Efficacy and Safety of Anrikefon Injection for Multimodal Postoperative Analgesia in Patients Undergoing Laparoscopic Hepatectomy
Efficacy and Safety of Anrikefon Injection for Multimodal Postoperative Analgesia in Patients Undergoing Laparoscopic Hepatectomy:A Single-center, Randomized, Double-blind, Placebo-controlled Clinical Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Changzhen Shang
- Telefonnummer: +86-20-3407 0701
- E-mail: shchzh2@mail.sysu.edu.cn
Studiesteder
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-
Guangdong
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Guangzhou, Guangdong, Kina, 510000
- Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
-
Kontakt:
- Changzhen Shang
- Telefonnummer: +86-20-3407 0701
- E-mail: shchzh2@mail.sysu.edu.cn
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Aged ≥ 18 years;
- American Society of Anesthesiologists (ASA) physical status classification I-III;
- Body mass index (BMI): 18 kg/m² ≤ BMI ≤ 30 kg/m²;
- Patients scheduled to undergo laparoscopic hepatectomy under general anesthesia with estimated operation duration ≤ 5 hours;
- Agree to participate in this trial and voluntarily sign the informed consent form.
Exclusion Criteria:
- Patients with a history of severe cardiopulmonary disease, neuropsychiatric disorders, digestive system diseases, chronic dizziness or vestibular dysfunction;
- Patients undergoing emergency surgery or trauma patients;
- Intraoperative conversion to open laparotomy;
- History of abdominal surgery within the past 3 months;
- Patients undergoing liver transplantation or with metastasis to other organs;
- Patients requiring synchronous resection of organs other than the gallbladder, extrahepatic bile ducts and intestines due to intraoperative clinical needs;
- Severe renal dysfunction (estimated glomerular filtration rate <30 mL/min/1.73 m²);
- Laboratory findings or clinical evaluation indicating hypothyroidism or hypokalemia graded ≥ Grade 3 per CTCAE v6.0;
- Subjects who experienced nausea, retching or vomiting within 24 hours before anesthesia induction (excluding those caused by bowel preparation);
- Patients expected to require postoperative mechanical ventilation via endotracheal intubation or naso/orogastric tube placement for more than 24 hours;
- Known allergy or contraindication to opioids and other anesthetics, antiemetics that may be administered during the trial.
- Use of drugs with analgesic, antiemetic or anti-inflammatory effects with unknown half-life within 14 days prior to randomization; or the interval between the last administration and randomization is shorter than 5 half-lives or the duration of drug effect (whichever is longer). Such drugs include, but are not limited to, opioid analgesics, non-opioid analgesics, antiemetics (or drugs with antiemetic properties), sedative-hypnotics, sedative anesthetics, glucocorticoids and other drugs with analgesic or antiemetic effects.
- Subjects with any other factors deemed by the investigator(s) to render them unsuitable for participation in this clinical study.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Anruikefon 1 μg/kg per dose Group
Anruikefon 1 μg/kg per dose, once every 8 hours (q8h), for a total of 6 doses.
|
Anruikefon 1 μg/kg/dose, once every 8 hours (q8h), for a total of 6 doses.
|
|
Eksperimentel: Anruikefon 100 μg per dose Group
Anruikefon 100 μg per dose, once every 8 hours (q8h), for a total of 6 doses.
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Anruikefon 100 μg per dose, once every 8 hours (q8h), for a total of 6 doses.
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|
Placebo komparator: Placebo Group
0.9% Sodium Chloride Injection, via intravenous bolus injection, once every 8 hours (q8h), for a total of 6 doses.
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0.9% Sodium Chloride Injection, via intravenous bolus injection, once every 8 hours (q8h), for a total of 6 doses.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Consumption of sufentanil via PCIA within 48 hours after the first study drug administration
Tidsramme: 0-48 hours post first study drug dose
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0-48 hours post first study drug dose
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Proportion of rescue analgesia
Tidsramme: Within0-24 hours and 0-48 hours after the first study drug administration
|
Within0-24 hours and 0-48 hours after the first study drug administration
|
|
Cumulative consumption dose of rescue analgesia
Tidsramme: within 0-24 hours and 0-48 hours after the first study drug administration
|
within 0-24 hours and 0-48 hours after the first study drug administration
|
|
Time from end of surgery to first passage of flatus (hours)
Tidsramme: Throughout the inpatient hospital stay after surgery, from the end of surgery until the first flatus occurs
|
Throughout the inpatient hospital stay after surgery, from the end of surgery until the first flatus occurs
|
|
Time from end of surgery to first defecation (hours)
Tidsramme: Throughout the inpatient hospital stay after surgery, from the end of surgery until the first defecation occurs
|
Throughout the inpatient hospital stay after surgery, from the end of surgery until the first defecation occurs
|
|
Time from the end of surgery to first ambulation (hours)
Tidsramme: Throughout the inpatient hospital stay after surgery, from the end of surgery until the first ambulation occurs
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Throughout the inpatient hospital stay after surgery, from the end of surgery until the first ambulation occurs
|
|
Incidence of nausea, vomiting and PONV
Tidsramme: Within 48 hours after the first study drug administration
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Within 48 hours after the first study drug administration
|
|
Patient satisfaction score for analgesia
Tidsramme: Within 48 hours after the first study drug administration
|
Within 48 hours after the first study drug administration
|
|
Proportion of subjects with resting numerical rating scale (NRS) pain score ≥ 3
Tidsramme: Within 0-24 hours and 0-48 hours after the first study drug administration
|
Within 0-24 hours and 0-48 hours after the first study drug administration
|
|
Resting numerical rating scale (NRS) pain score
Tidsramme: At 1 hour (±30 minutes), 8 hours (±2 hours), 24 hours (±2 hours), 48 hours (±3 hours) after the first study-drug administration
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At 1 hour (±30 minutes), 8 hours (±2 hours), 24 hours (±2 hours), 48 hours (±3 hours) after the first study-drug administration
|
|
Movement-evoked numerical rating scale (NRS) pain score
Tidsramme: At 1 hour (±30 minutes), 8 hours (±2 hours), 24 hours (±2 hours), 48 hours (±3 hours) after the first study-drug administration
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At 1 hour (±30 minutes), 8 hours (±2 hours), 24 hours (±2 hours), 48 hours (±3 hours) after the first study-drug administration
|
|
Incidence of rescue antiemetic treatment
Tidsramme: Within 48 hours after the first study drug administration
|
Within 48 hours after the first study drug administration
|
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Cumulative dose of rescue antiemetic treatment
Tidsramme: Within 48 hours after the first study drug administration
|
Within 48 hours after the first study drug administration
|
|
Incidence of serious adverse events and study drug-related adverse events
Tidsramme: Throughout the inpatient hospital stay after surgery, from the end of surgery until hospital discharge
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Throughout the inpatient hospital stay after surgery, from the end of surgery until hospital discharge
|
|
Sleep quality score assessed using the Richards-Campbell Sleep Questionnaire (RCSQ; score range 0-100, higher scores indicate better sleep quality)
Tidsramme: On the single night following the first administration of study drug
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On the single night following the first administration of study drug
|
|
Cumulative consumption of sufentanil delivered via patient-controlled intravenous analgesia (PCIA)
Tidsramme: Within 24 hours after the first study-drug administration
|
Within 24 hours after the first study-drug administration
|
|
Serum biomarker concentrations: alanine transaminase (ALT), aspartate transaminase (AST), albumin (ALB), total bilirubin (TBIL), direct bilirubin (DBIL), indirect bilirubin (IBIL), international normalized ratio (INR)
Tidsramme: Preoperative baseline (prior to surgical incision), and within the interval from 24 hours to 48 hours after the first administration of study drug
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Preoperative baseline (prior to surgical incision), and within the interval from 24 hours to 48 hours after the first administration of study drug
|
|
Proportion of subjects with movement-evoked Numerical Rating Scale (NRS) pain score ≥ 3
Tidsramme: Within 0-24 hours and 0-48 hours after the first study-drug administration
|
Within 0-24 hours and 0-48 hours after the first study-drug administration
|
|
Overall patient recovery quality score evaluated via the QoR-15 questionnaire (score range 0-150; higher scores indicate better recovery quality)
Tidsramme: Within 48 hours after the first study-drug administration
|
Within 48 hours after the first study-drug administration
|
|
Cumulative opioid consumption, converted to intravenous morphine milligram equivalents (MME)
Tidsramme: Within the interval from 0 hours to 24 hours after the first administration of study drug, and within the interval from 0 hours to 48 hours after the first administration of study drug
|
Within the interval from 0 hours to 24 hours after the first administration of study drug, and within the interval from 0 hours to 48 hours after the first administration of study drug
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Changzhen Shang, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Smerte
- Neurologiske manifestationer
- Postoperative komplikationer
- Patologiske processer
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Smerter, postoperativ
- Undersøgelsesteknikker
- Epidemiologisk forskningsdesign
- Epidemiologiske metoder
- Forskningsdesign
- Metoder
- Befolkningsegenskaber
- Demografi
- Kontrolgrupper
- Befolkningsgrupper
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- SYSKY-2026-307-03
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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