Steroids After Spine Fusion Surgery

NCT ID: NCT04568837

Last Updated: 2024-04-22

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2026-10-06

Brief Summary

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This trial studies how well low-dose postoperative corticosteroids (FDA approved) affect patient outcomes (patient reported outcomes, pain medication use, length of stay, major complications, and time to first bowel movement) after thoracic and/or lumbar spine fusion surgery.

Detailed Description

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PRIMARY OBJECTIVES This study aims to compare patient outcomes (patient reported outcomes, pain medication use, length of stay, major complications, and time to first bowel movement) between subjects that receive either 20 mg of PO prednisone or 1 mL of 4 mg/mL of IV dexamethasone sodium phosphate and a control group.

OUTLINE Participants are patients who elect to participate in the study prior to scheduled thoracic and/or lumbar spine fusion surgery at Oregon Health and Science University. Participants undergo their scheduled spine fusion surgery. After surgery, participants are randomized into either the study drug group or the control (non-treatment) group. If randomized into the study drug group, participants will orally take a daily dose of 20 mg of prednisone (1 mL of 4 mg/mL dexamethasone sodium phosphate if unable to tolerate oral administration) on postoperative days one and two.

Conditions

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Spine Fusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are randomized into one of two groups: treatment group vs control (no treatment) group
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Corticosteroid

Participants in this group will receive a daily dose of corticosteroids on postoperative day one and two after spine fusion surgery

Group Type EXPERIMENTAL

Prednisone 20 Mg

Intervention Type DRUG

20 mg of Prednisone or 1 mL of 4 mg/mL Dexamethasone Sodium Phosphate will be administered each day for participants in the intervention group

Control

Participants in this group will receive no steroids on postoperative day one and two after spine fusion surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Prednisone 20 Mg

20 mg of Prednisone or 1 mL of 4 mg/mL Dexamethasone Sodium Phosphate will be administered each day for participants in the intervention group

Intervention Type DRUG

Other Intervention Names

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Dexamethasone Sodium Phosphate 1 mL 4 mg/mL

Eligibility Criteria

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Inclusion Criteria

* All patients over the age of 50 undergoing thoracic and/or lumbar fusion with a Spine Center surgeon will be included

Exclusion Criteria

* Patient is already taking chronic steroids
* Patient is pregnant
* Patient is decisionally impaired
* Patient is a prisoner
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Oregon Health and Science University

OTHER

Sponsor Role lead

Responsible Party

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Jung Yoo

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jung U Yoo, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Orthopaedics and Rehabilitation

Locations

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Oregon Health and Science University

Portland, Oregon, United States

Site Status

Countries

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United States

Central Contacts

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Spencer J Smith, BS

Role: CONTACT

503-828-7136

Facility Contacts

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Spencer J Smith, BS

Role: primary

503-828-7136

Other Identifiers

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STUDY00021169

Identifier Type: -

Identifier Source: org_study_id

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