Guanfacine for PONV and Pain After Sinus Surgery

NCT ID: NCT02882854

Last Updated: 2019-01-03

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2017-02-28

Brief Summary

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Postoperative nausea and vomiting (PONV) and pain are the most common causes of Post Anesthesia Care Unit (PACU) discharge delay, with untreated PONV occurring in 20-30% of post-surgical patients. The effect of guanfacine (GF) administration on pain and nausea scores will be assessed with two groups. One group will receive 1 mg of GF to take orally and the other group will receive a similar appearing placebo (containing no drug) to take orally.

Detailed Description

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Pain after surgery is commonly treated with narcotics which can potentiate PONV, further delaying PACU discharge. In multiple studies, alpha-2 agonists such as clonidine and dexmedetomidine reduce both the incidence of PONV and post-op pain, as well as requirements for postoperative analgesics. These actions are mediated via central alpha-2A receptors (A2AR). Of the A2AR agonists, guanfacine, though a weak antihypertensive agent, has the highest selectivity for the A2AR, but to date is untested for its potential to treat either PONV or post-operative pain.

Conditions

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Postoperative Nausea and Vomiting Pain, Postoperative

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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Guanfacine

Guanfacine 1 mg capsule by mouth, one time prior to surgery.

Group Type EXPERIMENTAL

Guanfacine

Intervention Type DRUG

Patients will receive 1 mg of guanfacine to take orally.

Placebo

Placebo with a similar appearance to guanfacine by mouth one time prior to surgery

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Patients will receive a placebo containing no drug that appears similarly to guanfacine to take orally.

Interventions

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Guanfacine

Patients will receive 1 mg of guanfacine to take orally.

Intervention Type DRUG

Placebo

Patients will receive a placebo containing no drug that appears similarly to guanfacine to take orally.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* VUMC patients undergoing sinus surgery in MCE OR

Exclusion Criteria

* Inability to read and freely consent
* Patients who take alpha-2 agonists routinely (guanfacine, clonidine, tizanidine)
* Patients undergoing sinus surgery planned for greater than 3 hours
* Patients with significant pre-existing pain, on chronic pain (opioid, methadone) therapy, severe fibromyalgia or other pre-existing pain condition in any body part
* Patients with preoperative nausea/vomiting at baseline.
* Pregnant or lactating women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vanderbilt University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Stephen Harvey

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stephen T Harvey, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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160282

Identifier Type: -

Identifier Source: org_study_id

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