Trial Outcomes & Findings for Postoperative Pain Control in Septum and Sinus Surgery (NCT NCT04149964)

NCT ID: NCT04149964

Last Updated: 2023-08-31

Results Overview

Number of doses of opiates (narcotic) pain medication participants took for breakthrough pain in the first postoperative week.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

65 participants

Primary outcome timeframe

7 days

Results posted on

2023-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Standard of Care Arm
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Overall Study
STARTED
34
31
Overall Study
COMPLETED
15
13
Overall Study
NOT COMPLETED
19
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard of Care Arm
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Overall Study
Lost to Follow-up
19
18

Baseline Characteristics

65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care Arm
n=34 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=31 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Total
n=65 Participants
Total of all reporting groups
Age, Continuous
34.73 years
STANDARD_DEVIATION 15.40 • n=34 Participants
46 years
STANDARD_DEVIATION 14.26 • n=31 Participants
44.34 years
STANDARD_DEVIATION 6.79 • n=65 Participants
Sex: Female, Male
Female
10 Participants
n=15 Participants • 65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.
4 Participants
n=13 Participants • 65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.
14 Participants
n=28 Participants • 65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.
Sex: Female, Male
Male
5 Participants
n=15 Participants • 65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.
9 Participants
n=13 Participants • 65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.
14 Participants
n=28 Participants • 65 patients were enrolled. Baseline data on sex is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
34 participants
n=34 Participants
31 participants
n=31 Participants
65 participants
n=65 Participants

PRIMARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Number of doses of opiates (narcotic) pain medication participants took for breakthrough pain in the first postoperative week.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Number of Doses of Opiate (Narcotic) Pain Medication
1.0 number of doses
Interval 0.0 to 4.5
1.5 number of doses
Interval 0.0 to 6.0

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Highest post-operative pain score during the first postoperative week as measured on an 11-point numeric pain scale from 0-10, with 0 = no pain and 10 = worst pain possible.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Highest Subjective Pain Score
6.0 score on a scale
Interval 4.25 to 7.0
5.0 score on a scale
Interval 3.0 to 7.0

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Lowest post-operative pain score during the first postoperative week as measured on an 11 point numeric pain scale from 0-10, with 0 = no pain and 10 = worst pain possible.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Lowest Subjective Pain Score
2.0 score on a scale
Interval 0.0 to 3.0
2.0 score on a scale
Interval 0.0 to 2.0

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Percentage of time participant experienced severe pain requiring breakthrough pain medication during the first postoperative week, as measured on an 11 point numeric scale, from 0% to 100%, where 0% means never in severe pain and 100% means always in severe pain.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Percentage of Time Participant Experienced Severe Pain
0 percentage of time
Interval 0.0 to 45.0
0 percentage of time
Interval 0.0 to 30.0

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Number of participants who took acetaminophen as needed during the first postoperative week.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Participant Use of Acetaminophen as Needed
12 Participants
2 Participants

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Number of participants who took acetaminophen every 6 hours around the clock during first postoperative week.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Participant Use of Scheduled Acetaminophen Around the Clock
3 Participants
11 Participants

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Number of participants who answered "Yes" to the survey question, "Do you take pain medication, including narcotics, for any other medical condition?"

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Chronic Use of Pain Medication
4 Participants
2 Participants

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Number of participants who took other pain medication (over-the-counter or narcotic) in addition to study-prescribed pain medications during first postoperative week.

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Participant Use of Additional Pain Medication
3 Participants
1 Participants

SECONDARY outcome

Timeframe: 7 days

Population: 65 patients were enrolled. Data is not available for patients lost to follow up who did not complete post-operative questionnaire. 19 patients in SOC arm and 18 in study arm were lost to follow up.

Self-reported name of pain medication (over-the-counter or narcotic) used by participants in addition to study-prescribed pain medications during the first postoperative week

Outcome measures

Outcome measures
Measure
Standard of Care Arm
n=15 Participants
Standard of Care Post-operative pain medication, Acetaminophen 325 mg every 6 hours as needed for pain plus acetaminophen/hydrocodone 7.5 mg/325 mg 1 tab every 4 hours as needed for pain. Acetaminophen 325 mg Oral Tablet: Standard of Care Acetaminophen 325 mg every 6 hours as needed for pain Acetaminophen/Hydrocodone 325 mg/7.5 mg oral tablet: Acetaminophen 325 mg/ Hydrocodone 7.5 mg oral tablet every 4 hours as needed for breakthrough pain
Study Arm
n=13 Participants
Acetaminophen 650 mg 1 tab every 6 hours round the clock plus Oxycodone 5 mg 1 tab every 6 hours as needed for breakthrough pain,. Acetaminophen 650 mg Oral Tablet: Acetaminophen 650 mg scheduled every 6 hours round the clock for pain OxyCODONE 5 mg Oral Tablet: Oxycodone 5 mg every 4 hours as needed for breakthrough pain
Types of Other Pain Medication Used
Acetaminophen 325mg with 60mg codeine
1 Participants
0 Participants
Types of Other Pain Medication Used
morphine 15mg twice daily, 25mcg fentanyl
0 Participants
1 Participants
Types of Other Pain Medication Used
ibuprofen
1 Participants
0 Participants
Types of Other Pain Medication Used
None
13 Participants
12 Participants

Adverse Events

Standard of Care Arm

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

Study Arm

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Mitchell Shecter, DO

William Beaumont Hospitals

Phone: 2487629363

Results disclosure agreements

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