Pilot Study: Effect of Dexamethasone vs Vicodin in Reducing Post-operative Pain

NCT ID: NCT04008043

Last Updated: 2019-11-13

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-29

Study Completion Date

2021-05-31

Brief Summary

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The main objective of the pilot study is to investigate the process that includes recruitment (to estimate the rate of enrollment), feasibility, protocol refinement, and willingness of the subject to be randomized. To provide a sample estimate of the population parameter which is the true value in the target population to be used in the planning of a larger confirmatory study.

Secondary objectives include:

To examine the efficacy of pre/post-operational administration of dexamethasone vs Vicodin (acetaminophen and hydrocodone) for post-operative pain control following periodontal surgery at the Henry M. Goldman School of Dental Medicine.

To examine how BMI alters the response to dexamethasone and hydrocodone following periodontal surgery since obese patients have shown higher pain scores and increased pain sensitivity in previous experimental models of pain.

Detailed Description

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Conditions

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Oral Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dexamethasone

Participants in this arm will take a 6mg dexamethasone tablet the day before surgery, a 6 mg tablet the day of surgery, a 4mg tablet the day after surgery and a 2mg tablet the second day after surgery. Pain scores will be recorded the evening of the surgery, the day after the surgery and one week after the surgery.

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

In addition to taking one tablet of dexamethasone for pain beginning the day before surgery and on the day of surgery, pain scores will be recorded the evening of the surgery, the day after the surgery and one week after the surgery.

Vicodin

Participants in this arm will take a vicodin tablet every 4-6 hrs as needed to a maximum of 8 tablets after surgery. Each tablet has 300 mg acetaminophen and 5 mg hydrocodone. Pain scores will be recorded the evening of the surgery, the day after the surgery and one week after the surgery.

Group Type ACTIVE_COMPARATOR

Vicodin

Intervention Type DRUG

In addition to taking one tablet of vicodin for pain every 4-6 hours up to 8 tablets, pain scores will be recorded the evening of the surgery, the day after the surgery and one week after the surgery.

Interventions

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Vicodin

In addition to taking one tablet of vicodin for pain every 4-6 hours up to 8 tablets, pain scores will be recorded the evening of the surgery, the day after the surgery and one week after the surgery.

Intervention Type DRUG

Dexamethasone

In addition to taking one tablet of dexamethasone for pain beginning the day before surgery and on the day of surgery, pain scores will be recorded the evening of the surgery, the day after the surgery and one week after the surgery.

Intervention Type DRUG

Other Intervention Names

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acetaminophen and hydrocodone corticosteroid

Eligibility Criteria

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Inclusion Criteria

* Must be scheduled for periodontal surgery
* Subjects must be aged 21 years old and above
* Able and willing to provide informed consent
* 20 non-obese patients with BMI less than 30kg/m2
* 20 obese patients with BMI greater than or equal to 30kg/m2
* Diabetic and hypertensive patients included

Exclusion Criteria

* Patients allergic to any formulations used in the study
* Patients with chronic use of nonsteroidal anti-inflammatory drugs or chronic use of narcotics; chronic defined as frequent use or misuse/ abuse so much as once a month
* Pregnant or lactating female patients; pregnancy test will be performed alongside the medical history
* Patients with kidney dysfunction
* Patients at risk for infective endocarditis determined by the medical history or past medical records
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sherif Said, BDS

Role: PRINCIPAL_INVESTIGATOR

BU Goldman School of Dental Medicine

Locations

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Henry M. Goldman School of Dental Medicine

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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H-38061

Identifier Type: -

Identifier Source: org_study_id

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