- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04399707
Transcutaneous Electrical Nerve Stimulation for Post-Cesarean Pain Control
May 21, 2020 updated by: Kelly Yamasato, MD, Hawaii Pacific Health
Purpose of study is to evaluate the efficacy of transcutaneous electrical nerve stimulation (TENS) for post-operative pain control after a cesarean delivery compared to placebo and no TENS.
Study Overview
Status
Unknown
Study Type
Interventional
Enrollment (Anticipated)
180
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Hawaii
-
Honolulu, Hawaii, United States, 96826
- Recruiting
- Nicole Kurata
-
Contact:
- Nicole Kurata
- Phone Number: 808-577-3344
- Email: nkurata@hawaii.edu
-
Principal Investigator:
- Kelly Yamasato, MD
-
Sub-Investigator:
- Nicole Kurata, MD
-
Sub-Investigator:
- Bliss Kaneshiro, MD
-
Sub-Investigator:
- Reema Ghatnekar, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Women undergoing scheduled or non-urgent cesarean section
Exclusion Criteria:
- Non-English speaking
- Subjects with a history of chronic pain or chronic opioid use
- Pre-operative use of opioids for more than 1 week in the preceding 6 months
- Previous exposure to the TENS unit
- Women with an allergy or contraindication to narcotics/NSAIDs/acetaminophen
- Subjects who had a midline vertical skin incision during this operation
- Subjects who did not receive intrathecal opioids at the time of their cesarean delivery
- Adhesive allergies
- Subjects with a pacemaker (due to the unknown effects of the TENS on the electrical activity of the heart)
- Intraoperative general anesthesia
- Inability to consent to the study
- Postpartum tubal ligation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Active TENS Unit
|
Patients will be randomized to active TENS unit, placebo TENS unit, or no TENS unit
|
|
Placebo Comparator: Placebo TENS Unit
|
Patients will be randomized to active TENS unit, placebo TENS unit, or no TENS unit
|
|
No Intervention: No TENS Unit
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Post-operative narcotic consumption
Time Frame: First 60 hours post-operatively
|
Total postoperative narcotic consumption (measured in morphine equivalents)
|
First 60 hours post-operatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Duration of hospitalization
Time Frame: From date of cesarean delivery until discharge from hospital, assessed up to 1 month
|
Length of stay in hospital
|
From date of cesarean delivery until discharge from hospital, assessed up to 1 month
|
|
Pain assessed by numeric analog scale (NAS) (0-10; 0: no pain at all, 10: worst imaginable pain)
Time Frame: On post-operative days 1, 2, 3, and day of discharge, assessed up to 1 month
|
Pain scoring
|
On post-operative days 1, 2, 3, and day of discharge, assessed up to 1 month
|
|
Satisfaction with pain control assessed by NAS (0-10; 0: very dissatisfied, 10: very satisfied)
Time Frame: On post-operative days 1, 2, 3, and day of discharge, assessed up to 1 month
|
Pain control satisfaction
|
On post-operative days 1, 2, 3, and day of discharge, assessed up to 1 month
|
|
Adverse reactions to TENS unit
Time Frame: From date of randomization until date of discharge, assessed up to 1 month
|
Adverse reactions to TENS unit
|
From date of randomization until date of discharge, assessed up to 1 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kelly Yamasato, Physician
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bjordal JM, Johnson MI, Ljunggreen AE. Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta-analysis with assessment of optimal treatment parameters for postoperative pain. Eur J Pain. 2003;7(2):181-8. doi: 10.1016/S1090-3801(02)00098-8.
- Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MF, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016 Feb;17(2):131-57. doi: 10.1016/j.jpain.2015.12.008. Erratum In: J Pain. 2016 Apr;17(4):508-10. Dosage error in article text.
- Dowswell T, Bedwell C, Lavender T, Neilson JP. Transcutaneous electrical nerve stimulation (TENS) for pain relief in labour. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD007214. doi: 10.1002/14651858.CD007214.pub2.
- Bateman BT, Franklin JM, Bykov K, Avorn J, Shrank WH, Brennan TA, Landon JE, Rathmell JP, Huybrechts KF, Fischer MA, Choudhry NK. Persistent opioid use following cesarean delivery: patterns and predictors among opioid-naive women. Am J Obstet Gynecol. 2016 Sep;215(3):353.e1-353.e18. doi: 10.1016/j.ajog.2016.03.016. Epub 2016 Mar 17.
- Desantana JM, Sluka KA, Lauretti GR. High and low frequency TENS reduce postoperative pain intensity after laparoscopic tubal ligation: a randomized controlled trial. Clin J Pain. 2009 Jan;25(1):12-9. doi: 10.1097/AJP.0b013e31817d1070.
- Kurata NB, Ghatnekar RJ, Mercer E, Chin JM, Kaneshiro B, Yamasato KS. Transcutaneous Electrical Nerve Stimulation for Post-Cesarean Birth Pain Control: A Randomized Controlled Trial. Obstet Gynecol. 2022 Aug 1;140(2):174-180. doi: 10.1097/AOG.0000000000004798. Epub 2022 Jul 6.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 29, 2020
Primary Completion (Anticipated)
May 1, 2021
Study Completion (Anticipated)
May 1, 2021
Study Registration Dates
First Submitted
February 18, 2020
First Submitted That Met QC Criteria
May 19, 2020
First Posted (Actual)
May 22, 2020
Study Record Updates
Last Update Posted (Actual)
May 26, 2020
Last Update Submitted That Met QC Criteria
May 21, 2020
Last Verified
May 1, 2020
More Information
Terms related to this study
Other Study ID Numbers
- 2019-035
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
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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