Efficacy and Safety of Hydromorphone-ropivacaine Versus Sufentanil-ropivacaine for Epidural Labor Analgesia

NCT ID: NCT06036797

Last Updated: 2023-10-26

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-17

Study Completion Date

2023-10-17

Brief Summary

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The purpose of this study is to compare the effects of three different doses of hydromorphone combined with ropivacaine and sufentanil combined with ropivacaine in epidural labor analgesia through prospective clinical trials, so as to explore whether hydromorphone combined with ropivacaine has advantages in epidural labor analgesia, and find out the optimal dose of hydromorphone.

Participants will be randomly allocated to four groups : Group 1, Group 2, Group 3 and Group 4. For those in Group 1 : they will be administered with 15 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 2 : they will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 4 : they will be administered with 0.4 ug/ml sufentanil and 0.08% ropivacaine for epidural labor analgesia.

The goal of this clinical trial is to provide a new treatment option for pregnant women in epidural labor analgesia, and to provide a basis for hydromorphone combined with ropivacaine in epidural labor analgesia.

Detailed Description

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Conditions

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Analgesia Labor Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Group 1

Group 1 will be administered with 15 ug/ml hydromorphone and 0.08% ropivacaine

Group Type EXPERIMENTAL

Hydromorphone

Intervention Type DRUG

For those in Group 1 : they will be administered with 15 ug/ml hydromorphone, For those in Group 2 : they will be administered with 17.5 ug/ml hydromorphone, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone

Ropivacaine

Intervention Type DRUG

0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms

Group 2

Group 2 will be administered with 17.5 ug/ml hydromorphone and 0.08% ropivacaine

Group Type EXPERIMENTAL

Hydromorphone

Intervention Type DRUG

For those in Group 1 : they will be administered with 15 ug/ml hydromorphone, For those in Group 2 : they will be administered with 17.5 ug/ml hydromorphone, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone

Ropivacaine

Intervention Type DRUG

0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms

Group 3

Group 3 will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine

Group Type EXPERIMENTAL

Hydromorphone

Intervention Type DRUG

For those in Group 1 : they will be administered with 15 ug/ml hydromorphone, For those in Group 2 : they will be administered with 17.5 ug/ml hydromorphone, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone

Ropivacaine

Intervention Type DRUG

0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms

Group 4

Group 4 will be administered with 0.4 ug/ml sufentanil and 0.08% ropivacaine

Group Type ACTIVE_COMPARATOR

Sufentanil

Intervention Type DRUG

For those in Group 4 : they will be administered with 0.4 ug/ml sufentanil

Ropivacaine

Intervention Type DRUG

0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms

Interventions

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Hydromorphone

For those in Group 1 : they will be administered with 15 ug/ml hydromorphone, For those in Group 2 : they will be administered with 17.5 ug/ml hydromorphone, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone

Intervention Type DRUG

Sufentanil

For those in Group 4 : they will be administered with 0.4 ug/ml sufentanil

Intervention Type DRUG

Ropivacaine

0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiologists (ASA) physical status II
* a single fetus
* competent to provide informed consent

Exclusion Criteria

* severe respiratory diseases including hypoxemia, respiratory failure and severe pneumonia
* severe circulatory diseases including acute decompensated heart failure and peripartum cardiomyopathy
* placenta previa
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Maternal and Child Health Hospital of Hubei Province

OTHER

Sponsor Role lead

Responsible Party

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Li Na

Deputy Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Na Li, MD

Role: PRINCIPAL_INVESTIGATOR

Maternal and Child Health Hospital of Hubei Province

Locations

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Maternal and Child Health Hospital of Hubei Province

Wuhan, Hubei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Na Li, MD

Role: CONTACT

+862763490107

Facility Contacts

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Na Li, MD

Role: primary

+862763490107

Other Identifiers

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MCHH_003

Identifier Type: -

Identifier Source: org_study_id

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