The Effect of Chlorzoxazone on Moderate to Severe Postoperative Pain After Spine Surgery

NCT ID: NCT01933542

Last Updated: 2015-09-17

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

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2015-08-31

Brief Summary

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Chlorzoxazone is a centrally acting muscle relaxant used to treat muscle spasm and the resulting pain or discomfort. It acts on the spinal cord by depressing reflexes. Our purpose is to investigate the effect of chlorzoxazone on moderate to severe postoperative pain after spine surgery. Our hypothesis is that chlorzoxazone can reduce postoperative pain and reduce opioidconsumption and side effects compared to placebo.

Detailed Description

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Conditions

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Chlorzoxazone Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Chlorzoxazone

* Oral administration of chlorzoxazone 500 mg (two 250 mg tablets)
* Morphine. Patient controlled intravenous morphine (PCA-pump), bolus 2.5 mg, lock-out-time 10 minutes. Concentration : Morphin 1 mg/ml.
* Zofran 4 mg iv in case of moderate to severe nausea, supplemented by Zofran 1 mg iv if needed

Group Type ACTIVE_COMPARATOR

Chlorzoxazone

Intervention Type DRUG

Two 250 mg chlorzoxazone tablets

Morphine

Intervention Type DRUG

Patient controlled intravenous morphine (PCA-pump), bolus 2.5 mg, lock-out-time 10 minutes. Concentration : Morphin 1 mg/ml.

Zofran

Intervention Type DRUG

Zofran 4 mg iv. in case of moderate to severe nausea, supplemented by Zofran 1 mg iv. if needed

Placebo

* Oral administration of two placebo tablets
* Morphine. Patient controlled intravenous morphine (PCA-pump), bolus 2.5 mg, lock-out-time 10 minutes. Concentration : Morphin 1 mg/ml.
* Zofran 4 mg iv in case of moderate to severe nausea, supplemented by Zofran 1 mg iv if needed

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Two placebo tablets identical to the chlorzoxazone tablets.

Morphine

Intervention Type DRUG

Patient controlled intravenous morphine (PCA-pump), bolus 2.5 mg, lock-out-time 10 minutes. Concentration : Morphin 1 mg/ml.

Zofran

Intervention Type DRUG

Zofran 4 mg iv. in case of moderate to severe nausea, supplemented by Zofran 1 mg iv. if needed

Interventions

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Placebo

Two placebo tablets identical to the chlorzoxazone tablets.

Intervention Type DRUG

Chlorzoxazone

Two 250 mg chlorzoxazone tablets

Intervention Type DRUG

Morphine

Patient controlled intravenous morphine (PCA-pump), bolus 2.5 mg, lock-out-time 10 minutes. Concentration : Morphin 1 mg/ml.

Intervention Type DRUG

Zofran

Zofran 4 mg iv. in case of moderate to severe nausea, supplemented by Zofran 1 mg iv. if needed

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing spine surgery in general anaesthesia.
* Postoperative pain \> 50 mm on the VAS scale during mobilization.
* Patients who have not received analgesia 1 hour prior to inclusion.
* ASA 1-3.
* BMI \> 18 og \< 40.
* Fertile women need a negative HCG urine test.
* Patients who have given their written consent to participate and understand the contents of the protocol.

Exclusion Criteria

* Participation in another clinical trial.
* Patients who do not speak and/or understand Danish.
* Fertile women with a positive HCG urine test.
* Allergy to the drugs used in the trial.
* Alcohol or medicine abuse, assessed by investigator.
* Daily use of strong opioids (morphine, ketobemidone, oxynorm, methadone, fentanyl)
* Daily chlorzoxazone treatment.
* Known or suspected porphyria.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glostrup University Hospital, Copenhagen

OTHER

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Rikke Vibeke Nielsen, MD

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rikke Soennichsen, MD

Role: PRINCIPAL_INVESTIGATOR

Glostrup University Hospital

Locations

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Glostrup University Hospital

Glostrup Municipality, Glostrup, Denmark

Site Status

Countries

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Denmark

Other Identifiers

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SM2-RS-2013

Identifier Type: -

Identifier Source: org_study_id

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