Trial Outcomes & Findings for Nonopioid Analgesia After Rotator Cuff Repair (NCT NCT03818919)

NCT ID: NCT03818919

Last Updated: 2024-04-02

Results Overview

Patients record pain levels using Visual analog scales for 10 days post-operatively. The visual analog scale ranges from 0 (no pain) to 10 (worst pain). Average daily pain was calculated for each patient. Higher values portend worse control.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

70 participants

Primary outcome timeframe

day 10 post-operative

Results posted on

2024-04-02

Participant Flow

Participant milestones

Participant milestones
Measure
Post-Operative Non Opioid Pain Protocol
Patients in this group will be administered a novel multimodal pain protocol post-operatively consisting of: Celecoxib, Ketorolac, Gabapentin, Acetaminophen, Diazepam Celecoxib: Post-Operative Non Opioid Pain Protocol Ketorolac: Post-Operative Non Opioid Pain Protocol Gabapentin: Post-Operative Non Opioid Pain Protocol Acetaminophen: Post-Operative Non Opioid Pain Protocol Diazepam: Post-Operative Non Opioid Pain Protocol
Post-Operative Traditional Pain Protocol
Patients will be administered a traditional post-operative pain protocol consisting of: Hydrocodone-Acetaminophen Cap 5-500 Hydrocodone-Acetaminophen: Traditionally used narcotic pain protocol
Overall Study
STARTED
35
35
Overall Study
COMPLETED
17
23
Overall Study
NOT COMPLETED
18
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nonopioid Analgesia After Rotator Cuff Repair

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Post-Operative Non Opioid Pain Protocol
n=17 Participants
Patients in this group will be administered a novel multimodal pain protocol post-operatively consisting of: Celecoxib, Ketorolac, Gabapentin, Acetaminophen, Diazepam Celecoxib: Post-Operative Non Opioid Pain Protocol Ketorolac: Post-Operative Non Opioid Pain Protocol Gabapentin: Post-Operative Non Opioid Pain Protocol Acetaminophen: Post-Operative Non Opioid Pain Protocol Diazepam: Post-Operative Non Opioid Pain Protocol
Post-Operative Traditional Pain Protocol
n=23 Participants
Patients will be administered a traditional post-operative pain protocol consisting of: Hydrocodone-Acetaminophen Cap 5-500 Hydrocodone-Acetaminophen: Traditionally used narcotic pain protocol
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
20 Participants
n=7 Participants
36 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Continuous
53.7 years
STANDARD_DEVIATION 9.1 • n=5 Participants
55.9 years
STANDARD_DEVIATION 7.2 • n=7 Participants
54.2 years
STANDARD_DEVIATION 8.7 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
13 Participants
n=7 Participants
22 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
14 Participants
n=7 Participants
21 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
BMI
32.2 kg/m2
STANDARD_DEVIATION 6.8 • n=5 Participants
29.9 kg/m2
STANDARD_DEVIATION 5.5 • n=7 Participants
30.8 kg/m2
STANDARD_DEVIATION 5.7 • n=5 Participants
Preoperative block
Supraclavicular
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Preoperative block
Interscalene
14 Participants
n=5 Participants
18 Participants
n=7 Participants
32 Participants
n=5 Participants
Tear size
less than 1 cm
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Tear size
1-3cm
11 Participants
n=5 Participants
16 Participants
n=7 Participants
27 Participants
n=5 Participants
Tear size
3-5cm
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Tear size
greater than 5cm
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Tendons involved in surgery
1.7 number of tendons involved
STANDARD_DEVIATION 0.4 • n=5 Participants
1.4 number of tendons involved
STANDARD_DEVIATION 0.8 • n=7 Participants
1.55 number of tendons involved
STANDARD_DEVIATION 0.6 • n=5 Participants
Concomitant procedures
None
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Concomitant procedures
Biceps Tenotomy
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Concomitant procedures
Biceps Tenodesis
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Concomitant procedures
DCE
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Concomitant procedures
SAD
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Anchors used in Surgery
2.7 number of anchors used
STANDARD_DEVIATION 0.8 • n=5 Participants
2.6 number of anchors used
STANDARD_DEVIATION 1.1 • n=7 Participants
2.6 number of anchors used
STANDARD_DEVIATION 0.9 • n=5 Participants

PRIMARY outcome

Timeframe: day 10 post-operative

Patients record pain levels using Visual analog scales for 10 days post-operatively. The visual analog scale ranges from 0 (no pain) to 10 (worst pain). Average daily pain was calculated for each patient. Higher values portend worse control.

Outcome measures

Outcome measures
Measure
Post-Operative Non Opioid Pain Protocol
n=17 Participants
Patients in this group will be administered a novel multimodal pain protocol post-operatively consisting of: Celecoxib, Ketorolac, Gabapentin, Acetaminophen, Diazepam Celecoxib: Post-Operative Non Opioid Pain Protocol Ketorolac: Post-Operative Non Opioid Pain Protocol Gabapentin: Post-Operative Non Opioid Pain Protocol Acetaminophen: Post-Operative Non Opioid Pain Protocol Diazepam: Post-Operative Non Opioid Pain Protocol
Post-Operative Traditional Pain Protocol
n=23 Participants
Patients will be administered a traditional post-operative pain protocol consisting of: Hydrocodone-Acetaminophen Cap 5-500 Hydrocodone-Acetaminophen: Traditionally used narcotic pain protocol
Pain Levels
2.4 units on a scale
Standard Deviation 2.1
3 units on a scale
Standard Deviation 1.8

PRIMARY outcome

Timeframe: day 10 post-operative

Patient-Reported Outcomes Measurement Information System Pain Interference (PROMIS PI) for 10 days post-operatively. PROMIS-PI scale ranges from 0 (no pain interference ) to 100 (most pain interference). Average PROMIS PI values were calculated. A higher score indicates more pain interference.

Outcome measures

Outcome measures
Measure
Post-Operative Non Opioid Pain Protocol
n=17 Participants
Patients in this group will be administered a novel multimodal pain protocol post-operatively consisting of: Celecoxib, Ketorolac, Gabapentin, Acetaminophen, Diazepam Celecoxib: Post-Operative Non Opioid Pain Protocol Ketorolac: Post-Operative Non Opioid Pain Protocol Gabapentin: Post-Operative Non Opioid Pain Protocol Acetaminophen: Post-Operative Non Opioid Pain Protocol Diazepam: Post-Operative Non Opioid Pain Protocol
Post-Operative Traditional Pain Protocol
n=23 Participants
Patients will be administered a traditional post-operative pain protocol consisting of: Hydrocodone-Acetaminophen Cap 5-500 Hydrocodone-Acetaminophen: Traditionally used narcotic pain protocol
Patient-Reported Outcomes Measurement Information System
59.3 units on a scale
Standard Deviation 8.5
60.0 units on a scale
Standard Deviation 9.3

Adverse Events

Post-Operative Non Opioid Pain Protocol

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Post-Operative Traditional Pain Protocol

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Post-Operative Non Opioid Pain Protocol
n=17 participants at risk
Patients in this group will be administered a novel multimodal pain protocol post-operatively consisting of: Celecoxib, Ketorolac, Gabapentin, Acetaminophen, Diazepam Celecoxib: Post-Operative Non Opioid Pain Protocol Ketorolac: Post-Operative Non Opioid Pain Protocol Gabapentin: Post-Operative Non Opioid Pain Protocol Acetaminophen: Post-Operative Non Opioid Pain Protocol Diazepam: Post-Operative Non Opioid Pain Protocol
Post-Operative Traditional Pain Protocol
n=23 participants at risk
Patients will be administered a traditional post-operative pain protocol consisting of: Hydrocodone-Acetaminophen Cap 5-500 Hydrocodone-Acetaminophen: Traditionally used narcotic pain protocol
Gastrointestinal disorders
GI adverse effects
47.1%
8/17 • 10 days postop
43.5%
10/23 • 10 days postop

Additional Information

Dr. Toufic Jildeh

Henry Ford Health System

Phone: (517)2308511

Results disclosure agreements

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