Multimodal Analgesia in Laparoscopic Radical Gastrectomy With Gastric Cancer: a Multi-center Study

NCT ID: NCT03236051

Last Updated: 2017-08-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-10

Study Completion Date

2018-08-30

Brief Summary

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The study is aimed to explore the effects of multimodal analgesia consisting of ropivacaine's wound infiltration, parecoxib's intravenous injection and oxycodone-acetaminophen tablets' oral administration on postoperative pain and rehabilitation after laparoscopic radical gastrectomy for patients with gastric cancer.

Detailed Description

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Postoperative pain attracts the attention of surgeons, and optimal postoperative pain management contributes to reducing complications and accelerating postoperative rehabilitation. Traditionally, the opioids were used for postoperative pain control. However, the opioids may increase the time to recover bowel function and lead to postoperative ileus. Multimodal analgesia is recommended in recent years, but studies on multimodal analgesia after gastrectomy are scarce. In this study, we introduced a multimodal analgesia strategy consisting of incision infiltration with ropivacaine, intravenous injection of parecoxib, and oral administration of an oxycodone/paracetamol mixture and evaluated the effects of this strategy compared with PCIA analgesia which is used widely for pain after gastrectomy.

Conditions

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Gastric Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized, parallel, controlled, open study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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multimodal analgesia

Patients received multimodal analgesia after laparoscopic gastrectomy .

Group Type EXPERIMENTAL

Multimodal analgesia

Intervention Type PROCEDURE

Multimodal analgesia is the name of a procedure or program. Multimodal analgesia doesn't mean different interventions are used. Patients in this group need receive this analgesia program (procedure) instead of one analgesic drug or technology. The program consists of incision infiltration with ropivacaine, intravenous injection of parecoxib, and oral administration of oxycodone/paracetamol mixture.

PCIA analgesia

Patients received PCIA analgesia after laparoscopic gastrectomy.

Group Type ACTIVE_COMPARATOR

PCIA analgesia

Intervention Type PROCEDURE

PCIA analgesia:patient-controlled intravenous analgesia with tramadol.

Interventions

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Multimodal analgesia

Multimodal analgesia is the name of a procedure or program. Multimodal analgesia doesn't mean different interventions are used. Patients in this group need receive this analgesia program (procedure) instead of one analgesic drug or technology. The program consists of incision infiltration with ropivacaine, intravenous injection of parecoxib, and oral administration of oxycodone/paracetamol mixture.

Intervention Type PROCEDURE

PCIA analgesia

PCIA analgesia:patient-controlled intravenous analgesia with tramadol.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Requirements of informed consent and assent of participant, parent or legal guardian as applicable.
2. Patients underwent laparoscopic radical gastrectomy under general anesthesia and between the age of 18 and 75 years old without considering sex.
3. American Society of Anesthesiologists (ASA) physical status I-III.
4. Participants can follow the drug doses and visit plan

Exclusion Criteria

1. Patients certified by a doctor that doesn't fit to participate in this study.
2. Patients allergic to opioids, sulfas, parecoxib, non-steroidal drugs, acetaminophen, tramadol etc..
3. Patients with ischemic heart disease, cerebrovascular disease and peripheral vascular disease, or their cardiac function \> II (NYHA) patients, patients received coronary artery bypass grafting (CABG) recently, and patients with severe hypertension (systolic pressure≥180mmHg or diastolic pressure≥110mmHg).
4. Patients with gastric cancer with distant metastasis.
5. Patients with severe infection, respiratory dysfunction, coagulation disorders, severe liver and renal dysfunction (Child - Pugh≥ 10; creatinine clearance \< 25 ml/min).
6. Patients with suspect or have a history of drug abuse.
7. Pregnancy and lactation women, or have a pregnancy plan within a month after the test of the subjects (also including male participants).
8. Sponsors or researchers directly involved in the testing or their family members.
9. Patients with conversion, palliative resection.
10. Patients with chronic pain(NRS≥3)or using opioids or NSAIDs before surgery.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

JIANG Zhi-Wei

OTHER

Sponsor Role lead

Responsible Party

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JIANG Zhi-Wei

Vice director of Research Institute of General Surgery

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Zhi-Wei JIANG, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Jinling Hospital, Medical School of Nanjing University

Jian ZHAO, Ph.D.

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Gang WANG, Ph.D.

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Jiang LIU, M.D.

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Locations

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Jinling Hospital, Medical School of Nanjing University

Nanjing, Jiangsu, China

Site Status RECRUITING

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Zhi-Wei JIANG, Ph.D.

Role: CONTACT

8602580860034

Jian ZHAO, Ph.D.

Role: CONTACT

8602580860034

Facility Contacts

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Zhi-Wei JIANG, Ph.D.

Role: primary

8602580860034

Jian ZHAO, Ph.D.

Role: backup

8602580860034

Qinghong ZHAO, Ph.D.

Role: primary

Other Identifiers

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2016HR1116

Identifier Type: -

Identifier Source: org_study_id

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