Preventing Pain After Heart Surgery

NCT ID: NCT01480765

Last Updated: 2024-11-05

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-12

Study Completion Date

2013-03-07

Brief Summary

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The use of pre-emptive analgesia to prevent pain following sternotomy for cardiac surgery

Detailed Description

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Conditions

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Pain Hyperalgesia Chronic Illness Neuropathic 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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Control: Placebo + Placebo

Placebo capsules and Placebo infusion

Group Type PLACEBO_COMPARATOR

Placebo capsules

Intervention Type DRUG

Single capsule (2hrs) pre operatively and twice daily post operatively for 10 days, followed by dose reduction to single capsule twice daily for 2 days and finally to single capsule twice daily for 2 days

Placebo infusion

Intervention Type DRUG

Normal saline placebo intravenous infusion for 48 hours

Pregabalin and Placebo infusion

Pregabalin capsules and Placebo infusion

Group Type ACTIVE_COMPARATOR

Pregabalin

Intervention Type DRUG

150mg (2hrs) pre operatively and twice daily post operatively for 10 days, followed by dose reduction to 75mg twice daily for 2 days and finally to 50 mg twice daily for 2 days

Placebo infusion

Intervention Type DRUG

Normal saline placebo intravenous infusion for 48 hours

Pregabalin + Ketamine infusion

Pregabalin capsules + Ketamine infusion

Group Type ACTIVE_COMPARATOR

Pregabalin

Intervention Type DRUG

150mg (2hrs) pre operatively and twice daily post operatively for 10 days, followed by dose reduction to 75mg twice daily for 2 days and finally to 50 mg twice daily for 2 days

Ketamine infusion

Intervention Type DRUG

0.1mg/kg/hr for 48 hours post operatively

Interventions

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Pregabalin

150mg (2hrs) pre operatively and twice daily post operatively for 10 days, followed by dose reduction to 75mg twice daily for 2 days and finally to 50 mg twice daily for 2 days

Intervention Type DRUG

Ketamine infusion

0.1mg/kg/hr for 48 hours post operatively

Intervention Type DRUG

Placebo capsules

Single capsule (2hrs) pre operatively and twice daily post operatively for 10 days, followed by dose reduction to single capsule twice daily for 2 days and finally to single capsule twice daily for 2 days

Intervention Type DRUG

Placebo infusion

Normal saline placebo intravenous infusion for 48 hours

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed Consent
* First time sternotomy for all cardiac surgery
* Patient aged 18 - 80 years

Exclusion Criteria

* Emergency surgery (decision to operate taken on the day of surgery)
* Previous sternotomy
* Preoperative renal failure (eGFR \<60 ml/min)
* History of chronic non-anginal pain
* Chronic pain medication other than paracetamol and non-steroidal anti-inflammatory drugs
* Concurrent use of oxycodone, lorazepam, or ethanol.
* Concurrent use of any drugs for neuropathic pain e.g. antiepileptics, antidepressants
* Allergy to pregabalin, gabapentin or ketamine
* Pregnancy
* Limited understanding of numerical scoring scales
* Previous participation in other trials investigating analgesic agents or any IMP in previous three months
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Barts & The London NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sibtain Anwar, MA MB FRCA

Role: STUDY_DIRECTOR

Barts and The London NHS Trust

Locations

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Pain and Ananesthesia Research Centre, Barts and The London NHS Trust

London, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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2010-024462-21

Identifier Type: REGISTRY

Identifier Source: secondary_id

11/H0703/7

Identifier Type: REGISTRY

Identifier Source: secondary_id

Reda 007583

Identifier Type: -

Identifier Source: org_study_id

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