Trial Outcomes & Findings for Spinal Morphine vs. Hydromorphone for Pain Control After Cesarean Delivery (NCT NCT02789410)

NCT ID: NCT02789410

Last Updated: 2019-04-25

Results Overview

Each patient will be interviewed by a member of the study team 24 hours after receiving their spinal anesthetic. Patients will be asked to rate their current level of pain on a Numeric Rating Scale (NRS) of 0 (no pain) to 10 (worst pain imaginable).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

134 participants

Primary outcome timeframe

24 hours after administration of spinal anesthesia

Results posted on

2019-04-25

Participant Flow

Participant milestones

Participant milestones
Measure
Intrathecal Hydromorphone
Patients will be randomized to receive a one time dose of 75 mcg intrathecal hydromorphone as part of their spinal anesthesia. Hydromorphone: Hydromorphone is administered as part of spinal anesthesia for post-operative pain relief.
Intrathecal Morphine
Patients will be randomized to receive a one time dose of 150 mcg intrathecal morphine as part of their spinal anesthesia. Morphine: Morphine is administered as part of spinal anesthesia for post-operative pain relief.
Overall Study
STARTED
66
68
Overall Study
COMPLETED
66
68
Overall Study
NOT COMPLETED
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
Intrathecal Hydromorphone
n=66 Participants
Patients will be randomized to receive a one time dose of 75 mcg intrathecal hydromorphone as part of their spinal anesthesia. Hydromorphone: Hydromorphone is administered as part of spinal anesthesia for post-operative pain relief.
Intrathecal Morphine
n=68 Participants
Patients will be randomized to receive a one time dose of 150 mcg intrathecal morphine as part of their spinal anesthesia. Morphine: Morphine is administered as part of spinal anesthesia for post-operative pain relief.
Total
n=134 Participants
Total of all reporting groups
Age, Continuous
31.2 years
STANDARD_DEVIATION 4.4 • n=66 Participants
31.9 years
STANDARD_DEVIATION 4.3 • n=68 Participants
31.5 years
STANDARD_DEVIATION 4.3 • n=134 Participants
Sex: Female, Male
Female
66 Participants
n=66 Participants
68 Participants
n=68 Participants
134 Participants
n=134 Participants
Sex: Female, Male
Male
0 Participants
n=66 Participants
0 Participants
n=68 Participants
0 Participants
n=134 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
66 participants
n=66 Participants
68 participants
n=68 Participants
134 participants
n=134 Participants

PRIMARY outcome

Timeframe: 24 hours after administration of spinal anesthesia

Each patient will be interviewed by a member of the study team 24 hours after receiving their spinal anesthetic. Patients will be asked to rate their current level of pain on a Numeric Rating Scale (NRS) of 0 (no pain) to 10 (worst pain imaginable).

Outcome measures

Outcome measures
Measure
Intrathecal Hydromorphone
n=66 Participants
Patients will be randomized to receive a one time dose of 75 mcg intrathecal hydromorphone as part of their spinal anesthesia. Hydromorphone: Hydromorphone is administered as part of spinal anesthesia for post-operative pain relief.
Intrathecal Morphine
n=68 Participants
Patients will be randomized to receive a one time dose of 150 mcg intrathecal morphine as part of their spinal anesthesia. Morphine: Morphine is administered as part of spinal anesthesia for post-operative pain relief.
NRS Score for Pain (0-10) With Movement 24 Hours After Spinal Administration
4 score on a scale
Interval 2.5 to 5.0
3 score on a scale
Interval 2.0 to 4.5

SECONDARY outcome

Timeframe: 24 hours after administration of spinal anesthesia

The number of subjects who experienced and self-reported nausea within the first 24 hours after administration of spinal anesthesia.

Outcome measures

Outcome measures
Measure
Intrathecal Hydromorphone
n=66 Participants
Patients will be randomized to receive a one time dose of 75 mcg intrathecal hydromorphone as part of their spinal anesthesia. Hydromorphone: Hydromorphone is administered as part of spinal anesthesia for post-operative pain relief.
Intrathecal Morphine
n=68 Participants
Patients will be randomized to receive a one time dose of 150 mcg intrathecal morphine as part of their spinal anesthesia. Morphine: Morphine is administered as part of spinal anesthesia for post-operative pain relief.
Nausea
28 Participants
32 Participants

SECONDARY outcome

Timeframe: 24 hours after administration of spinal anesthesia

The number of subjects who experienced and self-reported pruritus within the first 24 hours after administration of spinal anesthesia.

Outcome measures

Outcome measures
Measure
Intrathecal Hydromorphone
n=66 Participants
Patients will be randomized to receive a one time dose of 75 mcg intrathecal hydromorphone as part of their spinal anesthesia. Hydromorphone: Hydromorphone is administered as part of spinal anesthesia for post-operative pain relief.
Intrathecal Morphine
n=68 Participants
Patients will be randomized to receive a one time dose of 150 mcg intrathecal morphine as part of their spinal anesthesia. Morphine: Morphine is administered as part of spinal anesthesia for post-operative pain relief.
Pruritus
27 Participants
28 Participants

Adverse Events

Intrathecal Hydromorphone

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

Intrathecal Morphine

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

Dr. Hans P. Sviggum

Mayo Clinic

Phone: 507-284-9697

Results disclosure agreements

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