Tropisetron on Postoperative Pain

NCT ID: NCT01304953

Last Updated: 2011-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

296 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2010-12-31

Brief Summary

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The role of 5-HT3A receptors in nociceptive processing has been demonstrated in several animal models. However, studies in human volunteers have not been reported except for one recent study suggesting that ondansetron could alleviate propofol-induced nociception. Previous studies demonstrated that patients anaesthetized with sevoflurane have more pain than those anaesthetized with propofol. And we further posit that the difference is due to the nociceptive processing induced by the action of 5-HT3A receptors.

In this prospective, randomized, double-blind, placebo-controlled study, we assessed the analgesic action of a 5-HT3A receptor antagonist (tropisetron) in women after gynaecological laparoscopy under general anaesthesia maintained with either sevoflurane or propofol.

Detailed Description

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Conditions

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Pain, Postoperative

Keywords

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General anaesthetics gynaecological laparoscopy anaesthetic i.v. propofol anaesthetic volatile evoflurane antiemetics reopisetron postoperative pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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P+P

Group Type PLACEBO_COMPARATOR

Group P+P

Intervention Type DRUG

In this arm, anaesthesia was maintained with propofol and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely propofol was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received saline placebo i.v. after the induction of anaesthesia.

P+T

Group Type EXPERIMENTAL

Group P+T

Intervention Type DRUG

In this arm, anaesthesia was maintained with propofol and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely propofol was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received tropisetron 2 mg i.v. after the induction of anaesthesia.

S+P

Group Type PLACEBO_COMPARATOR

Group S+P

Intervention Type DRUG

In this arm, anesthesia was maintained by sevoflurane and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely sevoflurane was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received saline placebo i.v. after the induction of anaesthesia.

S+T

Group Type EXPERIMENTAL

Group S+T

Intervention Type DRUG

In this arm, anesthesia was maintained by sevoflurane and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely sevoflurane was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received tropisetron 2 mg i.v. after the induction of anaesthesia.

Interventions

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Group P+P

In this arm, anaesthesia was maintained with propofol and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely propofol was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received saline placebo i.v. after the induction of anaesthesia.

Intervention Type DRUG

Group P+T

In this arm, anaesthesia was maintained with propofol and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely propofol was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received tropisetron 2 mg i.v. after the induction of anaesthesia.

Intervention Type DRUG

Group S+P

In this arm, anesthesia was maintained by sevoflurane and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely sevoflurane was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received saline placebo i.v. after the induction of anaesthesia.

Intervention Type DRUG

Group S+T

In this arm, anesthesia was maintained by sevoflurane and remifentanil (0.1 μg kg-1 min-1), and primary anaesthetic namely sevoflurane was titrated to maintain intraoperative BIS values between 45 and 55. If the patient did not respond to increases in the level of primary anaesthetic, additional doses of remifentanil up to 0.2 μg kg-1 min-1 were permitted to provide a more cardio-stable anaesthesia.

Patients in this arms received tropisetron 2 mg i.v. after the induction of anaesthesia.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* female patients
* American Society of Anaesthesiologists Physical Status (ASA-PS) I or II
* undergoing selective gynaecological laparoscopies for infertilities

Exclusion Criteria

* aged under 18 years old
* body mass index (BMI) \> 30
* history of cardiovascular disease
* history of respiratory disease
* history of neurologic disease
* history of chronic antidepressants
* history of anxiolytics
* history of chronic analgesics intake
* participating in other studies
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Huazhong University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Department of Anesthesiology, Tongji Hospital, Tongji medical college, Huazhong University of science and Technology

Principal Investigators

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Wei Mei

Role: STUDY_DIRECTOR

Department of Anaesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan 430030, China

Yuke Tian, MD.

Role: STUDY_CHAIR

Department of Anaesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan 430030, China

Locations

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Tongji Hospital

Wuhan, Hubei, China

Site Status

Countries

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China

Other Identifiers

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TJHMZK11001

Identifier Type: -

Identifier Source: org_study_id