Perioperative Dexamethasone Reduces Postoperative Pain and Nausea After Periacetabular Osteotomy

NCT ID: NCT05120076

Last Updated: 2024-08-12

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-16

Study Completion Date

2024-08-31

Brief Summary

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The purpose of this study is to assess the effect of Dexamethasone on postoperative pain and nausea after periacetabular osteotomy.

Detailed Description

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Bernese periacetabular osteotomy (PAO) is a standard procedure with good mid and long-term results. Postoperative pain is a great concern and postoperative pain management of great importance. High demand for opiates and the associated side effects especially nausea limit the postoperative rehabilitation.

Promising results to reduce postoperative pain and nausea have been achieved by perioperative dexamethasone, which has a strong anti-inflammatory effect reducing pain and inflammation as well as a strong anti-emetic effect, especially in total hip replacement.

It is our goal to compare the effect of perioperative intravenous dexamethasone (3x 4mg Amp. Fortecortin =12mg prior to surgery and 3x4mg Amp. Fortecortin = 12mg at 8.00am of the first postoperative day) to a control group (placebo) (3ml saline solution postoperative day 1 at 8.00am) regarding pain level, opiate consumption, postoperative nausea and patient satisfaction.

A double-blinded prospective randomized control trial including up to 60 patients receiving elective unilateral PAO will be conducted.

Conditions

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Pain Postoperative Nausea Amount of Postoperative Opioid Use in Milligrams

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
Only the investigators as well as the head of anasthesiology will be informed.

Study Groups

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Dexamethasone group

The patients in the dexamethasone group will receive 12mg dexamethasone (Fortecortin ®) intravenously 15-60 minutes prior to surgery while in general anasthesia as well as 12mg dexamethasone intravenously (Fortecortin®) on the first postoperative day at approx. 8.00a.m. by the investigators.

Group Type ACTIVE_COMPARATOR

Dexamethasone 4 Mg/mL Injectable Solution

Intervention Type DRUG

s. arm/group description

Placebo/ Control group

The patients will not receive any additional drugs preoperatively. 3ml of a 0.9% NaCl Solution (NaCl B. Braun Inf Lös 0.9 % 250ml Ecoflac plus®) will be administered at approx. 8.00 a.m. on the first postoperative day by the investigators.

Group Type PLACEBO_COMPARATOR

NaCl 0.9%

Intervention Type DRUG

s. arm/group description

Interventions

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Dexamethasone 4 Mg/mL Injectable Solution

s. arm/group description

Intervention Type DRUG

NaCl 0.9%

s. arm/group description

Intervention Type DRUG

Other Intervention Names

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Fortecortin Inject (Merck (Switzerland)) NaCL Braun (B Braun medical)

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* General anasthesia
* Elective periacetabular osteotomy for any reason
* Written informed consent as documented by signature (Appendix Informed Consent Form)
* Competent German language skills

Exclusion Criteria

* Chronic pain patient, chronic lower back pain
* Steroid or immunosuppressive drugs used within 6 months of surgery
* Renal failure, hepatic failure
* Relevant allergies
* Pregnancy/ Breast feeding
* Contraindications for Fortecortin treatment according to Swissmedic
* Previous enrollment into the current study
* Participation in another study with investigational drug within the 30 days preceding and during the present study
* Known or suspected non-compliance, drug or alcohol abuse Illness according to "Warnings and Precautions of Dexamethasone and NaCl"
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Balgrist University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick Zingg, MD

Role: PRINCIPAL_INVESTIGATOR

Study Principal Investigator

Locations

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Uniklinik Balgrist

Zurich, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Dominik Kaiser, MD

Role: CONTACT

+41443865764

Sabrina Catanzaro, study nurse

Role: CONTACT

+41443867370

Facility Contacts

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Dominik Kaiser

Role: primary

+41443865764

Patrickt Zingg

Role: backup

Other Identifiers

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DEXA and PAO

Identifier Type: -

Identifier Source: org_study_id

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