- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03781544
Effects of Opioids and NSAIDs on Sympathetic Nervous System and Vascular Function (OPIOVASC)
Effect of Opioids and NSAIDs on Sympathetic Nervous System and Vascular Function in Healthy Subjects and Patients With Osteoarthritis
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Isabella Sudano, MD
- Phone Number: +41442555841
- Email: Isabella.Sudano@usz.ch
Study Contact Backup
- Name: Anne-Marieke Vegter
- Phone Number: +41442552280
- Email: Anne-Marieke.Vegter@usz.ch
Study Locations
-
-
-
Zurich, Switzerland, 8091
- Recruiting
- University Heart Center Zurich
-
Contact:
- Frank Ruschitzka, MD
- Phone Number: +41442553353
- Email: frank.ruschitzka@usz.ch
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients ≥ 18 years of age, male or female, with a diagnosis of osteoarthritis or healthy subjects ≥ 18 years of age;
- Written informed consent;
Exclusion criteria:
- History of hypersensitivity or allergy to any of the study drugs
- Acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or other major CV surgery, percutaneous coronary intervention (PCI) or carotid angioplasty within the 3 months prior to Visit 1;
- Coronary or carotid artery disease likely to require surgical or percutaneous intervention within the 3 months after Visit 1;
- Presence of significant endocrine diseases;
- Presence of active acute infectious diseases;
- Known narrow-angle glaucoma;
- Known epilepsy;
- Cimino-shunt operation on both arms;
- Pregnancy, intention thereof during study, lack of sufficient contraception, breastfeeding;
- Drug or alcohol abuse;
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 |
---|---|
Experimental: Diclofenac
Diclofenac (Diclofenacum natricum) A single i.v.
infusion of Diclofenac (dose: 75mg/100ml) will be administered to the participants (treatment arm).
|
A single i.v.
infusion of Diclofenac (dose: 75mg/100ml) will be administered to the participants (treatment arm).
|
Active Comparator: Paracetamol
Paracetamol (Paracetamol Sintetica): A single i.v. infusion of Paracetamol (dose: 1g/100ml) will be administered to the participants (control arm). |
A single i.v.
infusion of Paracetamol (dose: 1g/100ml) will be administered to the participants (control arm).
Other Names:
|
Experimental: Tramadol
Tramadol (Tramadol-Mepha): A single i.v. infusion of Tramadol (dose: 400mg/100ml) will be administered to the participants (treatment arm). |
A single i.v.
infusion of Tramadol (dose: 400mg/100ml) will be administered to the participants (treatment arm).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
resting MSNA (sympathetic nervous activity )
Time Frame: 1day (110 min)
|
Effect of different single analgesic treatments (Tramadol, Paracetamol, Diclofenac) on resting muscle sympathetic nerve activity (MSNA) in osteoarthritis patients (post 2 days of analgesic therapy washout phase) and in healthy subjects. Tramadol treatment will be compared to diclofenac and paracetamol (3 treatment arms). 90 participants (45 osteoarthritis patients, 45 healthy subjects); Single infusion of Tramadol (50 mg i.v.) Single infusion of Paracetamol (1000 mg i.v.) Single infusion of Diclofenac (75 mg i.v.) |
1day (110 min)
|
changes in FMD (Flow mediated vasodilation)
Time Frame: 1 day (210min)
|
Effect of a single acute intravenous analgesic treatment with tramadol versus paracetamol on changes in flow mediated dilatation (FMD) in osteoarthritis patients and in healthy subjects. Tramadol treatment will be compared with paracetamol as we previously demonstrated that paracetamol exerts no significant effects on endothelial function as measured by flow mediated dilatation. 80 participants (40 osteoarthritis patients, 40 healthy subjects); Single infusion of Tramadol (50 mg i.v.) Single infusion of Paracetamol (1000 mg i.v.) |
1 day (210min)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Frank Ruschitzka, MD, Cardiology, University Heart Center Zurich
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Arthritis
- Osteoarthritis
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Antipyretics
- Analgesics, Opioid
- Narcotics
- Acetaminophen
- Diclofenac
- Tramadol
Other Study ID Numbers
- OPIOVASC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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