Distribution of CYP2D6 Multiplication, CYP2D6*5, and Clinical Implications in Postoperative Patients Receiving Tramadol Analgesia in the Minangkabau Ethnic Group, Indonesia

NCT ID: NCT06642480

Last Updated: 2024-10-24

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

COMPLETED

Clinical Phase

NA

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-01

Study Completion Date

2023-03-01

Brief Summary

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Cytochrome P450 2D6 (CYP2D6) is an important enzyme in metabolizing commonly used drugs such as Tramadol hydrochloride (widely used opioid analgesic). Genetic polymorphisms of the CYP2D6 gene have been shown to influence the pharmacodynamic properties of the administered drug. This study aimed to screen 63 postoperative patients (wild-type, CYP2D6\*5, and CYP2D6 multiplication) of Minangkabau ethnicity in West Sumatera, Indonesia, who received tramadol using a modified long PCR method and to investigate the clinical impact of tramadol on the patients.

Detailed Description

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VAS of 63 patients was determined by injecting tramadol at a dose of 100 mg 30 minutes before the operation was completed. It was observed in the recovery room at 30, 60, and 120 minutes. Tramadol had an onset time of 15-60 minutes, with peak effectiveness at 2-6 hours postoperatively. Pain level was categorized into 0 (no pain), 1-3 (signifying mild), 4-6 (middle), and 7-10 ( heavy pain).

Conditions

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Post Operative Analgesia Tramadol

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

VAS of 63 patients was determined by injecting tramadol at a dose of 100 mg 30 minutes before the operation was completed. It was observed in the recovery room at 30, 60, and 120 minutes. Tramadol had an onset time of 15-60 minutes, with peak effectiveness at 2-6 hours postoperatively. Pain level was categorized into 0 (no pain), 1-3 (signifying mild), 4-6 (middle), and 7-10 ( heavy pain).
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Determination of Patients' Visual Analogue Scale (VAS)

Pain level was categorized into 0 (no pain), 1-3 (signifying mild), 4-6 (middle), and 7-10 ( heavy pain).

Group Type OTHER

Post Operative Analgesia

Intervention Type DRUG

administering 100 mg of intravenous tramadol 30 minutes before the operation is completed

Post Operative Analgesia

Intervention Type DRUG

VAS of 63 patients was determined by injecting tramadol at a dose of 100 mg 30 minutes before the operation was completed. It was observed in the recovery room at 30, 60, and 120 minutes.

Interventions

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Post Operative Analgesia

administering 100 mg of intravenous tramadol 30 minutes before the operation is completed

Intervention Type DRUG

Post Operative Analgesia

VAS of 63 patients was determined by injecting tramadol at a dose of 100 mg 30 minutes before the operation was completed. It was observed in the recovery room at 30, 60, and 120 minutes.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Post operative patients who get analgesic tramadol
Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Andalas University

OTHER

Sponsor Role collaborator

Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia

OTHER_GOV

Sponsor Role lead

Responsible Party

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Desriani Desriani

DR

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rsup Dr M Djamil Padang

Padang, West Sumatra, Indonesia

Site Status

Countries

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Indonesia

References

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Effendi R, Rizqia Haz A, Muhammad Fuad A, Dermawan B, Utami N, Desriani. Distribution of CYP2D6 multiplication, CYP2D6*5, and clinical implications in postoperative patients receiving tramadol analgesia in the Minangkabau ethnic group, Indonesia. F1000Res. 2025 Sep 23;13:1526. doi: 10.12688/f1000research.155988.3. eCollection 2024.

Reference Type DERIVED
PMID: 41078883 (View on PubMed)

Other Identifiers

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2/III/HK/2022

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

BRIN

Identifier Type: -

Identifier Source: org_study_id

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