- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT03428035
The Impact of a Neutral Formulated and Designed Package Insert on Nocebo-effect. (NEUPANO)
Neutral Formulated and Designed Package Insert or Only Verbal Information Compared to Package Insert According EU-directive: a Pilot Randomised Controlled Trial to Analyse the Influence on the Nocebo Effect and Non-adherence
Background The nocebo effect describes the association between the expectation of negative effects, (e.g. side effects) and the actual occurrence of negative effects. Studies have shown that the nocebo effect can be influenced by (risk) communication. Till today there is no study that compares different types of information on adverse events regarding the strength of the nocebo effect.
Aim The aim of this pilot randomized controlled trial is to analyse the influence of different communication types on the frequency and intensity of adverse events and adherence. To increase the relevance and applicability of the results the study intervention builds up on package inserts because these are the most widespread form of information on side effects.
Methods Patients It is planned to include 60 patients in the study.
Intervention
- Modified package insert: simplified and focused on neutral risk perception. The representations and formulations are based on the findings from research on evidence-based patient information and risk communication. The package insert contains the same information as the statutory package insert to ensure that it complies with the legal requirements.
- Verbal information about side effects: The patient is informed verbally about side effects and does not receive any package insert.
Control Package insert according to EU (European Union) Directive 2001/83 / EC (European Commission) (usual package insert).
Outcomes
- Number of patient reported adverse events (primary outcome).
- Adherence (correct initiation of therapy, correct intake amount, premature discontinuation of therapy).
- Resource use (e.g. provider contacts).
Type of study Monocentric, outcome assessor, three-arm, randomised controlled pilot trial.
Studieoversikt
Studietype
Registrering (Forventet)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
-
-
North-Rhine-Westfalia
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Cologne, North-Rhine-Westfalia, Tyskland, 51109
- Clinic for orthopedics, trauma surgery and sports traumatology, hospital Cologne Merheim
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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:
- elective orthopaedic surgery
- planned intake of ibuprofen 600 mg to treat postoperative pain
- postoperative pain medication other than Ibuprofen 600 (Opioids, Opiate, Paracetamol) no longer than 1-2 days postoperative (until discharge)
- at least 18 years
- able to speak German
- no cognitive deficits
- written informed consent
Exclusion Criteria:
- serious comorbidity
- pain medication prior to surgery
- other medication with similar side effects
- polytrauma
- planned inpatient rehabilitation > one week after hospital discharge
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Modified Package Insert
Simplified and focused on neutral risk perception.
The representations and formulations are based on the findings from research on evidence-based patient information and risk communication.
The package insert contains the same information as the statutory package insert to ensure that it complies with the legal requirements.
|
Modified package insert of Ibuprofen given postprocedural as pain medication
Andre navn:
|
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Ingen inngripen: Verbal Information
The patient is informed verbally about side effects and does not receive any package insert.
|
|
|
Aktiv komparator: Control
Package insert according to EU Directive 2001/83 / EC (usual package insert)
|
Modified package insert of Ibuprofen given postprocedural as pain medication
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of patient reported adverse events
Tidsramme: 6-9 days after surgery
|
Any reported adverse events
|
6-9 days after surgery
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Adherence
Tidsramme: 6-9 days after surgery
|
Correct initiation of therapy, correct intake amount, premature discontinuation of therapy
|
6-9 days after surgery
|
|
Resource use
Tidsramme: 6-9 days after surgery
|
e.g. provider contacts
|
6-9 days after surgery
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Tim Mathes, Dr., Witten/Herdecke University
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Andre studie-ID-numre
- V01-01
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
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