- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01053039
The Use of Intrathecal Morphine in the Management of Acute Pain Following Decompressive Lumbar Spinal Surgery (ITMP)
The Use of Intrathecal Morphine in the Management of Acute Pain Following Decompressive Lumbar Spinal Surgery: A Randomized Controlled Trial
The primary aim of this study is to assess the impact of intrathecal morphine on post-operative pain following instrumented fusion for degenerative lumbar spine disease. Secondary objectives of this study aim to assess side effects, overall narcotic use and duration of hospital stay following administration of intrathecal morphine.
Based on our literature review, we expect a significant improvement in pain scores and functional status and minimal side effects with the use of intrathecal morphine. With improved pain and function we would also expect shorter hospital stays in those patients receiving intrathecal morphine.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T2N 2T9
- Foothills Medical Centre
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- age 18yrs or older
- elective surgery for instrumented fusion of the lumbar spine for stenosis (< 5 levels)
- with back and/or leg pain
- patients who meet ASA class 1 or 2
Exclusion Criteria:
- Patients unable to speak english
- known allergies to morphine or other opioids
- spinal surgery other than lumbar spine surgery
- history of severe respiratory illness including COPD and asthma
- history of obstructive sleep apnea
- pregnancy
- lumbar procedures performed in minimally invasive fashion
- patients lacking mental capacity to use PCA
- patients on sustained release narcotics
- patients undergoing revision of previous instrumented lumbar spine surgery
- patients with psychiatric disorders.
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: Intrathecal Morphine
Treatment group to receive 0.2mg of intrathecal morphine followed by PCA morphine.
|
Treatment group to receive 0.2mg of intrathecal morphine followed by PCA morphine.
Other Names:
|
Placebo Comparator: Intrathecal Saline
The control group will receive intrathecal saline followed by PCA.
All patients will receive a standardized postoperative regimen.
|
The control group will receive intrathecal saline followed by PCA.
All patients will receive a standardized postoperative regimen.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The primary aim of this study is to assess the impact of intrathecal morphine on post-operative pain following instrumented fusion for lumbar spinal stenosis.
Time Frame: Pre-op to discharge
|
Pre-op to discharge
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Secondary objectives of this study aim to assess side effects, overall narcotic use and duration of hospital stay following administration of intrathecal morphine.
Time Frame: Pre-op to discharge
|
Pre-op to discharge
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Stephan J du Plessis, MD, FRCSC, Chairman, University of Calgary Spine Program
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
Other Study ID Numbers
- 22518
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.
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.
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-
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Spine Centre of Southern DenmarkOdense University Hospital; Frederiksberg University Hospital; Center for Rheumatology...CompletedPain | Back Pain | Lumbar Disc Herniation | Spinal Diseases | SurgeryDenmark
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Tanta Universitymona bologh elmorad,MD; mohmed naser shaddad,MDCompletedDouble Level Lumbar Spondylolisthesis (L3-L5) | Posterior Lumbar Interbody Fusion (PLIF) | Lumbar Fixation SurgeryEgypt
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