Trial Outcomes & Findings for Transdermal Nicotine and Melatonin Patches for Postoperative Pain Relief (NCT NCT02747628)

NCT ID: NCT02747628

Last Updated: 2020-08-25

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

[Time Frame: The total pethidine requirements (mg) 12 hours postop]

Results posted on

2020-08-25

Participant Flow

Participant milestones

Participant milestones
Measure
C Group, (n=20)
C group (n=20) (placebo group) each patient received transdermal placebo patch, identical placebo patches custom-made by 1-800-Patches (Salt Lake City, UT) placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. Placebo: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDN Group, (n=20)
TDN group (n=20) each patient received transdermal therapeutic system- nicotine (15 mg/16 h),Nicorette® invisi 15mg patch releasing 15mg of nicotine over 16h, produced by Lohmann Therapie-System, Germany placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- nicotine.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDM Group, (n=20)
TDM group (n=20) each patient received transdermal therapeutic system- melatonin (7 mg/8h),melatonin sleep patch from Respro Labs ™ containing 7 mg of melatonin placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- melatonin.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
Overall Study
STARTED
20
20
20
Overall Study
COMPLETED
20
20
20
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
C Group, (n=20)
n=20 Participants
C group (n=20) (placebo group) each patient received transdermal placebo patch, identical placebo patches custom-made by 1-800-Patches (Salt Lake City, UT) placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. Placebo: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDN Group, (n=20)
n=20 Participants
TDN group (n=20) each patient received transdermal therapeutic system- nicotine (15 mg/16 h),Nicorette® invisi 15mg patch releasing 15mg of nicotine over 16h, produced by Lohmann Therapie-System, Germany placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- nicotine.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDM Group, (n=20)
n=20 Participants
TDM group (n=20) each patient received transdermal therapeutic system- melatonin (7 mg/8h),melatonin sleep patch from Respro Labs ™ containing 7 mg of melatonin placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- melatonin.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=60 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=20 Participants
20 Participants
n=20 Participants
20 Participants
n=20 Participants
60 Participants
n=60 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=60 Participants
Age, Continuous
43.6 years
STANDARD_DEVIATION 3.39 • n=20 Participants
43.1 years
STANDARD_DEVIATION 2.4 • n=20 Participants
44.3 years
STANDARD_DEVIATION 1.86 • n=20 Participants
43.2 years
STANDARD_DEVIATION 3.2 • n=60 Participants
Sex: Female, Male
Female
20 Participants
n=20 Participants
20 Participants
n=20 Participants
20 Participants
n=20 Participants
60 Participants
n=60 Participants
Sex: Female, Male
Male
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=60 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Egypt
20 participants
n=20 Participants
20 participants
n=20 Participants
20 participants
n=20 Participants
60 participants
n=60 Participants
Duration of anesthesia (min)
111.2 minutes
STANDARD_DEVIATION 3.4 • n=20 Participants
112.8 minutes
STANDARD_DEVIATION 4.4 • n=20 Participants
111.4 minutes
STANDARD_DEVIATION 3.78 • n=20 Participants
111.8 minutes
STANDARD_DEVIATION 3.8 • n=60 Participants

PRIMARY outcome

Timeframe: [Time Frame: The total pethidine requirements (mg) 12 hours postop]

Outcome measures

Outcome measures
Measure
C Group, (n=20)
n=20 Participants
C group (n=20) (placebo group) each patient received transdermal placebo patch, identical placebo patches custom-made by 1-800-Patches (Salt Lake City, UT) placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. Placebo: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDN Group, (n=20)
n=20 Participants
TDN group (n=20) each patient received transdermal therapeutic system- nicotine (15 mg/16 h),Nicorette® invisi 15mg patch releasing 15mg of nicotine over 16h, produced by Lohmann Therapie-System, Germany placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- nicotine.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDM Group, (n=20)
n=20 Participants
TDM group (n=20) each patient received transdermal therapeutic system- melatonin (7 mg/8h),melatonin sleep patch from Respro Labs ™ containing 7 mg of melatonin placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- melatonin.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
A Mean Difference of Total Analgesic (Pethidine) Consumption.
122.15 mg
Standard Deviation 6.38
55.5 mg
Standard Deviation 3.97
59.7 mg
Standard Deviation 4.43

Adverse Events

C Group, (n=20)

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

TDN Group, (n=20)

Serious events: 4 serious events
Other events: 8 other events
Deaths: 0 deaths

TDM Group, (n=20)

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

Serious adverse events

Serious adverse events
Measure
C Group, (n=20)
n=20 participants at risk
C group (n=20) (placebo group) each patient received transdermal placebo patch, identical placebo patches custom-made by 1-800-Patches (Salt Lake City, UT) placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. Placebo: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDN Group, (n=20)
n=20 participants at risk
TDN group (n=20) each patient received transdermal therapeutic system- nicotine (15 mg/16 h),Nicorette® invisi 15mg patch releasing 15mg of nicotine over 16h, produced by Lohmann Therapie-System, Germany placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- nicotine.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDM Group, (n=20)
n=20 participants at risk
TDM group (n=20) each patient received transdermal therapeutic system- melatonin (7 mg/8h),melatonin sleep patch from Respro Labs ™ containing 7 mg of melatonin placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- melatonin.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
Gastrointestinal disorders
Vomiting
0.00%
0/20
20.0%
4/20
0.00%
0/20

Other adverse events

Other adverse events
Measure
C Group, (n=20)
n=20 participants at risk
C group (n=20) (placebo group) each patient received transdermal placebo patch, identical placebo patches custom-made by 1-800-Patches (Salt Lake City, UT) placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. Placebo: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDN Group, (n=20)
n=20 participants at risk
TDN group (n=20) each patient received transdermal therapeutic system- nicotine (15 mg/16 h),Nicorette® invisi 15mg patch releasing 15mg of nicotine over 16h, produced by Lohmann Therapie-System, Germany placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- nicotine.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
TDM Group, (n=20)
n=20 participants at risk
TDM group (n=20) each patient received transdermal therapeutic system- melatonin (7 mg/8h),melatonin sleep patch from Respro Labs ™ containing 7 mg of melatonin placed 2 hours preoperatively for acute postoperative pain after laparoscopic cholecystectomy. transdermal therapeutic system- melatonin.: Postoperative pain was evaluated based on visual analogue scale, first time to ask for rescue analgesia and total pethidine requirements (mg) in 12 hours postoperatively were also recorded.
Gastrointestinal disorders
nausea
0.00%
0/20
40.0%
8/20
0.00%
0/20

Additional Information

Dr. Ibrahim Mamdouh Esmat

Ain-Shams University Hospitals

Phone: 01001241928

Results disclosure agreements

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