Preemptive Analgesia Combination of Celecoxib and Pregabalin in THA
Preemptive Analgesia Combination of Celecoxib and Pregabalin in Total Hip Arthroplasty: Comparison of the Effects of Single Dose and Repeated Doses (Double-Blind Randomized Clinical Trial)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- Research design This is a double-blind, randomized clinical trial which aimed to evaluate the effect of preemptive analgesia combined with Celecoxib and Pregabalin on acute post-THA pain.
- Study location This study will be conducted at the Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
- Study time This study will be conducted in October 2022 - April 2023
- Population and sample The target population of this study is adult patients undergoing THA surgery. The randomization technique used in this study is a simple randomization technique. Researchers randomly determine the allocation of samples without looking at subjects' status in the population.
Inclusion criteria
- Patients >18 years old
- Patients who come to the RSCM Orthopedic Polyclinic
- Patients undergoing THA surgery
- Patients with Primary and Secondary Pelvic Osteoarthritis
- The patient is taking anti-pain and anti-inflammatory drugs regularly
Exclusion criteria
- Patients with mental disorders
- Patients with a history of renal impairment
- Pelvic arthritis patients due to rheumatoid arthritis or infection
- Patients with diabetes and obesity
- Allergy to non-steroidal inflammatory drugs
- Asthma history
- Coagulation disorders
- Patients in the study procedure experienced an incident of severe pain that required another analgesic regimen
- History of hypersensitivity to NSAIDs or sulfonamides
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Kemas MA Novriandi, MD
- Phone Number: +628194830011
- Email: Azkanovriandi1991@gmail.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients >18 years old
- Patients who come to the RSCM Orthopedic Polyclinic
- Patients undergoing THA operasi surgery
- Patients with Primary and Secondary Pelvic Osteoarthritis
- The patient is taking anti-pain and anti-inflammatory drugs regularly
Exclusion Criteria:
- Patients with mental disorders
- Patients with a history of renal impairment
- Pelvic arthritis patients due to rheumatoid arthritis or infection
- Patients with diabetes and obesity
- Allergy to non-steroidal inflammatory drugs
- Asthma history
- Coagulation disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
Placebo
|
|
Experimental: Single dose of celecoxib 400 mg and pregabalin 150 mg
Single dose of celecoxib 400 mg and pregabalin 150 mg administered an hour before surgery
|
Single dose of celecoxib 400 mg and pregabalin 150 mg
|
|
Active Comparator: Repeated dose of celecoxib 200 mg and pregabalin 75 mg
Repeated dose of celecoxib 200 mg twice a day and pregabalin 75 mg twice a day administered starting from 3 days before surgery
|
Repeated dose of celecoxib 200 mg and pregabalin 75 mg started 3 days before surgery
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Postoperative Pain
Time Frame: After surgery for three days
|
Acute pain measured in the morning before activity after surgery.
Measured by numeric pain rating scale 0 - 10 which lower score means less pain while higher score means more pain
|
After surgery for three days
|
|
Total consumption of morphine
Time Frame: Three days
|
Morphine is an opioid analgesic, in this study it was used as an analgesic as well as an objective parameter to assess the effectiveness of celecoxib and pregabalin.
Given with a patient control analgesia (PCA) device.
Dosage of morphine used
|
Three days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Andri MT Lubis, Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia
Publications and helpful links
General Publications
- Hayes JH, Cleary R, Gillespie WJ, Pinder IM, Sher JL. Are clinical and patient assessed outcomes affected by reducing length of hospital stay for total hip arthroplasty? J Arthroplasty. 2000 Jun;15(4):448-52. doi: 10.1054/arth.2000.4346.
- Sathappan SS, Strauss EJ, Ginat D, Upasani V, Di Cesare PE. Surgical challenges in complex primary total hip arthroplasty. Am J Orthop (Belle Mead NJ). 2007 Oct;36(10):534-41.
- Boisgard S, Descamps S, Bouillet B. Complex primary total hip arthroplasty. Orthop Traumatol Surg Res. 2013 Feb;99(1 Suppl):S34-42. doi: 10.1016/j.otsr.2012.11.008. Epub 2013 Feb 1.
- Ferrata P, Carta S, Fortina M, Scipio D, Riva A, Di Giacinto S. Painful hip arthroplasty: definition. Clin Cases Miner Bone Metab. 2011 May;8(2):19-22.
- Arden NK, Kiran A, Judge A, Biant LC, Javaid MK, Murray DW, Carr AJ, Cooper C, Field RE. What is a good patient reported outcome after total hip replacement? Osteoarthritis Cartilage. 2011 Feb;19(2):155-62. doi: 10.1016/j.joca.2010.10.004. Epub 2010 Oct 15.
- Holtzman J, Saleh K, Kane R. Effect of baseline functional status and pain on outcomes of total hip arthroplasty. J Bone Joint Surg Am. 2002 Nov;84(11):1942-8. doi: 10.2106/00004623-200211000-00006.
- Pinto PR, McIntyre T, Araujo-Soares V, Costa P, Ferrero R, Almeida A. A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty. J Pain Res. 2017 May 9;10:1087-1098. doi: 10.2147/JPR.S126467. eCollection 2017.
- Singh JA, Noorbaloochi S, Knutson KL. Cytokine and neuropeptide levels are associated with pain relief in patients with chronically painful total knee arthroplasty: a pilot study. BMC Musculoskelet Disord. 2017 Jan 14;18(1):17. doi: 10.1186/s12891-016-1375-2.
Study record dates
Study Major Dates
Study Start (Anticipated)
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
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Tranquilizing Agents
- Psychotropic Drugs
- Membrane Transport Modulators
- Anti-Anxiety Agents
- Anticonvulsants
- Calcium-Regulating Hormones and Agents
- Cyclooxygenase 2 Inhibitors
- Calcium Channel Blockers
- Celecoxib
- Pregabalin
Other Study ID Numbers
Other Study ID Numbers
- ID2564
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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