UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032475
Receipt number R000027092
Scientific Title Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial
Date of disclosure of the study information 2018/05/06
Last modified on 2020/02/28 15:28:50

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Basic information

Public title

Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial

Acronym

Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial

Scientific Title

Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial

Scientific Title:Acronym

Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial

Region

Japan


Condition

Condition

pregnancy

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to examine that the combined use of PCEA and spinal anesthesia with intrathecal morphine may have an advantage in postoperative analgesia following caesarean section compared to intrathecal morphine and single shot spinal anesthesia alone.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome of this study is postoperative pain as measured by NRS at 12 hours after intrathecal administration of morphine at rest and during mobilization

Key secondary outcomes

Secondary outcomes are NRS and Bromage score at 4, 8, 24, 48 hours after intrathecal administration of morphine at rest and during mobilization, the number of patients who requested rescue analgesics, the number of requests for rescue analgesics per patient, the interval time before the first request of rescue analgesics, the incidence of delayed ambulation, and the incidence of requested treatment for pruritus and postoperative nausea and vomiting (PONV) during the first 24 hours after intrathecal administration of morphine.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

spinal anesthesia and epidural anesthesia

Interventions/Control_2

spinal anesthesia

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1.The case of the American Society of Anesthesiologists (ASA) physical status classification scale I and II and that regional anesthesia is thought to be adaptated.
2.The case that a written agreement is provided about the participation in this study.

Key exclusion criteria

We excluded patients with contraindications for spinal or epidural anesthesia due to hemodynamic, infectious, hemostatic, neurological statuses, and medication use. In addition, we excluded cases of which we were unable to obtain informed consent such as extremely emergent caesarean sections and cases of which general anesthesia was selected for reasons such as urgency or prediction of massive hemorrhage.

Target sample size

46


Research contact person

Name of lead principal investigator

1st name Hajime
Middle name
Last name Iwasaki

Organization

Asahikawa Medical University

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

078-8510

Address

Midorigaoka-higashi, Asahikawa-shi, Hokkaido 078-8510,

TEL

0166-68-2583

Email

iwasakih@asahikawa-med.ac.jp


Public contact

Name of contact person

1st name Izumi
Middle name
Last name Sato

Organization

Asahikawa Medical University

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

078-8510

Address

Midorigaoka-higashi, Asahikawa-shi, Hokkaido 078-8510

TEL

0166-68-2583

Homepage URL


Email

izumihata323@yahoo.co.jp


Sponsor or person

Institute

Asahikawa Medical University

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of Kushiro Red Cross Hospital

Address

21-14, Shinei-cho, Kushiro, Hokkaido, Japan

Tel

0154-22-7171

Email

nakagoshi@kushiro.jrc.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 05 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

46

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 08 Month 06 Day

Date of IRB

2016 Year 07 Month 16 Day

Anticipated trial start date

2016 Year 08 Month 06 Day

Last follow-up date

2020 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 05 Month 05 Day

Last modified on

2020 Year 02 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027092