- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00353704
Analgetic and Anxiolytic Effect of Preoperative Pregabalin
Analgetic and Anxiolytic Effect of Preoperative Pregabalin in Patients Undergoing Surgery of the Vertebral Columna
The purpose of this study is to determine whether the use of oral pregabalin 150 mg as premedication reduces the amount and degree of postoperative pain.
Furthermore the purpose of this study is to determine whether the use of oral pregabalin 150 mg as premedication reduces anxiety prior to anaesthesia in these patients.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The mechanism of development of postoperative pain is complex. Central and peripheral sensitization are playing an important role and this can lead to postoperative hypersensitization. Several studies have shown, that gabapentin can be effective to reduce sensitization and postoperative pain. Pregabalin (S-aminomethyl-5-methylhexaninacid) is a further development of gabapentin. Pregabalin has a fewer side-effects compared with gabapentin.
The purpose of this study is to compare the analgetic and anxiolytic effect of pregabalin and placebo used as premedication.
The hypothesis is that a single-dose pregabalin (150 mg postoperatively (p.o.)) gives significant better anxiolysis and analgesia than placebo.
The study is including patients undergoing surgery of the vertebral columna.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Rud, Norway, 1309
- Asker and Baerum Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinical diagnosis of disc prolapse
- Age 18+
- ASA (American Association in Anesthesiology) I-III
- written consent
Exclusion Criteria:
- Age < 18
- ASA > III
- liver failure
- renal failure
- allergic reaction against gabapentin and/or pregabalin
- pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Pregabalin
150 mg Pregabalin per orally about one hour before surgery
|
capsule 150 mg x 1 per orally one hour before surgery
All patients were equipped with a PCA (patient controlled analgesia) for 24 hours after surgery.
The sum of morphine used was registered (milligram).
|
Placebo Comparator: Placebo
One capsule of saccharose (placebo) was administered orally about one hour before surgery.
|
All patients were equipped with a PCA (patient controlled analgesia) for 24 hours after surgery.
The sum of morphine used was registered (milligram).
One capsule of saccharose (placebo) was administered about one hour before surgery
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean VAS Pain (Visual Analogue Scale)at Rest (0-100 mm)
Time Frame: 120 minutes after surgery
|
The visual analogue scale (VAS) was used for registration of the pain intensity at rest.
The score ranges from 0-100, where 0 means no pain and 100 means maximal pain.
Higher values represent a worse outcome.
|
120 minutes after surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Morphine (Opioid) Consumption Cumulated
Time Frame: 240 minutes
|
Patients were equipped with a morphine PCA (patient controlled analgesia) for 24 hours after surgery.
So they could administrate morphine intravenously by pressing a button.
The sum of morphine was registered as " cumulated opioid consumption (milligram)
|
240 minutes
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Ulrich J Spreng, Dr. med., Asker and Baerum Hospital, Norway
- Study Director: Vegard Dahl, Dr. med., Asker and Baerum Hospital, Norway
Publications and helpful links
General Publications
- Woolf CJ, Chong MS. Preemptive analgesia--treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg. 1993 Aug;77(2):362-79. doi: 10.1213/00000539-199377020-00026. No abstract available.
- Menigaux C, Adam F, Guignard B, Sessler DI, Chauvin M. Preoperative gabapentin decreases anxiety and improves early functional recovery from knee surgery. Anesth Analg. 2005 May;100(5):1394-1399. doi: 10.1213/01.ANE.0000152010.74739.B8.
- Dirks J, Fredensborg BB, Christensen D, Fomsgaard JS, Flyger H, Dahl JB. A randomized study of the effects of single-dose gabapentin versus placebo on postoperative pain and morphine consumption after mastectomy. Anesthesiology. 2002 Sep;97(3):560-4. doi: 10.1097/00000542-200209000-00007.
- Spreng UJ, Dahl V, Raeder J. Effect of a single dose of pregabalin on post-operative pain and pre-operative anxiety in patients undergoing discectomy. Acta Anaesthesiol Scand. 2011 May;55(5):571-6. doi: 10.1111/j.1399-6576.2011.02410.x. Epub 2011 Mar 8.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Musculoskeletal Diseases
- Pathological Conditions, Anatomical
- Spinal Diseases
- Bone Diseases
- Hernia
- Intervertebral Disc Displacement
- Prolapse
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Analgesics, Opioid
- Narcotics
- Tranquilizing Agents
- Psychotropic Drugs
- Membrane Transport Modulators
- Anti-Anxiety Agents
- Anticonvulsants
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Pregabalin
- Morphine
Other Study ID Numbers
- 2005-003229-20
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Intervertebral Disk Displacement
-
BioAlpha Inc.CompletedIntervertebral Disk Degeneration | Intervertebral Disk DisplacementKorea, Republic of
-
Seoul National University HospitalCompletedOssification of Posterior Longitudinal Ligament | Intervertebral Disk Degeneration | Intervertebral Disk DisplacementKorea, Republic of
-
OhioHealthNuTech Medical, IncTerminatedMusculoskeletal Diseases | Spinal Diseases | Bone Diseases | Spinal Stenosis | Spondylosis | Spondylolisthesis | Spondylolysis | Lumbar Degenerative Disc Disease | Intervertebral Disk Degeneration | Intervertebral Disk DisplacementUnited States
-
Maastricht University Medical CenterB. Braun/Aesculap SpineCompletedIntervertebral Disk Displacement | DiskectomyNetherlands
-
University of UtahCompletedSciatic Neuropathy | Radiculopathy | Intervertebral Disk DisplacementUnited States
-
Intermountain Health Care, Inc.59th Medical Wing; University of Utah; Empi, A DJO CompanyCompletedMusculoskeletal Diseases | Neuromuscular Diseases | Spinal Diseases | Neck Pain | Radiculopathy | Intervertebral Disk DisplacementUnited States
-
Amniox Medical, Inc.Completed
-
Vertebral Technologies, Inc.Unknown
-
Postgraduate Institute of Dental Sciences RohtakUnknownAnterior Disk Displacement TMJIndia
Clinical Trials on pregabalin
-
Pfizer's Upjohn has merged with Mylan to form Viatris...Completed
-
AstraZenecaCompletedDiabetic Neuropathy, Painful; Diabetic NeuropathiesUnited States
-
Jiangsu HengRui Medicine Co., Ltd.UnknownPostherpetic NeuralgiaChina
-
Hamilton Health Sciences CorporationMcMaster UniversityTerminated
-
EMSRecruitingNeuropathic PainBrazil
-
Janssen-Cilag Ltd.Completed
-
The First Hospital of Jilin UniversityCompletedPain, Postoperative | Arthroplasty, Replacement, Knee | Arthroplasty, Replacement, HipChina
-
Pfizer's Upjohn has merged with Mylan to form Viatris...Completed
-
Ziauddin UniversityCompletedPain, Nerve | Prolapsed Intervertebral DiscPakistan
-
University of British ColumbiaJuvenile Diabetes Research FoundationUnknown