- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01808014
The Analgesic Effect of Nefopam on the Fentanyl Based PCA (Patient-controlled Analgesia) After Lumbar Spinal Surgery
Posterior lumbar spinal surgical pain leads to a severe degree of pain, and, hence, various means of pain management are required. Opioid pain medications such as morphine and fentanyl are frequently used as intravenously administered medications. To reduce the use of opioids for pain relief, a non-opioid form of pain relief, such as a Non-Steroidal Anti-Inflammatory Drug (NSAID), is often added to the regimen.
With the use of NSAIDs, however, the risk of systemic side effects such as bleeding, gastroduodenal bleeding, and kidney damage are being reported, and there is also a report of inhibition of spinal fusion; these risks limit the use of NSAIDs.
Nefopam, a new centrally-acting analgesic agent, has been reported in an animal study to desensitize post-surgical pain, and when used with an opioid analgesic, it indirectly controlled the NMDA receptor, which inhibited the generation of c-fos gene at the spine. There are also reports that Nefopam managed pain by inhibiting the serotonin reuptake receptors.
In clinical practice, the administration of Nefopam in patients who required post-surgical pain management reduced the use of opioid analgesics by 20-50 % and also reduced the prevalence of nausea and vomiting.
Therefore, the investigators considered whether the addition of Nefopam for intravenous patient-controlled analgesia in patients with lumbar spinal surgery would reduce the side effects seen in monotherapy with opioid analgesia and result in effective pain management. This study was conducted to address this question.
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Tae Dong Kweon, MD
- Phone Number: 82-2228-82428
- Email: YSANES71@yuhs.ac
Study Locations
-
-
-
Seoul, Korea, Republic of, 120-752
- Recruiting
- Severance Hospital
-
Contact:
- Tae Dong Kweon, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
A. Inclusion criteria: The study subjects were adult patients, 20-65 years old, who were going to have spinal fusion surgery due to conditions such as spinal stenosis or disks and who fell under the American Society of Anesthesiologist physical status classifications of 1 or 2.
B. Exclusion criteria: Patients who could not read or understand the consent documents or who had a defect in blood coagulation, hepatectomy, pneumonectomy, nephrectomy, cardiovascular disease, administration of MAO inhibitor, ischuria, glaucoma, or a history of seizure were excluded from the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: The addition of Nefopam
The addition of Nefopam for intravenous patient-controlled analgesia in patients with lumbar spinal surgery would reduce the side effects seen in monotherapy with opioid analgesia and result in effective pain management.
|
The chief investigator prepared the medications according to the selected randomized table, and investigators who were not involved in medication preparation recorded the pain and prevalence of complications in study subjects.
The double-blind restriction was lifted if the patient withdrew from the study, and the next patient was classified into a group while blinded by using the randomized table.Intramuscular midazolam 0.05 mg/kg was administered as a premedication, and then a blood pressure machine, electrocardiogram, and pulse oximeter were connected to the patient in the operating room.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The additional analgesic effect of nefopam on the fentanyl based PCA after lumbar spinal surgery
Time Frame: up to 48 hours post-surgery
|
The resting visual analogue scale (r-VAS) and cough visual analogue scale (c-VAS) were measured.
|
up to 48 hours post-surgery
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
- 4-2012-0920
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 Lumbar Spinal Stenisis or Lumbar Herniated Intervertebral Disc
-
Seoul National University HospitalCompletedLumbar Herniated Intervertebral DiscKorea, Republic of
-
Third Affiliated Hospital, Sun Yat-Sen UniversityActive, not recruiting
-
Kovacs FoundationFondo de Investigacion Sanitaria; Hospital Son Llatzer; Hospital Negrín; Servicio...Terminated
-
Third Affiliated Hospital, Sun Yat-Sen UniversityUnknown
-
University of ManitobaUnknownLumbar Herniated DiscCanada
-
Spine Centre of Southern DenmarkUniversity of Southern DenmarkUnknownLumbar Herniated DiskDenmark
-
Bernardino Clavo, MD, PhDServicio Canario de Salud; Instituto de Salud Carlos III; Red de Investigación... and other collaboratorsActive, not recruiting
-
LUTRONIC CorporationCompletedLumbar Herniated Intervertebral Disc
-
Aesculap AGRecruitingDisk Herniated Lumbar | Spondylolisthesis | Disc Disease DegenerativeGermany
-
M3 HealthIrmandade da Santa Casa de Misericordia de Sao PauloNot yet recruitingHerniated Disk LumbarBrazil
Clinical Trials on nefopam
-
University Hospital, Clermont-FerrandCompletedHealthy VolunteersFrance
-
The Cleveland ClinicLaboratoires Biocodex (Montrouge, France)Completed
-
Unither Pharmaceuticals, FranceEXCELYA BordeauxCompletedAcute PainFrance, Russian Federation, Belgium, Hungary, United Kingdom
-
Hospices Civils de LyonRecruitingPostoperative Pain After a Total Knee ArthroplastyFrance
-
Seoul National University HospitalCompletedNefopam | Catheter-related Bladder DiscomfortKorea, Republic of
-
Galen LimitedCompleted
-
The Catholic University of KoreaCompletedPain | Orthognathic SurgeryKorea, Republic of
-
Mahidol UniversityCompleted
-
Unither Pharmaceuticals, FranceAccutest Research Laboratories (I) Pvt. Ltd.Completed
-
University of AlbertaRecruitingBurn Degree Second | Burn; Multiple Body Regions, Max. Second Degree | Third-Degree BurnCanada