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.
COMPLETED
PHASE4
161 participants
Pain was measured pre-operatively and at 10 minutes post-procedure.
2022-05-26
Participant Flow
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
| 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
| 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
| 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-procedurePopulation: 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
| 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 hoursPopulation: 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
| 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 daysPopulation: 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
| 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 daysPopulation: 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
| 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 minutesPopulation: 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
| 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
Group B: IV Placebo/PO Acetaminophen
Group C: IV Placebo/ PO Placebo
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place