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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 4
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Changzhen Shang
- Telefonnummer: +86-20-3407 0701
- E-Mail: shchzh2@mail.sysu.edu.cn
Studienorte
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-
Guangdong
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Guangzhou, Guangdong, China, 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
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: Anruikefon 1 μg/kg per dose Group
Anruikefon 1 μg/kg per dose, once every 8 hours (q8h), for a total of 6 doses.
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Anruikefon 1 μg/kg/dose, once every 8 hours (q8h), for a total of 6 doses.
|
|
Experimental: 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.
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Consumption of sufentanil via PCIA within 48 hours after the first study drug administration
Zeitfenster: 0-48 hours post first study drug dose
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0-48 hours post first study drug dose
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Proportion of rescue analgesia
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: Throughout the inpatient hospital stay after surgery, from the end of surgery until the first flatus occurs
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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)
Zeitfenster: 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)
Zeitfenster: 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
|
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Incidence of nausea, vomiting and PONV
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
|
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Incidence of rescue antiemetic treatment
Zeitfenster: Within 48 hours after the first study drug administration
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Within 48 hours after the first study drug administration
|
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Cumulative dose of rescue antiemetic treatment
Zeitfenster: Within 48 hours after the first study drug administration
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Within 48 hours after the first study drug administration
|
|
Incidence of serious adverse events and study drug-related adverse events
Zeitfenster: 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
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Sleep quality score assessed using the Richards-Campbell Sleep Questionnaire (RCSQ; score range 0-100, higher scores indicate better sleep quality)
Zeitfenster: 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
|
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Cumulative consumption of sufentanil delivered via patient-controlled intravenous analgesia (PCIA)
Zeitfenster: Within 24 hours after the first study-drug administration
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Within 24 hours after the first study-drug administration
|
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Serum biomarker concentrations: alanine transaminase (ALT), aspartate transaminase (AST), albumin (ALB), total bilirubin (TBIL), direct bilirubin (DBIL), indirect bilirubin (IBIL), international normalized ratio (INR)
Zeitfenster: Preoperative baseline (prior to surgical incision), and within the interval from 24 hours to 48 hours after the first administration of study drug
|
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
Zeitfenster: 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)
Zeitfenster: Within 48 hours after the first study-drug administration
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Within 48 hours after the first study-drug administration
|
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Cumulative opioid consumption, converted to intravenous morphine milligram equivalents (MME)
Zeitfenster: 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
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Changzhen Shang, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Schmerzen
- Neurologische Manifestationen
- Postoperative Komplikationen
- Pathologische Prozesse
- Pathologische Zustände, Anzeichen und Symptome
- Anzeichen und Symptome
- Schmerzen, postoperativ
- Untersuchungstechniken
- Epidemiologisches Forschungsdesign
- Epidemiologische Methoden
- Forschungsdesign
- Methoden
- Bevölkerungseigenschaften
- Demographie
- Kontrollgruppen
- Bevölkerungsgruppen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- SYSKY-2026-307-03
Plan für individuelle Teilnehmerdaten (IPD)
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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