To Evaluate the Efficacy and Safety of Tegileridine and Oliceridine Injections in the Treatment of Postoperative Pain
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200000
- 241 Huaihai West Road, Xuhui District, Shanghai
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Accept elective laparoscopic combined thoracic surgery under general anesthesia, surgery time ≥ 1 h;
- 18 years old ≤ age ≤70 years old, regardless of gender;
- 18 kg/m2≤BMI≤30 kg/m2;
- American Society of Anesthesiologists (ASA) grade ⅰ-ⅲ;
- Within 4 hours after the end of surgery, NRS≥4 in the resting state at any time;
- Before starting trial-related activities, participants should voluntarily sign the informed consent form, fully understand the purpose and significance of this trial, and voluntarily abide by the trial procedures.
Exclusion Criteria:
- Patients with a previous history of difficult airway (obstructive sleep apnea syndrome), severe respiratory depression such as oxygen saturation < 90%, or a history of acute or severe bronchial asthma;
- Patients with a history of severe cardiovascular and cerebrovascular diseases (such as myocardial infarction or unstable angina pectoris, or severe arrhythmia such as atrioventricular block of degree Ⅱ or above, or ischemic stroke in NYHA class Ⅱ or above);
- Known or suspected gastric bowel obstruction, including paralytic ileus patients;
- Patients with allergy to opioids or any component of the trial drug;
- Subjects with previous psychiatric disorders (such as schizophrenia, depression, etc.) and cognitive impairment;
- With late-stage malignant tumors or with extensive metastasis of malignant tumor patients;
- Subjects with other somatic pain that may affect postoperative pain assessment;
- A history of drug, drug, and/or alcohol abuse within 1 year before randomization;
- Pregnant or lactating female subjects;
- Subjects with any other factor considered by the investigator to be ineligible for participation in the trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: tegileridine
The loading iv dose: 0.75mg The PCIA dose:0.05mg
Lockout time: 10min
|
single dose+PCA dose
|
|
Experimental: oliceridine
The loading iv dose: 1.5mg
The PCIA dose:0.35mg
Lockout time: 6min
|
single dose+PCA dose
|
|
Active Comparator: morphine
The loading iv dose: 3mg The PCIA dose:1mg Lockout time: 6min
|
single dose+PCA dose
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time-weighted sum of differences of resting pain score within 24 hours after starting a loading dose of test drug infusion
Time Frame: during the first 24 hours after starting a loading dose of test drug infusion
|
"resting pain score" is assessed by Numeric Rating Scale, range 0-10, 0=no pain and 10 = worst imaginable pain, from 0 to 0 means worse pain
|
during the first 24 hours after starting a loading dose of test drug infusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Resting-state pain and exercise-state pain intensity
Time Frame: Pain scores are evaluated at 10 minutes、30 minutes、6 hours、12 hours、24 hours after the first loading dose
|
Resting-state pain and exercise-state pain intensity are assessed by Numeric Rating Scale, range 0-10, 0=no pain and 10 = worst imaginable pain, from 0 to 0 means worse pain
|
Pain scores are evaluated at 10 minutes、30 minutes、6 hours、12 hours、24 hours after the first loading dose
|
|
Time-weighted sum of differences of exercise-state pain score within 24 hours after starting a loading dose of test drug infusion
Time Frame: Pain scores are evaluated at 10 minutes、30 minutes、6 hours、12 hours、24 hours after the first loading dose
|
"exercise-state pain score" is assessed by Numeric Rating Scale, range 0-10, 0=no pain and
|
Pain scores are evaluated at 10 minutes、30 minutes、6 hours、12 hours、24 hours after the first loading dose
|
|
total pain relief (TOTPAR) scores
Time Frame: 10 minutes、30 minutes、6 hours、12 hours、24 hours after the first loading dose
|
Time-weighted sum of resting and moving state pain relief scores
|
10 minutes、30 minutes、6 hours、12 hours、24 hours after the first loading dose
|
|
the percentage of patients receiving rescue analgesia
Time Frame: from 0-24 hours after the first loading dose
|
the percentage of patients receiving rescue analgesia
|
from 0-24 hours after the first loading dose
|
|
length of bed stay
Time Frame: From date of randomization until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 1 months.
|
length out of bed
|
From date of randomization until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 1 months.
|
|
Length of hospital stay
Time Frame: From date of randomization until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 1 months.
|
postoperative length of hospital stay
|
From date of randomization until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 1 months.
|
|
incidence of Postoperative nausea and vomiting
Time Frame: the first 24 hours after surgery
|
incidence rate of PONV
|
the first 24 hours after surgery
|
|
incidence rate of respiratory depression
Time Frame: the first 24 hours after surgery
|
respiratory depression is defined as respiratory rate < 8 and/or SpO2<90%
|
the first 24 hours after surgery
|
|
analgesia satisfaction
Time Frame: the first 24 hours after surgery
|
satisfaction evaluation using 0-100 scale
|
the first 24 hours after surgery
|
|
pressing times of postoperative analgesic pump
Time Frame: the first 24 hours after surgery
|
the first 24 hours after surgery
|
|
|
total doses of postoperative analgesic pump
Time Frame: the first 24 hours after surgery
|
the first 24 hours after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- TGRD-ANAL-PILOT-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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