Comparing Postoperative Pain Following COX-2 and Prostanoids Expression

NCT ID: NCT03391570

Last Updated: 2018-01-05

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-17

Study Completion Date

2019-10-31

Brief Summary

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The purpose of this study is to compare postoperative pain following COX-2 and prostanoids expression in women who underwent laparoscopic surgery for female genital disease in order to evaluate the effect of COX-2 on local inflammation, COX-2 and prostanoids expression followed by exposure time to carbon dioxide(CO2) gas, and degree of postoperative pain.

Detailed Description

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In women who underwent laparoscopic surgery for female genital disease, the effect of COX-2 on local inflammation was assessed by randomization, using the COX-2 inhibitor celecoxib and placebo, comparative evaluation of expression of COX-2 and prostanoids by pre/postoperative peritoneal biopsy and postoperative pain depending on gas exposure time

Conditions

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Female Genital Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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COX-2 inhibitor (Celecoxib)

Celebrex; COX-2 inhibitor

Group Type ACTIVE_COMPARATOR

COX-2 inhibitor

Intervention Type DRUG

Celebrex 200mg/1cap 2 tablets, take medication an hour before surgery

Preoperative peritoneal biopsy

Intervention Type PROCEDURE

Preoperative peritoneal biopsy (1x1cm sized peritoneal tissue)

Single-port laparoscopic surgery

Intervention Type PROCEDURE

Single-port laparoscopic surgery with CO2 gas

Postoperative peritoneal biopsy

Intervention Type PROCEDURE

Postoperative peritoneal biopsy (1x1cm sized peritoneal tissue)

Placebo drug (Ramnos)

Ramnos; Lactobacillus casei variety rhamnosus

Group Type PLACEBO_COMPARATOR

Placebo Oral Tablet

Intervention Type DRUG

Ramnos 250mg/1cap 2 tablets, take medication an hour before surgery

Preoperative peritoneal biopsy

Intervention Type PROCEDURE

Preoperative peritoneal biopsy (1x1cm sized peritoneal tissue)

Single-port laparoscopic surgery

Intervention Type PROCEDURE

Single-port laparoscopic surgery with CO2 gas

Postoperative peritoneal biopsy

Intervention Type PROCEDURE

Postoperative peritoneal biopsy (1x1cm sized peritoneal tissue)

Interventions

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COX-2 inhibitor

Celebrex 200mg/1cap 2 tablets, take medication an hour before surgery

Intervention Type DRUG

Placebo Oral Tablet

Ramnos 250mg/1cap 2 tablets, take medication an hour before surgery

Intervention Type DRUG

Preoperative peritoneal biopsy

Preoperative peritoneal biopsy (1x1cm sized peritoneal tissue)

Intervention Type PROCEDURE

Single-port laparoscopic surgery

Single-port laparoscopic surgery with CO2 gas

Intervention Type PROCEDURE

Postoperative peritoneal biopsy

Postoperative peritoneal biopsy (1x1cm sized peritoneal tissue)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Female, Age ≥ 20 years
* Patients with benign female genital disease who need laparoscopic surgery
* Patients with benign disease who can be treated by single port laparoscopy
* Patients who signed an approved informed consent

Exclusion Criteria

* Female, Age \< 20 years
* Pregnancy
* Previous cancer history
* Patients who refuse to sign an informed consent
* Patients with benign female genital disease combined clinical peritonitis (ex. tubo-ovarian abscess, tubo-ovaritis, ruptured endometriosis)
* Patients with malignant female genital disease
* Patients who got surgery with multi-port laparoscopy
* Patients who are contraindicated with COX-2 inhibitors (liver disease, renal disease, active peptic ulcer, active gastrointestinal tract bleeding, ischemic heart disease, hyperkalemia)
Minimum Eligible Age

20 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hee Seung Kim

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hee Seung Kim, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Hee Seung Kim, PhD

Role: CONTACT

82-2-2072-4863

Facility Contacts

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Eunji Lee, MD

Role: primary

82-2-2072-2643

Hee Seung Kim, PhD

Role: backup

82-2-2072-4863

References

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Han KH, Park S, Lee S, Ham J, Lim W, Song G, Kim HS. Upregulation of 15-Hydroxyprostaglandin Dehydrogenase by Celecoxib to Reduce Pain After Laparoendoscopic Single-Site Surgery (POPCORN Trial): A Randomized Controlled Trial. Biomedicines. 2025 Jul 21;13(7):1784. doi: 10.3390/biomedicines13071784.

Reference Type DERIVED
PMID: 40722854 (View on PubMed)

Other Identifiers

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2017-1477

Identifier Type: -

Identifier Source: org_study_id

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