Trial Outcomes & Findings for Assessing Efficacy of Intravenous Acetaminophen for Perioperative Pain Control for Oocyte Retrieval (NCT NCT03073980)

NCT ID: NCT03073980

Last Updated: 2022-05-26

Results Overview

Visual analog scale of pain, ranging from 0 (no pain) to 10 (worst pain imaginable) in whole numbers. The final score is the post-operative score minus the pre-operative score.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

161 participants

Primary outcome timeframe

Pain was measured pre-operatively and at 10 minutes post-procedure.

Results posted on

2022-05-26

Participant Flow

Participant milestones

Participant milestones
Measure
Group A: IV Acetaminophen/PO Placebo
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group B: IV Placebo/PO Acetaminophen
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group C: IV Placebo/ PO Placebo
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Overall Study
STARTED
53
54
54
Overall Study
COMPLETED
43
52
43
Overall Study
NOT COMPLETED
10
2
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A: IV Acetaminophen/PO Placebo
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group B: IV Placebo/PO Acetaminophen
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group C: IV Placebo/ PO Placebo
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Overall Study
Lost to Follow-up
10
2
9
Overall Study
No post-procedure data
0
0
2

Baseline Characteristics

Assessing Efficacy of Intravenous Acetaminophen for Perioperative Pain Control for Oocyte Retrieval

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group B: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group C: IV Placebo / PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Total
n=159 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
53 Participants
n=93 Participants
54 Participants
n=4 Participants
52 Participants
n=27 Participants
159 Participants
n=483 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Continuous
35.2 years
STANDARD_DEVIATION 4.1 • n=93 Participants
35.7 years
STANDARD_DEVIATION 4.5 • n=4 Participants
36.0 years
STANDARD_DEVIATION 4.0 • n=27 Participants
35.6 years
STANDARD_DEVIATION 4.2 • n=483 Participants
Sex: Female, Male
Female
53 Participants
n=93 Participants
54 Participants
n=4 Participants
52 Participants
n=27 Participants
159 Participants
n=483 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
8 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=93 Participants
3 Participants
n=4 Participants
2 Participants
n=27 Participants
7 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
48 Participants
n=93 Participants
50 Participants
n=4 Participants
46 Participants
n=27 Participants
144 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
5 Participants
n=93 Participants
4 Participants
n=4 Participants
6 Participants
n=27 Participants
15 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=93 Participants
2 Participants
n=4 Participants
1 Participants
n=27 Participants
5 Participants
n=483 Participants
Race (NIH/OMB)
White
41 Participants
n=93 Participants
43 Participants
n=4 Participants
39 Participants
n=27 Participants
123 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=93 Participants
5 Participants
n=4 Participants
6 Participants
n=27 Participants
16 Participants
n=483 Participants
Region of Enrollment
United States
53 participants
n=93 Participants
54 participants
n=4 Participants
52 participants
n=27 Participants
159 participants
n=483 Participants
Ovarian reserve (anti-mullerian hormone)
2.9 ng/ml
STANDARD_DEVIATION 2.9 • n=93 Participants
3.0 ng/ml
STANDARD_DEVIATION 2.4 • n=4 Participants
2.4 ng/ml
STANDARD_DEVIATION 1.7 • n=27 Participants
2.8 ng/ml
STANDARD_DEVIATION 2.3 • n=483 Participants
Number of Nulliparous Participants
41 Participants
n=93 Participants
39 Participants
n=4 Participants
43 Participants
n=27 Participants
123 Participants
n=483 Participants
Body Mass Index (BMI)
25.4 kg/m^2
STANDARD_DEVIATION 4.7 • n=93 Participants
24.9 kg/m^2
STANDARD_DEVIATION 4.1 • n=4 Participants
25.6 kg/m^2
STANDARD_DEVIATION 4.9 • n=27 Participants
25.3 kg/m^2
STANDARD_DEVIATION 4.6 • n=483 Participants

PRIMARY outcome

Timeframe: Pain was measured pre-operatively and at 10 minutes post-procedure.

Population: Post-operative pain score - pre-operative pain score; 2 patients in group 3 had egg retrieval cancelled due to Coronavirus Disease (COVID); data could not be collected in these patients, yet their enrollment was included in an intention-to-treat analysis.

Visual analog scale of pain, ranging from 0 (no pain) to 10 (worst pain imaginable) in whole numbers. The final score is the post-operative score minus the pre-operative score.

Outcome measures

Outcome measures
Measure
Group 1: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group 2: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group 3: IV Placebo/PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Post-operative Pain Score Difference 10 Mins From Pre-operative
1.3 score on a scale
Standard Deviation 2.4
1.3 score on a scale
Standard Deviation 2.8
1.8 score on a scale
Standard Deviation 1.8

PRIMARY outcome

Timeframe: 0-6 hours post-procedure

Population: 2 patients in group 3 had egg retrieval cancelled due to COVID; data could not be collected in these patients, yet their enrollment was included in an intention-to-treat analysis.

Discharge time was based on the nurse's assessment of patient alertness, ability to tolerate oral liquids and food, and ability to void.

Outcome measures

Outcome measures
Measure
Group 1: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group 2: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group 3: IV Placebo/PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Time to Discharge From the Post-operative Recovery Room
60.1 minutes
Standard Deviation 22.0
58.8 minutes
Standard Deviation 17.0
57.6 minutes
Standard Deviation 10.7

SECONDARY outcome

Timeframe: 0-2 hours

Population: 2 patients in group 3 had egg retrieval cancelled due to COVID; data could not be collected in these patients, yet their enrollment was included in an intention-to-treat analysis.

Duration of egg retrieval

Outcome measures

Outcome measures
Measure
Group 1: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group 2: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group 3: IV Placebo/PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Procedure Length
13.5 minutes
Standard Deviation 5.9
13.7 minutes
Standard Deviation 5.3
14.1 minutes
Standard Deviation 6.6

SECONDARY outcome

Timeframe: 0-2 days

Population: 2 patients in group 3 had egg retrieval cancelled due to COVID; data could not be collected in these patients, yet their enrollment was included in an intention-to-treat analysis.

One or more episodes of nausea and vomiting in the recovery room and through post-operative day 2

Outcome measures

Outcome measures
Measure
Group 1: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group 2: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group 3: IV Placebo/PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Postoperative Nausea and Vomiting
3 Participants
4 Participants
2 Participants

SECONDARY outcome

Timeframe: 0 days

Population: 2 patients in group 3 had egg retrieval cancelled due to COVID; data could not be collected in these patients, yet their enrollment was included in an intention-to-treat analysis.

The number of oocytes retrieved from the patient's ovaries as part of an in vitro-fertilization treatment. This includes both immature and mature oocytes.

Outcome measures

Outcome measures
Measure
Group 1: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group 2: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group 3: IV Placebo/PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Oocyte Yield
12.6 oocytes
Standard Deviation 8.8
13.4 oocytes
Standard Deviation 8.7
11.4 oocytes
Standard Deviation 5.9

SECONDARY outcome

Timeframe: During procedure and immediately post-operative in recovery room within 45 minutes

Population: 2 patients in group 3 had egg retrieval cancelled due to COVID; data could not be collected in these patients, yet their enrollment was included in an intention-to-treat analysis.

One or more doses of opiate pain medication given due to pain during the procedure or immediately post-operative in the recovery room.

Outcome measures

Outcome measures
Measure
Group 1: IV Acetaminophen/PO Placebo
n=53 Participants
In the pre-op suite, these patients will receive 1000mg IV acetaminophen and PO placebo, followed by standard protocol anesthesia and pain control as needed. IV Acetaminophen: IV Acetaminophen for pain control during procedure Placebo PO Acetaminophen: Placebo PO Acetaminophen
Group 2: IV Placebo/PO Acetaminophen
n=54 Participants
In the pre-op suite, these patients will receive 1000mg PO acetaminophen and IV placebo, followed by standard protocol anesthesia and pain control as needed. PO Acetaminophen: PO Acetaminophen for pain control during procedure Placebo IV Acetaminophen: Placebo IV Acetaminophen
Group 3: IV Placebo/PO Placebo
n=52 Participants
In the pre-op suite, these patients will receive PO and IV placebo, followed by standard protocol anesthesia and pain control as needed. Placebo IV Acetaminophen: Placebo IV Acetaminophen Placebo PO Acetaminophen: Placebo PO Acetaminophen
Rescue Medication Required
4 Participants
10 Participants
8 Participants

Adverse Events

Group A: IV Acetaminophen/PO Placebo

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

Group B: IV Placebo/PO Acetaminophen

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

Group C: IV Placebo/ PO Placebo

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

John C. Petrozza, M.D.

Massachusetts General Hospital

Phone: 617-726-8868

Results disclosure agreements

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