Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 and up

Lidocaine versus diphenhydramine for numbing simple skin lacerations

Official title: Lidocaine Versus Diphenhydramine to Achieve Local Anesthesia for Laceration Repairs

Run by Florida Atlantic University · NCT06910241 · Data updated 2026-11-12

This study will see if injected diphenhydramine numbs simple lacerations as well as 1% lidocaine for people who need stitches in the emergency department.

More Laceration of Skin trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorFlorida Atlantic University
Academic / other
Locations1 site (Boynton Beach, Florida)
StatusRecruiting
StartedSeptember 3, 2025
Main results expectedJune 30, 2027
Study endsJune 30, 2028
Registry record updatedJanuary 7, 2026
Trial IDNCT06910241 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are people who present to the emergency department with simple lacerations that need one-layer suturing and can be repaired by emergency physicians.

Probably not a fit

Patients with active bleeding, complex or multi-layer lacerations, those needing specialist repair, those allergic to diphenhydramine or lidocaine, or those who would benefit from epinephrine are unlikely to benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults presenting to the emergency department with simple skin lacerations that require a single-layer suture and are appropriate for repair by emergency physicians will be enrolled. Participants will receive local infiltration with either diphenhydramine or 1% lidocaine and pain scores for the injection and the repair procedure will be recorded. The study is designed as a noninferiority comparison to determine whether diphenhydramine provides similar anesthesia to lidocaine for bedside laceration repair. Patients with active bleeding, complex lacerations, allergies to the study drugs, or cases where epinephrine would be beneficial are excluded.

Why it matters

Potential benefit: If diphenhydramine is noninferior to lidocaine, it could offer an alternative local anesthetic option when lidocaine is contraindicated or unavailable.

How similar studies have gone: Small studies and case reports have shown local diphenhydramine can produce anesthesia for minor procedures, but direct, high-quality comparisons to lidocaine are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Lacerations requiring one layer of sutures
* Lacerations appropriate for repair by emergency physicians

Exclusion Criteria:

* Active bleeding from laceration
* Complex lacerations requiring multiple layers
* Lacerations to be repaired by a specialist service
* Patients with allergies to either diphenhydramine or lidocaine
* Laceration repairs would benefit from the use of epinephrine as an additive to the local anesthetic

Where it's running

  • Bethesda Hospital East
    Boynton Beach, Florida, United States
    Recruiting

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.