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Acute Post-operative Pain in Colon Resections (ERAS-PO)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03403842
Recruitment Status : Unknown
Verified February 2019 by Marco Gemma, IRCCS San Raffaele.
Recruitment status was:  Recruiting
First Posted : January 19, 2018
Last Update Posted : February 7, 2019
Sponsor:
Information provided by (Responsible Party):
Marco Gemma, IRCCS San Raffaele

Brief Summary:
Objective of the study is to compare three different analgesic techniques in patients undergoing laparoscopic colon resections: peridural catheter, patient controlled analgesia of endovenous morphine and patient controlled analgesia of sufentanil sublingual tablets.

Condition or disease Intervention/treatment Phase
Analgesia Device: Sublingual sufentanil tablet system Device: Peridural catheter Drug: PCA Morphine Not Applicable

Detailed Description:

159 patients undergoing laparoscopic colon resections will be enrolled and randomized in three different groups.

Patients in the first group will be subjected to the positioning of a peridural catheter with a continuous infusion of ropivacaine 0,2%99 ml+sufentanil 50 mcg at an infusion rate of 4-6 ml/h.

In the second group participants will receive an intraoperative bolus of morphine (0,05mg/kg) and post-operatively a patient controlled analgesia of endovenous morphine (injection dose 1 mg,lock-out 10 minutes,maximum morphine dosage for hour 4 mg).

In the third group the investigators will adopt an intraoperative bouls of morphine (0,05mg/kg) and post-operatively a patient controlled analgesia of sufentanil sublingual tablets( 15 mcg, lock-out 20 minutes)

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 159 participants
Allocation: Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Treatment of Acute Post-operative Pain in Patients Undergoing Laparoscopic Colon Resections
Actual Study Start Date : February 1, 2018
Estimated Primary Completion Date : August 1, 2019
Estimated Study Completion Date : August 1, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: PERIDURAL
Peridural catheter positioning with a continuous infusion of ropivacaine 0,2% 99 ml+ sufentanil 50 mcg at an infusion rate of 4-6 ml/h
Device: Peridural catheter
Positioning of a peridural catheter with a continuous infusion of ropivacaine 0,2% 99 ml+sufentanil 50 mcg

Active Comparator: PCA MORPHINE
Patient controlled analgesia of endovenous morphine, injection dose 1 mg, lock-out time 10 minutes, maximum dosage for hour 4 mg
Drug: PCA Morphine
Administration of endovenous morphine with a PCA

Experimental: SSTS
Patients controlled analgesia of sublingual sufentanil tablet system, 15 mcg sufentanil tablets, lock out time 20 minutes
Device: Sublingual sufentanil tablet system
Administration of sublingual sufentanil with a PCA
Other Name: Zalviso




Primary Outcome Measures :
  1. Pain intensity change in the post-operative period depending on the adopted analgesic treatment [ Time Frame: NRS will be evaluated in recovery room at 30 minutes after the end of surgery and at 6-24-48-72 hours after the end of surgery or until to the end of the proposed analgesic treatment ]
    The intensity of acute post-operative pain will be evaluated ,according NRS(numerical rating scale) by our Acute pain Service.NRS is a 11 point scale for patient self-reporting of pain, where zero represents no pain and ten is considered as the worst pain ever possible


Secondary Outcome Measures :
  1. Side effects [ Time Frame: The onset of possible side effects will be monitored from randomization until to the end of the proposed analgesic treatment, assessed up to 72 hours ]
    Evaluation of possible side effects according to the technique adopted



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 99 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age>18 Patients undergoing laparoscopic colon resections/ Acceptance informed consent

Exclusion Criteria:

  • Contraindications to the positioning of a peridural catheter/ Previous allergic reactions to the drugs used in the study/ inability of using patient controlled analgesia system

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03403842


Contacts
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Contact: stefano turi, md 0226432656 turi.stefano@hsr.it
Contact: marco gemma, md 0226432656 gemma.marco@hsr.it

Locations
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Italy
S. Raffaele Hospital Recruiting
Milano, MI, Italy, 20132
Contact: Marco Gemma, MD    ++390226432656    gemma.marco@hsr.it   
Principal Investigator: stefano turi, MD         
Sponsors and Collaborators
IRCCS San Raffaele
Publications:

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Responsible Party: Marco Gemma, Principal Investigator, IRCCS San Raffaele
ClinicalTrials.gov Identifier: NCT03403842    
Other Study ID Numbers: 125/INT/2017
First Posted: January 19, 2018    Key Record Dates
Last Update Posted: February 7, 2019
Last Verified: February 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Pain, Postoperative
Postoperative Complications
Pathologic Processes
Pain
Neurologic Manifestations
Sufentanil
Morphine
Analgesics, Opioid
Narcotics
Central Nervous System Depressants
Physiological Effects of Drugs
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Adjuvants, Anesthesia
Anesthetics, Intravenous
Anesthetics, General
Anesthetics