Spinal or Epidural Fentanyl or Sufentanil for Labour Pain in Early Phase of the Labour

NCT ID: NCT02885350

Last Updated: 2021-06-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-30

Study Completion Date

2018-05-31

Brief Summary

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In this study the analgesic effect of two different opioids (fentanyl and sufentanil) will be compared when given either intrathecally or epidurally in primiparous parturients during early phase of the labour.

Detailed Description

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Conditions

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Labor Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Spinal fentanyl

20 micrograms of intrathecally administered fentanyl in single dose. Total volume of intrathecal injection 2 ml.

Group Type ACTIVE_COMPARATOR

Spinal analgesia for labour pain

Intervention Type DRUG

Intrathecal dose of either fentanyl or sufentanil delivered by combined spinal-epidural technique

Epidural fentanyl

100 micrograms of epidurally administered fentanyl in a single dose. Total volume of epidural injection 7 ml.

Group Type EXPERIMENTAL

Epidural analgesia for labour pain

Intervention Type DRUG

Epidural dose of either fentanyl or sufentanil delivered through an epidural catheter.

Spinal sufentanil

5 micrograms of intrathecally administered sufentanil in a single dose. Total volume of intrathecal injection 2 ml.

Group Type ACTIVE_COMPARATOR

Spinal analgesia for labour pain

Intervention Type DRUG

Intrathecal dose of either fentanyl or sufentanil delivered by combined spinal-epidural technique

Epidural sufentanil

20 micrograms of epidurally administered sufentanil in a single dose. Total volume of epidural injection 7 ml.

Group Type EXPERIMENTAL

Epidural analgesia for labour pain

Intervention Type DRUG

Epidural dose of either fentanyl or sufentanil delivered through an epidural catheter.

Interventions

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Spinal analgesia for labour pain

Intrathecal dose of either fentanyl or sufentanil delivered by combined spinal-epidural technique

Intervention Type DRUG

Epidural analgesia for labour pain

Epidural dose of either fentanyl or sufentanil delivered through an epidural catheter.

Intervention Type DRUG

Other Intervention Names

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labor epidural labour epidural

Eligibility Criteria

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Inclusion Criteria

* Primiparous parturients
* In early phase of labour (cervical dilatation at or under 5 cm)
* No prior opioids by any route of administration within past 120 min
* Pain at or over 80 mm on 0-100 mm visual analog scale during contraction

Exclusion Criteria

* Allergy for any of the medications used
* Contraindications for epidural/spinal analgesia
* BMI at the time of delivery under 20 or over 35 kg/m2
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Helsinki University Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jouni Ahonen

MD, Ph.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antti J Vaananen, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Helsinki University Central Hospital (Katiloopiston sairaala)

Locations

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Maternity Hospital, Helsinki University Central Hospital

Helsinki, Uusimaa, Finland

Site Status

Countries

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Finland

References

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Vaananen A, Kuukasjarvi M, Tekay A, Ahonen J. Spinal and epidural sufentanil and fentanyl in early labour. Acta Anaesthesiol Scand. 2019 Nov;63(10):1413-1418. doi: 10.1111/aas.13450. Epub 2019 Jul 23.

Reference Type RESULT
PMID: 31286476 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2016-000486-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

§12/19.6.2016/HUS/400/2016

Identifier Type: -

Identifier Source: org_study_id

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