PBM Patch for Postoperative Pain Relief After Urological Surgery
A Double-blind Randomized Controlled Clinical Study of the PBM Patch for Postoperative Pain Relief After Urological Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Shih-Chieh Chueh, Attending Physicia / Professor
- Phone Number: 62135 +886-2-3123456
- Email: scchueh@ntu.edu.tw
Study Locations
-
-
Taipei City
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Taipei, Taipei City, Taiwan, 100
- National Taiwan University Hospital
-
Contact:
- Shih-Chieh Chueh, M.D.
- Phone Number: 62135 +886-2-3123456
- Email: scchueh@ntu.edu.tw
-
Taipei, Taipei City, Taiwan, 106
- National Taiwan University Cancer Center
-
Contact:
- Wei-Che Wu, M.D.
- Phone Number: +886972652979
- Email: A01827@ntucc.gov.tw
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients aged 18 years or older undergoing unilateral nephroureterectomy with bladder cuff excision, or adrenalectomy (tumor size < 3.5 cm).
- Patients who are capable of clear verbal communication.
- Patients who are able to provide written informed consent.
Exclusion Criteria:
- Individuals with photosensitive constitution or those currently using photosensitizing medications.
- Individuals with a known history of severe allergy or contact dermatitis to medical adhesive patches or tapes.
- Patients with severe psychiatric illness or cognitive impairment.
- Long-term or high-dose opioid users.
- Patients utilizing a Patient-Controlled Analgesia (PCA) pump.
- Individuals with severe hepatic insufficiency or active liver disease.
- Vulnerable populations, individuals with restricted legal capacity, or those who are unable or unwilling to undergo clinical evaluations.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Super Vi PBM Patch - Soothing
The Super Vi PBM Patch - Soothing will be applied to the participant immediately upon arrival in the post-anesthesia care unit (PACU) after surgery.
|
A photobiomodulation (PBM) patch designed for postoperative pain relief.
The patch will be applied immediately upon arrival in the post-anesthesia care unit (PACU) after urological surgery.
|
|
Experimental: Super Vi PBM Patch - Soothing EX
The Super Vi PBM Patch - Soothing EX will be applied to the participant immediately upon arrival in the post-anesthesia care unit (PACU) after surgery.
|
A photobiomodulation (PBM) patch designed for postoperative pain relief.
The patch will be applied immediately upon arrival in the post-anesthesia care unit (PACU) after urological surgery.
|
|
Placebo Comparator: Placebo Patch
The Placebo Patch will be applied to the participant immediately upon arrival in the post-anesthesia care unit (PACU) after surgery.
|
An placebo patch visually identical to the study patches but without therapeutic photobiomodulation delivery.
The patch will be applied immediately upon arrival in the post-anesthesia care unit (PACU) after urological surgery.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time-Weighted Mean Visual Analogue Scale (VAS) Pain Score at Rest
Time Frame: Baseline (preoperatively), and 1 hour ±30 minutes, 2±1 hours, 6±2 hours, 12±2 hours, and 24±2 hours postoperatively
|
The preoperative baseline VAS pain score at rest will be recorded before surgery.
Postoperative VAS pain scores at rest will be assessed at 1 hour ±30 minutes, 2±1 hours, 6±2 hours, 12±2 hours, and 24±2 hours after surgery.
The time-weighted mean VAS pain score at rest (Scale: 0-100 mm; higher scores indicate worse pain) during the first 24 hours postoperatively will be analyzed using a mixed model for repeated measures (MMRM).
Sensitivity analysis will be performed using the area under the curve from baseline to 120 hours (AUC₀-₁₂₀h) with an analysis of covariance (ANCOVA) model.
|
Baseline (preoperatively), and 1 hour ±30 minutes, 2±1 hours, 6±2 hours, 12±2 hours, and 24±2 hours postoperatively
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total Postoperative Analgesic Consumption
Time Frame: Up to 120 hours postoperatively
|
Comparison of the frequency and total dosage of analgesic use among the three groups within 120 hours postoperatively.
Analgesics include non-opioids (e.g., Acetaminophen, NSAIDs) and opioids (e.g., Morphine, Tramadol).
Opioid use will be converted to Morphine Milligram Equivalents (MME) for standardized comparison, in order to evaluate and verify the opioid-sparing effect of the study patch.
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Up to 120 hours postoperatively
|
|
Proportion of Patients Achieving Patient Acceptable Symptom State (PASS)
Time Frame: 1 hour ±30 minutes, 2±1 hours, 6±2 hours, 12±2 hours, 24±2 hours, 48±2 hours, 72±2 hours, 96±2 hours, and 120±2 hours postoperatively
|
Proportion of participants in each group achieving Patient Acceptable Symptom State (PASS), defined as a Visual Analogue Scale (VAS) pain score of ≤33 mm (scale: 0-100 mm; higher scores indicate worse pain) at 1 hour ±30 minutes, 2±1 hours, 6±2 hours, 12±2 hours, 24±2 hours, 48±2 hours, 72±2 hours, 96±2 hours, and 120±2 hours postoperatively, used to assess patient satisfaction with pain control.
|
1 hour ±30 minutes, 2±1 hours, 6±2 hours, 12±2 hours, 24±2 hours, 48±2 hours, 72±2 hours, 96±2 hours, and 120±2 hours postoperatively
|
|
Clinical Recovery Progress
Time Frame: From end of surgery to hospital discharge, assessed up to 5 days postoperatively
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Time to first ambulation out of bed and length of postoperative hospital stay will be recorded and compared among the three groups, to evaluate whether patch treatment accelerates the clinical recovery process.
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From end of surgery to hospital discharge, assessed up to 5 days postoperatively
|
|
Quality of Life Improvement
Time Frame: Baseline (preoperative) to 120 hours postoperatively
|
Change in quality of life from preoperative baseline to 120 hours postoperatively, assessed using the Traditional Chinese version of the EQ-5D-5L questionnaire (EuroQol 5-Dimension 5-Level).
Higher index scores indicate better health-related quality of life.
The EQ Visual Analogue Scale (EQ-VAS) will be reported as a supplementary measure, with higher scores indicating better self-rated health.
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Baseline (preoperative) to 120 hours postoperatively
|
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Safety Assessment
Time Frame: Up to 120 hours postoperatively
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Detailed recording of all adverse events occurring during the study period, including patch-site skin reactions (e.g., erythema, itching, rash) and analgesic-related side effects (e.g., nausea, vomiting, dizziness).
|
Up to 120 hours postoperatively
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Other Study ID Numbers
Other Study ID Numbers
- 202603101DINA、202603107DINA
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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