Personalized Perioperative Analgesia Platform (PPAP) for Cesarean Section

NCT ID: NCT05380531

Last Updated: 2025-09-19

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

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-05

Study Completion Date

2026-10-30

Brief Summary

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The purpose of this collaborative CTSA (Clinical and Translational Science Award) application is to develop an innovative perioperative precision analgesia platform (PPAP) to improve analgesia and reduce serious immediate and long-term adverse outcomes of perioperative opioids in breastfeeding mothers and their infants

Detailed Description

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The approach includes 1) development and implementation of an innovative PPAP infrastructure at participating CTSA hubs (Aim 1) and 2) to improve analgesia and reduce serious immediate and long-term adverse outcomes of perioperative opioids and precision dosing in nursing mothers and infants (Aim 2).

SPECIFIC AIMS: The purpose of this collaborative CTSA application is to develop an innovative perioperative precision analgesia platform (PPAP) to improve analgesia and reduce serious immediate and long-term adverse outcomes of perioperative opioids in

Aim 1. Develop and implement a perioperative precision analgesia platform (PPAP) by linking genomics to opioid metabolism, Clinical Pharmacogenetics Implementation (CPIC) guidelines, precision dosing, clinical safety, and personalizing analgesia

Aim 2. Evaluate utility of PPAP in nursing mothers and their newborns following Cesarean Section The investigators hypothesize that CYP2D6 and other (ABCB1, and OPRM1) variants will explain clinical and pharmacokinetic variations of oxycodone, and PPAP implementation will reduce adverse effects in mothers and infants.

Conditions

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Cesarean Section Complications Opioid Use

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Interventional study with mother undergoing elective c-section and the infant
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mother undergoing planned Cesarean section

Mother subject will have genotyping blood draw performed at the time of controlled delivery (CD). Blood samples and breast milk samples will also be taken during the oxycodone dosing schedule.

Group Type EXPERIMENTAL

Preoperative Genotyping

Intervention Type DIAGNOSTIC_TEST

Genotype based risk prediction and personalized pain management

Infant

Infant subject will have genotyping blood draw performed only at the time of controlled delivery (CD)

Group Type EXPERIMENTAL

Preoperative Genotyping

Intervention Type DIAGNOSTIC_TEST

Genotype based risk prediction and personalized pain management

Interventions

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Preoperative Genotyping

Genotype based risk prediction and personalized pain management

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Adult women (\>18 yr) All races American Society of Anesthesiologists Classification (ASA) physical status: 1 to 3 undergoing elective Cesarean section that are willing to receive in-patient opioids.

Exclusion Criteria

1. Health conditions including uncontrolled diabetes (gestational or pre-existing) or hypertension (pre-eclampsia, eclampsia, or chronic)
2. Any history of opioid misuse before or during pregnancy-per self-report and clinical notes
3. Preoperative severe pain and opioid use/misuse, allergy to oxycodone
4. Allergy to oxycodone
5. Significant neurological disorders, liver and renal diseases
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Center for Advancing Translational Sciences (NCATS)

NIH

Sponsor Role collaborator

Senthil Sadhasivam

OTHER

Sponsor Role lead

Responsible Party

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Senthil Sadhasivam

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Senthilkumar Sadhasivam, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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UPMC Magee Women's Hospital

Pittsburgh, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Senthilkumar Sadhasivam, MD, MPH

Role: CONTACT

4126472994

Carly Riedmann, MPH

Role: CONTACT

412-623-4147

Facility Contacts

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Katherine Grace Lim, MD

Role: primary

412-641-4260

Amy Monroe, MPH

Role: primary

412-623-6382

Other Identifiers

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1U01TR003719-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY21100167

Identifier Type: -

Identifier Source: org_study_id

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