Trial Outcomes & Findings for Influence of Anesthetic Technique on Acute and Chronic Neuropathic Pain (NCT NCT02527083)

NCT ID: NCT02527083

Last Updated: 2025-12-31

Results Overview

Pain as measured by the Intensity Score of the Pain Quality Assessment Scale (PQAS) at each of the time points after surgery. The scale goes from 0 (no pain) to 10 (the most intense pain sensation imaginable). Higher scores mean worse pain.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

10 participants

Primary outcome timeframe

1 month, 3 months, 6 months, 12 months

Results posted on

2025-12-31

Participant Flow

Participant milestones

Participant milestones
Measure
BALANCED INHALATIONAL
Balanced Inhalational Anesthesia (consisting of a sevoflurane inhaled anesthestic only) Sevoflurane Remifentanil
TIVA-K
Total intravenous anesthetic with ketamine Propofol Ketamine
TIVA-R
Total intravenous anesthetic with remifentanil Propofol Remifentanil
Overall Study
STARTED
6
2
2
Overall Study
COMPLETED
6
2
2
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Influence of Anesthetic Technique on Acute and Chronic Neuropathic Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BALANCED INHALATIONAL
n=6 Participants
Balanced Inhalational Anesthesia (consisting of a sevoflurane inhaled anesthestic only) Sevoflurane Remifentanil
TIVA-K
n=2 Participants
Total intravenous anesthetic with ketamine Propofol Ketamine
TIVA-R
n=2 Participants
Total intravenous anesthetic with remifentanil Propofol Remifentanil
Total
n=10 Participants
Total of all reporting groups
Age, Continuous
65.5 years
n=1000 Participants
68 years
n=1986 Participants
73 years
n=2008 Participants
67.5 years
n=4994 Participants
Sex: Female, Male
Female
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Sex: Female, Male
Male
6 Participants
n=1000 Participants
2 Participants
n=1986 Participants
2 Participants
n=2008 Participants
10 Participants
n=4994 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Race (NIH/OMB)
Asian
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Race (NIH/OMB)
White
6 Participants
n=1000 Participants
2 Participants
n=1986 Participants
2 Participants
n=2008 Participants
10 Participants
n=4994 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=1000 Participants
0 Participants
n=1986 Participants
0 Participants
n=2008 Participants
0 Participants
n=4994 Participants
Region of Enrollment
United States
6 participants
n=1000 Participants
2 participants
n=1986 Participants
2 participants
n=2008 Participants
10 participants
n=4994 Participants
Pain level in PACU
6 Pain score (0-10)
STANDARD_DEVIATION 2.68 • n=1000 Participants
6.5 Pain score (0-10)
STANDARD_DEVIATION 4.95 • n=1986 Participants
6.5 Pain score (0-10)
STANDARD_DEVIATION 3.54 • n=2008 Participants
6.2 Pain score (0-10)
STANDARD_DEVIATION 2.86 • n=4994 Participants

PRIMARY outcome

Timeframe: 1 month, 3 months, 6 months, 12 months

Population: Only 10 subjects were enrolled, and the numbers represented a typical distribution of Inhalational to TIVA use. Because of the low subject numbers, statistical differences between the techniques were not sought.

Pain as measured by the Intensity Score of the Pain Quality Assessment Scale (PQAS) at each of the time points after surgery. The scale goes from 0 (no pain) to 10 (the most intense pain sensation imaginable). Higher scores mean worse pain.

Outcome measures

Outcome measures
Measure
BALANCED INHALATIONAL
n=6 Participants
Balanced Inhalational Anesthesia (consisting of a sevoflurane inhaled anesthestic only) Sevoflurane Remifentanil
TIVA-K
n=2 Participants
Total intravenous anesthetic with ketamine Propofol Ketamine
TIVA-R
n=2 Participants
Total intravenous anesthetic with remifentanil Propofol Remifentanil
Pain Score, Chronic
1 Month
1.7 score on a scale
Standard Deviation 2.7
1.5 score on a scale
Standard Deviation 2.1
0 score on a scale
Standard Deviation 0
Pain Score, Chronic
3 Months
.8 score on a scale
Standard Deviation 1.6
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
Pain Score, Chronic
6 Months
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
Pain Score, Chronic
12 Months
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: 1 day

Acute Pain on Day 1, as measured by the Pain Quality Assessment Scale (PQAS). The scale goes from 0 (no pain) to 10 (the most intense pain sensation imaginable). Higher scores means worse pain.

Outcome measures

Outcome measures
Measure
BALANCED INHALATIONAL
n=6 Participants
Balanced Inhalational Anesthesia (consisting of a sevoflurane inhaled anesthestic only) Sevoflurane Remifentanil
TIVA-K
n=2 Participants
Total intravenous anesthetic with ketamine Propofol Ketamine
TIVA-R
n=2 Participants
Total intravenous anesthetic with remifentanil Propofol Remifentanil
Pain Score, Acute
4.6 score on a scale
Standard Deviation 3.5
9.0 score on a scale
Standard Deviation 0
3.0 score on a scale
Standard Deviation 1.4

Adverse Events

TIVA-R

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

BALANCED INHALATIONAL

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

TIVA-K

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

James Ibinson, MD, PhD

VA Pittsburgh Healthcare System

Phone: 412-360-1484

Results disclosure agreements

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