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Pain, PostoperativePhase 4NCT03648008

Postoperative Analgesic Effect of Hydromorphone on Partial Pulmonary Resection Under Video-assisted Thoracoscopy

A Phase 4 study testing Hydromorphone and Morphine in people with Pain, Postoperative and Thoracic Surgery, Video-Assisted, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Postoperative pain remains relatively high within 48h for Chinese patients who receive video-assisted thoracoscopic surgery. Multimodal analgesia combines several agents and/or techniques to function on diverse nociceptive mechanisms to enhance pain relief and lessen side effect. Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Hydromorphone and Morphine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
171 participants
Where
1 siteChina
Study dates
5 May 2018to 1 Sep 2018
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 70≥ Age ≥18
  • Selective operation lung section with video-assisted thoracic surgery (VATS)
  • III ≥ American Society of Anesthesiologists classification (ASA classification) ≥I
  • Patients informed and agreed to join the study

Who cannot join

  • Abnormal function of liver and kidney
  • Allergic- dependence history of alcohol, opioids and Local anesthetics
  • No noncompliance
  • Mental disease history,language communication disorder,cicatricial diathesis
  • Underweight or overweight(BMI<18 or >30)
  • Patients not suitable for clinical subjects for other reasons
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  • Sedatives, analgesics, antiemetic drugs and anti pruritus drugs were used within 24 hours before the operation.
  • History of previous abnormal anaesthesia
  • Women during pregnancy or lactation

Trial locations and contacts

1 site in 1 country.

China1 site
  • The second affiliated hospital of Zhejiang University

    Hangzhou, Zhejiang, 310000

Other trials in China

About this study

Official title: Postoperative Analgesic Effect of Hydromorphone on Chinese Patients Receiving Partial Pulmonary Resection Under Video-assisted Thoracoscopy

Postoperative pain remains relatively high within 48h for Chinese patients who receive video-assisted thoracoscopic surgery. Multimodal analgesia combines several agents and/or techniques to function on diverse nociceptive mechanisms to enhance pain relief and lessen side effect. Hydromorphone is a hydrogenated ketone of morphine and approximately 5-10 times more potent. There lacks about efficacy and efficiency of hydromorphone in electrical pump for patient controlled intravenous analgesic (PCIA).

Being tested
Hydromorphone, Morphine
Medical subject headings
Pain, Postoperative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HydromorphoneDrug

    0.002 mg*kg-1 bolus with 0.002 mg*kg-1 background infusion for group BH 0.002 mg*kg-1 bolus without background infusion for group NBH Drug is administered through PCIA pump.

  • MorphineDrug

    0.015 mg*kg-1 bolus without background infusion for group M Drug is administered through PCIA pump.

Study groups in NCT03648008
Study groupRoleWhat they receive
Group MActive comparatorDrug: Morphine Background: No Bolus infusion: 0.015 mg*kg-1
Receives: Drug: Morphine
Group NBHExperimentalDrug: Hydromorphone Background: No Bolus infusion: 0.002 mg*kg-1
Receives: Drug: Hydromorphone
Group BHExperimentalDrug: Hydromorphone Background: 0.002 mg*kg-1*h-1 Bolus infusion: 0.002 mg*kg-1
Receives: Drug: Hydromorphone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rest pain assessment at 0.5 hour after tracheal extubation

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 0.5 hour after tracheal extubation

  2. Rest pain assessment at 8 p.m. surgery day

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at surgery day

  3. Activity pain assessment at 8 p.m. surgery day

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at surgery day

  4. Rest pain assessment at 8 a.m. at first day after surgery

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 a.m. at first day after surgery

  5. Activity pain assessment at 8 a.m. at first day after surgery

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 a.m. at first day after surgery

  6. Rest pain assessment at 8 p.m. at first day after surgery

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at first day after surgery

  7. Activity pain assessment at 8 p.m. at first day after surgery

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at first day after surgery

  8. Rest pain assessment at 8 a.m. at second day after surgery

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 a.m. at second day after surgery

  9. Activity pain assessment at 8 a.m. at second day after surgery

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 a.m. at second day after surgery

  10. Rest pain assessment at 8 p.m. at second day after surgery

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at second day after surgery

  11. Activity pain assessment at 8 p.m. at second day after surgery

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at second day after surgery

  12. Rest pain assessment at 8 a.m. at third day after surgery

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 a.m. at third day after surgery

  13. Activity pain assessment at 8 a.m. at third day after surgery

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 a.m. at third day after surgery

  14. Rest pain assessment at 8 p.m. at third day after surgery

    Visual Analogue Scale/Score to assess pain at rest. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at third day after surgery

  15. Activity pain assessment at 8 p.m. at third day after surgery

    Visual Analogue Scale/Score to assess pain on coughing. VAS range from 0 to 100 millimeter. And 0 stands for no pain, while 100 stands for worst pain. Lower value is better.

    Measured: 8 p.m. at third day after surgery

Secondary outcomes (27)
  1. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 p.m. at surgery day

  2. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 p.m. at surgery day

  3. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 a.m. at first day after surgery

  4. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 a.m. at first day after surgery

  5. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 p.m. at first day after surgery

  6. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 p.m. at first day after surgery

  7. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 a.m. at second day after surgery

  8. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 a.m. at second day after surgery

  9. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 p.m. at second day after surgery

  10. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 p.m. at second day after surgery

  11. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 a.m. at third day after surgery

  12. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 a.m. at third day after surgery

  13. Ratio of Nausea

    Record whether patients experience nausea

    Measured: 8 p.m. at third day after surgery

  14. Ratio of Vomiting

    Record whether patients experience vomiting and how many times do they experience

    Measured: 8 p.m. at third day after surgery

  15. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump

    Measured: 8 p.m. at surgery day

  16. Total Antiemetic usage

    Sum up any antiemetic

    Measured: 8 p.m. at surgery day

  17. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump from last time point

    Measured: 8 a.m. at first day after surgery

  18. Total Antiemetic usage

    Sum up any antiemetic from last time point

    Measured: 8 p.m. at first day after surgery

  19. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump from last time point

    Measured: 8 p.m. at first day after surgery

  20. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump from last time point

    Measured: 8 a.m. at second day after surgery

  21. Total Antiemetic usage

    Sum up any antiemetic from last time point

    Measured: 8 a.m. at second day after surgery

  22. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump from last time point

    Measured: 8 p.m. at second day after surgery

  23. Total Antiemetic usage

    Sum up any antiemetic from last time point

    Measured: 8 p.m. at second day after surgery

  24. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump from last time point

    Measured: 8 a.m. at third day after surgery

  25. Total Antiemetic usage

    Sum up any antiemetic from last time point

    Measured: 8 a.m. at third day after surgery

  26. Total Analgesia usage

    Sum up any extra analgesia when analgesic failure (VAS persistently > 4) with PCIA pump from last time point

    Measured: 8 p.m. at third day after surgery

  27. Total Antiemetic usage

    Sum up any antiemetic from last time point

    Measured: 8 p.m. at third day after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Aug 2018
  2. Study start5 May 2018
  3. Primary completion1 Sep 2018
  4. Study completion1 Sep 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
171 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03648008
Sponsor's protocol ID
2018-014
Status last verified
Aug 2018
First submitted
13 Aug 2018
Last updated
26 Sep 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Hydromorphone and Morphine in people with Pain, Postoperative and Thoracic Surgery, Video-Assisted, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rest pain assessment at 0.5 hour after tracheal extubation (time frame: 0.5 hour after tracheal extubation). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2018.

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