Trial Outcomes & Findings for Intrathecal Morphine for Cesarean Delivery (NCT NCT05069012)

NCT ID: NCT05069012

Last Updated: 2025-11-13

Results Overview

Time to patient request for first dose of oral rescue pain medicine

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

72 participants

Primary outcome timeframe

72 hours after delivery

Results posted on

2025-11-13

Participant Flow

Participant milestones

Participant milestones
Measure
50 Micrograms
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Overall Study
STARTED
24
24
24
Overall Study
COMPLETED
23
23
24
Overall Study
NOT COMPLETED
1
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Intrathecal Morphine for Cesarean Delivery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
50 Micrograms
n=23 Participants
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
n=23 Participants
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
n=24 Participants
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Total
n=70 Participants
Total of all reporting groups
Age, Continuous
36.0 Years
STANDARD_DEVIATION 3.8 • n=10 Participants
33.9 Years
STANDARD_DEVIATION 4.8 • n=10 Participants
36.8 Years
STANDARD_DEVIATION 4.9 • n=20 Participants
35.6 Years
STANDARD_DEVIATION 4.6 • n=45 Participants
Sex: Female, Male
Female
23 Participants
n=10 Participants
23 Participants
n=10 Participants
24 Participants
n=20 Participants
70 Participants
n=45 Participants
Sex: Female, Male
Male
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=10 Participants
3 Participants
n=10 Participants
1 Participants
n=20 Participants
6 Participants
n=45 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=10 Participants
20 Participants
n=10 Participants
23 Participants
n=20 Participants
64 Participants
n=45 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Asian
4 Participants
n=10 Participants
2 Participants
n=10 Participants
2 Participants
n=20 Participants
8 Participants
n=45 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=10 Participants
1 Participants
n=10 Participants
2 Participants
n=20 Participants
7 Participants
n=45 Participants
Race (NIH/OMB)
White
12 Participants
n=10 Participants
16 Participants
n=10 Participants
19 Participants
n=20 Participants
47 Participants
n=45 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=10 Participants
0 Participants
n=10 Participants
1 Participants
n=20 Participants
1 Participants
n=45 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=10 Participants
4 Participants
n=10 Participants
0 Participants
n=20 Participants
7 Participants
n=45 Participants

PRIMARY outcome

Timeframe: 72 hours after delivery

Time to patient request for first dose of oral rescue pain medicine

Outcome measures

Outcome measures
Measure
50 Micrograms
n=23 Participants
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
n=23 Participants
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
n=24 Participants
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Duration of Pain Relief
24.5 hours
Interval 3.5 to 34.4
29.4 hours
Interval 24.5 to 72.0
32 hours
Interval 30.5 to 72.0

SECONDARY outcome

Timeframe: 24 hours after delivery

Visual analogue pain scores reported by the patient. Scale measured on a line from 0 to 100 mm, with 0 representing 'no pain' and 100 representing 'worst possible pain'

Outcome measures

Outcome measures
Measure
50 Micrograms
n=23 Participants
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
n=23 Participants
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
n=24 Participants
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Pain Scores
2.2 score on a scale
Interval 1.3 to 5.1
1.8 score on a scale
Interval 0.8 to 2.3
1.9 score on a scale
Interval 0.2 to 2.9

SECONDARY outcome

Timeframe: 24 hours after delivery

Quality of Recovery Score following Cesarean Delivery Questionnaire (ObsQoR-11). This is a multi-dimensional wellness scale ranging from 0 (worst) to 120 (best) along 12 axis items.

Outcome measures

Outcome measures
Measure
50 Micrograms
n=23 Participants
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
n=23 Participants
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
n=24 Participants
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Quality of Recovery
72 score on a scale
Interval 38.0 to 87.0
93 score on a scale
Interval 83.0 to 109.0
95 score on a scale
Interval 85.0 to 102.0

SECONDARY outcome

Timeframe: 24 hours after delivery

Incidence of nausea and vomiting requiring treatment with a medication

Outcome measures

Outcome measures
Measure
50 Micrograms
n=23 Participants
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
n=23 Participants
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
n=24 Participants
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Nausea
4.3 percentage of participants
8.7 percentage of participants
12.5 percentage of participants

SECONDARY outcome

Timeframe: 24 hours after delivery

Incidence of pruritus requiring treatment with a medication

Outcome measures

Outcome measures
Measure
50 Micrograms
n=23 Participants
Patients in this arm will receive 50 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
150 Micrograms
n=23 Participants
Patients in this arm will receive 150 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
250 Micrograms
n=24 Participants
Patients in this arm will receive 250 micrograms of morphine administered in the spinal fluid as part of their anesthesia for cesarean delivery Morphine Sulfate: Morphine is administered to provide pain relief after cesarean delivery; this is an assessment of the dose-response as measured by the duration of pain relief
Pruritus
8.7 percentage of participants
4.3 percentage of participants
4.1 percentage of participants

Adverse Events

50 Micrograms

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

150 Micrograms

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

250 Micrograms

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

Philip Hess

Beth Israel Deaconess Medical Center

Phone: 617-667-3112

Results disclosure agreements

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