment B) in benign anorectal surgery.
120 patients were randomly assigned to two groups (60 in each group). The study was conducted in two parallel groups, with 1:1 randomization stratified by type of surgery and centre.
Treatment with CLIFE 1 and CLIFE 2 was applied from day 1 to day 6 post-surgery
anesthesics plus antiinflammatory, CLIFE1 topical gel containing lidocaine plus diclofenac anesthesics plus antiinflammatory
local anesthesics, CLIFE2 topical gel containing lidocaine local anesthesics
Clife1 gel (lidocaine plus diclofenac) Topical gel containing lidocaine (2%) plus diclofenac (0.5%) (15 g in total) Application of the gel bid from first day post-surgery to day 3 and once daily from day 4 to day 6
Clife2 gel (lidocaine) Topical gel containing lidocaine (2%) (15 g in total) Application of the gel bid from first day post-surgery to day 3 and once daily from day 4 to day 6
Inclusion Criteria: Patients undergoing benign anorectal surgery (out or inpatients), with the following diagnoses: anal fissure, fistula, hemorrhoids Use of subarachnoid anesthesia with lidocaine Exclusion Criteria: Allergy or Hypersensitivity to lidocaine or other local anesthesics. Patients not accepting subarachnoid anesthesia Patients with general anesthesia Hypersensitivity or contraindication to acetylsalicylic acid. History of gastrointestinal hemorrhage or perforation due to nonsteroidal anti-inflammatory drugs (NSAIDs) use Active or relapsing peptic ulcer/gastrointestinal hemorrhage Serious heart failure. Active Crohn disease Active ulcerative colitis Moderate or sever renal failure Severe liver disfunction Coagulation disorders requiring treatment with anticoagulant drugs Proctitis (due to autoimmune disease, foreign substances, sucally transmitted diseases Treatment with: Beta blockers, calcium channel blockers (verapamil and diltiazem), anti-arrhythmics (digoxin, amiodarone), ivabradine, lithium, steroids Pregnancy