Epidural Neostigmine for Labor Pain

NCT ID: NCT00779467

Last Updated: 2018-09-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2013-11-30

Brief Summary

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The purpose of this study is to see which dose of epidural neostigmine is the best additive to use with the numbing medication used in an epidural during labor.

Detailed Description

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This study is examining the use of the non-narcotic medication, neostigmine, in combination with the local anesthetic bupivacaine when compared with the commonly used narcotic fentanyl in providing pain relief with the fewest side effects in labor analgesia.

Conditions

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Labor Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Bupivacaine with Neostimgine 8 mcg/ml

STUDY DRUG INFUSION WITH NEOSTIGMINE 8 MCG/ML

Group Type EXPERIMENTAL

Neostigmine

Intervention Type DRUG

utilizing 3 different dosages of neostigmine and comparing it to the standard of fentanyl. Infusion runs via PCA throughout labor analgesia.

Bupivacaine

Intervention Type DRUG

Bupivacaine and Neostigmine 4 mcg/ml

STUDY DRUG INFUSION CONC NEOSTIGMINE 4 MCG/ML

Group Type EXPERIMENTAL

Neostigmine

Intervention Type DRUG

utilizing 3 different dosages of neostigmine and comparing it to the standard of fentanyl. Infusion runs via PCA throughout labor analgesia.

Bupivacaine

Intervention Type DRUG

Bupivacaine with Neostigmine 2 mcg/ml

STUDY DRUG INFUSION NEOSTIGMINE 2 MCG/ML

Group Type EXPERIMENTAL

Neostigmine

Intervention Type DRUG

utilizing 3 different dosages of neostigmine and comparing it to the standard of fentanyl. Infusion runs via PCA throughout labor analgesia.

Bupivacaine

Intervention Type DRUG

BUPIVACAINE WITH FENTANYL 2 MCG/ML

Bupivacaine with fentanyl 2 mcg/ml. STANDARD INFUSION

Group Type ACTIVE_COMPARATOR

Bupivacaine

Intervention Type DRUG

fentanyl

Intervention Type DRUG

fentanyl 2 mcg/ml

Interventions

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Neostigmine

utilizing 3 different dosages of neostigmine and comparing it to the standard of fentanyl. Infusion runs via PCA throughout labor analgesia.

Intervention Type DRUG

Bupivacaine

Intervention Type DRUG

fentanyl

fentanyl 2 mcg/ml

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Healthy pregnancy
* Term pregnancy ( \> 37 weeks)
* Primiparous or multiparous
* Induction or spontaneous labor greater or = 18 years of age
* Cervical exam on entry \</=5 cm

Exclusion Criteria

* Weight \> 115 kg
* Non-English speaking
* IV analgesics within 60 minutes prior to epidural being administered
* Allergy to local anesthetics or neostigmine
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter H Pan, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences OB Anesthesia

Locations

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Forsyth Medical Center

Winston-Salem, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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IRB00005917

Identifier Type: -

Identifier Source: org_study_id

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