- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07824258
Post-Vasectomy Pain RCT
A Randomized Controlled Trial of Post-vasectomy Pain Management
This is a prospective four-armed unblinded randomized controlled trial to assess four different potential post-operative treatment options for men who undergo a vasectomy. The aims of this study are:
- To determine whether the addition of nonsteroidal anti-inflammatory drugs (NSAIDs) to acetaminophen results in improved pain after vasectomy;
- To determine whether the addition of opioid pain medication to acetaminophen and/or NSAIDs results in improved pain after vasectomy;
- To determine whether the use of NSAIDs for post-operative pain management increases risk of hematoma after vasectomy.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
The purpose of this study is to evaluate and compare commonly used post-vasectomy pain regimens. Eligible participants will be adult male patients who elect to undergo vasectomy with a urologist at Columbia University Medical Center with no history of kidney or liver disease, chronic pain conditions, or drug abuse. Prospectively enrolled participants will be randomized to one of four study arms, which will differ by post-operative pain regimens as follows:
- Arm 1: 975 mg acetaminophen every 6 hours for the first 48 hours to a maximum of 7 days;
- Arm 2: 975 mg acetaminophen and 600 mg ibuprofen every 6 hours for the first 48 hours to a maximum of 7 days;
- Arm 3: 975 mg acetaminophen every 6 hours for the first 48 hours to a maximum of 7 days with a prescription for 6 tablets of 5 mg oxycodone every 6 hours as needed;
- Arm 4: 975 mg acetaminophen and 600 mg ibuprofen every 6 hours for the first 48 hours to a maximum of 7 days with a prescription for 6 tablets of 5 mg oxycodone every 6 hours as needed.
Other than the differing pain regimens, all treatment and pre- and post-operative counselling will be standard of care at the discretion of the treating urologists. Participants will be contacted at 1 day and 7 days post-operatively to complete Brief Pain Inventory (BPI) questionnaires, assess how many tablets of oxycodone they have taken, and assess whether they would be comfortable returning to work. At post-operative visits, their treating urologist will assess them for the presence of hematoma. Comparisons will be made between study arms to assess for differences.
Tipo de estudio
Inscripción (Estimado)
Fase
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Aaron Brant, MD
- Número de teléfono: 212-305-0114
- Correo electrónico: menshealth@cumc.columbia.edu
Ubicaciones de estudio
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New York
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New York, New York, Estados Unidos, 10032
- Reclutamiento
- Columbia University Medical Center/ New York Presbyterian Hospital
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Contacto:
- Aaron Brant, MD
- Número de teléfono: 212-305-0114
- Correo electrónico: menshealth@cumc.columbia.edu
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Investigador principal:
- Aaron M Brant, MD
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White Plains, New York, Estados Unidos, 10604
- Reclutamiento
- New York-Presbyterian The One
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Contacto:
- Aaron Brant, MD
- Número de teléfono: 212-305-0114
- Correo electrónico: menshealth@cumc.columbia.edu
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Consent for vasectomy
Exclusion Criteria:
- History of kidney or liver disease
- History of chronic pain condition
- History of drug abuse
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Acetaminophen only
Participants are encouraged to take only acetaminophen 975 mg every 6 hours for the first 48 hours to a maximum of 7 days after surgery.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Otros nombres:
|
|
Experimental: Acetaminophen + ibuprofen
Participants are encouraged to take acetaminophen 975 mg and ibuprofen 600 mg every 6 hours for the first 48 hours to a maximum 7 days after surgery.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Otros nombres:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve mild to moderate pain, reduce fever, and decrease inflammation.
Otros nombres:
|
|
Experimental: Acetaminophen + oxycodone
Participants are encouraged to take acetaminophen 975 mg every 6 hours for the first 48 hours to a maximum of 7 days after surgery, and a prescription for 6 tablets of oxycodone 5 mg will be prescribed to take every 6 hours as needed for pain.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Otros nombres:
Oxycodone is a potent semi-synthetic opioid analgesic used to treat moderate to severe pain when other treatments are insufficient
Otros nombres:
|
|
Experimental: Acetaminophen + ibuprofen + oxycodone
Participants are encouraged to take acetaminophen 976 mg and ibuprofen 600 mg every 6 hours for the first 48 hours to a maximum of 7 days after surgery, and a prescription for 6 tablets of oxycodone 5 mg will be prescribed to take every 6 hours as needed for pain.
|
Acetaminophen is a widely used, over-the-counter medication that relieves mild to moderate pain and reduces fever.
Unlike NSAIDs like ibuprofen, it does not treat inflammation or swelling.
Otros nombres:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve mild to moderate pain, reduce fever, and decrease inflammation.
Otros nombres:
Oxycodone is a potent semi-synthetic opioid analgesic used to treat moderate to severe pain when other treatments are insufficient
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Brief Pain Inventory (BPI) - Total Score
Periodo de tiempo: 1 to 7 days post operatively
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The Brief Pain Inventory is a self-reported questionnaire to assess pain.
Final scores will be averaged.
The score range is 0 to 10, where a higher score indicates a worse outcome.
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1 to 7 days post operatively
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Brief Pain Inventory (BPI) - Pain Interference Score
Periodo de tiempo: 1 to 7 days post operatively
|
The Pain Interference Score ranges from 0 to 10, where a higher score indicates greater interference with daily life.
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1 to 7 days post operatively
|
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Brief Pain Inventory (BPI) - Pain Severity Score
Periodo de tiempo: 1 to 7 days post operatively
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The Pain Severity Score ranges from 0 to 10, where a higher score indicates greater severity.
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1 to 7 days post operatively
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Aaron Brant, MD, Columbia University
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Químicos orgánicos
- Compuestos heterocíclicos
- Compuestos heterocíclicos, anillo fusionado
- Ácidos carboxílicos
- Alcaloides
- Hidrocarburos aromáticos policíclicos
- Compuestos policíclicos
- Aniluros
- Amidas
- Compuestos anilina
- Amina
- Acetanilidas
- Compuestos heterocíclicos, 4 o más anillos
- Ácidos, carbocíclicos
- Morfinanos
- Alcaloides opiáceos
- Compuestos heterocíclicos, anillo puente
- Fenantrenos
- Derivados de morfina
- Codeína
- Fenilpropionatos
- Paracetamol
- Ibuprofeno
- Oxicodona
Otros números de identificación del estudio
- ACYY1239
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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