Trial Outcomes & Findings for Preoperative Gabapentin for Post-tonsillectomy Pain in Children (NCT NCT01707420)

NCT ID: NCT01707420

Last Updated: 2021-01-15

Results Overview

Total mean oral analgesic requirement (cumulative hydrocodone dose (mg/kg)) at nine time points between 0 and 36 hrs post operatively.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

Up to 36 hours

Results posted on

2021-01-15

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo Group
Participants received placebo prior to tonsillectomy
Gabapentin Group
Participants received gabapentin prior to tonsillectomy
Overall Study
STARTED
18
18
Overall Study
COMPLETED
18
18
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Preoperative Gabapentin for Post-tonsillectomy Pain in Children

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=18 Participants
Placebo group
Gabapentin
n=18 Participants
Gabapentin
Total
n=36 Participants
Total of all reporting groups
Age, Customized
Median age (years)
8.0 years
n=5 Participants
8.0 years
n=7 Participants
8.0 years
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
14 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
18 Participants
n=7 Participants
35 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
18 participants
n=7 Participants
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 36 hours

Population: Healthy children aged 5 - 16 years old.

Total mean oral analgesic requirement (cumulative hydrocodone dose (mg/kg)) at nine time points between 0 and 36 hrs post operatively.

Outcome measures

Outcome measures
Measure
Placebo Group
n=18 Participants
Participants received placebo prior to tonsillectomy
Gabapentin Group
n=18 Participants
Participants received gabapentin prior to tonsillectomy
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 1h
0.121 cumulative hydrocodone (mg/kg)
Standard Deviation 0.067
0.087 cumulative hydrocodone (mg/kg)
Standard Deviation 0.066
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 36h
0.228 cumulative hydrocodone (mg/kg)
Standard Deviation 0.106
0.224 cumulative hydrocodone (mg/kg)
Standard Deviation 0.165
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 24h
0.200 cumulative hydrocodone (mg/kg)
Standard Deviation 0.107
0.193 cumulative hydrocodone (mg/kg)
Standard Deviation 0.148
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 12h
0.171 cumulative hydrocodone (mg/kg)
Standard Deviation 0.079
0.165 cumulative hydrocodone (mg/kg)
Standard Deviation 0.116
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 8h
0.157 cumulative hydrocodone (mg/kg)
Standard Deviation 0.067
0.132 cumulative hydrocodone (mg/kg)
Standard Deviation 0.086
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 4h
0.135 cumulative hydrocodone (mg/kg)
Standard Deviation 0.060
0.109 cumulative hydrocodone (mg/kg)
Standard Deviation 0.066
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 1.5h
0.127 cumulative hydrocodone (mg/kg)
Standard Deviation 0.060
0.087 cumulative hydrocodone (mg/kg)
Standard Deviation 0.066
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 0.5h
0.107 cumulative hydrocodone (mg/kg)
Standard Deviation 0.077
0.068 cumulative hydrocodone (mg/kg)
Standard Deviation 0.046
Total Oral Analgesia Consumption
cumulative hydrocodone (mg/kg) at 0h
0.079 cumulative hydrocodone (mg/kg)
Standard Deviation 0.077
0.011 cumulative hydrocodone (mg/kg)
Standard Deviation 0.033

SECONDARY outcome

Timeframe: Up to 36 hours

Self-report pain scores at rest, using Bieri Faces Scale-Revised. The Bieri Faces Scale-Revised is a patient-reported measure in which patients indicate their pain level by selecting a face with an expression corresponding to their level of pain. Scores range from 0 to 10, with higher scores indicating worse pain. Pain was assessed at eight time points ranging from 0.5 to 36 hours post op.

Outcome measures

Outcome measures
Measure
Placebo Group
n=18 Participants
Participants received placebo prior to tonsillectomy
Gabapentin Group
n=18 Participants
Participants received gabapentin prior to tonsillectomy
Self-report Pain Score at Rest
0.5 hours
5.33 score on a scale
Standard Deviation 2.94
5.08 score on a scale
Standard Deviation 2.71
Self-report Pain Score at Rest
1.0 hours
4.33 score on a scale
Standard Deviation 2.74
5.80 score on a scale
Standard Deviation 4.02
Self-report Pain Score at Rest
1.5 hours
4.00 score on a scale
Standard Deviation 2.45
3.60 score on a scale
Standard Deviation 3.30
Self-report Pain Score at Rest
4 hours
3.46 score on a scale
Standard Deviation 2.70
3.00 score on a scale
Standard Deviation 2.28
Self-report Pain Score at Rest
8 hours
3.91 score on a scale
Standard Deviation 2.57
2.71 score on a scale
Standard Deviation 1.93
Self-report Pain Score at Rest
12 hours
2.69 score on a scale
Standard Deviation 2.34
4.20 score on a scale
Standard Deviation 2.35
Self-report Pain Score at Rest
24 hours
3.04 score on a scale
Standard Deviation 2.32
4.61 score on a scale
Standard Deviation 2.96
Self-report Pain Score at Rest
36 hours
1.95 score on a scale
Standard Deviation 1.74
4.00 score on a scale
Standard Deviation 1.07

SECONDARY outcome

Timeframe: Up to 36 hours

Self-report pain scores when swallowing using Bieri Faces Scale-Revised. The Bieri Faces Scale-Revised is a patient-reported measure in which patients indicate their pain level by selecting a face with an expression corresponding to their level of pain. Scores range from 0 to 10, with higher scores indicating worse pain. Pain was assessed at eight time points ranging from 0 to 36 hours post op.

Outcome measures

Outcome measures
Measure
Placebo Group
n=18 Participants
Participants received placebo prior to tonsillectomy
Gabapentin Group
n=18 Participants
Participants received gabapentin prior to tonsillectomy
Self-report Pain Score When Swallowing
0.5 Hours
6.47 score on a scale
Standard Deviation 3.16
5.42 score on a scale
Standard Deviation 3.37
Self-report Pain Score When Swallowing
1 Hours
4.78 score on a scale
Standard Deviation 2.95
6.00 score on a scale
Standard Deviation 3.65
Self-report Pain Score When Swallowing
1.5 Hours
5.40 score on a scale
Standard Deviation 3.71
5.50 score on a scale
Standard Deviation 2.99
Self-report Pain Score When Swallowing
4 Hours
4.30 score on a scale
Standard Deviation 1.64
4.27 score on a scale
Standard Deviation 3.44
Self-report Pain Score When Swallowing
8 Hours
5.30 score on a scale
Standard Deviation 2.67
4.00 score on a scale
Standard Deviation 2.18
Self-report Pain Score When Swallowing
12 Hours
3.86 score on a scale
Standard Deviation 2.27
4.80 score on a scale
Standard Deviation 2.86
Self-report Pain Score When Swallowing
24 Hours
5.46 score on a scale
Standard Deviation 2.88
5.65 score on a scale
Standard Deviation 3.64
Self-report Pain Score When Swallowing
36 Hours
3.70 score on a scale
Standard Deviation 2.41
5.13 score on a scale
Standard Deviation 2.47

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Gabapentin

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=18 participants at risk
Placebo group
Gabapentin
n=18 participants at risk
Gabapentin group
Surgical and medical procedures
Unplanned admission post tonsillectomy
5.6%
1/18 • Number of events 1
38.9%
7/18 • Number of events 7
Nervous system disorders
Dizziness
0.00%
0/18
11.1%
2/18 • Number of events 2
Gastrointestinal disorders
Nausea
11.1%
2/18 • Number of events 2
11.1%
2/18 • Number of events 2

Additional Information

Thomas Notides

University of Colorado

Phone: 720-777-6005

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place