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A Comparison of Oxycodone/Naloxone and Oxycodone After Laparoscopic Hysterectomy

Primary Purpose

Postoperative Pain, Opioid Induced Constipation

Status
Completed
Phase
Phase 4
Locations
Norway
Study Type
Interventional
Intervention
naloxone
oxycodone
Sponsored by
Ullevaal University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Postoperative Pain

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Females 18 -70 years
  2. Elective, non-malignant laparoscopic gynecological surgery in general anesthesia : hysterectomy/ myomectomy, ASA 1, 2 and 3
  3. Subjects willing and able to participate the study and have provided informed consent form -

Exclusion Criteria:

  1. Previous recent or regular opioid use (WHO step I pain treatment allowed)
  2. Any situation where opioids are contraindicated.
  3. Any history of moderate to severe hepatic impairment.
  4. Any history of severe respiratory depression with hypoxia and/or hypercapnia
  5. Any history of severe chronic obstructive pulmonary disease, cor pulmonal, acute severe bronchial asthma
  6. Subjects with evidence of non-opioid induced paralytic ileus
  7. Subjects with evidence of severely impaired pulmonary function, myxoedema, hypothyroidism
  8. Subjects with evidence of Addison's disease (adrenal cortical insufficiency), toxic psychosis,cholelithiasis, prostate hypertrophy, alcoholism, delirium, pancreatitis, hypotension, hypertension, pre-existing cardiovascular diseases, head injury (due to the risk of increased intracranial pressure), epileptic disorder or predisposition to convulsions, or patients taking MAO inhibitors.
  9. Any history of hypersensitivity to Oxycodone / Naloxone or to any of the excipients.
  10. Active alcohol or drug abuse and/or history of opioid abuse.
  11. Subjects with evidence of clinically unstable disease, as determined by medical history, clinical laboratory tests, ECG results, and physical examination that, in the Investigator's opinion, preclude entry into the study.
  12. Subjects who have received an investigational medicinal product within 30 days of study entry (defined as the start of the Screening Period).

Sites / Locations

  • Dept of Anesthesiology, Oslo University Hospital, Ullevaal

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

oxycodone+naloxone

Control

Arm Description

Oxycodone alone without naloxone

Outcomes

Primary Outcome Measures

Constipation in subjects with postoperative pain

Secondary Outcome Measures

Full Information

First Posted
April 15, 2010
Last Updated
November 1, 2018
Sponsor
Ullevaal University Hospital
Collaborators
Mundipharma AB
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1. Study Identification

Unique Protocol Identification Number
NCT01109511
Brief Title
A Comparison of Oxycodone/Naloxone and Oxycodone After Laparoscopic Hysterectomy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
March 1, 2010 (Actual)
Primary Completion Date
June 30, 2011 (Actual)
Study Completion Date
July 30, 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ullevaal University Hospital
Collaborators
Mundipharma AB

4. Oversight

5. Study Description

Brief Summary
Objectives: Primary objective: To demonstrate that the treatment with OXN PR tablets up to 72 hrs after surgery is superior to the treatment with OxyPR with regards to constipation in subjects with postoperative pain after laparoscopic hysterectomy based on interviews 24h, 72 h and 1 week postoperatively. The secondary objectives: Analgesic effect (including registration during the first 24 hrs) To asses the frequency of pain rescue mediation use (in the double-blind phase, 0-72 hrs) Frequency of nausea and vomiting Frequency of other adverse events Appetite Mobilization The exploratory objectives: Overall patient satisfaction at 24, 72 hrs and 1 week

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postoperative Pain, Opioid Induced Constipation

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Allocation
Randomized
Enrollment
85 (Actual)

8. Arms, Groups, and Interventions

Arm Title
oxycodone+naloxone
Arm Type
Active Comparator
Arm Title
Control
Arm Type
Active Comparator
Arm Description
Oxycodone alone without naloxone
Intervention Type
Drug
Intervention Name(s)
naloxone
Intervention Type
Drug
Intervention Name(s)
oxycodone
Primary Outcome Measure Information:
Title
Constipation in subjects with postoperative pain
Time Frame
3 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females 18 -70 years Elective, non-malignant laparoscopic gynecological surgery in general anesthesia : hysterectomy/ myomectomy, ASA 1, 2 and 3 Subjects willing and able to participate the study and have provided informed consent form - Exclusion Criteria: Previous recent or regular opioid use (WHO step I pain treatment allowed) Any situation where opioids are contraindicated. Any history of moderate to severe hepatic impairment. Any history of severe respiratory depression with hypoxia and/or hypercapnia Any history of severe chronic obstructive pulmonary disease, cor pulmonal, acute severe bronchial asthma Subjects with evidence of non-opioid induced paralytic ileus Subjects with evidence of severely impaired pulmonary function, myxoedema, hypothyroidism Subjects with evidence of Addison's disease (adrenal cortical insufficiency), toxic psychosis,cholelithiasis, prostate hypertrophy, alcoholism, delirium, pancreatitis, hypotension, hypertension, pre-existing cardiovascular diseases, head injury (due to the risk of increased intracranial pressure), epileptic disorder or predisposition to convulsions, or patients taking MAO inhibitors. Any history of hypersensitivity to Oxycodone / Naloxone or to any of the excipients. Active alcohol or drug abuse and/or history of opioid abuse. Subjects with evidence of clinically unstable disease, as determined by medical history, clinical laboratory tests, ECG results, and physical examination that, in the Investigator's opinion, preclude entry into the study. Subjects who have received an investigational medicinal product within 30 days of study entry (defined as the start of the Screening Period).
Facility Information:
Facility Name
Dept of Anesthesiology, Oslo University Hospital, Ullevaal
City
Oslo
ZIP/Postal Code
0407
Country
Norway

12. IPD Sharing Statement

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A Comparison of Oxycodone/Naloxone and Oxycodone After Laparoscopic Hysterectomy

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