- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04962152
Naldebain and Video-assisted Thoracoscopic Surgery
To Explore the Effects of Naldebain Combined With Thoracic Paravertebral Block in Video-assisted Thoracoscopic Surgery.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Video-assisted thoracoscopic surgery (VATS) can be associated with stronger postoperative pain than is commonly believed. Pain control after thoracic surgery is important because increased acute pain has been shown to increase the incidence of chronic pain, and untreated pain may lead to increased morbidity. It is generally accepted to introduce multimodal analgesic strategies based on regional blockade, opioids and non-steroidal anti-inflammatory drugs.
Paravertebral block (PVB) involves the injection of local anesthetic into a wedge-shaped space lateral to the spinal nerves as they emerge from intervertebral foramina. It produces ipsilateral somatosensory and sympathetic nerve blockade effective for anesthesia as well as for management of pain of unilateral origin from the chest and abdomen. So far, thoracic paravertebral block (TPVB) is the most common technique used for patients undergoing VATS. TPVB may be useful after VATS because a single injection of local anesthesia may provide effective analgesia for the intense short-duration pain that patients experience.
Nalbuphine sebacate (Naldebain®) is a long-acting prodrug of nalbuphine developed for meeting the unmet medical need of long-acting analgesics. It is a synthetic opioid agonist-antagonist analgesic of the phenanthrene series. It is chemically related to both the widely used opioid antagonist, naloxone, and the potent opioid analgesic, oxymorphone. The currently proposed clinical use of nalbuphine sebacate is a single dose of Naldebain® administered intramuscularly approximately 24 h prior to the planned surgery for pain relief.
The purpose of this study is to determine the safety and efficacy of TPVB combined with a single dose of intramuscular Naldebain® administered preoperatively to patients scheduled to undergo VATS.
Study Type
Enrollment (Estimated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Hung-Te Hsu, MD, PhD
- Phone Number: 7033 +88673121101
- Email: hdhsu1228@hotmail.com
Study Contact Backup
- Name: Hung-Te Hsu, MD, PhD
- Phone Number: +88673701260
- Email: hdhsu1228@yahoo.com.tw
Study Locations
-
-
-
Kaohsiung City, Taiwan, 833
- Recruiting
- Department of Anesthesiology, Kaohsiung Medical University Hospital
-
Contact:
- Hung-Te Hsu, MD, PhD
- Phone Number: 7033 +88673121101
- Email: hdhsu1228@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1) Subject's age: 20~65 years old
- 2) American Society of Anesthesiologists (ASA) Physical Status classification: I~III
- 3) Patients who need postoperative pain relief due to thoracoscopic surgery
Exclusion Criteria:
- 1. The patient suffers from a communication disorder
- 2. The patient has coagulopathy
- 3. Sick with obvious heart, lung, liver or kidney disease
- 4. The patient's body mass index is less than 18.5 or greater than 35
- 5. Pregnant patients
- 6. Patients who took opioids for more than three weeks before surgery
- 7. Patients with contraindications to local anesthesia
- 8. Patients with a history of chronic pain
- 9. Patients with a history of drug allergy to Naldebain
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: Group Naldebain
ultrasound-guided intramuscular injection of Naldebain 150mg after the induction anesthesia immediately
|
ultrasound-guided intramuscular injection after the induction of anesthesia immediately
Other Names:
|
Placebo Comparator: Group Placebo
ultrasound-guided intramuscular injection of sesame oil (placebo) 2mL after the induction anesthesia immediately
|
ultrasound-guided intramuscular injection after the induction of anesthesia immediately
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
postoperative analgesic effect
Time Frame: During the first one hour in the recovery room, the pain intensity was evaluated every 15 minutes.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
During the first one hour in the recovery room, the pain intensity was evaluated every 15 minutes.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 3 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 3 hours after surgery.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 6 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 6 hours after surgery.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 12 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 12 hours after surgery.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 24 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 24 hours after surgery.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 36 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 36 hours after surgery.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 48 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 48 hours after surgery.
|
postoperative analgesic effect
Time Frame: the pain intensity was evaluated at 72 hours after surgery.
|
Use the visual analogue scale (VAS) score to assess the degree of pain after surgery
|
the pain intensity was evaluated at 72 hours after surgery.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Hung-Te Hsu, MD, PhD, Department of Anesthesiology, Kaohsiung Medical University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- Chemically-Induced Disorders
- Pathologic Processes
- Postoperative Complications
- Signs and Symptoms, Digestive
- Drug-Related Side Effects and Adverse Reactions
- Nausea
- Extravasation of Diagnostic and Therapeutic Materials
- Vomiting
- Postoperative Nausea and Vomiting
- Injection Site Reaction
- Physiological Effects of Drugs
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Analgesics, Opioid
- Narcotics
- Nalbuphine
Other Study ID Numbers
- KMUHIRB-F(I)-20210087
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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