- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT02036242
Sole Local Anesthetic Versus Opioid Plus Local Anesthesia in Epidural Labor Analgesia (OLAA)
Sole Epidural Local Anesthetic Versus Opioid Plus Local Anesthetic in Epidural Labor Pain Control
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Faktiske)
Fase
- Fase 4
Kontakter og plasseringer
Studiesteder
-
-
Jiangsu
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Nanjing, Jiangsu, Kina, 210004
- Nanjing Maternity and Child Health Care Hospital
-
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Nulliparas
- Request epidural analgesia
- Chinese
Exclusion Criteria:
- Allergic to opioid or local anesthetics
- Fail to perform epidural puncture and catheterization
- Organ dysfunction
- Contraindications for epidural anesthesia
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: Sole local anesthetic
Epidural analgesia will be given with sole local anesthetic (0.125% ropivacaine) intermittently
|
0.125% ropivacaine 10-15 ml every 1h during labor delivery
Andre navn:
|
Aktiv komparator: Opioid plus local anesthetic
Epidural analgesia will be given with opioid (sufentanil) combined with local anesthetic (0.125% ropivacaine) intermittently
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Sufentanil combined with 0.125% ropivacaine, 10-15 ml every 1h during labor delivery
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Pain scorings
Tidsramme: up to 3 days
|
Using visual analog scale (VAS) assess the pain intensity at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h for VAS pain 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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up to 3 days
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Pruritus
Tidsramme: From post-randomization to post-delivery day 3
|
Record incidence of pruritus at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Dizziness
Tidsramme: From post-randomization to post-delivery day 3
|
Record incidence of dizziness at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Nausea
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of nausea at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Vomiting
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of vomiting at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Drowsiness
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of drowsiness at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Sedation
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of sedation at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Respiratory depression
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of respiratory depression at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Psychological effects
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of psychological effects [euphoria, hallucinations, delirium and confusion] at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Myoclonus
Tidsramme: From post-randomization to post-delivery day 3
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This describes muscle rigidity and abnormal movement of the limbs and muscles. Record incidence of myoclonus at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3. |
From post-randomization to post-delivery day 3
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Maternal heart rate
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of maternal heart rate at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Miosis
Tidsramme: From post-randomization to post-delivery day 3
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Record incidence of miosis at the following time points: (1) immediate after randomization; (2) prior to epidural analgesia; (3) 0, 5, 10, 30, 60 min after epidural analgesia; (4) every 1 h 60 min later after epidural analgesia; (5) at cervical dilation reach to 4 cm and 10 cm; (6) when pushing starts; (7) after completion of labor; (8) post-delivery days 1, 2 and 3.
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From post-randomization to post-delivery day 3
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Cesarean section
Tidsramme: The time at the end of the labor delivery
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Record the incidence of Cesarean section after completion of the labor delivery.
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The time at the end of the labor delivery
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Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Time to latent phase
Tidsramme: From the beginning of regular contraction of uterus to the dilation of cervical 4cm
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Record the time duration
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From the beginning of regular contraction of uterus to the dilation of cervical 4cm
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Time of active phase
Tidsramme: From the cervix 4cm to the dilation of cervical 10cm
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Record the time duration
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From the cervix 4cm to the dilation of cervical 10cm
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Overall satisfaction of analgesia
Tidsramme: At the time of the end of the labor delivery
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Assess the analgesia satisfaction after the completion of the labor delivery
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At the time of the end of the labor delivery
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Oxytocin usage
Tidsramme: At the time of the end of the labor
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Record the total usage of oxytocin after completion of the labor delivery
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At the time of the end of the labor
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Neonatal Apgar score
Tidsramme: At the time of the baby was born, 1min, 5min, 10min and 20min
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At the time of the baby was born, 1min, 5min, 10min and 20min
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Instrumental delivery
Tidsramme: At the time of the end of the labor
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Record the incidence of instrumental delivery after completion of the labor delivery.
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At the time of the end of the labor
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Umbilical gas analysis
Tidsramme: At the time of the fetus was delivery
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At the time of the fetus was delivery
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Samarbeidspartnere og etterforskere
Sponsor
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Fysiologiske effekter av legemidler
- Sentralnervesystemdepressiva
- Agenter fra det perifere nervesystemet
- Analgetika
- Sensoriske systemagenter
- Anestesimidler, intravenøst
- Anestesimidler, general
- Analgetika, opioid
- Narkotika
- Adjuvanser, anestesi
- Bedøvelsesmidler
- Anestesimidler, lokal
- Ropivakain
- Sufentanil
Andre studie-ID-numre
- NJFY13007
- JQX12009 (Annet stipend/finansieringsnummer: Nanjing Municipal Bureau of Health)
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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