Effect of Pregabalin Administration on Catheter- Related Bladder Discomfort in Orthopedic Surgical Operations
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Athens, Greece, 115 22
- Anticancer Hospital of Athens "Saint Savvas"
-
Vólos, Greece, 38221
- University of Thessaly, Medical School
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- All patients about to be subjected to urinary operations
- Signed informed consent
Exclusion Criteria:
- Preoperative urinary bladder/kidney dysfunction as a result of spinal cord pathology
- History of overactive ((urinary frequency>3 times at night and >8 times in 24 hours), neurogenic bladder
- End stage renal failure
- Central nervous system dysfunction
- Mental illness/ substance abuse
- Sensitivity to pregabalin
- Preoperative administration of pregabalin for other indications
- Recent bladder catheterization <3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Group I
Administration of a placebo capsule 1 hour prior to the surgical operation
|
Placebo oral capsule administered 1 hour prior to the surgical operation
|
|
Experimental: Group II
Administration of 75mg of pregabalin 1 hour prior to the surgical operation
|
Pregabalin Oral Capsule [Lyrica] 75 mg administered 1 hour prior to the surgical operation
Other Names:
|
|
Experimental: Group III
Administration of 150mg of pregabalin 1 hour prior to the surgical operation
|
Pregabalin Oral Capsule [Lyrica] 150 mg administered 1 hour prior to the surgical operation
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of postsurgical catheter-related bladder discomfort after preoperative pregabalin administration
Time Frame: Change from preoperative status to postoperative one at 0, 1, 2, 6, 24 hours postoperatively
|
Assessment of discomfort will be made by a scale of four (1=no discomfort, 2=mild discomfort reported on questioning only, 3=moderate discomfort, urge to pass urine reported by the patient without questioning, 4= severe discomfort, urge to pass urine accompanied by behavioral responses, such as flailing limbs, strong vocal responses or attempts to pull the catheter out)
|
Change from preoperative status to postoperative one at 0, 1, 2, 6, 24 hours postoperatively
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Postoperative pain assessed by NPRS scale (Numeric Pain Rating Scale)
Time Frame: Total amount of analgesics in morphine analogues administered in the first 24 hours postoperatively
|
The goal is to achieve pain scores<3 as these are assessed by the NPRS scale.
In order to achieve that we will record the total amount of milligrams of analogues of morphine administered in the first 24 hours postoperatively
|
Total amount of analgesics in morphine analogues administered in the first 24 hours postoperatively
|
|
Adverse effects of the drug
Time Frame: All adverse effects observed in the first 24 hours postoperatively
|
Postoperative nausea and vomiting, confusion, vertigo, blurred vision, dry mouth,sedation, dizziness
|
All adverse effects observed in the first 24 hours postoperatively
|
|
Assessment of postoperative sedation
Time Frame: In the operating theatre immediately after patient's extubation
|
The Ramsay Sedation Scale is used to measure different levels of sedation in medical patients (1=Patient is anxious and agitated or restless, or both 2=Patient is co-operative, oriented, and tranquil, 3=Patient responds to commands only, 4=Patient exhibits brisk response to light glabellar tap or loud auditory stimulus, 5=Patient exhibits a sluggish response to light glabellar tap or loud auditory stimulus, 6=Patient exhibits no response)
|
In the operating theatre immediately after patient's extubation
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Sofia Poulopoulou, Head of department, Anticancer Hospital of Athens 'Saint Savvas'
- Study Chair: Eleni Arnaoutoglou, Professor of Anesthesiology, University of Thessaly, Medical School, Anesthesiology Clinic
Publications and helpful links
General Publications
- Agarwal A, Dhiraaj S, Singhal V, Kapoor R, Tandon M. Comparison of efficacy of oxybutynin and tolterodine for prevention of catheter related bladder discomfort: a prospective, randomized, placebo-controlled, double-blind study. Br J Anaesth. 2006 Mar;96(3):377-80. doi: 10.1093/bja/ael003. Epub 2006 Jan 16.
- Srivastava VK, Agrawal S, Kadiyala VN, Ahmed M, Sharma S, Kumar R. The efficacy of pregabalin for prevention of catheter-related bladder discomfort: a prospective, randomized, placebo-controlled double-blind study. J Anesth. 2015 Apr;29(2):212-6. doi: 10.1007/s00540-014-1911-x. Epub 2014 Sep 9.
- Bai Y, Wang X, Li X, Pu C, Yuan H, Tang Y, Li J, Wei Q, Han P. Management of Catheter-Related Bladder Discomfort in Patients Who Underwent Elective Surgery. J Endourol. 2015 Jun;29(6):640-9. doi: 10.1089/end.2014.0670. Epub 2014 Dec 9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Tranquilizing Agents
- Psychotropic Drugs
- Membrane Transport Modulators
- Anti-Anxiety Agents
- Anticonvulsants
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Pregabalin
Other Study ID Numbers
Other Study ID Numbers
- CRBD orthopedic operations
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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