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
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 4
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Changzhen Shang
- Numero di telefono: +86-20-3407 0701
- Email: shchzh2@mail.sysu.edu.cn
Luoghi di studio
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Guangdong
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Guangzhou, Guangdong, Cina, 510000
- Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
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Contatto:
- Changzhen Shang
- Numero di telefono: +86-20-3407 0701
- Email: shchzh2@mail.sysu.edu.cn
-
-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
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.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: 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.
|
|
Sperimentale: 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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Comparatore placebo: 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.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Consumption of sufentanil via PCIA within 48 hours after the first study drug administration
Lasso di tempo: 0-48 hours post first study drug dose
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0-48 hours post first study drug dose
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Proportion of rescue analgesia
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: Throughout the inpatient hospital stay after surgery, from the end of surgery until the first ambulation occurs
|
Throughout the inpatient hospital stay after surgery, from the end of surgery until the first ambulation occurs
|
|
Incidence of nausea, vomiting and PONV
Lasso di tempo: Within 48 hours after the first study drug administration
|
Within 48 hours after the first study drug administration
|
|
Patient satisfaction score for analgesia
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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
|
Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Investigatore principale: Changzhen Shang, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Dolore
- Manifestazioni neurologiche
- Complicanze postoperatorie
- Processi patologici
- Condizioni patologiche, segni e sintomi
- Segni e sintomi
- Dolore, Postoperatorio
- Tecniche investigative
- Progetto di ricerca epidemiologica
- Metodi epidemiologici
- Progetto di ricerca
- Metodi
- Caratteristiche della popolazione
- Demografia
- Gruppi di controllo
- Gruppi di popolazione
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- SYSKY-2026-307-03
Piano per i dati dei singoli partecipanti (IPD)
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Informazioni su farmaci e dispositivi, documenti di studio
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