Duloxetine Role in Reducing Opioid Consumption After Thoracotomy

NCT ID: NCT03618225

Last Updated: 2021-10-14

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-15

Study Completion Date

2020-01-31

Brief Summary

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A total of 60 patients scheduled for thoracotomy with the aim of excision of pleural or lung cancer, will be randomized by the use of a computer-generated table of random numbers to receive duloxetine 60 mg orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure or a placebo pill following the same time schedule.

Detailed Description

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Conditions

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Post-thoracotomy Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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duloxetine group

duloxetine 60 mg orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure.

Group Type ACTIVE_COMPARATOR

Oral Duloxetine 60mg

Intervention Type DRUG

duloxetine 60 mg orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure

placebo pill group

placebo pill orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure.

Group Type PLACEBO_COMPARATOR

placebo pill

Intervention Type DRUG

placebo pill orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure

Interventions

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Oral Duloxetine 60mg

duloxetine 60 mg orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure

Intervention Type DRUG

placebo pill

placebo pill orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ASA I, II, and III patients scheduled for thoracotomy for pleural or lung cancer resection.
* Age above 18 years \& less than 65 years.
* Adequate coagulation function within 30 days of surgery, defined as platelet count 100,000/mL or more, INR≤ 1.5, and partial thromboplastin time ≤40 seconds.

Exclusion Criteria

* Allergy to duloxetine or to local anesthetics.
* Patients with educational, psychiatric (untreated or poorly controlled schizophrenia, major depression, or bipolar disorder), or communication (language) barriers that would prevent understanding of the informed consent \& preclude accurate assessment of postoperative pain and/or ability to answer questions about pain.
* Patients with severe renal and/or liver disease.
* History of chronic pain, long term narcotic use and/or antidepressants.
* Reasons for exclusion after randomization will be protocol violations or patient request.
* Fever, evidence of infection, or other coexisting medical conditions that would preclude epidural placement.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Ahmed H Othman

Assisstant professor of Anesthesia ICU and pain Relief

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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National Cancer Institute, Cairo University

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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IORG0006563

Identifier Type: -

Identifier Source: org_study_id