A Study on the Efficacy and Safety of Anrikefon for Postoperative Pain Relief Following Laparoscopic Cholecystectomy
A Multicenter, Randomized, Parallel-Group Controlled Study Evaluating the Efficacy and Safety of Anrikefon in Postoperative Pain Management in Patients Undergoing Elective Laparoscopic Cholecystectomy Under General Anesthesia
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 2
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Wei Dai, Ph.D., M.D.
- Numer telefonu: +86 13828264321
- E-mail: dwgdmufy@gdmu.edu.cn
Lokalizacje studiów
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Guangdong
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Zhanjiang, Guangdong, Chiny, 524001
- Affiliated Hospital of Guangdong Medical University
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Kontakt:
- Wei Dai, Ph.D., M.D.
- Numer telefonu: +86 13828264321
- E-mail: dwgdmufy@gdmu.edu.cn
-
Zhanjiang, Guangdong, Chiny, 524001
- The Second Affiliated Hospital of Guangdong Medical University
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Kontakt:
- Lai Hui Miao
- Numer telefonu: 0759-2372816
- E-mail: 627225370@qq.com
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- 1.18 ≤ Age ≤ 70 years, no gender restriction.
- 2.American Society of Anesthesiologists (ASA) physical status classification I-II.
- 3.18 kg/m² ≤ BMI ≤ 30 kg/m².
- 4.Subjects undergoing elective LC under general anesthesia, with an estimated -surgical duration of ≤2 hours (including 1h).
- 5.Voluntarily agree to participate in the study and sign the informed consent form (ICF).
Exclusion Criteria:
- 1.History of allergy to nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, or intraoperative anesthetics specified in the protocol.
- 2.Severe systemic diseases that, in the investigator's judgment, may significantly increase surgical risk or interfere with pain assessment (e.g., uncontrolled hypertension [SBP ≥170 mmHg and/or DBP ≥105 mmHg], uncontrolled hyperglycemia [fasting blood glucose ≥11.1 mmol/L], recent severe respiratory tract infection, severe gastritis, gastric/duodenal ulcers, upper abdominal surgery within 3 months, severe hepatic impairment [Child-Pugh score >9], chronic kidney disease [eGFR <60 mL/min/1.73m²]).
- 3.Substance abuse: Current drug or alcohol dependency.
- 4.Special populations: Pregnant or lactating women; any other conditions deemed unsuitable by the investigator.
- 5.Acute severe cholecystitis attack within the past 7 days, or subjects in whom malignant gallbladder lesions cannot be ruled out.
- 6.Presence of sleep disorders requiring pharmacological intervention; concomitant psychiatric disorders.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Anrikefon Group
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1.0 µg/kg per dose, administered by intravenous bolus injection every 8 hours at 0, 8, and 16 hours postoperatively, for a total of 3 doses.
Specific preparation: Dilute 1.0 µg/kg of Anrikefon with 0.9% sodium chloride injection to a total volume of 10 mL.
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Aktywny komparator: Dezocine Group
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5 mg/dose, IV bolus, q8h.
Administered at 0h, 8h, and 16h postoperatively for a total of 3 doses.
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Quality of Recovery-15 (QoR-15) scale at 24 hours postoperatively.
Ramy czasowe: 24 hours after surgery
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The QoR-15 scale was used 24 hours after surgery to assess the quality of patients' postoperative recovery.
The total score of the QoR-15 scale ranges from 0 to 150, with higher scores indicating a better quality of postoperative recovery.
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24 hours after surgery
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Resting and movement pain Numeric Rating Scale (NRS) Area Under the Curve (AUC 0-24h) after the initial dose
Ramy czasowe: 24 hours after surgery
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Pain intensity was assessed using the 11-point Numerical Rating Scale (NRS), ranging from 0 (no pain) to 10 (the most intense pain imaginable).
NRS scores were recorded at multiple time points between the first postoperative administration and 24 h ± 1 h, both while the subject was at rest and when turning over, to calculate the AUC 0-24 h.
A higher AUC value indicates more severe cumulative pain over 24 hours (a worse outcome).
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24 hours after surgery
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Resting and movement (turning over) postoperative pain scores using the Numeric Rating Scale (NRS) at 0h, 2h, 8h, 16h, and 24h postoperatively.
Ramy czasowe: 24 hours after surgery
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Pain intensity was assessed using an 11-point Numerical Rating Scale (NRS), with scores ranging from 0 (no pain) to 10 (the most intense pain imaginable); higher scores indicate more severe pain (and a poorer prognosis).
Participants' NRS scores were recorded at the following time points: within 5 minutes of the first postoperative medication administration, both at rest and while turning over; 2 hours ± 15 minutes after the first postoperative medication administration; 8 hours (within 30 minutes before the second postoperative medication administration); 16 hours (within 30 minutes before the last postoperative medication administration); and 24 hours ± 1 hour.
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24 hours after surgery
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Rescue analgesic utilization: Cumulative consumption of rescue analgesia (meperidine 75 mg) at 0-12h and 0-24h after the first dose, number of rescue interventions, time to first rescue, and the percentage of subjects not requiring rescue analgesia.
Ramy czasowe: 24 hours after surgery
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Record the cumulative dose of rescue analgesics (pethidine 75 mg) administered 0-12 hours and 0-24 hours after the patient's first postoperative dose, as well as the time at which rescue analgesics were first administered.
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24 hours after surgery
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Incidence of shoulder discomfort, back pain, nausea, and vomiting in each group.
Ramy czasowe: 24 hours after surgery
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During the medical interview, ask the patient whether they have experienced shoulder discomfort, back pain, nausea, or vomiting.
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24 hours after surgery
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Time to first oral intake, time to first flatus/defecation, and time to first ambulation.
Ramy czasowe: 24 hours after surgery
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The medical record documents the patient's mealtimes, times of flatulence and bowel movements, and times of getting out of bed to move around.
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24 hours after surgery
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Sleep quality on postoperative day 1 assessed by the Richards-Campbell Sleep Questionnaire (RCSQ).
Ramy czasowe: 24 hours after surgery
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Every morning upon waking, participants immediately used the Richards-Campbell Sleep Questionnaire (RCSQ) to review and evaluate their sleep from the previous night.
The total RCSQ score is the average of its five items, with a scoring range from 0 (worst sleep) to 100 (best sleep); a higher score indicates better sleep quality (better outcome).
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24 hours after surgery
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Postoperative Brief Pain Inventory (BPI) Scores
Ramy czasowe: 24 hours after surgery
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Twenty-four hours after surgery, the Brief Pain Inventory (BPI) was used to assess participants' pain intensity and the extent to which pain interfered with their daily activities over the past 24 hours.
The scale ranges from 0 to 10 points (0 indicates no pain/no interference, and 10 indicates the most intense pain imaginable/complete interference).
A higher score indicates more severe pain and a greater impact on daily life (i.e., a worse outcome).
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24 hours after surgery
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Incidence and severity of adverse events (AEs).
Ramy czasowe: 2 weeks post-surgery
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Follow-up records document the occurrence and severity of adverse events in patients.
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2 weeks post-surgery
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12-Lead Electrocardiogram
Ramy czasowe: Baseline and the 24 hours After Surgery
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During the trial, 12-lead ECG examinations were performed at regular intervals to record the ECG diagnosis (normal/abnormal), ECG heart rate (beats per minute), and QT/Qtc/PR (ms).
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Baseline and the 24 hours After Surgery
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Cumulative use of antiemetics within 0-24 hours after the first postoperative dose in each group
Ramy czasowe: 24 hours after surgery
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Record and compare the total cumulative dose of antiemetic medications prescribed and administered to patients in each group within the first 24 hours after the initial postoperative dose.
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24 hours after surgery
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Proportion of patients in each group who received antiemetics within 0-24 hours after the first postoperative dose
Ramy czasowe: 24 hours after surgery
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Calculate and compare the percentage of patients in each group who required at least one dose of rescue antiemetic medication within the first 24 hours after the initial postoperative administration.
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24 hours after surgery
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Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- Anrikefon LC01
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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